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Lipoprotein glomerulopathy (LPG) is a rare disorder characterized by the development of glomerular lipoprotein thrombosis. LPG exhibits familial aggregation, with mutations in the apolipoprotein E (APOE) gene identified as the leading cause of this disease. This study aimed to investigate APOE gene mutations and the clinicopathological features in eleven LPG patients. Clinicopathological and follow-up data were obtained by extracting DNA, followed by APOE coding region sequencing analysis. This study analyzed clinical and pathological manifestations, gene mutations, treatment and prognosis. The mean age of the eleven patients was 33.82 years. Among them, five had a positive family history for LPG, ten presented with proteinuria, four exhibited nephrotic syndrome, and six presented with microscopic hematuria. Dyslipidemia was identified in ten patients. In all renal specimens, there was evident dilation of glomerular capillary lumens containing lipoprotein thrombi, and positive oil red O staining was observed in frozen sections of all samples. APOE gene testing revealed that one patient had no mutations, while the remaining ten patients exhibited mutations in the APOE gene, with three patients presenting with multiple mutations simultaneously. Following the confirmation of LPG diagnosis, treatment with angiotensin-converting enzyme inhibitor (ACEI)/angiotensin receptor blocker (ARB) was initiated, and the disease progressed slowly. LPG is histologically characterized by lamellated lipoprotein thrombi in glomeruli, and kidney biopsy is essential for diagnosis. Mutations in the APOE gene are the leading cause of LPG. This study revealed clinicopathological characteristics and APOE gene mutations in patients with LPG, which helps us better understand the disease. [ABSTRACT FROM AUTHOR]

Background: This research investigates the metabolic profiles of follicular fluid (FF) samples from patients with polycystic ovary syndrome (PCOS) undergoing in vitro fertilisation and aims to identify diagnostic and therapeutic biomarkers for PCOS through lipidomic analysis. Methods: We performed non-targeted lipid analysis of FF samples from women with PCOS (n = 6) and normal controls (n = 6) using ultra-high-performance liquid chromatography-tandem mass spectrometry. Differential lipids between the two groups were screened using multidimensional statistical analysis, followed by fold change analysis and t-tests to identify potential PCOS biomarkers. Results: Multivariate statistical analysis revealed significant differences in FF lipid levels between the PCOS and control groups. Five different lipids were selected as standards, with p < .05. Phosphatidylcholine (PC), the main differentially expressed lipid, was significantly increased in the FF of the POCS group and was closely related to other lipids. Conclusions: Using ultra-high-performance liquid chromatography-tandem mass spectrometry, we investigated lipid biomarkers based on FF lipidomics to provide useful information for the discovery of diagnostic markers for PCOS. Our study identified five distinct lipids as potential markers of PCOS, with PC being the primary aberrant lipid found in the FF of patients with PCOS. [ABSTRACT FROM AUTHOR]

Integrating multiple switching behaviors in a single material is conducive to the development of smart devices, but still faces challenges, especially in finding new types of multiresponsive materials. Hybrid metal halides have been becoming promising candidates with the potential to exhibit changes in various physical and chemical properties upon structural phase transitions. Herein, a pair of enantiomers (R/S‐3‐OHPD)PbI3 (1R/1S; 3‐HOPD = 3‐hydroxypiperidine cation) is reported to show multichannel switching behaviors around room temperature triggered by a combined order‐disorder and displacive type phase transition that arouses a large lattice reorganization and shape change of the crystals. Owing to the inherent chiral, noncentrosymmetric, and semiconducting characteristics of the compounds, five other switching behaviors are realized besides the macroscopic deformation, that is, enthalpy, dielectric permittivity, photoluminescence, circularly polarized light excited photoluminescence, and photoelectric response. This study provides an exciting example of phase transition crystals for the development of integrated multifunctional materials. [ABSTRACT FROM AUTHOR]

Background: Iron deficiency anemia (IDA) is a common health problem worldwide. The objective of this study was to noninvasively and quantitatively evaluate early changes in left ventricular systolic function in patients with IDA using the left ventricular press–strain loop (LV-PSL). Methods: Sixty-two patients with IDA were selected and divided into two groups based on hemoglobin (Hb) concentration: Group B with Hb > 9 g/dL and group C with 6 g/dL < Hb < 9 g/dL. Thirty-three healthy individuals were used as the control (Group A). The global longitudinal strain (GLS), global work index (GWI), global constructive work (GCW), global waste work (GWW), global work efficiency (GWE) were derived using LV-PSL analysis. Receiver operating characteristic (ROC) curves were constructed for MW parameters to detect abnormal left ventricular systolic function in IDA patients. Results: Compared to group A, GWI and GCW were reduced in group B (both P < 0.01). Compared with groups B and A, GLS, GWI, GCW and GWE, and E/A were all diminished, and GWW, LVEDV, LVESV, and E/mean e' were all increased in group C (all P < 0.01). GLS was positively correlated with GWI, GCW, and GWE (r = 0.679, 0.681, and 0.447, all P < 0.01), and negatively associated with GWW (r = − 0.411, all P < 0.01). For GWI, area under the ROC curve (AUROC) was 0.783. The optimal GWI threshold for detecting abnormal LV systolic function in IDA was1763 mmHg%, with sensitivity of 0.71 and specificity of 0.78. Conclusions: LV-PSL allows noninvasive quantitative assessment of early impaired LV systolic function in IDA patients with preserved LV ejection fraction, and GWI has high sensitivity and specificity compared with other parameters. [ABSTRACT FROM AUTHOR]

Introduction: We undertook an in-depth investigation of the data pertaining to pancreatic adenocarcinoma (PAAD) to identify potential targets for the development of precision therapies. Material and methods: The construction of a protein-protein interaction (PPI) network was based on overlapping differentially expressed genes (DEGs) identified in the GSE16515, GSE32676, and GSE125158 datasets. A subsequent bioinformatic analysis was performed on the interconnected genes within the PPI network, leading to the identification of the central gene, CENPN. In vitro experimentation such as CCK8 and Transwell experiments was employed to elucidate the impact of CENPN expression patterns on PAAD cell proliferation, migration, and invasion. Furthermore, the investigation revealed through comprehensive enrichment analysis that the pivotal signaling pathway associated with CENPN is the p53 signaling pathway. Results: Following a comprehensive bioinformatic analysis of 161 concordant differentially expressed genes (DEGs) across three microarray datasets, CENPN emerged as the central gene under investigation. Overexpression of CENPN in pancreatic adenocarcinoma (PAAD) was associated with unfavorable patient outcomes and heightened sensitivity to four PAAD therapies: gemcitabine, docetaxel, paclitaxel, and sunitinib. Reduced CENPN expression impeded PAAD cell proliferation, migration, and invasion; however, these effects were counteracted upon upregulation of CENPN expression. Additionally, CENPN interacted with MDM2, promoting PAAD progression by targeting the p53 signaling pathway. Conclusions: The findings of our study substantiate that CENPN is associated with the pathogenesis of PAAD. Consequently, CENPN appears to be a promising candidate for targeted precision therapy in clinical applications. [ABSTRACT FROM AUTHOR]

Here, we successfully modulated the anisotropic photoresponse by constructing halide perovskites with different quantum well (QW) thicknesses. The results show that the narrowed halide perovskite QWs exhibit a larger photocurrent anisotropy ratio ω. The dependence of the anisotropic photoresponse on the thickness of the QWs provides a distinct means for the design of high-performance polarization-sensitive photodetectors. [ABSTRACT FROM AUTHOR]

Offshore carbon dioxide (CO2) geological storage (OCGS) represents a significant strategy for addressing climate change by curtailing greenhouse gas emissions. Nonetheless, the risk of CO2 leakage poses a substantial concern associated with this technology. This study introduces an innovative approach for establishing OCGS leakage scenarios, involving four pivotal stages, namely, interactive matrix establishment, risk matrix evaluation, cause–effect analysis, and scenario development, which has been implemented in the Pearl River Estuary Basin in China. The initial phase encompassed the establishment of an interaction matrix for OCGS systems based on features, events, and processes. Subsequent risk matrix evaluation and cause-effect analysis identified key system components, specifically CO2 injection and faults/features. Building upon this analysis, two leakage risk scenarios were successfully developed, accompanied by the corresponding mitigation measures. In addition, this study introduces the application of scenario development to risk assessment, including scenario numerical simulation and quantitative assessment. Overall, this research positively contributes to the sustainable development and safe operation of OCGS projects and holds potential for further refinement and broader application to diverse geographical environments and project requirements. This comprehensive study provides valuable insights into the establishment of OCGS leakage scenarios and demonstrates their practical application to risk assessment, laying the foundation for promoting the sustainable development and safe operation of ocean CO2 geological storage projects while proposing possibilities for future improvements and broader applications to different contexts. [ABSTRACT FROM AUTHOR]

The experiment aimed to investigate the impact of substituting corn with fermented sweet potato potato on the growth performance, serum biochemical indexes, immune indexes, and intestinal morphology of yellow-feathered broilers. A total of 360 one-day-old yellow-feathered broilers were randomly divided into four groups, with six replicates in each group, and 15 broilers in each replicate. The broilers in control group were fed a basal diet. Groups I, II, and III were fed diets with 1%, 3%, and 5% fermented sweet potato pomace substituting corn, respectively, from 1 to 21 days of age, and 5%, 8%, and 10% from 22 to 42 days and 43 to 70 days of age, respectively. The trial lasted for 70 days. The results showed that substituting corn with fermented sweet potato pomace did not significantly affect the average daily weight gain, average daily feed intake, and feed conversion ratio of the yellow-feathered broilers (P>0.05). Compared to the control group, the levels of serum high-density lipoprotein cholesterol (HDL-C), immunoglobulin A (IgA), immunoglobulin G (IgG), interleukin-2 (IL-2), and interleukin-6 (IL-6) in groups I and II were significantly increased (P<0.05). At 21 days of age, the villus height and crypt depth of the duodenum in group I were significantly reduced (P<0.05), while the crypt depth in the ileum was significantly increased (P<0.05), and the villus height to crypt depth ratio (V/C) in the ileum of groups I and III were significantly decreased (P<0.05). At 42 days of age, the villus height of the duodenum and jejunum and crypt depth of the jejunum in group III were significantly reduced (P<0.05), the V/C of the duodenum in group I was significantly increased (P<0.05), and the villus height of the ileum in groups I and II were significantly increased (P<0.05). At 70 days of age, the villus height and V/C of the duodenum in groups I and II were significantly increased (P<0.05), the crypt depth was significantly reduced (P<0.05), and the villus height and V/C of the jejunum in group II were significantly increased (P<0.05). The study indicates that adding fermented sweet potato pomace to the diet as a substitute for corn can improve the serum immune indicators and intestinal tissue morphology of yellow-feathered broilers, and the optimal supplemental level is 5% at 1 to 21 days of age and 8% at 22 to 70 days of age. [ABSTRACT FROM AUTHOR]

In order to study the effect of water erosion on the adhesion characteristics of warm-mix crumb rubber-modified asphalt (WCR)-steel slag interface, hot-mix crumb rubber-modified asphalt (HCR) was used as the control group. The WCR-aggregate interface adhesion model was established based on the surface energy test. According to the surface energy theory, the adhesion work of WCR-aggregate can be used to calculate their contact angle. Then, the permeability work and spreading coefficient of asphalt-aggregate were obtained. Three processes of asphalt wetting aggregate (adhesion wetting, immersion wetting, and extended wetting) and the compatibility of asphalt-aggregate were analyzed. The interfacial pull-out test and freeze-thaw splitting test were also used to further analyze the adhesion characteristics and water stability of asphalt-aggregate under the action of hydrothermal coupling. Finally, the low-temperature beam bending test of warm/hot-mix crumb rubber-modified asphalt mixture was carried out to verify the experimental results of adhesion characteristics of the asphalt-aggregate interface. The results show that with the erosion of water, the adhesion and water stability of the WCR-steel slag interface and the low-temperature crack resistance of warm/hot-mix crumb rubber-modified asphalt mixture gradually weaken. At the same time, the higher the water bath temperature, the faster the asphalt film destruction, the positive effect of the warm agents on asphalt-aggregate adhesion was weakened, and the WCR-steel slag interface adhesion characteristics were better. The experimental results of low-temperature performance also verify the accuracy of the adhesion characteristics of the asphalt mixture. Finally, the correlation analysis revealed that there was a strong correlation between mechanical indexes (the pull-out strength P, the residual strength ratio, the pull-out strength loss rate η) and water stability index (the freeze-thaw splitting strength ratio). All of them could characterize the water stability of the asphalt-aggregate well. Furthermore, the correlation between η and TSR was the highest, so it is more reliable for evaluating the water stability and adhesion of asphalt and aggregate. [ABSTRACT FROM AUTHOR]

Background: Iron deficiency anemia (IDA) is a common health problem worldwide. The objective of this study was to noninvasively and quantitatively evaluate early changes in left ventricular systolic function in patients with IDA using the left ventricular press–strain loop (LV-PSL). Methods: Sixty-two patients with IDA were selected and divided into two groups based on hemoglobin (Hb) concentration: Group B with Hb > 9 g/dL and group C with 6 g/dL < Hb < 9 g/dL. Thirty-three healthy individuals were used as the control (Group A). The global longitudinal strain (GLS), global work index (GWI), global constructive work (GCW), global waste work (GWW), global work efficiency (GWE) were derived using LV-PSL analysis. Receiver operating characteristic (ROC) curves were constructed for MW parameters to detect abnormal left ventricular systolic function in IDA patients. Results: Compared to group A, GWI and GCW were reduced in group B (both P < 0.01). Compared with groups B and A, GLS, GWI, GCW and GWE, and E/A were all diminished, and GWW, LVEDV, LVESV, and E/mean e' were all increased in group C (all P < 0.01). GLS was positively correlated with GWI, GCW, and GWE (r = 0.679, 0.681, and 0.447, all P < 0.01), and negatively associated with GWW (r = − 0.411, all P < 0.01). For GWI, area under the ROC curve (AUROC) was 0.783. The optimal GWI threshold for detecting abnormal LV systolic function in IDA was1763 mmHg%, with sensitivity of 0.71 and specificity of 0.78. Conclusions: LV-PSL allows noninvasive quantitative assessment of early impaired LV systolic function in IDA patients with preserved LV ejection fraction, and GWI has high sensitivity and specificity compared with other parameters. [ABSTRACT FROM AUTHOR]

Somatosensory abnormalities are commonly recognized as diagnostic criteria in autism spectrum disorder (ASD), and may also exist in individuals with autistic traits. The present research included two studies to explore the painful and nonpainful sensation and their cognitive-neurological mechanisms of individuals with autistic traits. Study 1 included 358 participants to assess the relationship between autistic traits and pain/non-pain sensitivities using questionnaires: the Autism Spectrum Quotient (AQ), the Pain Sensitivity Questionnaire, and the Highly Sensitive Person Scale, respectively. Study 1 found that autistic traits were positively correlated with non-pain sensitivity, but not associated with pain sensitivity. Study 2 recruited 1,167 participants whose autistic traits were assessed using the AQ. Subsequently, thirty-three participants who scored within the top 10% and bottom 10% on the AQ were selected into High-AQ and Low- AQ groups, respectively, to explore the cognitive-neural responses of individuals with autistic traits to both painful and non-painful stimuli with event-related potential (ERP) technology. Results of Study 2 showed that the High-AQ group showed higher intensity ratings, more negative emotional reactions, and larger N1 amplitudes than the Low-AQ group to the non-painful stimuli, but no difference of response to the painful stimuli was found between High-AQ and Low-AQ groups. These findings suggest that individuals with autistic traits may experience enhanced non-painful sensation but intact painful sensation. [ABSTRACT FROM AUTHOR]

The impact of halogens on chiral crystal structures and properties has been a significant focus. In this study, we utilize protonated R/S-tetrahydro-2H-pyran-3-ammonium (R/S-3ATHP) as an organic cation to synthesize four pairs of one-dimensional (1D) helical chiral hybrid metal halides. The replacement of the halogen anions (X = Cl−, Br−, and I−) and variation of the cation/anion ratio induce changes in the 1D chain packing mode and helicity of the inorganic components in the crystals. Notably, the Br-based chiral hybrid metal halides exhibit two structures, analogous to the Cl (zigzag, z-) and I (linear, l-) counterparts. Structural variations resulting from halogen adjustments further modulate the chiroptical activity, semiconducting, and photoluminescence properties of the crystals. Particularly noteworthy is the helicity of the [PbX6] octahedral-based chains that is significantly influenced by the asymmetric hydrogen bonding interactions which are determined by the halogens and the number of organic cations. The regular change observed in gCD values: z-(R/S-3ATHP)3PbBr5 > z-(R/S-3ATHP)3PbCl5 > l-(R/S-3ATHP)PbI3 > l-(R/S-3ATHP)PbBr3, is correlated with helicity of the helical 1D chains in the crystals, indicating that more helicity corresponds to stronger chiroptical activity. This work establishes a model system for comprehending the interplay between halogens and structural diversity as well as helicity and chiroptical activity, contributing to a deeper understanding of these relationships in related fields. [ABSTRACT FROM AUTHOR]

Poly(butylene adipate-co-terephthalate) (PBAT) is a promising biodegradable flexible polymer but suffers from slow crystallization rate, making it less attractive for some applications like the injection-molded products in comparison with low-density polyethylene (LDPE). This work aimed to accelerate the crystallization of PBAT by adding a self-assembly nucleating agent octamethylenedicarboxylic dibenzoylhydrazide (OMBH). PBAT/OMBH composites with various OMBH contents (0 wt%, 0.5 wt%, 0.7 wt%, 1 wt%, 2 wt%, 3 wt% and 5 wt%) were prepared through melt-mixing. The effect of OMBH on the crystallization behavior, morphologies and mechanical properties of PBAT was investigated. The highest nucleation efficiency value of 59.6% was achieved for PBAT with 0.7 wt% OMBH, much higher than that of 22.7% for PBAT with 0.7 wt% talc. Atomic force microscopy results showed that OMBH formed fine fibers and induced the formation of transcrystalline layers of PBAT. Fourier transform infrared spectroscopy (FTIR) combined with two-dimensional correlation spectra suggested that the intermolecular dipole-dipole N—H⋯O=C interactions but not hydrogen bond between OMBH and PBAT promoted the crystallization of PBAT in the initial period of crystallization. The presence of OMBH did not change the crystal form of PBAT but had positive contribution in enhancing its crystallinity and mechanical properties. This work is essential for preparing PBAT with high crystallization rate, enhancing its potential applications in injection-molded products. [ABSTRACT FROM AUTHOR]

Introduction: Hepatitis E virus (HEV), with heightened virulence in immunocompromised individuals and pregnant women, is a pervasive threat in developing countries. A globaly available vaccine against HEV is currently lacking. Methods: We designed a multi-epitope vaccine based on protein ORF2 and ORF3 of HEV using immunoinformatics. Results: The vaccine comprised 23 nontoxic, nonallergenic, soluble peptides. The stability of the docked peptide vaccine-TLR3 complex was validated by molecular dynamic simulations. The induction of effective cellular and humoral immune responses by the multi-peptide vaccine was verified by simulated immunization. Discussion: These findings provide a foundation for future HEV vaccine studies. [ABSTRACT FROM AUTHOR]

Background: Vulnerable plaque was associated with recurrent cardiovascular events. This study was designed to explore predictive biomarkers of vulnerable plaque in patients with coronary artery disease. Methods: To reveal the phenotype-associated cell type in the development of vulnerable plaque and to identify hub gene for pathological process, we combined single-cell RNA and bulk RNA sequencing datasets of human atherosclerotic plaques using Single-Cell Identification of Subpopulations with Bulk Sample Phenotype Correlation (Scissor) and Weighted gene co-expression network analysis (WGCNA). We also validated our results in an independent cohort of patients by using intravascular ultrasound during coronary angiography. Results: Macrophageswere found to be strongly correlated with plaque vulnerability while vascular smooth muscle cell (VSMC), fibrochondrocyte (FC) and intermediate cell state (ICS) clusters were negatively associated with unstable plaque. Weighted gene co-expression network analysis showed that Secreted Phosphoprotein 1 (SPP1) in the turquoise module was highly correlated with both the gene module and the clinical traits. In a total of 593 patients, serum levels of SPP1 were significantly higher in patients with vulnerable plaques than those with stable plaque (113.21 [73.65 - 147.70] ng/ml versus 71.08 [20.64 - 135.68] ng/ml; P < 0.001). Adjusted multivariate regression analysis revealed that serum SPP1 was an independent determinant of the presence of vulnerable plaque. Receiver operating characteristic curve analysis indicated that the area under the curve was 0.737 (95% CI 0.697 - 0.773; P < 0.001) for adding serum SPP1 in predicting of vulnerable plaques. Conclusion: Elevated serum SPP1 levels confer an increased risk for plaque vulnerability in patients with coronary artery disease. [ABSTRACT FROM AUTHOR]

Introduction: Fibrosing mediastinitis is a benign but fatal disorder characterized by the proliferation of fibrous tissue in the mediastinum, causing encasement of mediastinal organs and extrinsic compression of adjacent bronchovascular structures. FM-associated pulmonary hypertension (FM-PH) is a serious complication of FM, resulting from the external compression of lung vessels. Pathologic assessment is important for etiologic diagnosis and effective treatment of this disease. Case Presentation: A 59-year-old male patient presented at our hospital and was diagnosed with FM-PH. He declined surgical biopsy that is the reference standard for pathologic assessment, in consideration of the potential risks. Therefore, an endobronchial ultrasound examination was performed, which identified the subcarinal lesion. Under ultrasound guidance, four needle aspirations were carried out, followed by one cryobiopsy. Histopathological examination of transbronchial needle aspiration specimens was inconclusive, while samples from cryobiopsy suggested a diagnosis of idiopathic FM. Further immunophenotyping demonstrated the infiltration of lymphocytes, macrophages, and FOXP3-positive cells in FM-PH. Conclusion: Mediastinal cryobiopsy might be a novel and safe option for FM-PH patients who are unwilling or unsuitable for surgical procedure. [ABSTRACT FROM AUTHOR]

Objective: To investigate the association between circulating secretoneurin (SN) and angiographic coronary collateralization in stable angina patients with chronic coronary total occlusion (CTO). Methods: SN concentrations in serum were measured in 641 stable angina patients with CTO by radioimmunoassay. The status of coronary collaterals from the contra-lateral vessel was visually estimated using the Rentrop grading system, and was categorized into poor (grade 0 or 1) or good (grade 2 or 3) collateralization. Results: Serum SN levels were significantly higher in patients with good coronary collaterals compared to those with poor collaterals (175.23 ± 52.09 pmol/L vs. 143.29 ± 42.01 pmol/L, P < 0.001). Serum SN increased stepwise across Rentrop score 0 to 3 (P < 0.001), and increasing SN tertiles were associated with higher proportion of good coronary collateralization (OR, 1.907; 95% CI, 1.558 ~ 2.335, P < 0.001). After adjustment for confounding variables, serum SN (per tertile) remained an independent factor for predicting good coronary collaterals (OR, 1.870; 95% CI, 1.515 ~ 2.309; P < 0.001). Moreover, the diagnostic value of serum SN (per tertile) was consistent after stratifying patients based on gender, age, body mass index, hypertension, diabetes, history of smoking, severity of coronary artery disease and kidney function (OR: 1.511 ~ 2.680, P interaction ≥ 0.327). Conclusion: Elevated circulating SN reflects good angiographic coronary collaterals in stable angina patients with CTO. The findings may provide insight into decision-making for these patients. [ABSTRACT FROM AUTHOR]

Background. Vigilance and executive functions are integral to nursing practice. Prolonged working hours are associated with heightened fatigue and increased nursing errors. However, the impact of work duration on the vigilance and executive function of ICU nurses remains unexplored. Objective. This study aims to elucidate the association between ICU nurses' working hours, vigilance, and executive function. Design. A cross-sectional study. Setting. Intensive care medicine department of a tertiary hospital in Zhengzhou, China. Participants. A total of 51 registered nurses who participated in 12 h shifts in the ICU completed the survey. Methods. E-prime software was employed to develop four test tasks to measure the vigilance and executive functioning of ICU nurses. The test was performed before the start of the shift and after 4, 8, and 12 h. Results. The analysis revealed no statistically significant differences in the response time of vigilance for ICU nurses across shifts (p = 0.503) or working hours (p = 0.078). However, a significant difference existed in lapses across working hours (p = 0.005), significantly increasing after 8 and 12 h. The analysis indicated a significant difference in Flanker effect size across different working hours (p = 0.035). The analysis revealed no significant differences in the switch cost (p = 0.200) or response accuracy (p = 0.479) of the task switching across working hours. The response accuracy for the 2-back task differed significantly (p = 0.003) across working hours. Conclusion. Limited evidence demonstrated that vigilance and specific aspects of executive functioning (inhibitory control and working memory) of ICU nurses were negatively correlated with the duration of their work in a real clinical setting. Furthermore, no vigilance and executive function differences were identified between day and night shifts. Implications for Nursing Management. Nursing administrators should reconsider scheduling 12 h shifts, shortening shifts, or implementing short rest periods to reduce fatigue and cognitive load. In addition, flexible scheduling and rationalizing the order of work may help reduce the possible risks associated with prolonged work. [ABSTRACT FROM AUTHOR]

Background: Internet addiction (IA) among students, worsened by Coronavirus disease 2019 (COVID-19) pandemic, has become a social problem with the digitalization of school learning and many aspects of daily life. However, few studies on IA have been conducted among students after the lifting of COVID-19 restrictions in China. Method: This large-sample, cross-sectional, online survey was conducted to explore the characteristics of IA and the association among IA, academic satisfaction, and mental health problems from December 14, 2022 to February 28, 2023 in Sichuan, China. All participants (N = 22,605) were students in colleges and universities, recruited via their teachers and professors. Results: Of all the participants, 14,921 (66.0%) participants had IA. Participants with IA were more likely to have depression symptom, anxiety symptom, insomnia, and lifetime suicidal ideation. In addition, participants with severe IA had significantly higher rates of mental health problems (e.g., depression, anxiety, insomnia, and suicidal ideation) than those with mild IA. A significant IA-byacademic satisfactory-interaction on mental health was identified: participants with higher level of IA showed particularly severe symptom of depression, anxiety and insomnia when affected by low satisfactory of academy (p < 0.001). Conclusion: This study reveals that IA has a significantly negative impact on mental health among college students after the lifting of COVID-19 restrictions in China. IA and academic satisfaction have interactive impacts on mental health problems among students. Further educational and health policies and psychosocial interventions should be developed to reduce IA and enhance academic satisfaction for improving students' mental health. [ABSTRACT FROM AUTHOR]

Background: Glycine soja Sieb. & Zucc. is the wild ancestor from which the important crop plant soybean was bred. G. soja provides important germplasm resources for the breeding and improvement of cultivated soybean crops, however the species is threatened by habitat loss and fragmentation, and is experiencing population declines across its natural range. Understanding the patterns of genetic diversity in G. soja populations can help to inform conservation practices. Methods: In this study, we analyzed the genetic diversity and differentiation of G. soja at different sites and investigated the gene flow within the species. We obtained 147 G. soja accessions collected from 16 locations across the natural range of the species from China, Korea and Japan. Samples were analyzed using SLAF-seq (Specific-Locus Amplified Fragment Sequencing). Results: We obtained a total of 56,489 highly consistent SNPs. Our results suggested that G. soja harbors relatively high diversity and that populations of this species are highly differentiated. The populations harboring high genetic diversity, especially KR, should be considered first when devising conservation plans for the protection of G. soja, and in situ protection should be adopted in KR. G. soja populations from the Yangtze River, the Korean peninsula and northeastern China have a close relationship, although these areas are geographically disconnected. Other populations from north China clustered together. Analysis of gene flow suggested that historical migrations of G. soja may have occurred from the south northwards across the East-Asia land-bridge, but not across north China. All G. soja populations could be divided into one of two lineages, and these two lineages should be treated separately when formulating protection policies. [ABSTRACT FROM AUTHOR]

Rescheduling is the guarantee to maintain the reliable operation of production system process. In production system, the original scheduling scheme cannot be carried out when machine breaks down. It is necessary to transfer the production tasks in the failure cycle and replan the production path to ensure that the production tasks are completed on time and maintain the stability of production system. To address this issue, in this paper, we studied the event-driven rescheduling policy in dynamic environment, and established the usage rules of right-shift rescheduling and complete rescheduling based on the type of interference events. And then, we proposed the rescheduling decision method based on genetic algorithm for solving flexible job shop scheduling problem with machine fault interference. In addition, we extended the "mk" series of instances by introducing the machine fault interference information. The solution data show that the complete rescheduling method can respond effectively to the rescheduling of flexible job shop scheduling problem with machine failure interference. [ABSTRACT FROM AUTHOR]

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Duck breed Longshengcui (Anas platyrhynchos Linnaeus, 1758 breed Longshengcui, LSC) is one of the famous native breed of the Guangxi Zhuang Nationality Autonomous Region in China. In this study, we report the complete mitochondrial genome of LSC. The mitogenome (GenBank accession no. MZ895120) has 16,602 bp in length and consisted of the well-known 13 protein-coding genes, 22 tRNA genes, two rRNA genes, and the control region. The phylogenetic analysis showed that LSC and Zhijiang duck have highly similar genetic relationship. These results are helpful for the conservation of genetic resources and phylogeny of this species. [ABSTRACT FROM AUTHOR]

Chronic subdural hematoma (CSDH) is a neurological disease that always affects the elderly. Burr hole drainage is a relatively simple procedure and frequently used in the treatment for CSDH. Brainstem hemorrhage is a rare complication of CSDH drainage but with poor prognosis. We describe a case of 60-year-old man presenting with brainstem hemorrhage after receiving burr hole drainage of CSDH. The literatures were reviewed, and the possible mechanisms were discussed. Rapid brain shifting and hyperemia after operation may participate in this pathological procedure. Slow decompression of hematoma with steady lowering of intracranial pressure may help to reduce the complication. [ABSTRACT FROM AUTHOR]

The sol-gel approach was utilized to make a copper-doped Ti/SnO2-Sb anode for electrochemical oxidation of norfloxacin (NOR). Sycanning electron microscopy (SEM), energy dispersive spectrometry (EDS), X-ray diffraction (XRD), linear scan voltammograms (LSV), and cyclic voltammetry (CV) were used to examine the anode's surface morphology and electrochemical characteristics. The results show that the doped metal makes the anode coating denser and smoother, which is more conducive to resistance to electrochemical corrosion. The electrochemical degradation of NOR utilizing the constructed anode was examined in relation to reaction circumstances such as current density, pH value, and initial NOR concentration. Within the selected range of reaction conditions, the removal rate of NOR using Ti/SnO2–Sb–Cu electrode was significantly higher than that of blank electrode. The following were the shifting trends: NOR removal efficiencies grew with applied current density and initial NOR concentration, and reduced with increasing pH value. Water samples with different reaction times were taken and tested by UV-Vis spectrum. As can be seen from the results, with the progress of the reaction, the intensity of the characteristic peak decreased, indicating that NOR is degraded gradually. The electrochemical degradation pathways of NOR were studied using liquid chromatography coupled with mass spectrometry (LC-MS). Six intermediates were detected and a possible reaction pathway for the degradation of NOR by electrochemical oxidation was proposed. [ABSTRACT FROM AUTHOR]

The regenerated cellulose membrane (RC) was synthesized by dissolving cotton cellulose in NaOH/CO(NH2)2 system. The Polydopamine/Bismuth tungstate/RC composite membrane (RCPB) with photocatalytic activity was synthesized by loading polydopamine-modified bismuth tungstate (PDA/BWO) composite onto the RC by blending method. The RCPB/PAN/RCPB sandwich structure membrane was synthesized by combining the polyacrylonitrile (PAN) nanofiber membrane and RCPB by scraping method, which can reduce aqueous Cr(VI) under visible light effectively. Characterization shows that the tensile strength, elongation at break, roughness and initial water contact angle of RCPB/PAN/RCPB are 32.1 MPa, 5.34%, 0.658 μm and 69.0°, respectively. The photoreduction percent of Cr(VI) by RCPB/PAN/RCPB can reach 99.7% within 120 min with a rate constant of 0.0869 min−1, and the photoreduction percent remains above 84.6% after four cycles. The introduction of PAN nanofiber membrane further improves the mechanical properties and recycling ability of RCPB. Meanwhile, the capture experiments reveal that the main active substance for photocatalytic reduction of Cr(VI) by RCPB/PAN/RCPB is photogenerated e−. This work provides a new idea for the treatment of Cr(VI)-containing wastewater. [ABSTRACT FROM AUTHOR]

Members of La-related protein (LARP) 1 family spread widely in various species, and they are involved in regulating many important biological processes in mammal, yeast, and fruit fly. However, functional research of LARP1s in plants is limited so far. In Arabidopsis, there are three members in LARP1 family, LARP1a, 1b, and 1c. Here, we found that the mutation of LARP1 genes delayed seed germination, implying that LARP1 proteins might be positive factors of seed germination in Arabidopsis. Moreover, the larp1 mutants showed more sensitive to abscisic acid (ABA) and paclobutrazol (PAC), as larp1 mutants displayed low rate of germination in medium contained ABA or PAC. Temporal and spatial expression analyses revealed that LARP1s were more abundant in seeds, especially in imbibed seeds. Subcellular localization analysis revealed that all LARP1 proteins could localize to the P-bodies, suggesting that LARP1s might play a role in RNA processes. Taken together, our results unravel new conserved functions of LARP1s in the regulation of Arabidopsis seed germination. [ABSTRACT FROM AUTHOR]

This correction notice from BioMedical Engineering OnLine acknowledges that the original publication of an article on left ventricular systolic function in patients with iron deficiency anemia was missing the affiliation of Author Kefeng Li from the School of Applied Sciences at Macao Polytechnic University. The correction has been made to include this information in the updated article. The correction notice was reported by multiple authors involved in the study. [Extracted from the article]

Introduction: Camellia is among the most ornamentally valuable flowers and plants worldwide. Flower abscission typically causes significant financial losses by the horticultural landscape. Previous research has revealed that phytohormones, transcription factors, and other genes involved in floral development regulate the maintenance and mortality of flowers Methods: In this study, for the first time, the transcriptomes and targeted hormone metabolomics of three developmental stages of the receptacles of two distinct camellia strains (CF: abscission strain, CHF: nonabscission strain) were analyzed to determine their roles in regulating blossom abscission in camellia. Results: ABA content was shown to be considerably upregulated throughout all phases of CF development, as were the genes implicated in the ABA production pathway and their downstream counterparts. Highly expressed genes in CF were involved in galactose metabolism, phenylpropanoid biosynthesis, amino and nucleotide sugar metabolism, pentose and glucuronate interconversions, and MAPK. Among others, highly expressed genes in CHF are associated with fructose and mannose metabolism, alphalinolenic acid metabolism, biosynthesis of secondary metabolites, starch and sucrose metabolism, and cutin, suberin, and wax biosynthesis. A vast variety of stress response-related pathways and redox-related activities were also shown to be active in CHF. In contrast, CF dramatically activated pathways associated with lignin production, keratinogenesis, cell wall biogenesis, and ABA response. A comparative transcriptomic study of the CF and CHF pathways revealed that the downstream response pathways of hormones, including CTK, BR, IAA, ethylene, and GA, were very active in CF, indicating a significant amount of signal transduction and transcriptional regulation by CF. In addition, members of the transcription factor family, such as MYB, bHLH, MADS, and WD40, may regulate flower abscission. Discussion: A comparative transcriptome analysis of two distinct strains of camellia receptacles elucidates the molecular processes and regulatory characteristics of flower abscission and provides direction for the targeted improvement and breeding of camellia. [ABSTRACT FROM AUTHOR]

Previous studies have reported that individuals with autistic traits, like those with Autism Spectrum Disorder (ASD), may have impaired empathic responses when observing static stimuli of others' pain. However, it remains unclear whether individuals with autistic traits exhibit impaired empathy for pain in response to dynamic stimuli. The present study addressed this question by recruiting 529 individuals whose autistic traits were assessed using the autism-spectrum quotient (AQ) questionnaire. Thirty participants who scored within the top 10% and bottom 10% on the AQ were selected into High-AQ and Low-AQ groups, respectively. This study employed painful whole-body action pictures and videos as static and dynamic stimuli. Both groups were instructed to judge whether the models in the stimuli were experiencing pain, and their reaction times, accuracy and event-related potential (ERP) data were recorded. Results showed that the P2 amplitudes were larger in the High-AQ group than in the Low-AQ group when viewing painful static stimuli, while no difference between the two groups was found when viewing painful dynamic stimuli. These results suggest that autistic traits influenced the emotional processing of others' pain in response to static stimuli. [ABSTRACT FROM AUTHOR]

ERBB2 amplification is one of the most important and mature targets for HER2- targeted drug therapy. Somatic mutations of ERBB2 in the tyrosine kinase domain have been studied extensively, and play a role in response to anti-HER2 therapy among different cancer types. However, ERBB2 fusion has not been got attention and its relevance to HER2-targeted therapy is unclear. We comprehensively characterized ERBB2 fusions from next-generation sequencing (NGS) data between May 2018 and October 2021 in 32,131 various solid tumors. Among the tumors, 0.28% harbored ERBB2 fusions, which occurred more commonly in gastroesophageal junction cancer (3.12%; 3/96), breast cancer (1.89%; 8/422), urothelial carcinoma (1.72%; 1/ 58), and gastric cancer (1.60%; 23/1,437). Our population presented with a median age of 65 years (range 28 to 88 years), a high proportion of men (55 men vs 34 women; 61.80%). Among the patients with ERBB2 fusions, TP53 (82%), APC (18%), and CDK4 (15%) were the top3 co-mutant genes. What’s more, most patients with ERBB2 fusion also had ERBB2 amplification (75.28%; 67/89), which was similar to the data in the TCGA database (88.00%; 44/50). Furthermore, TCGA database shows that patients with ERBB2 fusions in pan-cancer had a worse prognosis than those without ERBB2 fusions, as well as in breast cancer. Besides, ERBB2 amplification combined with ERBB2 fusion had worse prognosis than those with only ERBB2 amplification. ERBB2 fusion may interfere the effect of anti-HER2-targeted antibody drugs and influence the prognosis of patients with ERBB2 amplification. Prospective clinical trials are warranted to confirm the results in the future. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to explore the mediating effects of adversity quotient and the moderating effect of self‐efficacy on the relationship between the organizational climate and the work engagement of intensive care unit nurses. Background: A good organizational climate can contribute to a high level of work engagement. Adversity quotient and self‐efficacy are the key factors affecting nurses' work engagement, while the mechanism of these factors in the organizational climate and work engagement remains unclear. This study was conducted to contribute to the relevant field research. Methods: The study used a cross‐sectional research design and surveyed 323 intensive care unit nurses working in a public hospital in China. The data were analysed using descriptive statistical methods: Pearson correlation analysis and PROCESS macro Model 7 in the regression analysis. Results: Organizational climate was positively correlated with work engagement and adversity quotient. The indirect effect of organizational climate on work engagement through adversity quotient was positive. Furthermore, self‐efficacy moderated the relationship between the two factors. Conclusion: Cultivating organizational climate and adversity quotients is an important strategy to improve the work engagement of intensive care unit nurses, particularly for nurses with high self‐efficacy. Implications for Nursing Management: Administrators should make efforts to create a good organizational climate and cultivate nurses' adversity quotients and self‐efficacy to decrease their intent to leave. [ABSTRACT FROM AUTHOR]

Metabolites/impurities (MIs) of penicillin are normally considered to be the main substances inducing immediate hypersensitivity reactions in penicillin treatment. Our previous research found that penicillin can cause non-allergic hypersensitivity reactions (NAHRs) by directly triggering vascular hyperpermeability and exudative inflammation. However, the chief culprits and underlying mechanisms involved in penicillin-induced NAHRs have not yet been fully elucidated. In this study, we used a combination of approaches including a mouse non-allergic hypersensitivity reaction model, UPLC-MS/MS analyses of arachidonic acid metabolites (AAMs), immunoblotting technique, and molecular docking, etc to investigate the culprits involved in penicillin-induced hypersensitivity reactions. We found penilloic acid, one of the main MIs of penicillin, could trigger NAHRs via inducing increased vascular permeability, while the other MIs did no exhibit similar effect. Penilloic acid-induced reactions were not IgE-dependent. Significantly increased arachidonic acids and cascade metabolites in lungs, and activation of RhoA/ROCK signaling pathway in the ears and lungs of mice were noticed after once administration of penilloic acid. This study revealed that penilloic acid was the chief culprit involved in penicillininduced immediate NAHRs in mice, which mainly associated with direct stimulation of vascular hyperpermeability and exudative inflammation. The activations of AAMs and RhoA/ROCK signaling pathway played important roles in these reactions. [ABSTRACT FROM AUTHOR]

Context Spontaneous abortion (SA) is a common disorder in early pregnancy. Circular RNAs (circRNAs) have been reported to exert important regulatory effects on trophoblast function and embryo development. Objective The aim of this study was to explore whether and how circRNAs regulate trophoblast function in SA during early pregnancy. Methods Cell proliferation, 5-bromo-2-deoxyuridine (BrdU) staining, Transwell, immunofluorescence, Western blot, RNA pull-down, and dual luciferase reporter assays were performed to investigate the effect of circRNA cyclin B1 (circ-CCNB1) on trophoblast function in HTR-8/SVneo and JEG-3 cells. Results An in vitro study demonstrated that upregulation of circ-CCNB1 significantly inhibited trophoblast proliferation and invasion compared with the controls using HTR-8/SVneo and JEG-3 cells, respectively. Moreover, miR-223 was downregulated in the villous tissues of patients with SA and was further predicted and shown to negatively interact with circ-CCNB1, which is involved in trophoblast proliferation and invasion. Using bioinformatics tools and subsequent RNA pull-down and dual luciferase assays, we found that miR-223 directly targets seven in absentia homolog-1 (SIAH1) and that upregulation of miR-223 decreased circ-CCNB1-induced SIAH1 expression levels in HTR-8/SVneo cells. Interestingly, upregulation of circ-CCNB1 suppressed trophoblast proliferation and invasion through inhibition of CCNB1 nuclear translocation induced by SIAH1. Downregulation of SIAH1 enhanced circ-CCNB1-suppressed CCNB1 nuclear protein expression in trophoblast cells. Conclusion Circ-CCNB1 served as a modulator of trophoblast proliferation and invasion by sponging miR-223, thus forming a regulatory network of circ-CCNB1/miR-223/SIAH1 in modulating CCNB1 nuclear translocation, which enabled us to elucidate the molecular mechanisms involved in normal embryo implantation or in SA. [ABSTRACT FROM AUTHOR]

Genetic mutation and recombination are driving the evolution of SARS-CoV-2, leaving many genetic imprints which could be utilized to track the evolutionary pathway of SARSCoV-2 and explore the relationships among variants. Here, we constructed a complete genetic map, showing the explicit evolutionary relationship among all SARS-CoV-2 variants including 58 groups and 46 recombination types identified from 3,392,553 sequences, which enables us to keep well informed of the evolution of SARS-CoV-2 and quickly determine the parents of novel variants. We found that the 5' and 3' of the spike and nucleoprotein genes have high frequencies to form the recombination junctions and that the RBD region in S gene is always exchanged as a whole. Although these recombinants did not show advantages in community transmission, it is necessary to keep a wary eye on the novel genetic events, in particular, the mutants with mutations on spike and recombinants with exchanged moieties on spike gene. [ABSTRACT FROM AUTHOR]

Social impairment is a defining phenotypic feature of autism. The present study investigated whether individuals with autistic traits exhibit altered perceptions of social emotions. Two groups of participants (High-AQ and Low-AQ) were recruited based on their scores on the autism-spectrum quotient (AQ). Their behavioral responses and event-related potentials (ERPs) elicited by social and non-social stimuli with positive, negative, and neutral emotional valence were compared in two experiments. In Experiment 1, participants were instructed to view social-emotional and nonsocial emotional pictures. In Experiment 2, participants were instructed to listen to social-emotional and non-social emotional audio recordings. More negative emotional reactions and smaller amplitudes of late ERP components (the late positive potential in Experiment 1 and the late negative component in Experiment 2) were found in the High-AQ group than in the Low-AQ group in response to the social-negative stimuli. In addition, amplitudes of these late ERP components in both experiments elicited in response to social-negative stimuli were correlated with the AQ scores of the High-AQ group. These results suggest that individuals with autistic traits have altered emotional processing of social-negative emotions. [ABSTRACT FROM AUTHOR]

Tudor staphylococcal nucleases (TSNs) are evolutionarily conserved RNA binding proteins, which include redundant TSN1 and TSN2 in Arabidopsis. It has been showed TSNs are the components of stress granules (SGs) and regulate plant growth under salt stress. In this study, we find a binding protein of TSN1, RH31, which is a DEAD-box RNA helicase (RH). Subcellular localization studies show that RH31 is mainly located in the nucleus, but under salinity, it translocates to the cytoplasm where it accumulates in cytoplasmic granules. After cycloheximide (CHX) treatment which can block the formation of SGs by interfering with mRNP homeostasis, these cytoplasmic granules disappeared. More importantly, RH31 co-localizes with SGs marker protein RBP47. RH31 deletion results in salt-hypersensitive phenotype, while RH31 overexpression causes more resistant to salt stress. In summary, we demonstrate that RH31, the TSN1 binding protein, is a component of plant SGs and participates in regulation of salt-stress tolerance in Arabidopsis. [ABSTRACT FROM AUTHOR]

Gloeostereum incarnatum has edible and medicinal value and was first cultivated and domesticated in China. We sequenced the G. incarnatum monokaryotic strain GiC-126 on an Illumina HiSeq X Ten system and obtained a 34.52-Mb genome assembly sequence that encoded 16,895 predicted genes. We combined the GiC-126 genome with the published genome of G. incarnatum strain CCMJ2665 to construct a genetic linkage map (GiC-126 genome) that had 10 linkage groups (LGs), and the 15 assembly sequences of CCMJ2665 were integrated into 8 LGs. We identified 1912 simple sequence repeat (SSR) loci and detected 700 genes containing 768 SSRs in the genome; 65 and 100 of them were annotated with gene ontology (GO) terms and KEGG pathways, respectively. Carbohydrate-active enzymes (CAZymes) were identified in 20 fungal genomes and annotated; among them, 144 CAZymes were annotated in the GiC-126 genome. The A mating-type locus (MAT-A) of G. incarnatum was located on scaffold885 at 38.9 cM of LG1 and was flanked by two homeodomain (HD1) genes, mip and beta-fg. Fourteen segregation distortion markers were detected in the genetic linkage map, all of which were skewed toward the parent GiC-126. They formed three segregation distortion regions (SDR1-SDR3), and 22 predictive genes were found in scaffold1920 where three segregation distortion markers were located in SDR1. In this study, we corrected and updated the genomic information of G. incarnatum. Our results will provide a theoretical basis for fine gene mapping, functional gene cloning, and genetic breeding the follow-up of G. incarnatum. [ABSTRACT FROM AUTHOR]

We conduct a systematic comparison of technology cost forecasts produced by expert elicitation methods and model-based methods. Our focus is on energy technologies due to their importance for energy and climate policy. We assess the performance of several forecasting methods by generating probabilistic technology cost forecasts rooted at various years in the past and then comparing these with observed costs in 2019. We do this for six technologies for which both observed and elicited data are available. The model-based methods use either deployment (Wright's law) or time (Moore's law) to forecast costs. We show that, overall, model-based forecasting methods outperformed elicitation methods. Their 2019 cost forecast ranges contained the observed values much more often than elicitations, and their forecast medians were closer to observed costs. However, all methods underestimated technological progress in almost all technologies, likely as a result of structural change across the energy sector due to widespread policies and social and market forces. We also produce forecasts of 2030 costs using the two types of methods for 10 energy technologies. We find that elicitations generally yield narrower uncertainty ranges than model-based methods. Model-based 2030 forecasts are lower for more modular technologies and higher for less modular ones. Future research should focus on further method development and validation to better reflect structural changes in the market and correlations across technologies. [ABSTRACT FROM AUTHOR]

Internal solitary waves (ISWs) are ubiquitous in the Andaman Sea, as revealed by synthetic aperture radar (SAR) images, but their generation mechanisms and corresponding influencing factors remain unknown. Based on a nonhydrostatic two-dimensional model, the generation of ISW packets along a transect of a channel lying between Batti Malv Island and Car Nicobar Island is investigated. Additionally, the influences of topographic characteristics, seasonal stratification variables and tidal forcings are analysed through a series of sensitivity runs. The simulated results indicate that bidirectional rank-ordered ISW packets are generated by the nonlinear steepening of internal tides. An east-west ISW asymmetry is observed, which is attributed to distinct topographic characteristics. The surrounding sills are also capable of generating internal wave beams, which modulate the intensity of ISWs. However, the topographic structure of the west flank of the ridge mainly contributes to the suppression of westward ISWs, which decrease the modulating effect of internal wave beams. During spring tide, the generation of ISWs is enhanced. Under neap tide, ISWs are weak, and the east-west ISW asymmetry is less obvious. Moreover, seasonally varied stratification only has a minor effect on the generation and evolution of ISWs. [ABSTRACT FROM AUTHOR]

Turbulent mixing driven by internal tides (ITs) in the ocean is essential for the maintenance of large-scale circulation. The resonant triad interaction (RTI) is an important mechanism by which ITs are dissipated. Based on a series of numerical simulations, we show that background geostrophic currents (BGCs) with nonzero vertical relative vorticity significantly impact the RTI by changing the effective Coriolis frequency. BGCs with negative vorticity (Northern Hemisphere) broaden the frequency range of internal waves so as to engender subharmonic waves at frequencies lower than the local Coriolis frequency near the topography. In addition, subharmonic waves at frequencies that are approximately half the tidal frequency are generated along the IT beams in the presence of BGCs with strong negative vorticity. Those subharmonic waves have larger vertical wavenumbers and hence smaller scales. In contrast, BGCs with positive vorticity (Northern Hemisphere) narrow the frequency range of internal waves and lead to the generation of energetic subharmonic beams. Intense RTI occurs when the effective Coriolis frequency is basically equal to half the tidal frequency, with powerful subharmonic waves detected at half the tidal frequency. Furthermore, in the presence of BGCs with vorticity, energy dissipation is significantly enhanced. Therefore, the development of parameterization of IT-driven mixing should consider the important role of BGCs in modulating RTI. [ABSTRACT FROM AUTHOR]

Background: We investigated whether glycemic control affects the relation between endothelial dysfunction and coronary artery disease in patients with type 2 diabetes mellitus (T2DM). Methods: In 102 type 2 diabetic patients with stable angina, endothelial function was evaluated using brachial artery flow-mediated dilation (FMD) with high-resolution ultrasound, and significant stenosis of major epicardial coronary arteries (≥ 50% diameter narrowing) and degree of coronary atherosclerosis (Gensini score and SYNTAX score) were determined. The status of glycemic control was assessed by blood concentration of glycated hemoglobin (HbA1c). Results: The prevalence of significant coronary artery stenosis (67.9% vs. 37.0%, P = 0.002) and degree of coronary atherosclerosis (Gensini score: 48.99 ± 48.88 vs. 15.07 ± 21.03, P < 0.001; SYNTAX score: 15.88 ± 16.36 vs. 7.28 ± 10.54, P = 0.003) were higher and FMD was lower (6.03 ± 2.08% vs. 6.94 ± 2.20%, P = 0.036) in diabetic patients with poor glycemic control (HbA1c ≥ 7.0%; n = 56) compared to those with good glycemic control (HbA1c < 7.0%; n = 46). Multivariate regression analysis revealed that tertile of FMD was an independent determinant of presence of significant coronary artery stenosis (OR = 0.227 95% CI 0.056–0.915, P = 0.037), Gensini score (β = − 0.470, P < 0.001) and SYNTAX score (β = − 0.349, P = 0.004) in diabetic patients with poor glycemic control but not for those with good glycemic control (P > 0.05). Conclusion: Poor glycemic control negatively influences the association of endothelial dysfunction and coronary artery disease in T2DM patients. [ABSTRACT FROM AUTHOR]