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A photochemically induced nickel-catalyzed radical cross-coupling of phthalimido trifluoroethanol with aryl bromides to furnish α-aryl-α-trifluoromethyl alcohols is reported. This reaction proceeds via a photoinduced charge transfer of an electron donor-acceptor complex between Hantzsch ester and phthalimido trifluoroethanol, followed by 1,2-hydrogen atom transfer, to generate the α-hydroxytrifluoroethyl radical for the cross-coupling of aryl bromides. No exogenous photocatalysts or stoichiometric metal reductants are required in this mild and operationally simple protocol. Broad substrate compatibility and excellent functional group tolerance are observed.

Pseudomonas plecoglossicida is an important pathogenic bacterium in aquaculture that causes visceral granulomas in large yellow croaker (Larimichthys crocea). Uridine diphosphate glucose phosphorylase encoded by galU plays a key role in biosynthesis of the bacterial envelope, particularly lipopolysaccharide and the capsule. In this study, we inactivated the galU gene in the P. plecoglossicida isolate XSDHY-P. The galU mutant strain showed impaired growth in the early exponential stage and lacked the O polysaccharide side chain in lipopolysaccharide, but almost no defect in biofilm formation was detected. The galU mutant strain also exhibited significantly more sensitivity to the bactericidal action of normal fish serum mediated by the complement system compared to the wild-type strain. In a cell model originating from the head kidney of large yellow croaker, the galU mutant strain showed lower capacities of adhesion, invasion, and intracellular survival compared to the wild-type strain. In addition, the deficiency of the galU mutant drastically decreased bacterial loads in tissues and attenuated P. plecoglossicida virulence in fish. These results suggest that the galU gene of P. plecoglossicida is required for in vivo survival in large yellow croaker.

Background Since COVID-19 (coronavirus disease 2019) was discovered in December 2019, it has spread worldwide. Early isolation and medical observation management of cases and their close contacts are the key to controlling the spread of the epidemic. However, traditional medical observation requires medical staff to measure body temperature and other vital signs face to face and record them manually. There is a general shortage of human and personal protective equipment and a high risk of occupational exposure, which seriously threaten the safety of medical staff. Methods We designed an intelligent crowd isolation medical observation management system framework based on the Internet of Things using wireless telemetry and big data cloud platform remote management technology. Through a smart wearable device with built-in sensors, vital sign data and geographical locations of medical observation subjects are collected and automatically uploaded to the big data monitoring platform on demand. According to the comprehensive analysis of the set threshold parameters, abnormal subjects are screened out, and activity tracking and health status monitoring for medical observation and management objectives are performed through monitoring and early warning management and post-event data traceability. In the trial of this system, the subjects wore the wristwatches designed in this study and real-time monitoring was conducted throughout the whole process. Additionally, for comparison, the traditional method was also used for these people. Medical staff came to measure their temperature twice a day. The subjects were 1,128 returned overseas Chinese from Europe. Results Compared with the traditional vital sign detection method, the system designed in this study has the advantages of a fast response, low error, stability, and good endurance. It can monitor the temperature, pulse, blood pressure, and heart rate of the monitored subject in real time. The system designed in this study and the traditional vital sign detection method were both used to monitor 1,128 close contacts with COVID-19. There were six cases of abnormal body temperature that were missed by traditional manual temperature measurement in the morning and evening, and these six cases (0.53%) were sent to the hospital for further diagnosis. The abnormal body temperature of these six cases was not found in time when the medical staff came to check the temperature on a twice-a-day basis. The system designed in this study, however, can detect the abnormal body temperature of all these six people. The sensitivity and specificity of our system were both 100%. Conclusion The system designed in this study can monitor the body temperature, blood oxygen, blood pressure, heart rate, and geographical location of the monitoring subject in real time. It can be extended to COVID-19 medical observation isolation points, shelter hospitals, infectious disease wards, and nursing homes.

This study aimed to clarify the role of Orosomucoid 1 (ORM1) in the development and therapy resistance in hepatocellular carcinoma (HCC). The mRNA expression level of ORM1 was analyzed via integrative analysis of Gene Express Omnibus (GEO) and The Cancer Genome Atlas (TCGA) datasets. The protein expression level of ORM1 in our cohort was determined using immunohistochemistry. Correlation analysis was used to investigate the relationship between ORM1 expression and clinical parameters. The Cell Counting Kit-8 assay was used to clarify the role of ORM1 in HCC malignant behaviors, including cell growth and sorafenib sensitivity, in vitro. The results indicated that ORM1 was significantly downregulated in the hepatic cancer cells compared to that in the non-cancerous cells. However, it was upregulated in microvascular invasion samples, especially in the cancer embolus compared to that in the surrounding tumor cells. Though Kaplan-Meier analysis did not show an association of ORM1 expression with the overall survival rates of HCC patients, univariate analysis indicated that ORM1 expression was highly correlated with tumor grade and stage. An in vitro assay also revealed that downregulation of ORM1 led to the suppression of tumor growth and enhancement of sorafenib sensitivity without epithelial-to-mesenchymal transition (EMT) alteration, which was consistent with our bioinformatic analysis. Hence, ORM1 played a key role in HCC tumorigenesis and may serve as a potential target for the development of therapeutics against HCC in the future.

Yi Jiang,1 Lijie Wei,1 Huiting Zhang,1 Yuting Chen,1 Peng Gao,1 Jingyi Zhang,1 Xuan Zhou,1 Shenglan Zhu,1 Yuanyuan Du,1 Chenyun Fang,1 Jiaqi Li,2 Ling Feng,1 Mengzhou He,1 Shaoshuai Wang,1 Jun Yu1 1Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, People’s Republic of China; 2Department of Obstetrics and Gynecology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, 33006, People’s Republic of ChinaCorrespondence: Jun Yu, Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Qiaokou District, Wuhan, Hubei Province, People’s Republic of China, Email yjtj2010@163.comIntroduction: Gestational diabetes mellitus (GDM) is one of the common metabolic disorders of pregnancy and results in poor pregnancy outcomes for both mother and fetus. MiR-17-5p is considered as the strongest predictor of metabolic syndrome status, but the relationship between GDM and miR-17-5p remains unclear. TXNIP, which leads to activation of NLRP3, is considered as a potential target of miR-17-5p, and the miR-17-5p/TXNIP/NLRP3 axis has been shown to play a major role in the occurrence and development of many metabolic diseases but has not been validated in GDM.Methods: MiR-17-5p was detected by RT-qPCR. The expression of TXNIP and NLRP3 in placenta was detected by immunofluorescence, RT-qPCR and Western blot. To explore the effect of miR-17-5p on TXNIP and NLRP3 and glucose uptake of HTR8/SVneo cells, miR-17-5p mimic and miR-17-5p inhibitor were transfected to achieve overexpression and inhibition. The interaction between miR-17-5p and TXNIP was confirmed by dual-luciferase reporter assay. Besides, glucose consumption of trophoblast cells was detected by glucose assay kit.Results: MiR-17-5p expression was down-regulated, while the expression of TXNIP and NLRP3 was up-regulated in GDM placental tissues. MiR-17-5p targeted TXNIP and inhibited its expression. MiR-17-5p also regulated NLRP3 expression and glucose uptake of HTR8/SVneo cells, which could be reversed by overexpression of TXNIP, suggesting that miR-17-5p improved glucose uptake of HTR8/SVneo cells by TXNIP/NLRP3 axis. The results were consistent with the above findings in high-glucose treated HTR8/SVneo cells.Conclusion: Our results suggested that miR-17-5p ameliorates the glucose uptake of HTR8/SVneo cells by TXNIP/NLRP3 axis, which may provide a new idea for offspring health of GDM patients.Keywords: diabetes, gestational, microRNAs, pregnancy, inflammation

DeepWaterFraction: Precision Estimation of Sub Pixel Scale Water Areas in Landsat Imagery ## Description This Zenodo repository hosts the pre-trained models and sample data utilized in our research project titled "[Research Paper Title]". The research presents a self-training deep learning methodology for accurately estimating surface water areas at a sub-pixel scale. The trained models and sample data provided here are meant to facilitate replication of our research and further exploration of the methodology. ## Content - **Pre-trained Models**: The repository contains the pre-trained weights of our deep learning models. - **Sample Data**: This data comprises Landsat satellite images withwater bodies. ## Usage The pre-trained models and sample data can be downloaded and used according to the instructions provided in the associated GitHub repository: [GitHub Repository Link] ## Citation If you find our work helpful in your research, please consider citing our paper: ``` [Your Bibtex citation] ``` ## License This data and the pre-trained models are licensed under the [insert your license here] License. Please ensure to replace "[Research Paper Title]", "[GitHub Repository Link]", and "[Your Bibtex citation]" with the appropriate details and choose a suitable license for the content in the repository.

Diphthongization and apicalization are two commonly detected phonetic and/or phonological processes for the development of high vowels, with the process of apicalization being of particular importance to the phonology of Chinese dialects. This paper describes acoustics and articulation of fricative vowels in the Suzhou dialect of Wu Chinese. Acquiring frication initiates the sound change. The production of fricative vowels in Suzhou is characterized by visible turbulent frication from the spectrograms, and a significant lower Harmonics-to-Noise Ratio vis-à-vis the plain counterparts. The acoustic study suggests that spectral characteristics of fricative vowels play a more important role in defining the vowel contrasts. The fricative high front vowels have comparatively greater F1 and smaller F2 and F3 values than their plain counterparts, and in the acoustic F1/F2 plane, the fricative vowels are located in an intermediate position between their plain and apical counterparts. The articulatory study revealed that that not only tongue dorsum but also tongue blade are involved in the production of fricative high front vowels in Suzhou. Phonologically, plain high front vowels, fricative high front vowels, and apical vowels distinguish in active place of articulation, namely being anterodorsal, laminal, and apical respectively; and frication becomes a concomitant and redundant feature in the production of fricative or apical vowels. It is concluded that the fine-grained phonetic details suggest that the fricative high front vowels in Suzhou is at an intermediate stage of vowel apicalization in terms of both acoustics and articulation.

Glutathione S-transferases (GSTs), a multifunctional protein family, are involved in insecticide resistance. However, a systematic analysis of GSTs in Anopheles sinensis, an important vector for malaria transmission, is lacking. In this study, we investigated the diversity and characteristics of GST genes, and analyzed their expression patterns and functions associated with insecticide resistance in this species.We identified 32 putative cytosolic and three putative microsomal GST genes in the An. sinensis genome. Transcriptome analysis showed that GSTs were highly expressed in larvae, and mainly expressed in the antennae, midgut and Malpighian tubules of adults. In addition, we found that GSTd2 and GSTe2 were significantly upregulated in four An. sinensis pyrethroid-resistant field populations. Furthermore, silencing of GSTd2 and GSTe2 significantly increased the susceptibility of An. sinensis to deltamethrin, and recombinant GSTd2 and GSTe2 exhibited high enzymatic activity in the metabolism of 1-chloro-2,4-dinitrobenzene and dichlorodiphenyltrichloroethane (DDT).These results showed that GSTs are involved in the development of insecticide resistance in An. sinensis through transcriptional overexpression and enzymatic metabolization, facilitating our understanding of insecticide resistance in insects. © 2022 Society of Chemical Industry.

Highly ordered TiO2 nanotube arrays were prepared by two-step anodic oxidation, and the graphene was assembled on them via the solvothermal method. The photoelectric performance was investigated, the results indicated the TiO2/rGO nanocomposites with higher photocurrent response compared with pure TiO2, and the cyclic voltammetry of the TiO2/rGO at different scan rates of 10 to 200 mV/S showed a good electrochemical capacitance. The crystal structure, morphology, and chemical composition of the samples were also characterized by XRD, SEM, and XPS.

BackgroundAntiretroviral therapy (ART) initiation before pregnancy was reported to have an increased risk of adverse pregnancy outcomes (APOs) than ART initiation during pregnancy. However, the risks of APOs associated with different ART regimens initiated before or during pregnancy remain unknown.MethodsPregnant women living with HIV (PWLHIV) from Hubei Province, China, were retrospectively enrolled between January 1, 2004, and December 31, 2021. The trends of ART initiation time and application of different ART regimens were evaluated over time, separately. Using no ART exposure before and during pregnancy as control, the risks of APOs associated with protease inhibitor (PI) based regimens and non-nucleoside reverse transcriptase inhibitors (NNRTIs) based regimens initiated before pregnancy were analyzed; and the risks of APOs associated with PI-based regimens, NNRTIs based regimens and zidovudine (AZT) monotherapy initiated during pregnancy were analyzed. APOs, including low birthweight (LBW), stillbirth, preterm birth (PTB) and early miscarriage, were reviewed.ResultsAmong 781 PWLHIV including 1,010 pregnancies, 522 pregnancies (51.7%) were exposed to ART before or during pregnancy. Of them, the proportion of ART initiation before pregnancy per year increased from around 20% in the early period to more than 60% after 2019. Efavirenz (EFV)-nucleoside reverse transcriptase inhibitors (NRTIs) (32.2%), LPV/r-NRTIs (31.2%), and nevirapine (NVP)-NRTIs (27.4%) were the most commonly used regimens, and the proportion of LPV/r-NRTIs used per year has increased to around 50.0% in recent years. LPV/r-NRTIs was associated with higher risks of LBW whether initiated before pregnancy [adjusted OR (aOR) = 2.59, 95%CI 1.04–6.45, p = 0.041] or during pregnancy (aOR = 2.19, 95%CI 1.03–4.67, p = 0.041), compared with no exposure to ART before and during pregnancy. However, no matter initiated before or during pregnancy, LPV/r-NRTIs had no significantly increased risks of stillbirth, PTB and early miscarriage, and EFV /NVP-NRTIs and AZT monotherapy had no significantly increased risks of LBW, stillbirth, PTB and early miscarriage when compared with no exposure to ART before and during pregnancy.ConclusionOur data suggests that LPV/r-NRTIs has been widely used among PWLHIV in recent years. However, the potential risk of LBW should be continuously monitored among PWLHIV whether LPV/r-NRTIs is initiated before or during pregnancy.

Itch is an annoying sensation consisting of both sensory and emotional components. It is known to involve the parabrachial nucleus (PBN), but the following transmission nodes remain elusive. The present study identified that the PBN-central medial thalamic nucleus (CM)-medial prefrontal cortex (mPFC) pathway is essential for itch signal transmission at the supraspinal level in male mice. Chemogenetic inhibition of the CM-mPFC pathway attenuates scratching behavior or chronic itch-related affective responses. CM input to mPFC pyramidal neurons is enhanced in acute and chronic itch models. Specifically chronic itch stimuli also alter mPFC interneuron involvement, resulting in enhanced feedforward inhibition and a distorted excitatory/inhibitory balance in mPFC pyramidal neurons. The present work underscores CM as a transmit node of the itch signal in the thalamus, which is dynamically engaged in both the sensory and affective dimensions of itch with different stimulus salience.

A novel Gal-binding lectin from mussels (Crenomytilus grayanus, CGL) with 6 binding sites in the dimeric structure has been previously shown to have antifungal, anticancer, and antibacterial activities. In this study, a glycan array was used to confirm that CGL recognizes a range of non-reducing end α- or β-linked Gal glycans on normal cells but not sialic acid-capped glycans. This finding suggests that CGL has potential in the tumor detection due to the hyper-sialylation present in cell surface glycans from cancer cells. To evaluate the feasibility of this possibility, we labeled CGL with biotin and then mixed it with streptavidin-horseradish peroxidase (HRP) to create a CGL-biotin-SP complex as a probe for use in enzyme-linked lectin assays. CGL-biotin-SP successfully distinguished not only HeLa cells and de-sialylated HeLa cells that mimic normal cell surface glycans but also lung and breast cancer cells with different metastatic abilities. This work provides the insights into a new Gal-binding lectin by establishing its specificity and also demonstrates practical applications in cancer diagnosis greater than other reported lectins.

Background Knee osteoarthritis (KOA) has become an issue of public health. Several Systematic Reviews and Meta-analyses (SRs/Mas) indicate that Traditional Chinese Exercise (TCE) may be an effective treatment for reducing pain, stiffness, and physical function in people with knee osteoarthritis (KOA). Objectives To re-evaluate the literature quality and the evidence for the systematic evaluation of TCE for osteoarthritis of the knee and to offer evidence to support the clinical practice of TCE for osteoarthritis of the knee. Methods Eight electronic databases will be used to retrieve literature from their inception to January 3, 2023, including China National Knowledge Infrastructure (CNKI), Wanfang database (WF), Chinese Scientific Journals Database (VIP), China Biomedical database (CBM), PubMed, EMBASE, Web of Science and Cochrane Library, without restrictions on the study date or language, a systematic evaluation/Meta-analysis of commonly used TCE for knee osteoarthritis was compiled, the methodological and reporting quality of the included literature was evaluated using the AMSTAR-2 scale and PRISMA 2020, and the quality of the evidence was assessed using the GRADE classification. Results A total of 18 papers were included, and the AMSTAR-2 review revealed that the literature's methodological quality could have been better. The study of RPISMA 2020 indicated that the overall reporting standards were deficient. The quality of Chinese and English literature differed, with English literature being superior in methodological quality and reporting quality. There were a total of 93 pieces of evidence obtained, 46 of which were of very low quality (49.46%, 46/93), 34 of low quality (36.56%, 34/93), 13 of medium level (13.98%, 13/93), and none of the high quality. TCE was supported by 76 pieces of evidence (81.72%, 76/93). Conclusion TCE is, therefore, advantageous and secure for KOA. However, clinicians should proceed from these findings with caution in their practice due to the relatively low methodological and evidentiary quality of the included SRs/MAs.

To explore the association between inter-pregnancy intervals and placenta previa and placenta accreta spectrum among women who had prior cesarean deliveries with respect to maternal age at first cesarean delivery. This retrospective study included clinical data from 9981 singleton pregnant women with a history of cesarean delivery at 11 public tertiary hospitals in seven provinces of China between January 2017 and December 2017. The study population was divided into four groups (

Background Nearly half of bronchiectasis patients receiving bronchial artery embolization (BAE) still have recurrent hemoptysis, which may be life-threatening. Worse still, the underlying risk factors of recurrence remain unknown. Methods A retrospective cohort was conducted of patients with idiopathic bronchiectasis who received BAE from 2015 to 2019 at eight centers. Patients were followed up for at least 24 months post BAE. Based on the outcomes of recurrent hemoptysis and recurrent severe hemoptysis, a Cox regression model was used to identify risk factors for recurrence. Results A total of 588 individuals were included. The median follow-up period was 34.0 months (interquartile range: 24.3–53.3 months). The 1-month, 1-year, 2-year, and 5-year cumulative recurrent hemoptysis-free rates were 87.2%, 67.5%, 57.6%, and 49.4%, respectively. The following factors were relative to recurrent hemoptysis: 24-h sputum volume (hazard ratio [HR] = 1.99 [95% confidence interval [95% CI]: 1.25–3.15, p = 0.015]), isolation of Pseudomonas aeruginosa (HR = 1.50 [95% CI: 1.13–2.00, p = 0.003]), extensive bronchiectasis (HR = 2.00 [95% CI: 1.29–3.09, p = 0.002]), and aberrant bronchial arteries (AbBAs) (HR = 1.45 [95% CI: 1.09–1.93, p = 0.014]). The area under the receiver operating characteristic curve of the nomogram was 0.728 [95% CI: 0.688–0.769]. Conclusions Isolation of Pseudomonas aeruginosa is an important independent predictor of recurrent hemoptysis. The clearance of Pseudomonas aeruginosa might effectively reduce the hemoptysis recurrence rate.

BackgroundRandomized controlled trials have demonstrated the benefits of sodium–glucose cotransporter 2 inhibitors (SGLT2is) in people with type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD). However, real-world data on CKD progression and the development of end-stage kidney disease (ESKD) remains scarce. Our aim was to study renal outcomes of people with diabetic kidney disease (DKD) using SGLT2is in a highly prevalent DKD population.MethodsBetween 2016 and 2019 we recruited T2DM patients in the renal and diabetic clinics in a regional hospital in Singapore. Patients prescribed SGLT2is were compared with those on standard anti-diabetic and renoprotective treatment. The outcome measures were CKD progression [a ≥25% decrease from baseline and worsening of estimated glomerular filtration rate (eGFR) categories according to the Kidney Disease: Improving Global Outcomes guidelines] and ESKD (eGFR ResultsWe analysed a total of 4446 subjects; 1598 were on SGLT2is. There was a significant reduction in CKD progression {hazard ratio [HR] 0.60 [95% confidence interval (CI) 0.49–0.74]} with SGLT2is. The HR for eGFR ≥45 mL/min/1.73 m2 and 15–44 mL/min/1.73 m2 was 0.60 (95% CI 0.47–0.76) and 0.43 (95% CI 0.23–0.66), respectively. There was also a reduction in risk for developing ESKD for the entire cohort [HR 0.33 (95% CI 0.17–0.65)] and eGFR 15–44 mL/min/1.73 m2 [HR 0.24 (95% CI 0.09–0.66)]. Compared with canagliflozin and dapagliflozin, empagliflozin showed a sustained risk reduction of renal outcomes across CKD stages 1–4.ConclusionsThis real-world study demonstrates the benefits of SGLT2is on CKD progression and ESKD. The effect is more pronounced in moderate to advanced CKD patients.

An iron-catalyzed coupling reaction of difluoroenol silyl ethers and cyclobutanone oxime esters is described. This protocol provides a convenient access to various previously unknown and potentially useful gem-difluoromethylenated ketonitriles inmoderate to good yields. The transformations of resulting products to other fluorinecontaining products is also documented.

After the emergence of COVID-19 in 2019, it has now become a pandemic. COVID-19 has brought painful disasters to people all over the world. It not only threatens lives and health but also induces economic crises. At present, promising methods to eradicate COVID-19 mainly include drugs and vaccines. Enzyme inhibitors have always been a reliable strategy for the treatment of related diseases. Scientists worldwide have worked together to study COVID-19, obtained the structure of key SARS-CoV-2 associated enzymes, and reported the research of inhibitors of these enzymes. This article summarizes COVID-19-related enzyme inhibitors' recent development, mainly including 3CLpro, PLpro, TMPRSS2, and RdRp inhibitors, hoping to provide valuable weapons in the ensuing battle against COVID-19.

Objective We aimed to analyze the angioarchitecture characters and changes after combined bypass surgery (CBS) in pediatric moyamoya disease (MMD). Methods We retrospectively analyzed our database of consecutive patients with moyamoya angiopathy who received treatment. Only pediatric MMD cases aged between 3 and 19 years with pre- and post-operative imaging examinations including digital subtraction angiography and magnetic resonance imaging were enrolled in this study. The main trunk vessels' stenosis and the collaterals from the superficial-meningeal system and deep parenchymal system were evaluated before and after CBS. Results During short-term follow-up period after the unilateral CBS, the stenosis of main trunk vessels both in operative (5.7 ± 2.1 vs. 6.8 ± 1.8; p Conclusions The successful CBS could decrease the collaterals from the PCA-MCA leptomeningeal system and the subependymal compensations in deep parenchyma significantly, while the main trunk stenosis would aggravate rapidly both in operative and non-operative hemisphere in short-term follow-up after unilateral CBS. Therefore, strict and regular follow-ups for the changes of vascular architecture and prompt surgical intervention for the contralateral side might be of benefit to pediatric MMD.

The first C–H trifluoroethylamination of heteroarenes with N-trifluoroethyl hydroxylamine reagents under photoredox catalysis has been described.

The regioselective C–H heptafluoroisopropylation of heteroarenes with heptafluoroisopropyl silver provided convenient access to a wide range of CF(CF3)2-containing heteroarenes.

The spatiotemporal reflectance fusion method is used to blend high-temporal and low-spatial resolution images with their low-temporal and high-spatial resolution counterparts that were previously acquired by various satellite sensors. Recently, a wide variety of learning-based solutions have been developed, but challenges remain. These solutions usually require two sets of data acquired before and after the prediction time, making them unsuitable for near-real-time predicting. The solutions are always trained band by band and thus do not consider the spectral correlation. High-resolution temporal changes are difficult to reconstruct accurately with the network structure used, which lowers the accuracy of the fusion result. To address these problems, this study proposes a novel spatiotemporal adaptive reflectance fusion model using a generative adversarial network (GASTFN). In GASTFN, an end-to-end network, including a generative and discriminative network, is simultaneously trained for all spectral bands. The proposed model can be applied to the one-pair case, consider the spectral correlation of each band, and improve the process of producing super-resolution imagery by adopting the discriminative network for image reflectance values rather than temporal changes in reflectance. The proposed model has been verified with two actual satellite data sets acquired in heterogeneous landscapes and areas with abrupt changes, with a comparison of the state-of-art methods. The results show that GASTFN can generate the most accurate fusion images with more detailed textures, more realistic spatial shapes, and higher accuracy, demonstrating that the GASTFN is effective for predicting near-real-time changes in image reflectance and preserves the most valuable spatial information.

Rivers are important elements of the Earth’s ecosystem, and their spatial distribution information is critical for the study of hydrological and biogeochemical processes. Moderate Resolution Imaging Spectroradiometer (MODIS) imagery has been widely used for river mapping due to its high temporal resolution and long-term observation records, which are essential to capture the rapid fluctuation of rivers. However, when the conventional hard classification methods are used, the accuracy of the river maps produced from MODIS data (and especially for those rivers with narrow widths) is often limited because mixed pixels are common in MODIS imagery, due to the coarse spatial resolution. In this paper, a cascaded spectral-spatial information combined deep convolutional neural network (CNN) model for super-resolution river mapping (DeepRivSRM) is proposed to produce Landsat-like fine-resolution river maps from MODIS images. In DeepRivSRM, a CNN made up of a spectral unmixing module and a super-resolution mapping (SRM) module is introduced to handle the spectral and spatial information simultaneously. Moreover, for training the DeepRivSRM model, an adaptive cross-entropy loss function incorporating the fraction information of the rivers is designed to improve the performance of the DeepRivSRM model for small rivers. The proposed method was evaluated with MODIS images from three test sites and was compared with hard classification, a conventional SRM method, and a CNN-based SRM method. The results show that DeepRivSRM can generate more accurate river maps by effectively learning the subpixel-scale spatial-spectral information in MODIS imagery.

Superresolution mapping (SRM) is a commonly used method to cope with the problem of mixed pixels when predicting the spatial distribution within low-resolution pixels. Central to the popular SRM method is the spatial pattern model, which is utilized to represent the land cover spatial distribution within mixed pixels. The use of an inappropriate spatial pattern model limits such SRM analyses. Alternative approaches, such as deep-learning-based algorithms, which learn the spatial pattern from training data through a convolutional neural network, have been shown to have considerable potential. Deep learning methods, however, are limited by issues such as the way the fraction images are utilized. Here, a novel SRM model based on a generative adversarial network (GAN), GAN-SRM, is proposed that uses an end-to-end network to address the main limitations of existing SRM methods. The potential of the proposed GAN-SRM model was assessed using four land cover subsets and compared to hard classification and several popular SRM methods. The experimental results show that of the set of methods explored, the GAN-SRM model was able to generate the most accurate high-resolution land cover maps.

Background and Purpose: Paravertebral arteriovenous shunts (PVAVSs) are rare. Whether the intradural venous system is involved in drainage may lead to differences in clinical characteristics through specific pathophysiological mechanisms. This study aims to comprehensively evaluate the natural history and clinical outcomes of PVAVSs with or without intradural drainage. Methods: Sixty-four consecutive patients with PVAVSs from 2 institutes were retrospectively reviewed. Lesions were classified as type A (n=28) if the intradural veins were involved in drainage; otherwise, they were classified as type B (n=36). The clinical course from initial presentation to the last follow-up was analyzed. Results: The patients with type A shunts were older at presentation (52.5 versus 35.5 years, P P =0.00006). After presentation, the deterioration rates related to gait and sphincter dysfunction were significantly higher in patients with type A than type B shunts (gait dysfunction: 71.8%/y versus 17.0%/y, P =0.0006; sphincter dysfunction: 63.7%/y versus 11.3%/y, P =0.0002). According to the angiogram at the end of the latest treatment, 79% of type A and 75% of type B PVAVSs were completely obliterated. If the lesions were partially obliterated, a significantly higher clinical deterioration rate was observed in patients with type A shunts than those with type B shunts (69.9%/y versus 3.2%/y, P =0.0253). Conclusions: Type A PVAVSs feature rapid progressive neurological deficits; therefore, early clinical intervention is necessary. For complex lesions that cannot be completely obliterated, surgical disconnection of all refluxed radicular veins is suggested.

Background Nasopharyngeal carcinoma (NPC), especially the nonkeratinizing type, is a malignant tumor primarily occurring in southern China and Southeast Asia. Chemotherapy (CT) and combined radiotherapy (RT) is used to treat NPC. However, the mortality rate is high in recurrent and metastatic NPC. We developed a molecular marker, analyzed its correlation with clinical characteristics, and assessed the prognostic value among NPC patients with or without chemoradiotherapy. Methods A total of 157 NPC patients were included in this study, with 120 undergoing treatment and 37 without treatment. EBER1/2 expression was investigated using in situ hybridization (ISH). Expression of PABPC1, Ki-67, and p53 was detected with immunohistochemistry. The correlations of EBER1/2 and the expression of the three proteins having clinical features and prognosis were evaluated. Results The expression of PABPC1 was associated with age, recurrence, and treatment but not with gender, TNM classification, or the expression of Ki-67, p53, or EBER. High expression of PABPC1 was associated with poor overall survival (OS) and disease-free survival (DFS) and was an independent predictor depending on multivariate analysis. Comparatively, no significant correlation was observed between the expression of p53, Ki-67, and EBER and survival. In this study, 120 patients received treatments and revealed significantly better OS and DFS than the untreated 37 patients. PABPC1 high expression was an independent predictor of shorter OS in the treated (HR = 4.012 (1.238–13.522), 95% CI, p = 0.021) and the untreated groups (HR = 5.473 (1.051–28.508), 95% CI, p = 0.044). However, it was not an independent predictor of shorter DFS in either the treated or the untreated groups. No significant survival difference was observed between patients with docetaxel-based induction chemotherapy (IC) + concurrent chemoradiotherapy (CCRT) and those with paclitaxel-based IC + CCRT. However, when combined with treatment and PABPC1 expression, patients with paclitaxel-added chemoradiotherapy plus PABPC1 low expression had significantly better OS than those who underwent chemoradiotherapy (p = 0.036). Conclusions High expression of PABPC1 is associated with poorer OS and DFS among NPC patients. Patients with PABPC1 having low expression revealed good survival irrespective of the treatment received, indicating that PABPC1 could be a potential biomarker for triaging NPC patients.

Ciliated organs that pump luminal fluids are integral to animal physiology. Such organs, including the human airways and reproductive tracts, feature ciliated ducts that direct internal flows. Although cilia organization and duct morphology vary drastically in the animal kingdom, ducts are typically classified into two, seemingly disconnected, archetypes: the familiar carpet and the intriguing flame designs. The reason behind this dichotomy and how duct design relates to fluid pumping remain unclear. Here, we apply morphometric and mechanistic analyses to ciliated ducts across all animal phyla. We find that two structural parameters, lumen diameter and cilia-to-lumen ratio, organize the observed duct diversity into a continuous spectrum that connects carpets to flames. Using a unified fluid model, we discover that carpets and flames, respectively, maximize flow rate and pressure generation, which is consistent with physiological requirements for bulk transport and filtration, whereas intermediate designs along the morphological spectrum constitute optimally efficient hybrids. We propose that convergence of ciliated organ designs follows functional constraints rather than phylogenetic distance, and we present universal design rules for ciliary pumps.

This repository contains a subset of data for the paper "Reconstruction of Missing Data in the Global Surface Water Dataset with a Self-Supervised Deep Learning Model" (Under Review, Remote Sensing of Environment) for review by reviewers. The data includes reconstruction results for 50 reservoirs from the GRAND dataset, with each reservoir containing two parts: 1) reconstructions, and 2) paired images of JRC GSW, reconstructions, and differences (reconstructions minus JRC GSW) for each month for the convenience of reviewers. It is worth noting that this study does not reconstruct valid data (JRC GSW pixel values of 1 (land) or 2(water)) on the JRC GSW, and therefore, misclassifications on the JRC GSW are retained, sometimes resulting in visually incorrect images. The occurrence map (100_Occurrence.png) for each reservoir is provided with the maximum value of 100, meaning a pixel is always water across 440 months in the JRC GSW. The name of each folder (e.g. 00012) corresponds to the GRAND_ID in the GRAND dataset. Description of the color meaning in the comparison images (.png): In the JRC GSW and Reconstruction images, "red" represents missing values, "blue" represents water bodies, and "white" represents land. The "blue" in the Diff map represents newly identified water bodies, the "white" represents newly identified lands, and the "red" represents no change after reconstruction. Data Quality: The format of the file name is: YearMonth_Quality. Since the quality of the reconstruction is largely determined by the density of valid data available for reference in the current month, the quality of the reconstructed data is classified into three categories: "A": void data was less than 33%, "B": void data was between 33% and 66%, and "C": void data was greater than 66%.

Alpine land cover (ALC) is facing many challenges with climatic change, biodiversity reduction and other cascading ecosystem damage triggered by natural and anthropogenic interference. Although several global land cover products and thematic maps are already available, their mapping accuracy of alpine and montane regions remains unsatisfactory due to the data acquisition, methodology, and workflow design constraints. Therefore, in this paper, a deep convolutional neural network (DCNN) in Google Earth Engine (GEE) was developed to map the ALC types of the Yarlung Zangbo river basin (YZRB) in the Tibetan plateau using multi-source remote sensing data. The DCNN algorithm was offline trained using automatically generating samples and online deployed in the GEE for a large-scale ALC mapping. Moreover, a set of fine land cover classification system (containing 14 ALC types) was also established in accordance with the natural situation of the YZRB. The overall accuracy and kappa were 86.24% and 0.8156, which were higher than traditional classification algorithms. The spatial distribution of ALC types was analyzed in different gradient zones, and a clear altitudinal characteristic was noticed. The terrain of the YZRB from upper-stream to down-stream with an elevation dramatically decreases, and corresponding to vertical zonal changes from glacier and permanent snow/ice, barren gravel land, alpine desert steppe, alpine steppe, alpine meadow, shrubs, to tree cover. The product can provide valuable land cover information to support alpine ecosystem conservation.