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How to improve older adults' ability of survival, promote their social participation and self-fulfillment, and enhance their quality of life are the challenges of the ageing society. As a contributor to active ageing, later life learning is applied as an effective strategy, and empowerment has been increasingly recognised as important variable in the community-based later life learning. This research outlines two aspects of empowerment through power granting and personal efficacy enhancement and looks at the relationship between the two aspects in selected community learning centres in China. The purpose of this research was to gain a better understanding on how empowerment improves older adults' abilities of life control, change adaption and social participation through institutional, mechanism, environmental, and psychological empowerment, and to identify factors that may contribute to community-based later life learning for guaranteeing the harmonious development among older adults, community and society ultimately.

Hepatitis C remains a global health problem, especially in poverty‐stricken areas. A rapid and sensitive point‐of‐care (POC) diagnostic tool is critical for the early detection and timely treatment of hepatitis C virus (HCV) infection. Here, for the first time, we reported a novel molecular diagnostic assay, termed reverse transcription multiple cross displacement amplification integrated with a gold‐nanoparticle‐based lateral flow biosensor (RT‐MCDA‐AuNPs‐LFB), which was developed for rapid, sensitive, specific, and visual identification of HCV. HCV‐RT‐MCDA induced rapid isothermal amplification through a specific primer set targeting the 5′untranslated region gene from the major HCV genotypes 1b, 2a, 3b, 6a, and 3a that are prevalent in China. The optimal reaction temperature and time for RT‐MCDA‐AuNPs‐LFB were 68°C and 25 min, respectively. The limit of detection of the assay was 10 copies per test, and the specificity was 100% for the experimental strains. The whole detection procedure, including crude nucleic acid isolation (~5 min), RT‐MCDA (68°C, 25 min), and visual AuNPs‐LFB result confirmation (less than 2 min), was performed within 35 min. The preliminary results indicated that the HCV‐RT‐MCDA‐AuNPs‐LFB assay could be a valuable tool for sensitive, specific, visual, cost‐saving, and rapid detection of HCV and has potential as a POC diagnostic platform for field screening and early clinical detection of HCV infection. [ABSTRACT FROM AUTHOR]

In previous taxonomic studies, identification of Atlanticus species was mainly based on male morphological features, such as cercus, tenth abdominal tergum and subgenital plate. In this study, we systematically revise eight Atlanticus species (61 individuals) in East China. We sequence COI genes of all samples for identification, and compare morphologies and male calling songs. The classification based on male cerci, calling songs, and COI genes is consistent. In contrast, the morphologies of male tenth abdominal tergum and subgenital plate varied among species. In addition, we regard A. jiangyei Liu, Wang & Cheng, 2016 as a junior synonym of A. pieli Tinkham, 1941, and A. helleri Liu, Wang & Cheng, 2016 as a junior synonym of A. kiangsu Ramme, 1939. [ABSTRACT FROM AUTHOR]

Tetrapanax papyrifer, the rice‐paper plant, is an evergreen shrub and is traditionally used as a herbal medicine in China. In October 2021, a serious leaf spot disease was extensively observed on T. papyrifer in Guizhou, China. Given the limited information available about the aetiology of this disease, isolations were performed, the morphological characteristics and multi‐locus phylogenetic analysis of the fungus associated with the disease were described, and the pathogenicity tests and Koch's postulates were completed. To our knowledge, this is the first report of leaf spot on T. papyrifer caused by Alternaria tenuissima in China. Among 11 fungicides tested, 10% difenoconazole WDG had the best inhibition effect in vitro with EC50 values at 0.1 μg mL−1. This study provides new information for the identification and chemical control of Alternaria leaf spot of T. papyrifer. [ABSTRACT FROM AUTHOR]

Vaccinium corymbosum L., commonly known as blueberry, is a valuable small fruit tree in terms of its economic significance and is primarily found in China within the regions of Heilongjiang and Jilin provinces. Additionally, it thrives in the areas spanning the middle and lower reaches of the Yangtze River. Beyond their economic value, blueberries play a crucial role within forest ecosystems, serving as a significant energy source and source of nutrients. Their presence contributes significantly to fostering stability, enhancing biodiversity, and acting as an indicator of environmental quality within forest ecosystems. Since August 2022, an unknown leaf disease has been found on a large scale in blueberry fields in Nanjing, Jiangsu Province, China. The disease causes leaf curling, wilting, and even early defoliation, severely reducing the yield and production value of blueberries. The pathogenicity test confirmed the virulence of the isolates (NG5-1, NG5-2, NG5-3, NG5-4, N2-1, and N2-2) against V. corymbosum. The two pathogens were identified as Colletotrichum fructicola and C. aenigma by observing the morphological characteristics of the isolates and combined with multilocus phylogenetic analyses (ITS, CAL, ACT, TUB2, ApMat, and GAPDH). Blueberry anthracnose, caused by C. aenigma, is the first report of this disease in China. The biological characteristics of C. aenigma were investigated under different conditions, including temperature, pH, light conditions, culture medium, and carbon and nitrogen sources. The optimal temperature for growth was determined to be within the range of 25–30 °C; C. aenigma exhibits optimal growth at a pH of 7–8. Mycelial growth is favored under conditions of partial light, whereas complete darkness promotes spore production. It was found that PDA medium was the most favorable medium for C. aenigma mycelial growth, and MM medium was the best medium for spore production; the most suitable carbon sources for colony growth and spore production were sorbitol and glucose, respectively, and the most suitable nitrogen source was peptone. This study furnishes a theoretical foundation for a more scientifically informed approach to the prevention and control of anthracnose on V. corymbosum. [ABSTRACT FROM AUTHOR]

Aim: To explore the effects of different types of interference on nurses' working memory, and the role of attention control. Design: A repeated measures design. Methods: A single‐factor, four‐level within‐subjects design was adopted. Thirty‐one nurses completed a delay‐recognition task with four blocks in September 2020: Interrupting Stimulus (stimuli requiring attention), Distracting Stimulus (stimuli to‐be‐ignored), No Interference and Passively View. Behavioural responses of the participants and EEG data were recorded. MATLAB 21b and EEGLAB 21b were used for electroencephalogram data preprocessing and data extraction. Results: Firstly, when nursing information system was used as task material, the accuracy rate and false alarm rate of primary tasks under interruption condition was statistically significantly different with that of distraction and no interference condition. There is a statistically significant difference in electroencephalogram measurement between correct and wrong response under interruption. Secondly, the role of attention control was different under interruption and distraction. There was a statistically significant positive correlation between the average amplitude distraction attention control index and task accuracy, and statistically significant negative correlation between the latency interruption attention control index and the accuracy of working memory task. Conclusions: There were different effects of interruptions and distractions on nurses' working memory and the role of attention control were also different. Measures can be designed according to these results to reduce the negative impact of interference on nurses, so as to improve work efficiency and reduce patient risk. Impact: This study has implications for clinical nursing during human‐computer interaction. Resumption of the speed of the target information after an interruption affected task performance. Therefore, interventions should be designed to reduce the time needed for nurses to extract task information after an interruption, such as providing key clues in the information system interface. Patient or Public Contribution: Registered nurses participated in the study as subjects. [ABSTRACT FROM AUTHOR]

Prefabricated vertical drains (PVDs) with staged riprap preloading have been widely used in soft soil ground improvement and embankment construction. However, ground treatment effectiveness evaluation is still a difficult problem due to multiple factors. Considering this, in situ monitoring and numerical simulation were conducted to study the deformation and strength characteristics of marine soft soil ground treated by PVD-assisted staged riprap under the Lingni Seawall construction in China. Monitoring and analysis of results showed that use of PVD-assisted staged riprap resulted in a good improvement effect. In particular, in the PVD-treated zone within 10 m in depth, corresponding to a half-length of the PVD, the average radial degree of consolidation reached up to 75–100%, and the soil strength increased significantly by 200–700%. Moreover, numerical simulation showed that the linear 1-dimensional drain element of PVD closely met the engineering accuracy requirements with good consistency with the monitoring data. Compared with a totally solid element model, the numbers of elements and nodes were reduced and the calculating efficiency and model accuracy were increased by using a PVD linear element, which provides a basis for building large complex finite element models. [ABSTRACT FROM AUTHOR]

Purpose: To summarize the organizational and management experiences and explore the organizational theoretical model of five leading public hospitals in China.Patients and Methods: Purposive sampling was used to select five leading hospitals in different regions of China under the National Health Commission and Provincial Health Commission as study hospitals for the study. From August 2021 to March 2022, 8 leaders and 39 managers from these hospitals were surveyed using semi-structured interviews. The data and information were analyzed in four dimensions using thematic analysis and grounded theory, focused on summarizing the experiences and practices of China's leading hospitals in organizational system, culture, operations and performance management, and employee development. This study complied with the COREQ guidelines for reporting qualitative research.Results: An organizational system model of the characteristics of hospital excellence was developed using four core attributes: organizational system, organizational culture, operations and performance management, and employee development; the model was named the System–Culture–Operation–Performance–Employee (SCOPE) model. Organization and management among leaders and managers in China's leading hospitals are based on the SCOPE process, resulting in employees' well-being, patients' positive outcomes, and organizational excellence. In terms of hospital culture, while adhering to the Hippocratic Oath, the hospital is deeply influenced by traditional Chinese culture, which emphasizes "benevolence" and "love", leading all staff to adhere to "patient-centered care and service." In terms of operations management, a separate operations management department is responsible for hospital operations and performance assessment. As for employee development, the staff's sense of reverence for their profession is emphasized and a reasonable salary system and good practice environment are established to promote staff motivation.Conclusion: The SCOPE model reveals the perspectives of leaders and managers in China's leading hospitals regarding organization and management under a Chinese cultural background. These findings can complement the existing literature on hospital management systems. [ABSTRACT FROM AUTHOR]

Adverse drug events (ADEs) are common in clinical practice and can cause significant harm to patients and increase resource use. Natural language processing (NLP) has been applied to automate ADE detection, but NLP systems become less adaptable when drug entities are missing or multiple medications are specified in clinical narratives. Additionally, no Chinese-language NLP system has been developed for ADE detection due to the complexity of Chinese semantics, despite ˃10 million cases of drug-related adverse events occurring annually in China. To address these challenges, we propose DKADE, a deep learning and knowledge graph-based framework for identifying ADEs. DKADE infers missing drug entities and evaluates their correlations with ADEs by combining medication orders and existing drug knowledge. Moreover, DKADE can automatically screen for new adverse drug reactions. Experimental results show that DKADE achieves an overall F1-score value of 91.13%. Furthermore, the adaptability of DKADE is validated using real-world external clinical data. In summary, DKADE is a powerful tool for studying drug safety and automating adverse event monitoring. [ABSTRACT FROM AUTHOR]

In order to clarify the temporal and spatial changes in the internal photothermal environment in an open-field agrivoltaic system (OAVS), this paper took the OAVS in eastern China as the research object and divided the internal area into the southern area, middle area and northern area, according to the spatial structure. Further, a photothermal environment test was conducted in the above three areas in the summer and winter. The results showed that the summer average daylight rate (Rm-avg) in the middle area was 66.6%, while the Rm-avg in the other two areas was about 20%, with no significant difference. In the winter, the light environment in the southern area was slightly better, and the Rm-avg in the above three areas was 26.4%, 24.7% and 19.7%, respectively. On the whole, the relationship between the thermal environmental factors and the solar radiation intensity was consistent. Further, a 3D model of an OAVS was established using Autodesk Ecotect Analysis 2011, and the internal light environment was simulated. Compared with the measured values, the relative error was less than 10%, which verified the reliability of the OAVS model. Then, the model was used to reveal the temporal and spatial changes in the light environment of the OAVS. The simulation results showed that the daylighting rate in the summer from the ground to the height of the fig canopy inside the system was 20.7% to 61.5%. In the winter, the daylighting rate from the ground to the height of the fig canopy inside the system was 17.7% to 36.4%. The effectiveness of the OAVS in reducing the level of solar radiation intensity depended on the time of day and the angle of the sun. At the spatial scale, due to the strong consumption of light by photovoltaic panels, there was a strong horizontal and vertical light environment gradient inside the system. In conclusion, the photothermal environment research of an OAVS based on Autodesk Ecotect Analysis 2011 can not only provide a basis for agricultural production and structural design such as span, height and the laying density of PV panels, but also expand its application to regions with different latitudes and longitudes and specific climates. [ABSTRACT FROM AUTHOR]

The digital divide in tourism consumption deserves attention. Based on the data from China Family Panel Studies in 2018, we built a Tobit model to explore the impact of the digital divide on elderly tourism consumption. It is found that the elders with low digital access and usage tend to spend lower on tourism. Further research finds that transaction barriers are an important channel for the impact of the digital divide on elderly tourism consumption. The inhibiting effect of the digital divide on senior travel consumption can be reduced when seniors receive more social support from spouses, children, and friends. [ABSTRACT FROM AUTHOR]

Objective: The effectiveness and safety of belimumab in Chinese lupus patients with different disease activities were investigated in a real-world setting. Method: Patients who received 10 mg/kg belimumab intravenously on weeks 0, 2, and 4, and then every 4 weeks on a background of standard-of-care (SoC) therapy and had a follow-up of more than 6 months were enrolled from four centers in China. They were stratified according to the Safety of Estrogens in Lupus Erythematosus National Assessment-SLE Disease Activity Index (SELENA-SLEDAI) score at baseline as the moderate/severe (SELENA-SLEDAI > 6) or mild subgroups (SELENA-SLEDAI ≤ 6). Attainment of the Lupus Low Disease Activity State (LLDAS) or remission on treatment was analyzed in all patients. The SLE Responder Index 4 (SRI-4) and SELENA-SLEDAI Flare Index (SFI) were evaluated for patients with moderate/severe disease and mild disease, respectively. Patients in the control arm with SoC alone from previous metformin lupus trials were selected by propensity score matching (PSM) as the reference group. Results: 224 SLE patients with a mean follow-up of 11.7 months receiving belimumab were enrolled in this observational study, of which 126 and 98 were in the moderate/severe and mild subgroup, respectively. At 12 months, 54.76% of the patients attained LLDAS and 28.57% attained remission. Lower daily prednisone at baseline were independently associated with 12-month LLDAS. Further, 87% of the subgroup with moderate/severe disease achieved SRI-4 at 12 months and a high SLEDAI at baseline was its predictive factor. For the mild subgroup, a reduced flare rate was observed compared with PSM reference (17.5%, vs. 38.6%, p = 0.021). Infection events, particularly viral infections and pneumonia were recorded in 7 and 6 patients, respectively. Conclusion: Our real-world data supported the effectiveness and safety of belimumab in Chinese lupus patients. [ABSTRACT FROM AUTHOR]

Digital finance, as a new financial model, is increasingly attracting attention for its potential influence on regional innovation. By focusing on the nexus between digital finance and regional innovation efficiency, we first analyze the mechanism by which digital finance affects regional innovation efficiency, and then we empirically investigate its spatial spillover effect by employing the dynamic spatial Durbin model on the basis of a sample set of 31 Chinese provinces from 2011 to 2020. The results reveal that regional innovation efficiency had a significant spatial correlation and time dependence, globally, during the study period. Digital finance significantly contributes to regional innovation efficiency improvement, and such an effect has a significant positive spatial spillover. The spatial effect decomposition results report that the spatial spillover effect of digital finance affecting regional innovation efficiency is stronger than the direct effect. Besides, all three sub-dimensions of digital finance have spatial spillover effects, and the heterogeneity between eastern and central-western regions is mainly reflected in the spatial spillover effects of digital finance. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to investigate the interactions between posaconazole (POS) and intravenously/orally administered cyclosporine A (CsA) in allogeneic hematopoietic stem cell transplant (HSCT) recipients. Methods: We included 118 allogeneic HSCT patients who received CsA and POS simultaneously between January 2017 and June 2020 in this study. The ratio of CsA blood concentration (ng/mL) to dosage (mg/day) (C/D) before and after POS initiation was compared. Results: After the initiation of POS, the level of CsA increased 1 to 2 times in 66% (78/118) of patients compared to those without POS. However, the CsA C/D ratio increased by more than threefold in 6% (7/118) of patients after POS initiation, with an increase of more than fourfold in two patients. The median C/D ratio of CsA increased from 0.89 to 1.23 (P < 0.001) and 0.78 to 1.22 (P < 0.001) after POS initiation when CsA was administered intravenously and orally, respectively. In patients who received POS at the time of transition from intravenous to oral CsA, the value increased from 1.01 to 1.38 (P = 0.001). The route of administration had no significant effect on the change in the CsA C/D ratio (P = 0.615). Additionally, we observed the time required for the C/D ratio to reach a plateau after POS initiation was similar on days 13, 8, and 15 under various scenarios. Conclusion: POS treatment increased blood CsA levels. A large variability was found in the fold-change in the CsA C/D ratio. Therefore, CsA doses should be adjusted by closely monitoring the blood levels of CsA after POS initiation. [ABSTRACT FROM AUTHOR]

An emerging pseudorabies virus (PRV) variant has been reported on Bartha-K61-vaccinated farms since 2011, causing great economic losses to China's swine-feeding industry. In this study, two vaccines, FJ-2012ΔgE/gI-GEL02 and FJ-2012ΔgE/gI-206VG, were administered to piglets for immune efficacy investigation. Humoral immunity response, clinical signs, survival rate, tissue viral load, and pathology were assessed in piglets. The results showed that both vaccines were effective against the PRV FJ-2012 challenge, the piglets all survived while developing a high level of gB-specific antibody and neutralizing antibody, the virus load in tissue was alleviated, and no clinical PR signs or pathological lesions were displayed. In the unimmunized challenged group, typical clinical signs of pseudorabies were observed, and the piglets all died at 7 days post-challenge. Compared with commercial vaccines, the Bartha-K61 vaccine group could not provide full protection, which might be due to a lower vaccine dose; the inactivated vaccine vPRV* group piglets survived, displaying mild clinical signs. The asterisk denotes inactivation. These results indicate that FJ-2012ΔgE/gI-GEL02 and FJ-2012ΔgE/gI-206VG were effective and could be promising vaccines to control or eradicate the new PRV epidemic in China. [ABSTRACT FROM AUTHOR]

Home quarantine due to the global coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on children. Lifestyle changes have led to an increase in precocious puberty (PP) among girls, and the underlying risk factors for this remain unclear. Thus, we aimed to assess the influence of environmental, genetic, nutritional, and other lifestyle factors on the risk of PP in girls. We evaluated the incidence of new-onset PP in girls during home quarantine for COVID-19 and analyzed the potential risk factors. This was a retrospective questionnaire and medical record-based study involving 22 representative medical units from 13 cities in Henan Province, China. Girls with new-onset PP (central precocious puberty, 58; premature thelarche, 58; age, 5–9 years) between February 2020 and May 2020 were included, along with 124 healthy, age-matched controls. The number of new-onset PP cases reported during the study period was compared with that reported between February and May in 2018 and 2019. Patients' families completed a questionnaire to assess potential risk factors. There was a 5.01- and 3.14-fold increase in the number of new-onset PP cases from 2018 to 2020 and from 2019 to 2020, respectively; the differences were statistically significant (p < 0.01). High-risk factors for PP included longer time spent using electronic devices, decreased exercise time, higher body mass index, vitamin D deficiency, young age (<12 years) of mother during menarche, consumption of fried food and processed meat, residence in rural areas, and consumption of off-season fruits. Thus, we found that lifestyle changes caused due to the COVID-19 pandemic led to a significant increase in PP in girls. Management of the risk factors identified in this study may help in PP prevention. [ABSTRACT FROM AUTHOR]

As one of the most common malignancies, gastric cancer (GC) is the third leading cause of cancer-related deaths in China. GC is asymptomatic in early stages, and the majority of GC mortality is due to delayed symptoms. It is an urgent task to find reliable biomarkers for the identification of GC in order to improve outcomes. A combination of dried blood spot sampling and direct infusion mass spectrometry (MS) technology was used to measure blood metabolic profiles for 166 patients with GC and 183 healthy individuals, and 93 metabolites including amino acids, carnitine/acylcarnitines and their derivatives, and related ratios were quantified. Multiple algorithms were used to characterize the changes of metabolic profiles in patients with GC compared to healthy individuals. A biomarker panel was identified in training set, and assessed by tenfold cross-validation and external test data set. After systematic selection of 93 metabolites, a biomarker panel consisting of Ala, Arg, Gly, Orn, Tyr/Cit, Val/Phe, C4-OH, C5/C3, C10:2 shows the potential to distinguish patients with GC from healthy individuals in tenfold cross-validation model (sensitivity: 0.8750, specificity: 0.9006) and test set (sensitivity: 0.9545, specificity: 0.8636). This metabolomic analysis makes contribution to the identification of disease-associated biomarkers and to the development of new diagnostic tools for patients with GC. [ABSTRACT FROM AUTHOR]

Spinal cord injury (SCI) is a devastating disorder of the central nervous system (CNS). It is mainly caused by trauma and reduces the quality of life of the affected individual. Ginsenosides are safe and effective traditional Chinese medicines (TCMs), and their efficacy against SCI is being increasingly researched in many countries, especially in China and Korea. This systematic review evaluated the neuroprotective effects of ginsenosides in SCI and elucidated their properties. Methods: All experimental information and summaries used in this review were acquired from peer-reviewed articles in the relevant fields. The PubMed, Web of Science, Google Scholar, and China National Knowledge Infrastructure databases were searched for relevant articles. Information on the manual classification and selection of ginsenosides that protect against SCI is included in this review. Results: A literature survey yielded studies reporting several properties of ginsenosides, including anti-inflammation, anti-apoptosis, anti-oxidative stress, and inhibition of glial scar formation. Conclusion: In this review, we discuss the mechanisms of action of different ginsenosides that exert neuroprotective effects in SCI. These results suggest that after further verification in the future, ginsenosides may be used as adjunctive therapy to promote neurological recovery. [ABSTRACT FROM AUTHOR]

• Microgrid optimal dispatch to reduce costs, carbon emissions and power fluctuation. • The multi-objective optimization algorithm based on war strategy. • Pareto frontier sort based on membership degree. • Reasonable allocation of new energy and energy storage. This article introduces a novel metaheuristic multi-objective optimization algorithm to address the complex multi-objective optimization scheduling challenges of the microgrids for the first time. Comparing with common multi-objective optimization algorithms, the proposed Multi-Objective War Strategy Optimization (MOWSO) has the following highlights: 1) MOWSO only needs to set three parameters. The few parameters make the algorithm simple to debug and real-world implement in practical applications. 2) MOWSO avoids the local centralized distribution of Pareto frontier based on a random selection strategy. The selection range of multiple objectives is expanded properly. In addition, a comprehensive multi-objective optimization dispatch model for microgrids is established, concurrently considering operating costs, carbon emissions, and power fluctuations. Furthermore, the impact of new energy proportion and Energy Storage (ES) on microgrid optimal dispatch is thoroughly investigated. Finally, a case study about a village microgrid in North China is presented to validate the effectiveness and the superiority of proposed multi-objective optimization dispatch model and novel MOWSO algorithm. [ABSTRACT FROM AUTHOR]

Ketamine, as a non-competitive antagonist of N-methyl-D-aspartate (NMDA) receptors, was originally used in general anesthesia. Epidemiological data show that ketamine has become one of the most commonly abused drugs in China. Ketamine administration might cause cognitive impairment; however, its molecular mechanism remains unclear. The glymphatic system is a lymphoid system that plays a key role in metabolic waste removal and cognitive regulation in the central nervous system. Focusing on the glymphatic system, this study evaluated the behavioral performance and circulatory function of the glymphatic system by building a short-term ketamine administration model in mice, and detected the expression levels of the 5-HT2c receptor, ΔFosb, Pten, Akt, and Aqp4 in the hippocampus. Primary astrocytes were cultured to verify the regulatory relationships among related indexes using a 5-HT2c receptor antagonist, a 5-HT2c receptor short interfering RNA (siRNA), and a ΔFosb siRNA. Ketamine administration induced ΔFosb accumulation by increasing 5-HT2c receptor expression in mouse hippocampal astrocytes and primary astrocytes. ΔFosb acted as a transcription factor to recognize the AATGATTAAT bases in the 5′ regulatory region of the Aqp4 gene (−1096 bp to −1087 bp), which inhibited Aqp4 expression, thus causing the circulatory dysfunction of the glymphatic system, leading to cognitive impairment. Although this regulatory mechanism does not involve the Pten/Akt pathway, this study revealed a new mechanism of ketamine-induced cognitive impairment in non-neuronal systems, and provided a theoretical basis for the safety of clinical treatment and the effectiveness of withdrawal. [Display omitted] • Ketamine administration causes circulatory dysfunction of glymphatic system. • Ketamine administration induces cognitive impairment in mice. • Ketamine induces ΔFosb accumulation by increasing the expression of 5-HT2c receptor. • ΔFosb acts as a transcription factor to recognize and inhibit Aqp4 expression. [ABSTRACT FROM AUTHOR]

Background: Tea trees originated in southwest China 60 million or 70 million years ago. Written records show that Chinese ancestors had begun drinking tea over 3000 years ago. Nowadays, with the aging of populations worldwide and more people suffering from non-communicable diseases or poor health, tea beverages have become an inexpensive and fine complementary and alternative medicine (CAM) therapy. At present, there are 3 billion people who like to drink tea in the world, but few of them actually understand tea, especially on its development process and the spiritual and cultural connotations. Methods: We searched PubMed, Google Scholar, Web of Science, CNKI, and other relevant platforms with the key word "tea", and reviewed and analyzed tea-related literatures and pictures in the past 40 years about tea's history, culture, customs, experimental studies, and markets. Results: China is the hometown of tea, tea trees, tea drinking, and tea culture. China has the oldest wild and planted tea trees in the world, fossil of a tea leaf from 35,400,000 years ago, and abundant tea-related literatures and art works. Moreover, tea may be the first Chinese herbal medicine (CHM) used by Chinese people in ancient times. Tea drinking has many benefits to our physical health via its antioxidant, anti-inflammatory, immuno-regulatory, anticancer, cardiovascular-protective, anti-diabetic, and anti-obesity activities. At the moment, COVID-19 is wreaking havoc across the globe and causing severe damages to people's health and lives. Tea has anti-COVID-19 functions via the enhancement of the innate immune response and inhibition of viral growth. Besides, drinking tea can allow people to acquire a peaceful, relaxed, refreshed and cheerful enjoyment, and even longevity. According to the meridian theory of traditional Chinese medicine, different kinds of tea can activate different meridian systems in the human body. At present, black tea (fermented tea) and green tea (non-fermented tea) are the most popular in the world. Black tea accounts for over 90% of all teas sold in western countries. The world's top-grade black teas include Qi Men black in China, Darjeeling and Assam black tea in India, and Uva black tea in Sri Lanka. However, all top ten famous green teas in the world are produced in China, and Xi Hu Long Jing tea is the most famous among all green teas. More than 700 different kinds of components and 27 mineral elements can be found in tea. Tea polyphenols and theaflavin/thearubigins are considered to be the major bioactive components of black tea and green tea, respectively. Overly strong or overheated tea liquid should be avoided when drinking tea. Conclusions: Today, CAM provides an array of treatment modalities for the health promotion in both developed and developing countries all over the world. Tea drinking, a simple herb-based CAM therapy, has become a popular man-made non-alcoholic beverage widely consumed worldwide, and it can improve the growth of economy as well. Tea can improve our physical and mental health and promote the harmonious development of society through its chemical and cultural elements. [ABSTRACT FROM AUTHOR]

Background: Pancreatic ductal adenocarcinoma (PDAC) is the major subtype of pancreatic cancer and head PDACs show distinct characteristics from body/tail PDACs. With limited studies based on Asian population, the mutational landscape of Asian PDAC remains unclear.Methods: One hundred fifty-one Chinese patients with head PDAC were selected and underwent targeted 425-gene sequencing. Genomic alterations, tumor mutational burden, and microsatellite instability were analyzed and compared with a TCGA cohort.Results: The genomic landscape of Chinese and Western head PDAC had identical frequently-mutated genes including KRAS, TP53, SMAD4, and CDKN2A. KRAS hotspot in both cohorts was codon 12 but Chinese PDACs containing more G12V but fewer G12R variants. Potentially pathogenic fusions, CHD2-BRAF and KANK1-MET were identified in two KRAS wild-type patients. Serum cancer antigens CA125 and CA19-9 were positively associated with SMAD4 alterations while high CEA was enriched in wild-type CDKN2A subgroup. The probability of vascular invasion was lower in patients with RNF43 alterations. The nomogram developed including histology grade, the mutation status of SMAD4, TGFBR2, and PREX2 could calculate the risk score of prognoses validated by Chinese and TCGA cohort.Conclusions: Chinese head PDAC contained more KRAS G12V mutation than Western population. The well-performed nomogram may improve post-operation care in real-world practice. [ABSTRACT FROM AUTHOR]

Background: A high turnover rate has become a critical issue in the field of nursing and how to tackle the problem of nursing turnover has received increased attention worldwide. Hope, career identity, job satisfaction may be useful for reducing turnover. The aim of this study is to explore the relationships among career identity, hope, job satisfaction, and the turnover intention of nurses, and to test the mediating role of job satisfaction on the associations of hope and career identity with turnover intention. Methods: A descriptive cross-sectional design was used. A total of 500 nurses were recruited from five comprehensive tertiary hospitals using convenience sampling. The questionnaire included items about sociodemographic information as well as the Adult Dispositional Hope Scale, Nursing Career Identity Scale, Job Satisfaction Index Scale, and Nurse Turnover Intention Scale. Pearson's correlation, multiple linear regression, and structural equation modeling were used to analyze the data. We describe the study in accordance with the STROBE statement. Results: Hope (r = − 0.227, p < 0.001) and career identity (r = − 0.342, p < 0.001) were negatively correlated with turnover intention. Job satisfaction played a completely mediating role on the associations of hope and career identity with turnover intention (β1 = − 0.09, β2 = − 0.33). Conclusions: Job satisfaction mediated the associations of career identity and hope with turnover intention. Thus, effective measures can be taken to enhance nurses' hope and career identity in order to improve their job satisfaction and thereby reduce their turnover intention. Providing nurses with more support, helping them find a spiritual foundation, and holding mindful activities that stimulate positive emotions are helpful. In addition, colleges should pay more attention to instilling nursing students with career identity and nursing values. [ABSTRACT FROM AUTHOR]

Purpose: To analyzed the outcome of ETV6/RUNX1-positive pediatric acute B lymphoblastic leukemia (B-ALL) with the aim of identifying prognostic value. Method: A total of 2,530 pediatric patients who were diagnosed with B-ALL were classified into two groups based on the ETV6/RUNX1 status by using a retrospective cohort study method from February 28, 2008, to June 30, 2020, at 22 participating ALL centers. Results: In total, 461 (18.2%) cases were ETV6/RUNX1-positive. The proportion of patients with risk factors (age <1 year or ≥10 years, WB≥50×109/L) in ETV6/RUNX1-positive group was significantly lower than that in negative group (P <0.001), while the proportion of patients with good early response (good response to prednisone, D15 MRD < 0.1%, and D33 MRD < 0.01%) in ETV6/RUNX1-positive group was higher than that in the negative group (P <0.001, 0.788 and 0.004, respectively). Multivariate analysis of 2,530 patients found that age <1 or ≥10 years, SCCLG-ALL-2016 protocol, and MLL were independent predictor of outcome but not ETV6/RUNX1. The EFS and OS of the ETV6/RUNX1-positive group were significantly higher than those of the negative group (3-year EFS: 90.11 ± 4.21% vs 82 ± 2.36%, P <0.0001, 3-year OS: 91.99 ± 3.92% vs 88.79 ± 1.87%, P =0.017). Subgroup analysis showed that chemotherapy protocol, age, prednisone response, and D15 MRD were important factors affecting the prognosis of ETV6/RUNX1-positive children. Conclusions: ETV6/RUNX1-positive pediatric ALL showed an excellent outcome but lack of independent prognostic significance in South China. However, for older patients who have the ETV6/RUNX1 fusion and slow response to therapy, to opt for more intensive treatment. [ABSTRACT FROM AUTHOR]

Gastrointestinal tract cancers have high incidence and mortality in China, but their molecular characteristics have not been fully investigated. We sequenced 432 tumor samples from the colorectum, stomach, pancreas, gallbladder, and biliary tract to investigate cancer-related mutations and detail the landscape of microsatellite instability (MSI), tumor mutation burden (TMB), and chromosomal instability (CIN). We observed the highest TMB in colorectal and gastric cancers and the lowest TMB in gastrointestinal stromal tumors (GISTs). Twenty-four hyper-mutated tumors were identified only in colorectal and gastric cancers, with a significant enrichment of mutations in the polymerase genes (POLE , POLD1 , and POLH) and mismatch repair (MMR) genes. Additionally, CIN preferentially occurred in colorectal and gastric cancers, while pancreatic, gallbladder, and biliary duct cancers had a much lower CIN. High CIN was correlated with a higher prevalence of malfunctions in chromosome segregation and cell cycle genes, including the copy number loss of WRN , NAT1 , NF2 , and BUB1B , and the copy number gain of MYC , ERBB2 , EGFR , and CDK6. In addition, TP53 mutations were more abundant in high-CIN tumors, while PIK3CA mutations were more frequent in low-CIN tumors. In colorectal and gastric cancers, tumors with MSI demonstrated much fewer copy number changes than microsatellite stable (MSS) tumors. In colorectal and gastric cancers, the molecular characteristics of tumors revealed the mutational diversity between the different anatomical origins of tumors. This study provides novel insights into the molecular landscape of Chinese gastrointestinal cancers and the genetic differences between tumor locations, which could be useful for future clinical patient stratification and targeted interventions. [ABSTRACT FROM AUTHOR]

Background: For locally advanced rectal cancer (LARC) patients who receive neoadjuvant chemoradiotherapy (nCRT), there are no reliable indicators to accurately predict pathological complete response (pCR) before surgery. For patients with clinical complete response (cCR), a "Watch and Wait" (W&W) approach can be adopted to improve quality of life. However, W&W approach may increase the recurrence risk in patients who are judged to be cCR but have minimal residual disease (MRD). Magnetic resonance imaging (MRI) is a major tool to evaluate response to nCRT; however, its ability to predict pCR needs to be improved. In this prospective cohort study, we explored the value of circulating tumor DNA (ctDNA) in combination with MRI in the prediction of pCR before surgery and investigated the utility of ctDNA in risk stratification and prognostic prediction for patients undergoing nCRT and total mesorectal excision (TME).Methods and Findings: We recruited 119 Chinese LARC patients (cT3-4/N0-2/M0; median age of 57; 85 males) who were treated with nCRT plus TME at Fudan University Shanghai Cancer Center (China) from February 7, 2016 to October 31, 2017. Plasma samples at baseline, during nCRT, and after surgery were collected. A total of 531 plasma samples were collected and subjected to deep targeted panel sequencing of 422 cancer-related genes. The association among ctDNA status, treatment response, and prognosis was analyzed. The performance of ctDNA alone, MRI alone, and combining ctDNA with MRI was evaluated for their ability to predict pCR/non-pCR. Ranging from complete tumor regression (pathological tumor regression grade 0; pTRG0) to poor regression (pTRG3), the ctDNA clearance rate during nCRT showed a significant decreasing trend (95.7%, 77.8%, 71.1%, and 66.7% in pTRG 0, 1, 2, and 3 groups, respectively, P = 0.008), while the detection rate of acquired mutations in ctDNA showed an increasing trend (3.8%, 8.3%, 19.2%, and 23.1% in pTRG 0, 1, 2, and 3 groups, respectively, P = 0.02). Univariable logistic regression showed that ctDNA clearance was associated with a low probability of non-pCR (odds ratio = 0.11, 95% confidence interval [95% CI] = 0.01 to 0.6, P = 0.04). A risk score predictive model, which incorporated both ctDNA (i.e., features of baseline ctDNA, ctDNA clearance, and acquired mutation status) and MRI tumor regression grade (mrTRG), was developed and demonstrated improved performance in predicting pCR/non-pCR (area under the curve [AUC] = 0.886, 95% CI = 0.810 to 0.962) compared with models derived from only ctDNA (AUC = 0.818, 95% CI = 0.725 to 0.912) or only mrTRG (AUC = 0.729, 95% CI = 0.641 to 0.816). The detection of potential colorectal cancer (CRC) driver genes in ctDNA after nCRT indicated a significantly worse recurrence-free survival (RFS) (hazard ratio [HR] = 9.29, 95% CI = 3.74 to 23.10, P < 0.001). Patients with detectable driver mutations and positive high-risk feature (HR_feature) after surgery had the highest recurrence risk (HR = 90.29, 95% CI = 17.01 to 479.26, P < 0.001). Limitations include relatively small sample size, lack of independent external validation, no serial ctDNA testing after surgery, and a relatively short follow-up period.Conclusions: The model combining ctDNA and MRI improved the predictive performance compared with the models derived from individual information, and combining ctDNA with HR_feature can stratify patients with a high risk of recurrence. Therefore, ctDNA can supplement MRI to better predict nCRT response, and it could potentially help patient selection for nonoperative management and guide the treatment strategy for those with different recurrence risks. [ABSTRACT FROM AUTHOR]

It is of great significance to study the soil pore structure for soil reinforcement and ground treatment because it can be used to evaluate the solidification effect and explain the curing mechanism. The pore and compression characteristics of clay from Wuhan in China before and after solidification by ionic soil stabilizer (ISS) in different soil initial states were studied by the use of standard consolidation test, environmental scanning electron microscope analysis, specific surface area (SSA) test, and analysis by PCAS software. Results show that the influence sequence of soil initial states on the change of pore characteristics and ISS-solidification effectiveness was as follows: reducing initial water content + remolding soil > reducing initial water content > remolding soil > natural soil with high initial water content. Besides, loading can also increase the solidification effect. Compared to random and chaotic pore directions of natural clay, remolded solidified clay had a more certain direction after curing and compression. In addition, the total pore number and SSA decreased from 1190 to 756 by 36.47% and 109.690 m2/g to 87.837 m2/g by 19.92% respectively. Results indicate that ISS-clay solidification effect in practical engineering is closely related to the soil initial pre-curing state and can lead to the change of pore direction, decrease of pore number, reduction of pore size and porosity, and formation of larger aggregates. [ABSTRACT FROM AUTHOR]

Purpose: The study aimed to find out about the knowledge, attitudes, and preventative practices of COVID-19 among international students in China during the pandemic. Material and Methods: A cross-section survey was conducted among 300 international students from 13 different universities in Hubei province of China between March and April 2020 which relied upon convenience sampling method. Results: Out of 300 respondents, 153 (51%) of the respondents were female students, of which the majority were single, undergraduate students who were doing medicine (163, 54.3%) and engineering programs (68, 22.7%). The majority of international students had an impressive knowledge on the causes, risks, and spread of COVID-19, and that they were no misconception of the pandemic 229 (76%) to 281 (98%) respectively. These students also demonstrated a markedly positive attitude towards the virus and a feeling that they were almost completely safe being in China (264, 84%). Variations were found on Knowledge scores in age group (P< 0.01) and majors (P=0.025), attitude scores on major of study (P=0.015), and experience (P< 0.01). Furthermore, the results revealed that all the students (300, 100%) adhered to and practiced set preventive measures against COVID-19 and that there was a positive correlation between attitudes and preventative practices (r=0.219, P< 0.01). Conclusion: This study found that social media platform was contributing enormously towards information dissemination and Chinese universities were commended for their continuous notifications on COVID-19 which helped students to have full knowledge. This, in turn, was instrumental in helping students to form good attitudes and practices towards COVID-19. [ABSTRACT FROM AUTHOR]

Background: The prognosis of childhood acute lymphoblastic leukemia (ALL) is optimistic with a 5-year event-free survival (EFS) rate of 70-85%. However, the major causes of mortality are chemotherapy toxicity, infection and relapse. The Guangdong (GD)-2008-ALL collaborative protocol was carried out to study the effect of reduced intensity on treatment related mortality (TRM) based on Berlin-Frankfurt-Münster (BFM) 2002 backbone treatment. The study was designed to elucidate whether the reduced intensity is effective and safe for children with ALL.Methods: The clinical data were obtained from February 28, 2008 to June 30, 2016. A total of 1765 childhood ALL cases from 9 medical centers were collected and data were retrospectively analyzed. Patients were stratified into 3 groups according to bone marrow morphology, prednisone response, age, genotype, and karyotype information: standard risk (SR), intermediate risk (IR) and high risk (HR). For SR group, daunorubicin was decreased in induction IA while duration was reduced in Induction Ib (2 weeks in place of 4 weeks). Doses for CAM were same in all risk groups - SR patients received one CAM, others got two CAMs.Results: The 5-year and 8-year overall survival (OS), event-free survival (EFS) and cumulative incidence of relapse (CIR) were 83.5±0.9% and 83.1±1.0%, 71.9±1.1% and 70.9±1.2%, and 19.5±1.0% and 20.5±1.1%, respectively. The 2-year treatment-related mortality (TRM) was 5.2±0.5%. The 5-year and 8-year OS were 90.7±1.4% and 89.6±1.6% in the SR group, while the 5-year and 8-year EFS were 81.5±1.8% and 80.0±2.0%. In the SR group, 74 (15.2%) patients measured minimal residual disease (MRD) on Day 15 and Day 33 of induction therapy. Among them, 7 patients (9.46%) were MRD positive (≥ 0.01%) on Day 33. The incidence of relapse in the MRD Day 33 positive group (n=7) was 28.6%, while in the MRD Day 33 negative group (n=67) was 7.5% (p=0.129).Conclusions: The results of GD-2008-ALL protocol are outstanding for reducing TRM in childhood ALL in China with excellent long term EFS. This protocol provided the evidence for further reducing intensity of induction therapy in the SR group according to the risk stratification. MRD levels on Day 15 and Day 33 are appropriate indexes for stratification. [ABSTRACT FROM AUTHOR]

This study analyzes the influence of budget hotel characteristics on room rates in Shanghai, China, using a hedonic price model. The data of hotels' characteristics and room rates were obtained from Qunar. The structure, location, and reputation characteristics of hotels are found to significantly influence room rates. There are significant differences in characteristics between budget hotels and high-end hotels, and the influences of these characteristics on room rates vary. The results of this study will not only be helpful for consumers' decision-making, but also contribute toward a better understanding of rational rating for the hotel managers, improving consumer satisfaction. [ABSTRACT FROM AUTHOR]

Aim: The aim of the study was to examine whether patient–provider communication interacts with treatment outcomes to influence patients' risk perception. Background: Medical uncertainties and risks are among the most serious problems faced by patients. This is exacerbated by communication failure in patient–provider relationships and poor treatment outcomes. However, we do not know how communication and treatment outcomes shape patients' risk perception and concern about uncertainty. Design The study is a two‐by‐two between‐subjects design. Methods: Two studies were conducted and data were collected in 2019. Each study used a different research design and different samples: Study 1 used a scenario experiment with 120 undergraduate students; and Study 2 surveyed 200 inpatients in clinical settings. Results: The convergent results found a significant interaction between patient–provider communication and treatment outcome on the perception of medical risks among the participants. Conclusion: Patient–provider communication interacts with treatment outcome to influence patients' perceived risk about uncertainties for healthcare. Clinicians and nurses should be aware of the effects of patient–provider communication on patients' risk perception in their concerns about the uncertainties of treatment and pay much more attention to good healthcare relationship building in addition to the improvement of objective treatment outcome. SUMMARY STATEMENT: What is already known about this topic? Medical uncertainties and risks are exacerbated by communication failure in healthcare relationship.Communicating information to patients is important when they are evaluating the risks and benefits of treatment.Current theories to explain medical risk assume particular psychological processes to reproduce empirical observations of financial risk‐sensitive behaviour. What this paper adds? A scenario experiment explored the interaction effect of patient‐provider communication and treatment outcomes on the perceived risk of medical treatment.We verified the results in the clinical context and revealed a significant interaction of patient‐provider communication with patients' perceived risk of treatment outcomes.Our model predicts that patients' risk perceptions are both path dependent and affected by the patient‐provider communication and treatment outcome. The implications of this paper: Healthcare providers, for example, physicians and nurses, are reminded to adhere to preferred communication and relationship building methods, in support of good treatment outcomes.Providing patients with humanized support and compassion from healthcare professionals may help them understand their illness and symptoms as well as improve their concerns about the uncertainties of treatment. [ABSTRACT FROM AUTHOR]

Impatiens macrantha S. X. Yu&Ying Qin (Balsaminaceae), a new species from Guangxi, China, is described and illustrated. Phylogenetic analysis based on molecular data shows the new species to belong to I. subg. Clavicarpa and to be closely related to I. tubulosa with which it shares succulent stems and racemose inflorescences, but it can be easily distinguished by having a 4 – or 5 – ridged stem, obovate or elliptic leaf blade, and saccate lower sepal. Furthermore, I. macrantha is distinguishable from other Impatiens in China by its obviously larger leaves and flowers. The evidence from morphology and molecular data both support I. macrantha as new to science. [ABSTRACT FROM AUTHOR]

Desert-oasis ecotones are boundary areas between oases and desert ecosystems. Large efforts to control sediment and stabilize these boundaries depend on understanding sedimentary processes, especially aeolian transport and deposition. Previous studies on aeolian sediment deposition have focused primarily on a single land surface type or a single engineering approach. Few studies have considered deposition in a multi-layer oasis protective system. A complete oasis protective system consists of an outer bare sand area, a sand barrier zone, a shrub and herbaceous plant zone, and a farmland shelter zone. This study used sedimentary analysis to quantify grain-size characteristics in samples from the four land surfaces under different types of weather conditions in the Gelintan oasis of the Tengger Desert, the fourth largest desert in China. The results showed that aeolian sediment deposition decreased from the outer bare sand area through the oasis protective system and into the interior. The four land surface types showed significant differences in deposition volume (P < 0.05). Deposited sediment showed gradual decrease in dominant grain-size from sand to silt, but sediment deposited during dust weather contained a larger coarse-grained fraction. From the outer desert to the inner oasis, transport mechanisms shifted from saltation (sand) to suspension (silt and smaller) in non-dust weather. During dust weather, deposition primarily occurs from near-surface aeolian sand transport with saltation. Sediment sorting decreased from exterior to interior zones of the protective system while skewness and kurtosis showed no significant change (P < 0.05). These results can help inform strategies for stabilizing and protecting desert-oasis ecotones in this region and other localities. [ABSTRACT FROM AUTHOR]

The incidence of melanoma is rising globally including China. Comparing to Caucasians, the incidence of non‐cutaneous melanomas is significantly higher in Chinese. Herein, we performed genomic profiling of 89 Chinese surgically resected primary melanomas, including acral (n = 54), cutaneous (n = 22), and mucosal (n = 13), by hybrid capture‐based next‐generation sequencing. We show that mucosal melanomas tended to harbor more pathogenic mutations than other types of melanoma, though the biological significance of this finding remains uncertain. Chromosomal arm‐level alterations including 6q, 9p, and 10p/q loss were highly recurrent in all subtypes, but mucosal melanoma was significantly associated with increased genomic instability. Importantly, 7p gain significantly correlated with unfavorable clinical outcomes in non‐cutaneous melanomas, representing an intriguing prognostic biomarker of those subtypes. Furthermore, focal amplification of 4q12 (KIT, KDR, and PDGFRα) and RAD51 deletion were more abundant in mucosal melanoma, while NOTCH2 amplification was enriched in acral melanoma. Additionally, cutaneous melanomas had higher mutation load than acral melanomas, while mucosal melanomas did not differ from other subtypes in mutation burden. Together, our data revealed important features of acral and mucosal melanomas in Chinese including distinctive driver mutation pattern and increased genomic instability. These findings highlight the possibilities of combination therapies in the clinical management of melanoma. [ABSTRACT FROM AUTHOR]

Wind and sand control are important factors in combating desertification and protecting oases. An oasis protective system can provide these benefits, but quantitative research on protection effects has been lacking to date. This research describes an oasis protective system in the southeastern border of the Tengger Desert. The system consists of a sand barrier belt, a shrub and herbaceous plant belt, and a farmland shelter belt. The system was compared to a bare dunes area as the control zone. The study investigated wind proof effect, sediment transport, and erosion through field observations. Results showed that the roughness of the shrub and herbaceous plant belt, farmland shelter belt, and sand barrier belt were increased compared with bare dunes. The shrub and herbaceous plant belt provided the highest wind proof effect values for the same wind velocity measurement height, and the wind proof effect values for different protective belts were as follows: shrub and herbaceous plant belt > farmland shelter belt > sand barrier belt. The sand barrier belt provided effective wind and sand control at heights from 0 to 50 cm above the ground. The total sediment transport for each protective belt is as follows: bare dunes > sand barrier belt > shrub and herbaceous plant belt > farmland shelter belt. The sediment transport decreased exponentially as the height increased. In the bare dunes and protective systems, the sediment transport is mainly within 30 cm of the ground surface. The wind erosion intensity for this protective system was as follows: bare dunes > sand barrier belt > shrub and herbaceous plant belt > farmland shelter belt. This research offers quantitative evidence for how oasis protective systems can effectively intercept sand and prevent erosion in oases. The results of this study can be applied in similar regions. [ABSTRACT FROM AUTHOR]

Highlights • An evaluation system considering pressure and pressure-bearing was established. • Grid scale ecological security was evaluated using this system and entropy method. • County scale security level was evaluated based on entropy matter-element model. • Changes of ecological security situation between 2000 and 2015 were explored. Abstract Ecological security is important for social and economic sustainable development which needs stable resources and eco-environment support. In this study, we established an evaluation indicator system considering pressure and pressure-bearing to quantify the ecological security for Kunming city as it is a socioeconomic center in Southwest China with important ecological niche and rapid urbanization. According to the weights assigned by entropy method, we overlaid 13 indicators which were divided into 2 units, pressure indicators and pressure-bearing indicators, to evaluate the ecological security on grid scale. And then, ecological security level on district-county scale was evaluated based on the entropy matter-element model. On this basis, we explored their spatial distribution characteristics and the change trend from 2000 to 2015. Results showed that spatial distribution characteristic of ecological security evaluation was similar with the results of pressure evaluation, showing the scores and levels gradually increased from the urban area to the surrounding areas. Compared the ecological security levels in 2000 and in 2015, both of the highest value and the lowest value increased slightly. In general, the area with improved ecological security situation accounted for 89.10% of the total area. In terms of the change trend of ecological security levels, eight counties deteriorated while five counties remained unchanged which were driven by different deterioration reasons. The evaluation results of this study can provide comprehensive and targeted support for regional sustainable development. [ABSTRACT FROM AUTHOR]

Homozygous familial hypercholesterolemia (hoFH) is a rare inherited disorder characterized by extreme elevation of low-density lipoprotein (LDL) cholesterol, accelerated coronary artery disease, and premature death. Aggressive LDL-lowering therapies are important for survival, but these are not available worldwide. The aim of the study was to compare and contrast cardiovascular outcomes and mortality of hoFH patients in 2 countries with disparate use of lipoprotein apheresis (LA) and modern therapies for lowering LDL cholesterol. A retrospective study was undertaken comparing cardiovascular disease (CVD)-free survival and mortality in 44 hoFH patients who were treated with statins but not LA, from a center in Beijing, China, and 18 hoFH patients who were treated with LA and novel therapies from an early age, from a center in Rome, Italy. CVD-free survival and survival were significantly reduced in Chinese patients compared with the Italian patients after 30 years of follow-up (log-rank P <.01). In a pooled analysis, cardiovascular survival was significantly increased with earlier age at treatment, longer duration of treatment, and lower on-treatment LDL cholesterol concentrations (P <.05). In addition, the probability of a CVD event and death were increased in patients that carried a null mutation in the LDLR or had elevated lipoprotein(a). We show that coronary artery disease outcomes in patients with hoFH can be significantly improved with earlier and potent LDL cholesterol lowering with pharmacotherapies and LA. This has major implications for countries, such as China, where the models of care for hoFH remains underdeveloped. • We identified important gaps in the care of homozygous familial hypercholesterolemia patients in China and Italy. • Chinese patients had significantly reduced survival compared with Italian patients. • Efficacious therapies (eg, drugs and lipoprotein apheresis) are crucial to improve outcomes in homozygous familial hypercholesterolemia. [ABSTRACT FROM AUTHOR]

Abstract Aims To investigate the status of familial hypercholesterolemia (FH) research and the characteristics of patients with FH in China. Methods Published papers in Chinese or English language from PubMed, SinoMed and CNKI databases from 1971 to March 2018 were searched using 'Familial hypercholesterolemia', 'Chinese' and 'Han' as keywords. A systematic review of studies on familial hypercholesterolemia was then conducted. Results A total of 391 articles were found, in which 22% were in English and 78% were in Chinese; approximately 43% are case reports and 34% are genetic reports according to the study type; 52% discussed the status of the disease and 11% investigated the subclinical status according to the study content. Furthermore, 96% of the articles were published by tertiary hospitals and 46% were conducted by cardiologists. The first expert consensus was issued in February 2018. Of the 163 case reports published before 2018, 48.7% used the Chinese FH clinical diagnostic criteria and 34.4% did not clearly indicate the diagnostic criteria. The incidence rates of low-density lipoprotein receptor (LDLR) and apolipoprotein B (APOB) mutations were 82% and 9%, and proprotein convertase subtilisin/kexin type 9 (PCSK9) mutations were rare in Chinese patients with FH. However, the data on lipid-lowering treatment rates, compliance rates and cardiovascular events in FH remain insufficient. Conclusions Large-scale epidemiological investigation of FH has not been demonstrated, the recognition of FH remains rudimentary, and the guidelines are incomplete in China. The diagnosis and management of Chinese FH needs to be improved. Highlights • Familial hypercholesterolemia is a common hereditary disorder in china. • Familial hypercholesterolemia is extremely underdiagnosed in china. • Familial Hypercholesterolemia is undertreated in China. [ABSTRACT FROM AUTHOR]

Partitioning, a method considering environmental protection and development potential, is an effective way to provide regional management strategies to maintain ecological sustainability. In this study, we provide a large-scale regional division approach and present a strategy for Southwest China, which also has extremely high development potential because of the “Western development” policy. Based on the superposition of 15 factors, including species diversity, pattern restriction, agricultural potential, accessibility, urbanization potential, and topographical limitations, the environmental value and development benefit in the region were quantified spatially by weighting the sum of indicators within environmental and development categories. By comparing the scores with their respective median values, the study area was divided into four different strategy zones: Conserve zones (34.94%), Construction zones (32.95%), Conflict zones (16.96%), and Low-tension zones (15.16%). The Conflict zones in which environmental value and development benefit were both higher than the respective medians were separated further into the following 5 levels: Extreme conflict (36.20%), Serious conflict (28.07%), Moderate conflict (12.28%), Minor conflict (6.55%), and Slight conflict (16.91%). We found that 9.04% of nature reserves were in Conflict zones, and thus should be given more attention. This study provides a simple and feasible method for regional partitioning, as well as comprehensive support that weighs both the environmental value and development benefit for China's current Ecological Red Line and space planning and for regional management in similar situations. [ABSTRACT FROM AUTHOR]

To determine whether mitochondrial DNA (mtDNA) variations are associated with schizophrenia, 313 patients with schizophrenia and 326 unaffected participants of the northern Chinese Han population were included in a prospective study. Single-nucleotide polymorphisms (SNPs) including C5178A, A10398G, G13708A, and C13928G were analyzed by polymerase chain reaction–restriction fragment length polymorphism (PCR–RFLP). Hypervariable regions I and II (HVSI and HVSII) were analyzed by sequencing. The results showed that the 4 SNPs and 11 haplotypes, composed of the 4 SNPs, did not differ significantly between patient and control groups. No significant association between haplogroups and the risk of schizophrenia was ascertained after Bonferroni correction. Drawing a conclusion, there was no evidence of an association between mtDNA (the 4 SNPs and the control region) and schizophrenia in the northern Chinese Han population. [ABSTRACT FROM AUTHOR]

To reduce greenhouse gas (GHG) emissions and help mitigate climate change, urban water systems need to be adapted so that electrical energy use is minimised. In this study, energy data from 2011 was used to quantify energy use in China's urban water supply sector. The objective was to calculate the energy co-benefits of urban water conservation policies and compare energy use between China and other countries. The study investigated influencing factors with the aim of informing the development of energy efficient urban water infrastructure. The average energy use per cubic metre and per capita for urban water supply in China in 2011 was 0.29 kWh/m and 33.2 kWh/cap year, respectively. Total GHG emissions associated with energy use in the urban water supply sector were 7.63 MtCOe, or carbon dioxide equivalent. Calculations using these indicators showed significant energy savings could result from water conservation measures. A comparison between provinces of China showed a direct correlation between energy intensity of urban water supply and the population served per unit length of pipe. This may imply energy and emission intensity can be reduced if more densely populated areas are supplied by a corresponding pipe density, rather than by a low-density network operating at higher flow rates. This study also found that while the percentage of electrical energy used for urban water supply tended to increase with the percentage of population served, this increase was slower where water supply was more energy efficient and where a larger percentage of population was already supplied. [ABSTRACT FROM AUTHOR]

• DOM in Dianchi Lake were dominated by humic-like substances. • DOM in Dianchi Lake is affected by the macrophytes and algae distribution as well as inflowing rivers. • DOM components had high relevance to water quality indicators. • The DOM components of Dianchi Lake are prone to humification. Dissolved organic matter (DOM) is an important part of the material cycle in the water environment, and it plays an important role in the nutrient cycle of nitrogen and phosphorus in eutrophic water and biological processes. Dianchi Lake is a heavily eutrophic plateau lake in China. To investigate the fluorescence characteristics of DOM and the influences of DOM on water quality of rivers and lakes in the Dianchi Lake basin, three-dimensional fluorescence spectroscopy and high-resolution mass spectrometry were employed to determine the features of dissolved organic matter (DOM) components. According to the research results, the DOM components in rivers and lakes in the Dianchi Lake basin were dominated by humic-like substances and affected by seasonal changes to a certain extent. DOM in Dianchi Lake is affected by the macrophytes and algae distribution as well as inflowing rivers, but the dominant factors are different in dry and rainy seasons. PCA results indicated that DOM components had relatively high relevance to water quality indicators, especially COD and TN. In conclusion, Lake ecosystem status and pollution levels can be characterized by DOM to some extent, the DOM components in the Dianchi Lake are prone to humification with the implementation of wastewater treatment and aquatic ecological restoration projects, as reflected in the improved water quality index. [ABSTRACT FROM AUTHOR]

Three bacterial strains isolated from a sediment sample collected at a water depth of 4 m from the Huaihe River in China were characterized. Phylogenetic investigation of the 16S rRNA gene and concatenated housekeeping gene sequences assigned the three novel strains in a highly supported lineage distinct from the published Bradyrhizobium species. The sequence similarities of the concatenated housekeeping genes of the three novel strains support their distinctiveness with the type strains of named species. Average nucleotide identity values of the genome sequences (79.9–82.5%) were below the threshold value of 95–96% for bacterial species circumscription. Close relatives to the novel strains are Bradyrhizobium erythrophlei , Bradyrhizobium jicamae , Bradyrhizobium lablabi , Bradyrhizobium mercantei , Bradyrhizobium elkanii and Bradyrhizobium japonicum. The complete genomes of strains S2-20-1T, S2-11-2 and S2-11-4 consist of single chromosomes of size 5.55, 5.45 and 5.47 Mb, respectively. These strains lack a symbiosis island, key nodulation and photosystem genes. Based on the data presented here, the three strains represent a novel species for which the name Bradyrhizobium sediminis sp. nov. is proposed for S2-20-1T as the type strain. Those three strains are proposed as novel species in free-living Bradyrhizobium isolates with the smallest genomes so far within the genus Bradyrhizobium. A number of functional differences between the three isolates and other published genomes indicate that the genus Bradyrhizobium is extremely heterogeneous and has roles within the community including non-symbiotic nitrogen fixation. [ABSTRACT FROM AUTHOR]

China owns the world's largest capacity of coal-fired power units. By the end of 2012, the capacity of installed national thermal power has been 819.68 million kilowatts. The latest standard requires that newly built power plants emit SO in no more than 100 mg/m and the emission of old ones be lower than 200 mg/m while in some key areas the emission should be controlled under 50 mg/m. So by the end of 2012, 90 % of the active coal-fired units have been equipped with flue gas desulfurization devices. Among the desulfurization methods adopted, limestone-gypsum wet flue gas desulphurization accounts for 92 %, causing the problem of fine droplets in the exhaust gas after defogger, which may even form 'gypsum rain.' At present, sampling methods are widely used at home and abroad, such as magnesium ion tracer method, modified magnesium ion tracer method and chemical analysis. In addition, some scholars use aerodynamic methods, such as ELPI, to measure the diameter distribution and concentration. The methods mentioned above all have their own demerits, such as the inability to on-line, continuous measurements and the need of prolonged measuring time. Thus, in this paper some potential optical on-line methods are presented, such as Fraunhofer diffraction pattern analysis and wavelength-multiplexed laser extinction. Also brought up are their measuring scope and merits. These methods have already been utilized to measure small liquid droplets and their demonstrations and evaluations are as well stated. Finally, a 3D imaging method based on digital holographic microscope is proposed for in-line measurement of size and concentration of slurry droplets. The feasibility of this method is demonstrated by preliminary experimental investigation. [ABSTRACT FROM AUTHOR]

Southern China has one of the world's largest population of patients needing transfusions. Transfusion and chelation are not uniformly available and no magnetic resonance imaging (MRI) assessment data exists to date. A total of 153 young β-thalassemia major (β-TM) patients were assessed using a validated 1.5T scanner in Hong Kong, People's Republic of China (PRC). Their median age was 13 (range 7 to 30), and most patients were young (22.0% age <10, 73.0% age <15, 88.0% age <18). Erratic health care made estimation of total transfusion and chelation exposure impossible. Despite their early age, 24.0% had severe cardiac hemosiderosis [T2*<10 milliseconds (ms)], at ages as early as 8 years old. Median heart iron was 1.68 mg/g dry weight (range 0.19-7.66) and increased with age ( p = 0.017), while liver iron was 22.2 mg/g dry weight (range 3.15 to 39.2). Serum ferritin levels were poor predictors of heart and liver, or pancreatic R* and pituitary R* values. Magnetic resonance imaging scans are needed to screen very young β-TM patients with immediate risk of premature cardiac death in developing nations and triage them to more intensive treatment. This is particularly important in countries with a large number of patients and limited resources. Our data suggests that in developing countries, there is no lower limit for thalassemia MRI scanning programs. [ABSTRACT FROM AUTHOR]

Purpose: Polycystic ovary syndrome (PCOS) is a common endocrine disorder disease among women in reproductive-age. Since follicle stimulating hormone (FSH) exerts important biological functions, the association between PCOS and FSH receptor (FSHR) polymorphisms attracts wide attention. The aim of this study was to evaluate whether polymorphisms of FSHR at 307 and 680 codons are associated with PCOS patients in China. Methods: Patients with PCOS ( n = 215) and controls ( n = 205) were recruited from Shanxi Province in north China. They are Han ethnics. Genomic DNA was isolated from the venous blood. The Ala307Thr and Ser680Asn polymorphisms of FSHR were analyzed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and direct DNA sequencing. Results: The distributions of genotype and allele of Ala307Thr and Ser680Asn polymorphisms of FSHR were not statistically different between the PCOS patients and the controls. Analysis of the frequency of FSHR polymorphisms showed no statistical difference among the PCOS patients with different obesity standards. Although there were no statistical differences in the most of the endocrine parameters including LH, LH/FSH, E2, P and T as well as the clinical pregnancy rate, there were significant differences in the levels of FSH and PRL among PCOS patients carrying different genotypes of Ala307Thr and Ser680Asn polymorphisms. Conclusion: The Ala307Thr and Ser680Asn polymorphisms of FSHR are not associated with PCOS in Han ethnic Chinese women in north China. The FSHR polymorphisms was related to the levels of FSH and PRL but not other PCOS-associated endocrine hormones as well as clinical pregnancy rate in PCOS patients of Han Chinese ethnical population. [ABSTRACT FROM AUTHOR]

Given the conditions of scarce soil water availability, high UV exposure and huge temperature fluctuation, plant growth in desert is extremely limited. In the last three decades, reclaiming desertified land for agricultural use via the application of solar greenhouse has been developing in the arid regions, northwestern China. However, the soil microbiome shift driven by the transformation of land use remains largely unexplored. To this end, we examined the diversity and composition of the bacterial community in the vineyard soil at the edge of Tengger desert, using the high-throughput quantitative 16S rRNA gene sequencing. Two types of agricultural managed soils, including those near the plant (PLT) and the others on the fertilization furrow (FTL), were collected. Soils from the open desert land without agricultural practices were used as the control (CON). The results showed that agricultural reclamation significantly (p < 0.05) reduced the desert soil bacterial diversity while promoted the total bacterial abundance from 106 copies up to 108 per ng of DNA, which increased up to 90 folds. Among the dominant bacteria Firmicutes, Proteobacteria, Actinobacteria, and Acidobacteria, Bacilli and Actinobacteria were found to be the keystone taxa responding to the agricultural practices especially to the nutrient inputs from fertilization. The functional prediction of the microbiome suggested that amino acid and carbohydrate transport and metabolism were the most important metabolic pathways differed between the three types of soils. Overall, our findings provide deep insights into the understanding of desert soil microbial responses to agricultural reclamation on the processes of human urbanization and reversion of desertification. • Agricultural reclamation reduces desert soil bacterial diversity. • Fertilization has stronger impact than planting on soil bacterial community. • Agricultural reclamation increases desert soil bacterial abundance up to 89 folds. • Bacilli and Actinobacteira are the keystone taxa in reclaimed desert soil. • Nutrient inputs exclusively influence the bacterial abundance positively. [ABSTRACT FROM AUTHOR]

Polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), organotin and organolead compounds were measured in sewage sludge samples collected from 24 wastewater treatment plants from 18 cities of 13 provinces in China. Total international toxicity equivalent (I-TEQ) values were evaluated for PCDD/Fs. The total concentration of PCDD/Fs ranged from 104.0 to 1661 pg/g dry weight (d.w.) and 2.51–75.21 pg I-TEQ/g d.w., indicating that all I-TEQs were below Chinese legislation limit value regulated for land application. The concentrations ranged from 258 to 3886, 126 to 1129, and 84–2133 ng/g as Sn d.w., for tributyltin (TBT), dibutyltin (DBT), and diphenyltin (DPhT), respectively. On the other side, organolead concentrations ranged from 85 to 668 with an average of 279 ng/g as lead. High concentrations of organolead compounds in sewage sludge indicated that the environmental impact of organolead compounds remains in China. [Copyright &y& Elsevier]

The levels of DDTs, HCHs and PCBs in topsoil, cereal and irrigation water from typical industrial and agricultural areas of Jilin Province in Northeastern China were evaluated by using gas chromatography coupled with an electron capture detector. The amount of ∑OCPs and ∑PCBs found in topsoils ranged from 24.7 to 98.0 and 17.2 to 98.7 ng g, respectively. The geometric means of ∑HCHs, ∑DDTs and ∑PCBs in rice stem samples were 28.9, 32.4 and 49.0 ng g, respectively. The average level of total OCPs concentration in rice field water in Meihekou area (0.849 ng g) is higher than that in Jilin area (0.178 ng g) and all OCPs concentrations in rice field water met the water quality standards for Grade I regulated by China's national environmental quality standard of surface water. [ABSTRACT FROM AUTHOR]

In a project aiming to isolate strains with the ability to produce nonribosomal peptides, a Gram-negative, endospore-forming, rod-shaped strain, designated B5T, was isolated from a soil sample collected from Tianmu Mountain national natural reserve in Hangzhou, China. Strain B5T contained meso-diaminopimelic acid in the cell wall peptidoglycan. The major cellular fatty acids were anteiso-C15:0 and iso-C15:0. The DNA G+C content was 42.5 mol%. The phylogenetic analysis based on 16S rRNA gene sequence indicated that strain B5T fell within the genus Bacillus, with highest sequence similarity values to Bacillus barbaricus DSM 14730T (96.4%) and Bacillus macauensis JCM 13285T (95.5%). The isolate, however, could be distinguished from Bacillus strains with validly published names by low 16S rRNA gene sequence similarity values, distinct phenotypic and chemotaxonomic characteristics. On the basis of these polyphasic evidences, it is demonstrated that the isolate B5T represents a novel species of the genus Bacillus, for which the name Bacillus tianmuensis sp. nov. is proposed. The type strain is B5T (=DSM 22111T=CGMCC 1.8879T). [ABSTRACT FROM AUTHOR]