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To investigate the functional effects of superfine grinding treatment on Polygonatum cyrtonema Hua powder, in this study, the sample was ground and sieved by pharmacopoeia test sieves (50, 100, 200 and 325 mesh) to prepare P. cyrtonema Hua powder with different particle sizes. Its physical properties were studied using scanning electron microscopy and Fourier transform infrared spectroscopy, while the in vitro gastrointestinal digestion process was simulated. The results showed that the particle size of P. cyrtonema Hua powder exhibited a significant difference (P

Abstract Background Neighborhood factors of social isolation have been understudied, hindering efforts to reduce social isolation at the neighborhood level. This study aims to investigate the longitudinal effects of neighborhood social cohesion and physical disorder on social isolation in community-dwelling older adults, as well as to examine whether race/ethnicity moderates the neighborhood-isolation relationship. Methods We used 11-year data from the National Health and Aging Trend Study, a longitudinal national study of Medicare beneficiaries aged 65 and older. Social isolation was measured through a summary score across four domains: marital/partner status, family and friend contact, religious attendance, and club participation. A series of weighted mixed-effects logistic regression models were performed to test the study aims. Sample sizes ranged from 7,303 to 7,291 across individual domains of social isolation. Results Approximately 20% of participants reported social isolation. Findings indicated a negative association between neighborhood social cohesion and social isolation. Higher levels of neighborhood social cohesion were longitudinally associated with lower odds of social isolation (odds ratio [OR] = 0.52, 95% CI: 0.47–0.58). Yet, the presence of neighborhood physical disorder was associated with an increased risk of overall social isolation ([OR] = 1.2, 95% CI: 1.00, 1.44). Race/ethnicity significantly moderated the effects of neighborhood social cohesion and physical disorder on social isolation. The odds of no in-person visits associated with neighborhood social cohesion are smaller among Black adults compared to White adults. Black adults had constantly lower odds of isolation from religious attendance compared to White adults regardless of the level of neighborhood social cohesion. Hispanic adults had decreased odds of having no friends associated with signs of physical disorder, while no associations were found among older White adults. White adults had higher odds of isolation from in-person visits when living in neighborhoods with signs of physical disorder, whereas no association was observed among older Black and Hispanic adults. Conclusions This study elucidates the role of neighborhood characteristics in shaping social isolation dynamics among older adults. Furthermore, the observed moderation effects of race/ethnicity suggest the need for culturally sensitive interventions tailored to address social isolation within specific neighborhood and racial contexts.

The crystal and electronic structures determine a material's physical and chemical properties. Here, using particle swarm optimization method and first-principles calculations, we conducted a systematically investigation on the ordered CuxBey alloys. Two novel stable phase CuxBey (P4¯m2-CuBe3, and I4/mmm-Cu2Be) and five novel metastable CuxBey alloys (F4¯3m-CuBe5, P21/m-CuBe4, P4/mmm-Cu3Be, P4/mmm-Cu4Be, and P4/mmm-Cu5Be) are predicted for the first time. The primary alloying form of ordered CuxBey alloys is the substitution of certain Be atoms for some Cu atoms in the FCC-Cu according to structural study. Obvious valence electrons transfer from Be to Cu and the lattice interstice are observed, which leads to Cu exhibiting negative valence state in CuxBey and Be-rich CuxBey acting as zero-dimensional electrides. Furthermore, these Be-rich CuxBey have good structural stability due to the interaction between interstitial anionic electrons and Be atoms in the Be-tetrahedron. These findings help us in the design and application of CuxBey alloys and related materials.

Abstract Introduction Baricitinib, a JAK1/JAK2 inhibitor, is approved for treatment of moderate-to-severe rheumatoid arthritis (RA) in China. This single-arm, prospective, multi-center, post-marketing safety study (PMSS) evaluated the safety and effectiveness of baricitinib in Chinese patients. Methods This study included adult patients with moderate-to-severe active RA who received baricitinib over periods of approximately 12 and 24 weeks. The primary endpoint was safety, defined as week 12 adverse event (AE)/serious AE incidence. Secondary endpoints were week 24 safety and effectiveness (disease activity score with 28 joints/C-reactive protein [DAS28-CRP] and simplified/Clinical Disease Activity Index [SDAI/CDAI]). Results Safety analyses included 667 patients (female, 82.3%; mean age, 53.3 years; mean RA duration, 86.9 months); 106/667 (15.9%) were 65–74 years old and 19/667 (2.8%) were ≥ 75 years old; 87.0% received baricitinib 2 mg QD. Total exposure was 262.1 patient-years (PY). At week 12, AEs had occurred in 214 (32.1%; exposure-adjusted incidence rate [EAIR], 172.5 per 100 PY) patients (serious AEs: 22 [3.3%; EAIR, 15.0]). At week 24, AEs had occurred in 250 (37.5%; EAIR, 125.9) patients (serious AEs: 28 [4.2%; EAIR, 10.9]). Two patients (0.3%) died (of pneumonia and unknown cause); EAIR for death, 0.77. Serious infection occurred in 1.2% of patients (EAIR, 3.1). Hepatotoxicity occurred in 3.4% of patients (EAIR, 9.0). No patients met potential Hy’s law laboratory criteria (alanine/aspartate aminotransferases ≥ 3 × upper limit of normal (ULN) and total bilirubin ≥ 2 × ULN). Malignancy occurred in one patient. No patients experienced venous thromboembolism (VTE) or major adverse cardiovascular events (MACE). At week 24, 52.4%, 27.5%, and 27.6% of patients achieved remission per DAS28-CRP, SDAI, and CDAI, respectively. Conclusions This PMSS investigated the safety and effectiveness of baricitinib in clinical practice in China. No VTE/MACE or new safety signals were reported and there was promising effectiveness, supporting the use of baricitinib in Chinese patients with moderate-to-severe active RA. Trial Registration EU PAS Register: EUPAS34213.

Abstract The incidence of chorioamnionitis and neonatal sepsis increases with the increasing time of rupture of membranes. Changes in the amount and categories of microbiomes in maternal and fetal environments after membrane rupture have yet to be discussed. In order to determine the microbiome diversity and signature in the maternal, intrauterine, and fetal environments of different durations following membrane rupture, we collected samples of fetal membrane, amniotic fluid, cord blood and maternal peripheral blood from singleton pregnant women and divided them into five groups according to the duration of membrane rupture. DNA was isolated from the samples, and the V3V4 region of bacterial 16S rRNA genes was sequenced. We found that the alpha diversity of the fetal membrane microbiome increased significantly 12 h after membrane rupture, while the beta diversity of the amniotic fluid microbiome increased 24 h after membrane rupture. In cord blood, the mean proportion of Methylobacterium and Halomonadaceae reached the highest 12 h after membrane rupture, and the mean proportion of Prevotella reached the highest 24 h after membrane rupture. The LEfSe algorithm showed that Ruminococcus, Paludibaculum, Lachnospiraceae, and Prevotella were detected earlier in cord blood or maternal blood and then detected in fetal membranes or amniotic fluid, which may suggest a reverse infection model. In conclusion, the microbes may invade the placenta 12 h after membrane rupture and invaded the amniotic cavity 24 h after membrane rupture. In addition to the common ascending pattern of infection, the hematogenous pathway of intrauterine infection should also be considered among people with rupture of membranes.

Enhanced understanding of environmental restoration can be achieved by examining how urban park visitors’ perceptions of biodiversity contribute to their sense of environmental rejuvenation. In this study, a questionnaire survey was conducted among 554 visitors from five representative urban parks in Fuzhou, China, and a structural equation model was used to explore the interactions among perceived biodiversity, place attachment, and self-rated repair. The main findings were as follows: (1) Perceived biodiversity had significant positive and direct effects on place dependence and self-rated restoration, but not on place identity. It is worth noting that place dependence has a deep and direct impact on place identity. (2) Self-rated restoration could be directly influenced by perceived biodiversity and place dependence. The direct impact of perceived biodiversity showed more intensity than place dependence. (3) Place dependence can be the only intermediary or link in the chain between perceived biodiversity and self-rated restoration. Conversely, place identity may not act as an independent intermediary but can play a key role in the chain of intermediaries. The study not only advances our understanding of the complex relationship between perceived biodiversity, place attachment, and self-assessed restoration; it also provides practical implications for urban green eco-design initiatives, thereby contributing to the field of urban landscape planning and formulation.

Aiming at the current power control problems of grid-side electrochemical energy storage power station in multiple scenarios, this paper proposes an optimal power model prediction control (MPC) strategy for electrochemical energy storage power station. This method is based on the power conversion system (PCS) grid-connected voltage and current to establish a power prediction model for energy storage power stations, achieving a one-step prediction of the power of the power station. The power prediction error is used as a power regulation feedback quantity to correct the reference power input. Considering the state of charge (SOC) constraint of the battery, partition the SOC into different states. Using SOC as the power regulation feedback, the power of the battery compartment can be adjusted according to the range of the battery SOC to prevent SOC from exceeding the limit value, simultaneously calculating the power loss of the energy storage power station to improve the energy efficiency. The objective function is to minimize the power deviation and power loss of the power station. By solving the objective function, the optimal switching voltage vector of the converter output is achieved to achieve optimal power control of the energy storage power station. The simulation results in various application scenarios of the energy storage power station show that the proposed control strategy enables the power of the storage station to quickly and accurately track the demand of grid scheduling, achieving the optimal power control of the electrochemical energy storage power station.

In order to study the effects of the complexity of raw materials such as collagen and edible fungi on the quality of yak meat enema products and the quality changes in the storage process, and to determine the best processing process of yak meat enema. The study took yak meat enema as the test object, with adding amounts such as yak hoof tendons, shiitake mushrooms, salt and rice wine as the influencing factors. A four-factor, three-level response surface analysis test was conducted using the Box-Behnken method with the sensory evaluation as the response values and a quadratic multinomial regression model was developed based on a single-factor experiments. On this basis, the storage test of yak sausage was carried out, and the changes of edible quality and rheological properties of it were measured and analyzed after 0, 2, 4, 6, 8 and 10 days of storage at 4 ℃. The results showed that the optimal formula of collagen-edible fungi sausage was 10% shiitake mushrooms, 2% yellow rice wine, 20% yak tendon, and 2% salt. Meanwhile, the score of yak sausage was the highest and the quality was the best. The storage test showed that with the extension of the time, the water holding capacity (WHC), pH value, L* value, a* value, hardness, chewiness and recovery of yak sausage gradually decreased, while the b* value and cooking loss gradually increased. Cohesiveness and elasticity did not change significantly, but rheological properties changed significantly (P

Abstract Background A premature luteinizing hormone (LH) surge refers to an endogenous LH peak that occurs before follicle maturation or human chorionic gonadotropin injection in the process of controlled ovarian hyperstimulation. The effect of premature LH surge on pregnancy outcomes in fresh embryo transfer cycles is still controversial. The aim of this study was to explore the effect of a premature LH surge without elevated progesterone levels on the cumulative pregnancy rate (CPR) and cumulative live birth rate (CLBR) of patients during a flexible GnRH antagonist protocol. Methods A total of 730 infertile women undergoing IVF/ICSI were recruited for this retrospective study. Only women who either delivered a live infant or had no remaining frozen embryos after a single stimulation cycle were included in the analysis. During the study period, each patient underwent a flexible GnRH antagonist protocol. Women were divided into two groups according to the presence or absence of a premature LH surge. The primary outcome measures were the CPR and CLBR per ovarian stimulation cycle. The secondary outcome measures were the number of oocytes retrieved, fertilization rate, good-quality embryo rate, and clinical pregnancy rate. Results Ninety-one women (12.47%) experienced a premature LH surge without elevated progesterone levels, and the other 639 (87.53%) women were assigned to the control group. The numbers of oocytes retrieved and fertilization rate were significantly greater in the premature LH surge group than in the control group. There was no significant difference between groups in the good-quality embryo rate, clinical pregnancy rate or live birth rate in the fresh embryo transfer cycle. The primary outcome measures, the CPR and CLBR per ovarian stimulation cycle, were not significantly different between the premature LH surge group and the control group. According to the analysis stratified by ovarian response (normal or high), there were no significant differences in pregnancy outcomes between the groups with and without a premature LH surge. Conclusions The retrospective study demonstrated that the patients experiencing a transient premature LH surge without progesterone elevation had equivalent pregnancy outcomes with those without a premature LH surge on a flexible GnRH antagonist protocol. The present conclusions need to be further validated in a prospective well-designed large-scale study.

ABSTRACTAmphenmulin is a novel pleuromutilin derivative with great anti-mycoplasma potential. The present study evaluated the action characteristics of amphenmulin against Mycoplasma gallisepticum using pharmacokinetic/pharmacodynamic (PK/PD) modeling approaches. Following intravenous administration, amphenmulin exhibited an elimination half-life of 2.13 h and an apparent volume of distribution of 3.64 L/kg in healthy broiler chickens, demonstrating PK profiles of extensive distribution and rapid elimination. The minimum inhibitory concentration (MIC) of amphenmulin against M. gallisepticum was determined to be 0.0039 µg/mL using the broth microdilution method, and the analysis of the static time–kill curves through the sigmoid Emax model showed a highly correlated relationship (R ≥ 0.9649) between the kill rate and drug concentrations (1–64 MIC). A one-compartment open model with first-order elimination was implemented to simulate the in vivo anti-mycoplasma effect of amphenmulin, and it was found that bactericidal levels were reached with continuous administration for 3 days at doses exceeding 0.8 µg/mL. Furthermore, the area under the concentration–time curve divided by MIC (AUC/MIC) correlated well with the anti-mycoplasma effect of amphenmulin within 24 h after each administration, with a target value of 904.05 h for predicting a reduction of M. gallisepticum by 1 Log10CFU/mL. These investigations broadened the antibacterial spectrum of amphenmulin and revealed its characteristics of action against M. gallisepticum, providing a theoretical basis for further clinical development.IMPORTANCEMycoplasma has long been recognized as a significant pathogen causing global livestock production losses and public health concerns, and the use of antimicrobial agents is currently one of the mainstream strategies for its prevention and control. Amphenmulin is a promising candidate pleuromutilin derivative that was designed, synthesized, and screened by our laboratory in previous studies. Moreover, this study further confirms the excellent antibacterial activity of amphenmulin against Mycoplasma gallisepticum and reveals its action characteristics and model targets on M. gallisepticum by establishing an in vitro pharmacokinetic/pharmacodynamic synchronization model. These findings can further broaden the pharmacological theoretical basis of amphenmulin and serve as data support for its clinical development, which is of great significance for the discovery of new antimicrobial drugs and the control of bacterial diseases in humans and animals.

With the rapid pace of global urbanization, the conflict between the needs of human economic development and ecological conservation is becoming increasingly prominent. As an important habitat along the global migratory routes of migratory birds in East Asia, the construction of an ecological network for the bird communities in Foshan City is essential to protect urban biodiversity. In this research, we employs the Maximum Entropy Model (MaxEnt) and the Remote Sensing Ecological Index (RSEI) to identify ecological source sites in Foshan City based on bird migration characteristics and habitat requirements, and calculated the minimum threshold for the area of ecological source area by using the granularity inverse method. Secondly, the entropy weight method (EWM) and the analytical hierarchy process (AHP) are combined to establish a comprehensive resistance surface. Finally, circuit theory and hydrological analysis principles are utilized to construct ecological network. The findings reveal the following: The landscape component structure is best at a grain size of 1400 m, and a minimum threshold area of 1.96 km2 is identified for ecological sources in Foshan. A total of 19 ecological sources, spanning a combined area of 636.09 km2, have been identified. These sites are mainly clustered in the north, south-west and east of Foshan City. In terms of ecological corridors, this research shows the existence of 51 corridors with a total length of 501.84 km. These corridors include 7 first-level corridors, 25 s-level corridors, and 19 potential corridors (including 15 radiating routes). At the same time, we identified 88 ecological nodes, including 10 critical ecological nodes and 78 general ecological nodes. Lastly, the ecological network closure index (α), connectivity index (β), connectivity rate index (γ), and connectivity density index (ρ) after optimization of hydrological analysis grew to 0.84, 2.43, 0.89, and 0.16, respectively. This study can provide data support for optimizing the future ecological security pattern and bird diversity conservation in Foshan.

Abstract Owing to the limitations of conventional cancer therapies, including chemotherapy, radiotherapy, and surgery, gene therapy has become a prominent strategy for cancer treatment over the past few decades. Gene therapy is a medical approach for targeting and destroying cancer cells by delivering exogenous genes into the target cancerous cells or surrounding tissues. However, successful delivery of foreign genes into target cells and tissues remains a key issue in such therapy. Efficient gene delivery systems would undoubtedly be important for improving the medical outcomes of gene therapy. With genetic modifications, viral vectors can target specific cells with high gene transduction efficiency, thus, the use of viral vectors is a promising technology for improving foreign gene delivery. Currently, four viral vectors—adenovirus, adeno‐associated virus, herpes simplex virus, and retrovirus—are dominantly being investigated and used in preclinical and clinical trials. In this review, we provide an overview of the mechanisms and latest applications of the four above‐mentioned viral vectors, and summarize the current development of several other viral vectors. In addition, we discuss the challenges and provide insights into future development of viral vectors in cancer treatment.

BackgroundSerotonin syndrome has been recognized as a serious adverse reaction to antidepressants and is characterized by sudden or severe autonomic nerve dysfunction and neuromuscular symptoms. Without an accurate diagnosis and prompt treatment, serotonin syndrome progresses rapidly and can be life-threatening. It is usually related to the dose of 5-hydroxytryptamine drugs, and the dose is the basis for diagnosis. Therefore, serotonin syndrome induced by low-dose antidepressants rarely occurs, and clinicians are more likely to misdiagnose patients who take low-dose antidepressants with similar symptoms. Here, we present a case study of serotonin syndrome caused by a relatively low dose of escitalopram, which is not common in past references.Case summaryThe patient was a 74-year-old Asian woman with a 42-year history of schizophrenia. After 6 weeks of antidepressant treatment, our patient presented with characteristic myoclonus in the lower limbs and closed eyes with fluttering. Initially, she was misdiagnosed with neuroleptic malignant syndrome (NMS) due to antipsychotic medication and was treated accordingly, even with discontinuation of clozapine. However, her symptoms persisted, and then therapeutic drug monitoring was initiated with the involvement of a clinical pharmacist. Eventually, she was diagnosed with serotonin syndrome due to escitalopram levels reaching the warning level. Subsequently, the patient’s treatment was modified, and her clinical outcome was satisfactory without any other serious adverse reactions. Gene detection was also performed, and a cytochrome P450 enzyme (CYP) 2C19-mediated interaction between low-dose escitalopram and clopidogrel seems to be a possible mechanism.ConclusionData on this is extremely scarce, and to the best of our knowledge, serotonin syndrome caused by low-dose antidepressants has not yet been discussed to any great extent in the literature. Our case provides more clinical experience in the treatment of serotonin syndrome.

It is difficult to use a single edge operator in image processing to extract continuous and accurate contours of a porous bioelastomer due to the fuzzy boundary and complex background in ultrasound images. To solve this problem, this paper proposes a joint algorithm for bioelastomer contour detection and a texture feature extraction method for monitoring the degradation performance of bioelastomers. First, the mean-shift clustering method is utilized to obtain the clustering feature information of bioelastomers and native tissue from manually segmented images, and this information is used as the initial information in the image binarization algorithm for image partitioning. Second, Otsu's thresholding method and mathematical morphology are applied in the process of image binarization. Finally, the Canny edge detector is employed to extract the complete bioelastomers contour from the binary image. To verify the robustness of the proposed joint algorithm, the results using the proposed joint algorithm, where mean-shift clustering is replaced with k-means clustering are also obtained. The proposed joint algorithm based on mean-shift clustering outperforms the joint algorithm based on k-means clustering, as well as algorithms that directly apply the Canny, Sobel and Laplacian methods. Texture feature extraction is based on the computer-aided recognition of bioelastomers. The region of interest (ROI) is set in the scaffold region, and the first-order statistical features and second-order statistical features of the greyscale values of the ROI are extracted and analysed. The proposed joint algorithm can not only extract ideal bioelastomers contours from ultrasound images but also provide valuable feedback on the degradation behaviour of bioelastomers at implant sites.

Endometrial cancer (EC) is the fourth common cancer in women worldwide with its incidence rising each year. 10%–15% young patients are diagnosed of EC. For patients of childbearing age with early endometrial cancer or atypical hyperplasia, it is necessary to consider surgical removal of uterus after they have given birth. It is a big challenge for reproductive doctors and oncologists to help such patients get pregnant safely as soon as possible. In this article, we will review the latest progress in conservative treatment and candidates for fertility preservation, application of molecular detection, the fertility outcome and follow-up treatment which aims to stimulate more thinking.

Pure and Ag@AgCl modified TiO2 were synthesized by one-step hydrothermal method, which exhibit anatase/rutile/brookite (A/R/B) triphasic structure. The photocatalysts were characterized by X-ray diffraction, scanning electron microscope, transmission electron microscope, X-ray photoelectron spectroscopy, photoluminescence, electrochemical impedance spectroscopy, photocurrent response, and diffuse reflectance spectroscopy, and the photocatalytic activity was evaluated by taking 100 mL (10 mg/L) methylene blue (MB) aqueous solution as the target pollutant. The results show that Ag@AgCl modification is beneficial for the separation of photogenerated charges and the absorption in visible region. The degradation degree of MB increases from 75.7% for pure TiO2 to 97.3% for Ag@AgCl modified TiO2.

This study examines how trust was associated with social distancing during the early days of the COVID-19 pandemic in Burkina Faso and Kenya. It fills gaps in previous research on trust and health by 1) simultaneously considering the relationship of individual- and aggregate-level indicators of trust, and 2) evaluating trust in local government and national government separately. Performance Monitoring for Action (PMA) data on COVID-precautionary measures and individual-level trust measures were spatially linked with aggregated trust data from the Afrobarometer to create a multilevel dataset. PMA data show that women in Kenya were generally more likely to report taking COVID-precautionary measures relative to Burkinabé women, although levels of these measures were high in both countries. Hierarchical logistic models for each country show levels of interpersonal trust mattered more in Burkina Faso. Although the association between individual-level trust in government and social distancing was not statistically significant, overall levels of trust in the region where an individual lived were associated with social distancing. We found a significant interaction effect between regional trust in the national government and regional trust in local government: individuals in regions where trust was high in both national and local government were the most likely to socially distance; individuals in regions with low local government trust but high national government trust were less likely to report social distancing. We unpack possible implications of these findings; they point to the importance of a unified government front within African countries in promoting health safety measures during a pandemic.

Unmanned aerial vehicle–light detection and ranging (UAV-LiDAR) provides a convenient and economical means of forest data acquisition that can penetrate canopy gaps to obtain abundant ground information, offering huge potential in forest inventory. Individual tree segmentation is a prerequisite to obtain individual tree details but is highly dependent on the accuracy of seed point detection. However, most of the existing methods, such as the local maximum (LM) and CHM-based methods, are strongly dependent on the window size, and, for individual tree segmentation, they can result in over-segmentation and under-segmentation, especially in natural forests. In this paper, we propose an adaptive crown shaped algorithm for individual tree segmentation without consideration of the window size. It was implemented in four plots with different forest types and topographies (i.e., planted coniferous forest with flat terrain, coniferous forest with sloping terrain, mixed forest with flat terrain and broadleaf forest with flat terrain). First, the normalized point clouds were rotated and blocked at multiple angles to extract the surface points of the forest. Then, the crown boundaries were delineated by analyzing the crown profiles to extract the treetops as seed points. Finally, a region growing method based on seed points was applied for individual tree segmentation. Our results showed that the recall, precision and F1-score of seed point detection reached 91.6%, 95.9% and 0.94, respectively, and that the accuracy rates for individual tree segmentation for the four plots were 87.7%, 80.6%, 73.2% and 70.5%, respectively. Our proposed method can effectively detect seed points via the adaptive crown shaped algorithm and reduce the impacts of elongated branches by applying distance thresholds between trees, enhancing the accuracy of seed point detection and subsequently improving the precision of individual tree segmentation. In addition, the proposed algorithm demonstrated superior performance in comparison to LM and CHM-based methods for the calculation of seed points, as well as outperforming PCS in individual tree segmentation. The proposed method demonstrates effectiveness and feasibility in dense forests and natural forests, providing an important reference for future research on seed point detection and individual tree segmentation.

In this study, mung bean protein, methyl cellulose, κ-carrageenan (KC) and high acyl gellan gum (HA) were used as raw materials to construct a simulated egg liquid system based on mung bean protein. The effects of the ratios of KC and HA on the textural properties, rheological properties, water holding capacity (WHC) and microstructure of simulated egg liquid were investigated by measuring the textural results, dynamic rheology, WHC and microstructure. The textural analysis and WHC results suggested that KC was the decisive factor for the gel strength and hardness of the simulated egg liquid gels, HA contributed significantly to the springiness, cohesiveness, chewiness and WHC. The temperature scanning results showed that G′ and G" of the simulated egg liquid and natrual egg liquid increased gradually during heating and cooling, and G' was always greater than G", indicating that the two systems were dominated by elasticity. As the proportion of HA increased, the viscosity, the storage modulus (G′) and loss modulus (G″) of the compound sol system increased, showing that HA could improve viscoelasticity properties of the simulated egg liquid sol. Scanning electron microscopy (SEM) results showed that KC and HA might form separate and interpenetrating polymer networks and the gel network structure was formed due to the certain compatibility and crosslinking between KC and HA. The sensory evaluation results showed that when the KC/HA ratio was 1.2:0.4, the comprehensive sensory score of the simulated fried egg was the highest, which was the closest to the natural fried egg in terms of taste, structure and flavor. In summary, this study could provide theoretical basis for the development and utilization of plant-based egg simulation products by investigating mechanical properties and interaction mechanism of simulated egg liquid system with different ratios of KC/HA.

As the core area in the transformation of Kunming into an international center city, studying the changes in ecological environment quality and causes of the Dianchi Lake Basin is of great significance for its future optimization of the landscape pattern. This study is based on the Google Earth Engine (GEE) platform to calculate the Remote Sensing Ecological Index (RSEI) of the Dianchi Lake Basin from 1990 to 2020. Then we used Mann-Kendall mutation detection to obtain the time points when significant changes in RSEI occurred. Finally, the Geodetector and MGWR models were combined to analyse the driving factors of ecological quality changes in the Dianchi Lake Basin. The results show that: (1) The ecological environment quality of the Dianchi Lake Basin showed an increasing trend from 1990 to 2020, with the mean value of RSEI increasing from 0.49 to 0.52. (2) According to the results of the mutation test, the years 1990, 1993, 2006, 2015, and 2020 were used as the time points for monitoring the ecological environment quality of the Dianchi Lake Basin over a long time series. The ecological environment quality of the study area in the past 30 years was mainly in an improved state, accounting for 49.43%. The ecological deterioration areas are mainly located in the northeastern part of Xishan District (north of Caohai Lake), the southwestern part of Guandu District, Kunyang Town in Jining District, and the northern areas of Jincheng and Shangsuan Town. (3) The single factor detection results show that elevation and slope have the strongest influence on RSEI. The q-value of average annual temperature has changed the most, from the 6th to the 3rd place. This indicates that the urban heat island effect and the expansion of construction land have had a greater impact on the quality of the local ecological environment in recent years. The multi-factor interaction test shows that the influence of each factor on RSEI is enhanced after the interaction. (4) The MGWR regression results show that the actual scales of action of the factors are inconsistent, with the most significant spatial heterogeneity in the Percentage of cropland area. Based on the above findings, it can provide data to support the future urban planning of the Dianchi Lake Basin. It also provides a new means of integrating Geodetector and MGWR into the study of ecological quality analysis.

Abstract Background KRAS mutation accounts for 30–50% of human colorectal cancer (CRC) cases. Due to the scarcity of effective treatment options, KRAS mutant CRC is difficult to treat in the clinic. Metastasis is still the major cause of the high mortality associated with KRAS mutant CRC, but the exact mechanism remains unclear. Here, we report a unique function of Homeobox 7 (HOXA7) in driving KRAS mutant CRC metastasis and explore therapeutic strategies for subpopulations of patients with this disease. Methods The expression of HOXA7 in a human CRC cohort was measured by immunohistochemistry. The function of HOXA7 in KRAS mutant CRC metastasis was analyzed with the cecum orthotopic model. Results Elevated HOXA7 expression was positively correlated with lymph node metastasis, distant metastasis, poor tumor differentiation, high TNM stage, and poor prognosis in CRC patients. Furthermore, HOXA7 was an independent prognostic marker in KRAS mutant CRC patients (P

Background. Lung adenocarcinoma (LUAD) is the most common histological subtype of non-small cell lung cancer (NSCLC) with a low 5-year survival rate, which may be associated with the presence of metastatic tumors at the time of diagnosis, especially lymph node metastasis (LNM). This study aimed to construct a LNM-related gene signature for predicting the prognosis of patients with LUAD. Methods. RNA sequencing data and clinical information of LUAD patients were extracted from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases. Samples were divided into metastasis (M) and nonmetastasis (NM) groups based on LNM status. Differentially expressed genes (DEGs) between M and NM groups were screened, and then WGCNA was applied to identify key genes. Furthermore, univariate Cox and LASSO regression analyses were conducted to construct a risk score model, and the predictive performance of model was validated by GSE68465, GSE42127, and GSE50081. The protein and mRNA expression level of LNM-associated genes were detected by human protein atlas (HPA) and GSE68465. Results. A prognostic model based on eight LNM-related genes (ANGPTL4, BARX2, GPR98, KRT6A, PTPRH, RGS20, TCN1, and TNS4) was developed. Patients in the high-risk group had poorer overall survival than those in the low-risk group, and validation analysis showed that this model had potential predictive value for patients with LUAD. HPA analysis supported the upregulation of ANGPTL4, KRT6A, BARX2, RGS20 and the downregulation of GPR98 in LUAD compared with normal tissues. Conclusion. Our results indicated that the eight LNM-related genes signature had potential value in the prognosis of patients with LUAD, which may have important practical implications.

IntroductionMyalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a group of chronic conscious fatigue that is not easily relieved by rest and is accompanied by corresponding physiological dysfunction and psychological symptoms. However, due to the insufficient understanding of the pathogenesis of ME/CFS, there is currently a lack of effective treatment methods. In addition, there are few surveys on the current status of ME/CFS in the central region of China, and the data on ME/CFS among university students in the central region are lacking. This group conducted a survey on university students in Wuhan, Hubei Province in 2022 to collect and analyze the current status of ME/CFS among university students in central China for the first time, aiming to understand the current development of ME/CFS among university students, investigate the influencing factors of its prevalence, fill the data gaps, and provide a reliable basis for developing interventions for chronic fatigue syndrome among university students.MethodsA cross-sectional study was conducted among university students in a university in Hubei province. Data were collected via online questionnaire surveys. The contents included demographic characteristics, lifestyles, disease history, depression, anxiety, sleep, ME/CFS and other associated factors. SAS 9.4 statistical software was used to analyze and estimate the effect of associated factors on ME/CFS.ResultsA total of 1826 subjects were included in the final analysis. The results showed that the prevalence of ME/CFS in university students was 6.25%. Univariate analysis showed that exercise, alcohol consumption, study, overnights, diet, anxiety, depression, and sleep quality were associated with ME/CFS (P < 0.05). Multivariate analysis showed that overnights, overeating, anxiety, and sleep quality were independent risk factors, while learning was a protective factor.ConclusionCollege students should pay enough attention to ME/CFS, improve their understanding of ME/CFS, and improve people’s ability to understand ME/CFS.

Objective: To explore the pharmacological basis and mechanism of Buxue Yimu pills (BYP) in the treatment of anaemia in women from the perspective of metabolomics and network analysis.Materials and Methods: Forty-six women of reproductive age with haemoglobin 70–110 g/L were recruited. Blood samples were collected before and after 4 weeks of oral BYP treatment to assess the changes in haemoglobin, coagulation function, and iron metabolism indices. An integrated analysis of metabolomics (liquid chromatography mass spectrometry) and network analysis was performed to identify the potential pharmacodynamic mechanisms of BYP.Results: After BYP treatment, the haemoglobin level of patients significantly increased from 93.67 ± 9.77 g/L to 109.28 ± 12.62 g/L (p < 0.01), while no significant changes were found in iron metabolism and coagulation-related indicators. A total of 22 differential metabolites were identified after metabolomics analysis, which were mainly related to the inhibition of inflammation and oxidative stress. Integrating pharmacodynamics and metabolomics, a network of drug-active components-targets-metabolic pathways-metabolomics was established. Acetylcholinesterase, phospholipase A2 group IIA, and phospholipase A2 group IVA may be the most promising therapeutic targets.Conclusion: BYP can inhibit inflammation and oxidative stress as well as promote haematopoiesis, potentially improving anaemia.

Abstract There is no specific treatment for pyrrolizidine alkaloid-induced hepatic sinusoidal obstruction syndrome (PA-HSOS). It is not clear when transjugular intrahepatic portosystemic shunt (TIPS) should be implemented in PA-HSOS patients. This study aimed to evaluate the timing of TIPS using total bilirubin (TBIL) as a measure, and to investigate efficacy of TIPS. We retrospectively analyzed the medical records of 10 PA-HSOS patients, among whom 4 patients had received TIPS (TIPS group), and the remaining patients were assigned to the internal medicine group. In the TIPS group, the TBIL level before TIPS was 84.4 ± 45.2 µmol/L (> 3 mg/dL), and TBIL levels were increased to different degrees after TIPS. With the extension of time, serum TBIL levels gradually decreased, and no liver failure occurred. With regards to the short-term outcomes, 3 patients recovered, 1 developed chronic illness and 0 died in the TIPS group. Moreover, 0 patients recovered, 5 developed chronic illness and 1 died in the internal medicine group. The rank sum test of group design revealed significant differences in clinical outcomes (P = 0.02). It was suggested that when the internal medicine effect of PA-HSOS patients is poor, TIPS should be considered, which is no trestricted to the limit of 3 mg/dL TBIL. It was also found TIPS effectively promote the recovery of liver function and reduce the occurrence of chronicity.

The gut microbiota is inextricably linked to ulcerative colitis (UC). The therapeutic effect of Dendrobium huoshanense polysaccharides (DHP) on ulcerative colitis has been confirmed, but whether it acts through the intestinal flora is still unknown. The study aimed to investigate the potential mechanisms of DHP intervention in UC mice by combining metabolomics of intestinal contents and gut flora analysis. The results showed that DHP alleviated UC symptoms while improving colonic mucosal barrier function and inflammatory manifestations. A total of 12 potential biomarkers were significantly altered in metabolomics concerning tryptophan metabolism, vitamin B6 metabolism, regulation of sodium reabsorption by aldosterone, and steroid hormone biosynthesis. DHP reversed the abundance of Fusobacteriota, Deferribacterota and Bacteroidetes, and significantly increased Desulfobacteriota. DHP significantly decreased the relative abundance of Clostridioides, while increasing Alistipes, and Rikenella. In conclusion, through metabolomics and 16s RNA sequencing methods, we explored the mechanism of preventive effects of Dendrobium huoshanense on UC.

Riemerella anatipestifer (RA) is an important pathogen found in poultry. RA infection can kill ducks and lead to significant economic losses. Seven RA strains with different susceptibility phenotypes were chosen to study the pharmacokinetic/pharmacodynamic (PK/PD) integration of florfenicol (FF) alone and in combination with doxycycline (DOX). The checkerboard assay indicated that synergy [fractional inhibitory concentration index (FICI) ≤ 0.5] was detected in the CVCC3952 strain of RA and that additivity (FICI >0.5 to ≤ 1) was observed in other strains. Static time–kill curves showed that the bactericidal effect of FF against RA was produced at a FF concentration ≥4 MIC, and the antibacterial activity of FF against RA was enhanced from the aspects of efficacy and efficacy in combination with DOX. Dynamic time–kill curves indicated that FF elicited bactericidal activity against the CVCC3857 strain with a reduction ≥4.88 log10CFU/ml when the dose was ≥8 mg/L. However, a bactericidal effect was not achieved at the maximum administered dose of FF monotherapy (20 mg/L) for isolates with a MIC ≥4 μg/ml. The effect of FF against RA was enhanced upon combination with DOX. The combination of FF with DOX reduced the bacterial burden ≥4.53 log10CFU/ml for all strains with a MIC ≥4 μg/ml. Data were fitted to a sigmoidal Emax model. The PK/PD parameters of AUC24h/MIC (the area under the concentration–time curve over 24 h divided by the MIC) and %T >MIC (the cumulative percentage of time over a 24-h period at which the concentration exceeded the MIC) of FF for eliciting a reduction of 3 log10CFU/ml was 40.10 h and 58.71, respectively. For strains with a MIC ≤ 16 μg/ml, the magnitude of the AUC24h/MIC and Cmax/MIC required for a 3 log10CFU/ml of bacterial killing was 34.84 h and 4.74 in the presence of DOX at 0.5 MIC, respectively. These data suggest that combination of FF with DOX enhanced the activity against RA strains with various susceptibilities to FF and DOX.

The occurrence of gastroesophageal reflux disease (GERD) and symptom onset are closely associated with diet. We aimed to compare the dietary and lifestyle triggers between non-erosive reflux disease (NERD) and reflux esophagitis (RE) in Chinese patients and to provide evidence for development of practical dietary modifications for GERD. A multicenter cross-sectional survey was conducted. A total of 396 GERD patients with typical gastroesophageal reflux symptoms who received upper endoscopy in the previous month were enrolled, including 203 cases of NERD patients and 193 cases of RE patients. All participants completed questionnaires including demographic data, reflux symptoms, previous management, dietary and lifestyle habits, triggers of reflux symptoms, psychological status, and quality of life. There were no significant differences in GERD symptom scores between NERD and RE. RE patients had a higher male proportion and smoking/drinking and overeating rates than NERD patients. In the NERD group, more patients reported that fruits, dairy products, yogurt, bean products, cold food, and carbonated beverages sometimes and often induced reflux symptoms and had more triggers compared to RE patients. The number of triggers was positively correlated to GERD symptom score and GERD-HRQL score in both NERD and RE patients. However, 74.0% of GERD patients still often consumed the triggering foods, even those foods that sometimes and often induced their reflux symptoms, which might be related to the reflux relapse after PPI withdrawal considering NERD and RE patients had similar GERD symptom severity. There were some differences in terms of dietary habits, dietary and lifestyle triggers, and related quality of life between NERD and RE, and these results may provide evidence of different approaches toward the dietary modification of NERD and RE patients.

Abstract Background Endometrial cancer combining uterus didelphys is quite rare clinically which partially explains that there is no discussion about young patients’ fertility preservation and follow up of tumor outcome. Case presentation In this article, we report a case of unilateral endometrial carcinoma found in a young patient with uterus didelphys who was treated with high-efficiency progesterone due to unfinished child-bearing. During the follow-up, the affected uterine endometrium was not reversed by progesterone. So, the patient underwent the abdominal surgery with the left uterus and left fallopian tube resection. We performed three consecutive immunohistochemical studies of the contralateral uterine endometrium to verify the safety of preserving the contralateral uterus and its appendages which preserved her fertility. Conclusions Endometrial cancer occurring in patients with uterus didelphys is quite rare in child-bearing age. In this case report, we preserved the patient’s contralateral uterus based on patient’s strong needs and negative IHC analysis of the preserved side uterine endometrium. However, the tumor and fertility outcome require more follow-up.

ObjectivesTo develop and validate a predictive nomogram for idiopathic rapid eye movement (REM) sleep behavior disorder (RBD) in a community population in Beijing, China.MethodsBased on the validated RBD questionnaire-Hong Kong (RBDQ-HK), we identified 78 individuals with possible RBD (pRBD) in 1,030 community residents from two communities in Beijing. The least absolute shrinkage and selection operator (LASSO) regression was applied to identify candidate features and develop the nomogram. Internal validation was performed using bootstrap resampling. The discrimination of the nomogram was evaluated using the area under the curve (AUC) of the receiver operating characteristic (ROC) curve, and the predictive accuracy was assessed via a calibration curve. Decision curve analysis (DCA) was performed to evaluate the clinical value of the model.ResultsFrom 31 potential predictors, 7 variables were identified as the independent predictive factors and assembled into the nomogram: family history of Parkinson's disease (PD) or dementia [odds ratio (OR), 4.59; 95% confidence interval (CI), 1.35–14.45; p = 0.011], smoking (OR, 3.24; 95% CI, 1.84–5.81; p < 0.001), physical activity (≥4 times/week) (OR, 0.23; 95% CI, 0.12–0.42; p < 0.001), exposure to pesticides (OR, 3.73; 95%CI, 2.08–6.65; p < 0.001), constipation (OR, 6.25; 95% CI, 3.58–11.07; p < 0.001), depression (OR, 3.66; 95% CI, 1.96–6.75; p < 0.001), and daytime somnolence (OR, 3.28; 95% CI, 1.65–6.38; p = 0.001). The nomogram displayed good discrimination, with original AUC of 0.885 (95% CI, 0.845–0.925), while the bias-corrected concordance index (C-index) with 1,000 bootstraps was 0.876. The calibration curve and DCA indicated the high accuracy and clinical usefulness of the nomogram.ConclusionsThis study proposed an effective nomogram with potential application in the individualized prediction for pRBD.

This study investigated the effects of yellow mealworm meal (TM) on growth performance, hepatic health and digestibility in juvenile largemouth bass (Micropterus salmoides). The fish were fed with the basic feed and the test feed (70% basic feed and 30% raw materials) containing Cr2O3, and feces were collected for digestibility determination. The fish were fed with five isonitrogenous (47% crude protein) and isolipidic (13% crude lipid) diets, in which fishmeal (FM) was replaced with 0% (TM0), 12% (TM12), 24% (TM24), 36% (TM36) and 48% (TM48) TM. The fish were reared in cylindrical plastic tanks in a recirculating aquaculture system for 11 weeks. The apparent digestibility coefficients (ADC), of dry matter, crude protein and crude lipid, in largemouth bass of TM were 74.66%, 91.03% and 90.91%, respectively. The ADC of total amino acid (TAA) of TM in largemouth bass was 92.89%, and the ADC of essential amino acid (EAA) in TM in largemouth bass was 93.86%. The final body weight (FBW), weight gain rate (WGR) and specific growth rate (SGR) in the TM24 group were significantly higher than those in other groups. Similarly, the highest mRNA expression levels of hepatic protein metabolism genes (pi3k, mtor, 4ebp2 and got) and antioxidant enzyme (glutathione peroxidase, Gpx; catalase, Cat) activities were observed in the TM24 group. Moreover, the expression levels of anti-inflammatory factors (il-10 and tgf) in liver were up-regulated and the expression levels of pro-inflammatory factors (il-8 and il-1β) in liver were down-regulated. Quadratic regression model analysis, based on weight gain rate (WGR) against dietary TM level, indicated that the optimum level of dietary TM replacing FM in largemouth bass diet was 19.52%. Appropriate replacement levels (less than 36%) of FM by TM in the diets can enhance the antioxidant capacity and immunity of largemouth bass. However, high levels of FM substitution with TM (more than 48%) in the feeds can damage the liver health and inhibit the growth of largemouth bass. Notably, largemouth bass has high ADC and high utilization of TM, which indicates that it is feasible to use TM as feed protein source for largemouth bass.

Objective: To characterize and compare the microbiome signature in the maternal, intrauterine, and fetal environments and the associated bacterial species in women who experienced preterm birth and term birth. Methods: A total of 140 women with singleton pregnancies were enrolled in this study. Among them, 31 experienced spontaneous preterm delivery (gestational age < 37 weeks), and 28 of them experienced vaginal delivery at term. Maternal peripheral blood, saliva, and vaginal discharge samples and fetal membrane, amniotic fluid, and cord blood samples were collected immediately after delivery under sterile conditions. DNA was isolated from the fetal membrane and umbilical cord blood samples, and the V3–V4 region of the bacterial 16S rRNA gene was sequenced. The sequence data were quality-filtered, chimera-checked, and organized into operational taxonomic units (OTUs) based on phylogeny. Principal coordinate analysis of beta diversity measures was used for visualization. The linear discriminant analysis effect size (LEfSe) algorithm and Wilcoxon test were used to differentiate the microbiomes found in the fetal membranes and cord blood in the cases of preterm birth. Results: OTU analysis based on the 16S rRNA gene showed similar microbiomes in the maternal peripheral blood, amniotic fluid, fetal membranes, and cord blood. However, the LEfSe algorithm revealed significantly different bacterial compositions in the fetal environment between the preterm and term groups, with some of the bacterial species originating from the maternal peripheral blood or saliva. Conclusions: The bacteria in the intrauterine and fetal environments may originate from other body sites through hematogenous transmission, and may cause the occurrence of preterm birth.

Abstract Dysfunction of the Hippo pathway enables cells to evade contact inhibition and provides advantages for cancerous overgrowth. However, for a significant portion of human cancer, how Hippo signaling is perturbed remains unknown. To answer this question, we performed a genome-wide screening for genes that affect the Hippo pathway in Drosophila and cross-referenced the hit genes with human cancer genome. In our screen, Prosap was identified as a novel regulator of the Hippo pathway that potently affects tissue growth. Interestingly, a mammalian homolog of Prosap, SHANK2, is the most frequently amplified gene on 11q13, a major tumor amplicon in human cancer. Gene amplification profile in this 11q13 amplicon clearly indicates selective pressure for SHANK2 amplification. More importantly, across the human cancer genome, SHANK2 is the most frequently amplified gene that is not located within the Myc amplicon. Further studies in multiple human cell lines confirmed that SHANK2 overexpression causes deregulation of Hippo signaling through competitive binding for a LATS1 activator, and as a potential oncogene, SHANK2 promotes cellular transformation and tumor formation in vivo. In cancer cell lines with deregulated Hippo pathway, depletion of SHANK2 restores Hippo signaling and ceases cellular proliferation. Taken together, these results suggest that SHANK2 is an evolutionarily conserved Hippo pathway regulator, commonly amplified in human cancer and potently promotes cancer. Our study for the first time illustrated oncogenic function of SHANK2, one of the most frequently amplified gene in human cancer. Furthermore, given that in normal adult tissues, SHANK2’s expression is largely restricted to the nervous system, SHANK2 may represent an interesting target for anticancer therapy.

Macrolides are widely used in diseases caused by Mycoplasma spp. The new semi-synthetic macrolide antibiotic tulathromycin is currently in wide use for the treatment of respiratory diseases of livestock. The objective of this study was to evaluate the antibacterial effect of tulathromycin against Mycoplasma hyopneumoniae using an in vitro pharmacokinetic/pharmacodynamic (PK/PD) model to reveal mechanisms of antibiotic resistance and to evaluate the fitness of drug-resistant strains. In this study, high performance liquid chromatography-tandem mass spectrometry was used to determine drug concentrations for the in vitro model after dosing. The peak concentrations were in the range 0.3125–20 μg/mL (1 × MIC-64 × MIC). The ratio of the area under the concentration-time curve (AUC) over 72 h divided by the MIC (AUC72h/MIC) had the highest correlation with the antibacterial effect of tulathromycin against M. hyopneumoniae. Tulathromycin also showed concentration-dependent antimicrobial effects and promoted the emergence of drug-resistant bacteria after being cultured for 168 h and most were mutations in 23S rRNA at site A2058G (E.coli numbering) and only a single isolate was an A2058T (E.coli numbering) mutant. In the presence of reserpine, we determined the MIC of tulathromycin, tilmicosin, tiamulin and tylosin against these drug-resistant bacteria and the strains with efflux pump mechanisms were found among the strains resistant to tilmicosin. Gene expression analysis indicated that the ABC and MATE transporter efflux pump genes RS01935, RS02670, RS01115, RS01970, RS02395 and RS03540 (MATE family efflux transporter) were up-regulated in the three strains (P < 0.05 or P < 0.01). These investigations provide guidance for clinical administration of tulathromycin and elucidate the mechanism and fitness cost of drug resistance in M. hyopneumoniae.

Background: Movement fluctuations are the main complication of Parkinson's disease (PD) patients receiving long-term levodopa (L-dopa) treatment. We compared and ranked the efficacy and safety of dopamine agonists (DAs) with regard to motor fluctuations by using a Bayesian network meta-analysis (NMA) to quantify information from randomized controlled trials (RCTs).Methods and Findings: We carried out a systematic review and meta-analysis, and only RCTs comparing DAs for advanced PD were included. Electronic databases (PubMed, Embase, and Cochrane Library) were systematically searched for relevant studies published until January 2021. Two reviewers independently extracted individual study data and evaluated studies for risk of bias using the Cochrane Risk of Bias tool. Network meta-analyses using a Bayesian framework were used to calculate the related parameters. The pre-specified primary and secondary outcomes were efficacy (“ON” time without troublesome dyskinesia, “OFF” time, “ON” time, “UPDRS-III,” and “UPDRS-II”) and safety [treatment-emergent adverse events (TEAE) and other adverse events] of DAs. The results are presented as the surface under the cumulative ranking (SUCRA) curve. A total of 20 RCTs assessing 6,560 patients were included. The general DA effects were ranked from high to low with respect to the amount of “ON” time without troublesome dyskinesia as follows: apomorphine (SUCRA = 97.08%), pramipexole_IR (probability = 79.00%), and ropinirole_PR (SUCRA = 63.92%). The general safety of DAs was ranked from high to low with respect to TEAE as follows: placebo (SUCRA = 74.49%), pramipexole_ER (SUCRA = 63.6%), sumanirole (SUCRA = 54.07%), and rotigotine (SUCRA = 53.84%).Conclusions: This network meta-analysis shows that apomorphine increased “ON” time without troublesome dyskinesia and decreased “OF” time for advanced PD patients. The addition of pramipexole, ropinirole, or rotigotine to levodopa treatment in advanced PD patients with motor fluctuations increased “ON” time without troublesome dyskinesia, improved the UPDRS III scores, and ultimately ameliorated the UPDRS II scores, thereby maximizing its benefit. This NMA of pramipexole, ropinirole, and rotigotine represents an effective treatment option and has an acceptable safety profile in patients with advanced PD.

With the rapid and vigorous growth of forest tourism, the irresponsible environmental behavior of tourists has caused enormous strain on forests’ ecological systems. Carrying out environmental education in forest parks is conducive to promoting the sustainable development of forest tourism. To explore the impact of human–place emotion on environmental education effects, this study took Fuzhou National Forest Park as an example to construct a structural equation model composed of landscape perception, environment interpretation, place attachment, and the effects of environmental education (EEE). The relationship between the four elements and the mechanism of action was clarified. A questionnaire was used with 480 visitors. Statistical analysis showed that: (1) The value of scientific research and education (0.774) influences landscape perception. Reliability (0.770) and tangibility (0.718) contribute to environmental interpretation. Place identification and dependence are represented by environmental identity (0.771) and are activity-dependent (0.792), respectively. Knowledge (0.860) and behavior (0.869) are essential factors in driving the EEE. (2) Place attachment and environment interpretation had a significant positive impact on the environmental education effect (p < 0.001), and there was no direct effect between landscape perception and EEE. (3) Landscape perception and environmental interpretation indirectly influence EEE with place attachment as full and partial mediators, respectively. This paper aims to provide theoretical support for better synergistic growth of forest park ecology, economy, and environment.

The coastal areas of southeast China have typical high-density urbanization characteristics, and urban mountain parks are important green spaces in these urban green space systems. Our study was conducted in five typical urban mountain parks in Fuzhou, China. The bird survey was carried out in 25 transects of different vegetation habitats for 10 months, and the vegetation survey was conducted in 25 habitats to investigate the characteristics of bird communities in different vegetation habitats and the causes of their differences. The results showed: (1) From 1 October 2021 to 15 July 2022, we recorded a total of 90 bird species in 8 orders, 37 families, and 64 genera, with 1879 individuals in five vegetation habitats in the urban mountain parks. (2) Abundance and diversity of trees are vegetation variables affecting bird diversity (bird species richness, abundance, and Shannon diversity) in urban mountain parks, and the average branch height under trees has a significant effect on bird evenness. (3) We found more bird species and higher bird diversity in both sparse and dense forest habitats, but fewer bird species in waterfront, shrub, and grassland habitats; (4) Average tree height (AVE_HEIt) was only present in the best model of bird abundance and evenness. However, none of the best models found a significant effect of the number of tourists and predators on bird diversity. Our results could provide a theoretical basis and guidance for the future improvement of ecological service functions of bird habitats in urban mountain parks in subtropical coastal areas.

The immune response after transplantation during pearl production is a major factor that cause nucleus rejection and death of the host pearl oysters. To find out the crucial metabolites involved in the immune response after transplantation, we performed metabolomic analysis of the serum before and after transplantation from pearl oyster Pinctada fucata martensii. The analysis detected a total of 201 metabolites, which included many amino acids. Among the 201 metabolites, 35 were revealed as significantly diff ;erential metabolites (SDMs), such as acetylcholine (ACh) and d-glutamine. Pathway analysis indicated that the identified SDMs were involved in six pathways, such as sphingolipid metabolism and d-glutamine and d-glutamate metabolism. Transcriptomic analysis showed 19 and 18 nAChRs were induced by 2–3000-fold through the pre-conditioning treatment or transplantation surgery, respectively. Dual-Luciferase analysis demonstrated that overexpression of nAChRs downregulated the luciferase activity of the pNF-κB-Luc reporter, and stimulation of nAChRs could inhibit the LPS-induced up-regulation of NF-κb, IKK and IL-17, suggesting that the upregulated ACh after transplantation may function through nAChRs by inhibiting NF-κb signal pathway. These findings could help elucidate the corresponding metabolites after transplantation, thereby providing useful information in regulating the immune response to improve the survival rate of pearl oyster after transplantation.

Difluorocarbene is a versatile and efficient intermediate for fluorine incorporation. Here, the authors show that difluorocarbene can be oxidized to carbonyl fluoride and this process is confirmed in 18O-trifluoromethoxylation reactions, by observation of AgOCF3 species and theory.

To improve the security performance of blockchain smart contracts against quantum attacks, a smart contract based on light-weighted quantum blind signature is proposed here. Firstly, a smart contract architecture is built after the discussion of related researches, and information processing and information transmitting for quantum blind signature are analyzed. Secondly, the life cycle and signature rules of quantum blind signature for smart contracts are presented. Thirdly, a quantum blind signature protocol for single signer in light-weighted smart contract is put forward, where its algorithm design and business flow are introduced in detail before the security performance of the proposed algorithm is analyzed. Fourthly, based on the former single-person signature algorithm, a more complex multi-person quantum blind signature algorithm is proposed, and its security is also analyzed. Fifthly, related references are compared to verify the proposed method. The proposed quantum signature schemes based on quantum entanglement features can be used in single signer case or more, and will improve the security of blockchain smart contracts against quantum attacks, but with light-weighted structure and no need of any trusted third party or arbitrary institute. Finally, some suggestions for engineering applications and the research results are summarized and the future research is prospected.

Bird habitats are becoming increasingly fragmented as a result of rapid urbanization. As one of the essential refuges for urban bird communities, mountain parks are of practical significance for studying the spatial changes of birds, which can inform the future planning of mountain park planning. In this study, we assessed the α, β, and functional diversity of bird communities in mountain parks in Fuzhou, China, at three levels of urbanization (urban, peri-urban, suburban) and explored how diversity (abundance, richness, α-diversity, Chao1) varies along the urbanization gradient. A three-month bird survey was conducted using the transect method to examine the impact of urbanization on bird community structures in mountain parks. In addition, we evaluated the functional diversity of bird guilds in order to identify potential indicator species for monitoring different urbanization gradients in mountain parks. The results showed that: (1) During the three bird surveys from December 2021 to February 2022, 96 bird species and 2429 individuals of 9 orders, 34 families, and 63 genera were identified. (2) Urbanization had a significant impact on the overall bird α-diversity (p = 0.040) and richness (p = 0.024) but not on the overall bird abundance (p = 0.056). (3) The results of non-metric multidimensional scaling showed significant variations among overall birds in mountain parks along with three urbanization levels (stress = 0.155, p = 0.027). Similarly, significant differences were observed in the upper-stratum guild (stress = 0.183, p = 0.049) but not in other diet and vertical foraging stratum guilds. (4) Five species were identified as potential candidates for monitoring the trends of urban gradients. Moreover, compared to insectivorous or omnivorous guilds, most carnivorous and herbivorous guilds may not be suitable for monitoring the negative effects of urbanization in mountain parks. Our findings can help inform urban mountain park management or restoration strategies intended to mitigate the adverse impacts of urbanization.

The effective management and therapies for Parkinson’s disease (PD) require appropriate clinical evaluation. The Parkinson’s KinetiGraph (PKG) is a wearable sensor system that can monitor the motion characteristics of PD objectively and continuously. This study was aimed to assess the correlations between PKG data and clinical scores of bradykinesia, rigidity, tremor, and fluctuation. It also aims to explore the application value of identifying early motor symptoms. An observational study of 100 PD patients wearing the PKG for ≥ 6 days was performed. It provides a series of data, such as the bradykinesia score (BKS), percent time tremor (PTT), dyskinesia score (DKS), and fluctuation and dyskinesia score (FDS). PKG data and UPDRS scores were analyzed, including UPDRS III total scores, UPDRS III-bradykinesia scores (UPDRS III-B: items 23–26, 31), UPDRS III-rigidity scores (UPDRS III-R: item 22), and scores from the Wearing-off Questionnaire (WOQ-9). This study shows that there was significant correlation between BKS and UPDRS III scores, including UPDRS III total scores, UPDRS III-B, and UPDRS III-R scores (r = 0.479–0.588, p ≤ 0.001), especially in the early-stage group (r = 0.682, p < 0.001). Furthermore, we found that BKS in patients with left-sided onset (33.57 ± 5.14, n = 37) is more serious than in patients with right-sided onset (29.87 ± 6.86, n = 26). Our findings support the feasibility of using the PKG to detect abnormal movements, especially bradykinesia in PD. It is suitable for the early detection, remote monitoring, and timely treatment of PD symptoms.

Background Development of skeletal muscle is closely related to broiler production traits. The myocyte-specific enhancer binding factor (MEF) 2D gene (MEF2D) and its variant transcripts play important parts in myogenesis. Methods To identify the transcript variants of chicken MEF2D gene and their function, this study cloned chicken MEF2D gene and identified its transcript variants from different tissue samples. The expression levels of different transcripts of MEF2D gene in different tissues and different periods were measured, and their effects on myoblast proliferation and differentiation were investigated. Variations in MEF2D were identified and association analysis with chicken production traits carried out. Results Four novel transcript variants of MEF2D were obtained, all of which contained highly conserved sequences, including MADS-Box and MEF2-Domain functional regions. Transcript MEF2D-V4 was expressed specifically in muscle, and its expression was increased during embryonic muscle development. The MEF2D-V4 could promote differentiation of chicken myoblasts and its expression was regulated by RBFOX2. The single nucleotide polymorphism g.36186C > T generated a TAG stop codon, caused MEF2D-V4 to terminate translation early, and was associated with several growth traits, especially on early body weight. Conclusion We cloned the muscle-specific transcript of MEF2D and preliminarily revealed its role in embryonic muscle development.

A new species, Tylencholaimus helanensis sp. n., extracted from the rhizosphere soil of unidentified grasses from Helan Mountain, Inner Mongolia, China was identified. The new species is characterized by having a body length of 0.93–1.07 mm with the lip region approximately one-quarter of the body diameter at the posterior end of the neck region wide; female didelphic-amphidelphic; pars proximalis vaginae violin-shaped. Males were not found. SEM observations of the new species were made and a phylogenetic analysis of both the 18S rDNA and the D2-D3 region of 28S rDNA is presented.

Abstract Background Liver trauma is an important source of morbidity and mortality worldwide. A timely detection and precise evaluation of traumatic liver injury and the bleeding site is necessary. There is a need to develop better imaging modalities of hepatic injuries to increase the sensitivity of ultrasonic imaging techniques for sites of hemorrhage caused by cracks. In this study, we conduct an in silico simulation of liver crack detection and delineation using an ultrasonic shear wave imaging (USWI) based method. Methods We simulate the generation and propagation of the shear wave in a liver tissue medium having a crack using COMSOL. Ultrasound radio frequency (RF) signal synthesis and the two-dimensional speckle tracking algorithm are applied to simulate USWI in a medium with randomly distributed scatterers. Crack detection is performed using the directional filter and the edge detection algorithm rather than the conventional inversion algorithm. Cracks with varied sizes and locations are studied with our method and the crack localization results are compared with the given crack. Results Our pilot simulation study shows that, by using USWI combined with a directional filter cum edge detection technique, the near-end edge of the crack can be detected in all the three cracks that we studied. The detection errors are within 5%. For a crack of 1.6 mm thickness, little shear wave can pass through it and the far-end edge of the crack cannot be detected. The detected crack lengths using USWI are all slightly shorter than the actual crack length. The robustness of our method in detecting a straight crack, a curved crack and a subtle crack of 0.5 mm thickness is demonstrated. Conclusions In this paper, we simulate the use of a USWI based method for the detection and delineation of the crack in liver. The in silico simulation helps to improve understanding and interpretation of USWI measurements in a physical scattered liver medium with a crack. This pilot study provides a basis for improved insights in future crack detection studies in a tissue phantom or liver.

Summary: In addition to oncogene inhibition, targeting tumor suppressor deficiency could provide potential venues for precision cancer medicine. However, the full spectrum of drug vulnerability conferred by tumor suppressor loss remains unclear. We systematically analyzed how loss of 59 common tumor suppressors each affected cellular sensitivity to 26 different types of anticancer therapeutics. The experiments were performed in a one-gene, one-drug manner, and through such a large gene-drug iteration study, we were able to generate a drug sensitivity map that describes numerous examples of drug resistance or hypersensitivity conferred by tumor suppressor loss. We further delineated the mechanisms of several gene-drug interactions, showing that loss of tumor suppressors could modify drug sensitivity at various steps of drug action. This systematic drug sensitivity map highlights potential drug vulnerabilities associated with tumor suppressor loss, which may help expand precision cancer medicine on the basis of tumor suppressor status. : Ding et al. describe how deficiencies of tumor suppressors affect cellular sensitivities to 26 types of anticancer drugs. The study reveals tumor suppressor-drug interactions potentially useful for cancer therapy. Keywords: tumor suppressor, drug sensitivity, SETD2, CREBBP, BAP1

Salmonella enterica serovar 4,[5],12:i:- (S. 4,[5],12:i:-) is an emerging foodborne pathogen causing salmonellosis in humans and animals. Probiotic Lactobacillus rhamnosus GG (LGG) is an effective strategy for controlling enteric infections through maintaining gut microbiota homeostasis and regulating the intestinal innate immune response. Here, LGG was orally administrated to newly weaned piglets for 1 week before S. 4,[5],12:i:- challenge. S. 4,[5],12:i:- challenge led to disturbed gut microbiota, characterized by increased levels of Psychrobacter, Chryseobacterium indoltheticum, and uncultured Corynebacteriaceae populations, as well as an aberrant correlation network in Prevotellaceae NK3B31 group-centric species. The beneficial effect of LGG correlated with attenuating the expansion of Prevotellaceae NK3B31 group. Fusobacterium only found in the pigs treated with LGG was positively correlated with Lactobacillus animalis and Propionibacterium. Administration of LGG induced the expansion of CD3-CD19-T-bet+IFNγ+ and CD3-CD19-T-bet+IFNγ- cell subsets in the peripheral blood at 24 h after a challenge of S. 4,[5],12:i:-. S. 4,[5],12:i:- infection increased the population of intraepithelial CD3-CD19-T-bet+IFNγ+ and CD3-CD19-T-bet+IFNγ- cells in the ileum; however, this increase was attenuated via LGG administration. Correlation analysis revealed that LGG enriched Flavobacterium frigidarium and Facklamia populations, which were negatively correlated with intraepithelial CD3-CD19-T-bet+IFNγ+ and CD3-CD19-T-bet+IFNγ- cells in the ileum. The present data suggest that probiotic LGG alters gut microbiota with associated CD3-CD19-T-bet+IFNγ+/- cell subset homeostasis in pigs challenged with S. enterica 4,[5],12:i:-. LGG may be used in potential gut microbiota-targeted therapy regimens to regulate the specific immune cell function and, consequently, control enteric infections.