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Background. Gastric cancer (GC) is the most common malignant tumor and ranks third in the world. LncRNA H19 (H19), one of the members of lncRNA, is overexpressed in various tumors. However, many undetermined molecular mechanisms by which H19 promotes GC progression still need to be further investigated. Methodology. A series of experiments was used to confirm the undetermined molecular mechanism including wound healing and transwell assays. Key Results. In this study, a significant upregulation of H19 expression was detected in GC cells and tissues. The poor overall survival was observed in GC patient with high H19 expression. Overexpression of H19 promoted the migration of GC cells, while knockdown of H19 significantly inhibited cell migration. Moreover, miR-148a-3p had a certain negative correlation with H19. Luciferase reporter assay confirmed that H19 could directly bind to miR-148a-3p. As expected, miR-148a mimics inhibited cell migration and invasion induced by H19 overexpression. The above findings proved that H19 functions as a miRNA sponge and verified that miR-148a-3p is the H19-associated miRNA in GC. We also confirmed that SOX-12 expression was upregulated in GC patient’s samples. SOX-12 expression was positively correlated with expression of H19 and was able to directly bind to miR-148a-3p. Importantly, in vitro wound healing assay showed that knockout of SOX-12 could reverse the promoting effect of H19 overexpression on cell migration. Conclusion. In conclusion, H19 has certain application value in the diagnosis and prognosis of GC. Specifically, H19 accelerates GCs to migration and metastasis by miR-138a-3p/SOX-12 axis.

Crowns have been recommended to treat decayed teeth and rebuild teeth function. The dental management of children with autism is a tremendous challenge for pediatric dentists due to the impaired behaviors and communication disorders. In this context, a 5-year-old boy with autism was treated to solve carious lesions under the assistance of general anesthesia. The posterior occlusal function was restored, and the crossbite existing in the primary anterior teeth was approached merely by NuSmile® zirconia crowns (ZCs) rather than orthodontic intervention. We conducted an 18-month period. Throughout the long-term follow-up, the boy’s masticatory efficiency was remarkably improved and the anterior teeth had transferred into the correct position with adequate overbite to maintain the new relationship, thus ameliorating the appearance of tissue on the labial surface and enhancing his quality of life and oral health.

Preeclampsia is a pregnancy disorder characterized by systemic organ damage and high blood pressure. It has been reported that microRNA-195 (miR-195) is associated with preeclampsia. In this study, we discovered the target of miR-195 in regulating human extravillous cytotrophoblast-derived transformed cell proliferation and migration. We analyzed the clinicopathological factors of preeclampsia and normal pregnancies. The messenger ribonucleic acid (mRNA) levels of miR-195 and tissue factor pathway inhibitor 2 (TFPI2) were measured in placental tissues derived from normal and preeclampsia patients by real-time polymerase chain reaction (PCR). Human umbilical cord mesenchymal stem cell (hUC-MSC)-derived extracellular vesicles were verified by western blot. HTR8-S/Vneo cell proliferation was evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide, and cell migration rate was assessed by the transwell assay. Relative luciferase activities were measured in TFPI2 wild-type (WT) and mutant cells. miR-195 expression was negatively correlated with TFPI2 mRNA levels in preeclampsia patients. Extracellular vesicles derived from hUC-MSCs enhanced HTR8-S/Vneo cell proliferation and migration. In addition, miR-195 isolated from hUC-MSCs enhanced HTR8-S/Vneo cell proliferation and migration by targeting TFPI2. Our findings demonstrate that the upregulation of miR-195 in extracellular vesicles derived from hUC-MSCs promotes HTR8-S/Vneo cell proliferation and migration by targeting TFPI2.

Limited by the effective launch capacity of a rocket, the deployable antenna is very important in the design of spaceborne antenna array. Compared to traditional deployable antenna, flexible coilable antenna array has higher surface precision and better vibration control and therefore is more suitable for high frequency communication. In order to minimize the weight of satellite and reduce cost of its launch, a design guideline to the geometry parameters of flexible coilable antenna array is crucial. Existing models cannot be directly applied to interaction and large deformation between coilable membrane and conical spiral antenna in the flexible coilable antenna array. Hence, the geometry parameters of the conical spiral structure and the thickness of the coilable membrane in the flexible coilable antenna array have not been optimized yet. In this paper, the interaction between the coilable membrane and the concial spiral antenna is analyzed in the antenna array. A concise formula is derived to predict the critical force that flattens the conical spiral antenna by a coiling scroll. Combined with a theoretical model to predict the deformation of the membrane, the model provides an important theoretical support for the lightweight design and mechanical design of flexible coilable antenna array, such as the thickness of the coilable membrane. The proposed design is validated by experiments. The above findings have potential applications in the effective reduction of antenna array weight and satellite launch costs.

Purpose. This study aimed to assess the application of a foldable capsular vitreous body (FCVB) in the treatment of severe ocular trauma and silicone oil (SO) dependent eyes. Methods. A retrospective analysis was performed on the clinical application of FCVB in the treatment of severe ocular trauma and SO dependent eyes. The results of best-corrected visual acuity and intraocular pressure (IOP) evaluation, B-scan ultrasonography or color Doppler ultrasonography, ultrasound biomicroscopy, and anterior segment photography were recorded during follow-up. A paired t-test was used to compare the difference in IOP before and after FCVB implantation. Results. Seven eyes of seven patients were included in the 6-month follow-up. In all cases, B-scan ultrasonography and ultrasound biomicroscopy showed that FCVB adapted closely to the globe wall and ciliary body, thus supporting the retina. Visual acuity did not improve, except in one case from LP to HM. The mean ± SD IOP was 8.5 ± 1.90 mm·Hg prior to FCVB implantation and 10.43 ± 0.98 mm·Hg after implantation, with no significant difference between these measurements (P=0.095). Five of the seven patients developed differing degrees of corneal opacity and keratopathy. Conclusions. FCVB implantation may be a safe and effective method for the treatment of severe ocular trauma and SO dependent eyes. However, FCVB cannot prevent the phthisis of the traumatic eyes. In addition, corneal opacity and keratopathy are potentially serious complications after surgery. Appropriate case selection and proper surgical timing are required for further investigation.

The Raman spectra for pure CO2 and CH4 gases and their ten gas mixtures were collected at pressures and temperatures ranging from 2 MPa to 40 MPa and room temperature (∼24°C) to 300°C, respectively. A systematic analysis was carried out to establish a methodology for the quantitative determination of the composition, pressure, and density of CO2-CH4 mixtures. The shift in the peak position of the υ1 band for CH4 was sufficiently large to enable the accurate determination of the pressure of pure CH4 and CH4-dominated fluids (>50 mol% CH4). An equation representing the observed relationship of the peak position of the υ1 band of CH4, density, and composition was developed to calculate the density of CO2-CH4 mixtures. The Raman quantification factor F (CH4)/F (CO2) was demonstrated to be near a constant value of 5.048 ± 0.4 and was used to determine the CH4 to CO2 molar ratio in an unknown CO2-CH4‐bearing fluid with high internal pressure (>10 MPa) based on the Raman peak area ratio. The effect of temperature on the variation in Raman spectral parameters was also investigated at temperatures up to 300°C. The results showed that the effect of temperature must be considered when Raman spectral parameters are used to calculate the pressure, density, and composition of CO2-CH4 gas mixtures. Raman spectroscopic analysis results obtained for six samples prepared in fused silica capillary capsules were validated by comparison with the results obtained from microthermometry measurements.

The era is developing and the society is improving. The application research of computer technology in the field of education is a hot topic at present. The cultivation of talents required the training of schools and teachers. How to cultivate talented person who meets the needs of society lied in the comprehensive ability of teaching in colleges and universities, so the college English education professional grammar teaching model is studied based on dynamic programming algorithm. After a brief overview of the dynamic rule algorithm, an algorithm for evaluating English grammar learning in colleges and universities is designed by using dynamic algorithm. The algorithm is composed of dynamic rule algorithm, language processing technology, and regular expression. In the subsequent experiments, it is proved that the algorithm has a good evaluation effect and can meet the actual application requirements.

Objective. Effective therapies for reflux hypersensitivity are lacking. Endoscopic radiofrequency ablation may reduce the sensitivity of the distal esophagus through direct interference with nociceptors or vagal afferent fibers and thus may be useful in reflux hypersensitivity. The aim of this study is to assess the effectiveness and possible mechanisms of endoscopic radiofrequency ablation in reflux hypersensitivity patients. Methods. Patients with reflux hypersensitivity who fulfilled the Rome IV criteria and who wished to receive further treatment were recruited. Endoscopic radiofrequency ablation was delivered to the gastroesophageal junction. Data were collected by questionnaire using a 6-point Likert scale. The primary outcome measure was effect on symptoms including heartburn, regurgitation, and chest pain. The secondary outcomes were degree of satisfaction, medication use, acid exposure time (AET), low esophageal sphincter (LES) pressure, and total reflux episodes. We also assessed positive cell density of transient receptor potential vanilloid type 1 receptor (TRPV1) and calcitonin gene-related peptide (CGRP), both of which are biomarkers of afferent fibers, in biopsies obtained from esophageal mucosa 0.5 cm-1 cm above the Z line. These scales will be administered at baseline, 3-month follow-up, 6-month follow-up, and 12-month follow-up. Results. A total of 22 reflux hypersensitivity patients were enrolled (14 males, median age 50.0 years). A significant improvement in symptom scores (heartburn, regurgitation, and chest pain) was noted at 3 months, 6 months, and 12 months (P

The recovery of top coal in the caving face directly impacts the efficiency of mining coal resources. The geological conditions and mining parameters are well known to be significant influences on the recovery of top coal. This study focused on the 9-301 working face, which is located in a thick coal seam with a large dip angle. The influences of the coal seam’s dip angle, mining direction, and coal caving mode and interval on the recovery were analyzed using PFC2D simulation. Field trials were also carried out. The results of the numerical calculations show that the recovery of top coal is clearly affected by the dip angle, with recovery decreasing as the dip angle is increased. Mining from the top to bottom along the dip of the coal seam is beneficial to improve recovery. The top-coal recovery using the multicycle-sequence coal caving method is higher than when using single-sequence coal caving and single-interval coal caving modes. The top-coal recovery using “one cutting and one caving” (coal caving interval of 0.8 m) was higher than that under two cuttings and one caving (coal caving interval of 1.6 m). During the field trials, the recovery of top coal under different caving intervals and modes was measured. The results show that the recovery of top coal is optimal when using one cutting and one caving with multicycle-sequence coal caving modes. The field measurements are consistent with the simulation results. The results of this study can help guide additional research for optimizing the recovery of top coal from thick coal seams with large dip angles.

By integrating rough set theory and neural network theory, this study combined their advantages. Drawing on the existing theoretical results for bridge influencing factors, a method for numerical simulation and data fusion was used in the application of multifactor data fusion for cable-stayed bridge safety evaluation. Based on studying existing bridge safety evaluation methods, a neural network and rough set theory were combined to perform a safety evaluation of PC cable-stayed bridge cables, which provided a new means for bridge safety evaluation. First, a cable-stayed bridge in Shenyang was used as the engineering background, the safety level of its cables was divided into five levels, and a safety evaluation database was established, clustered by a Kohonen neural network. This provided specific evaluation indicators corresponding to the five safety levels. A rough neural network algorithm integrating the rough set and neural network was applied to data fusion of the database, with the attribute-reduction function of the rough set used to reduce the input dimension of the neural network. Conclusions. The neural network was then trained and the resulting trained network was applied to the safety evaluation of the cables of the cable-stayed bridge. Four specific attribute index values, corresponding to the bridge cables, were directly input to obtain the safety status of the bridge and provide corresponding management suggestions.

In this article, by using the Schauder fixed point theorem, we first study the existence of solutions for a new coupled system of Caputo fractional differential equations with multipoint boundary value conditions under the assumption that the nonlinear term satisfies two types of the Carathéodory conditions. Using this result, we provide the existence of solutions of the system with infinite points and Riemann–Stieltjes integral boundary conditions, respectively, instead of doing it directly. Finally, we give three examples to illustrate the feasibility of main results.

Thyroid dysfunction (TD) induced by programmed death-1 (PD-1) or programmed cell death-ligand 1 (PD-L1) immune checkpoint inhibitors (ICIs) has been widely reported. However, the effects of ICI-induced TD on the survival of patients with esophageal squamous cell carcinoma (ESCC) have not been described. Herein, a retrospective study was conducted, which 82 patients with advanced metastatic or recurrent ESCC treated with camrelizumab were enrolled. Twenty patients (24.4%) experienced TD during camrelizumab treatment with or without chemotherapy. The median onset time of TD was 1.7 months. The incidence of TD was 35.6% in patients who previously received thoracic radiotherapy versus 10.8% in patients who did not (P =0.009). Patients with TD had significantly longer median progression-free survival (5.5 months vs 3.5 months, P =0.035) and overall survival (26.7 months vs 11.5 months, P

Overlap function is a special type of aggregation function which measures the degree of overlapping between different classes. Recently, complex fuzzy sets have been successfully applied in many applications. In this paper, we extend the concept of overlap functions to the complex-valued setting. We introduce the notions of complex-valued overlap, complex-valued 0-overlap, complex-valued 1-overlap, and general complex-valued overlap functions, which can be regarded as the generalizations of the concepts of overlap, 0-overlap, 1-overlap, and general overlap functions, respectively. We study some properties of these complex-valued overlap functions and their construction methods.

Based on coal and gas outburst mining area topography, a risk evaluation index for mine dynamic disasters in relation to terrain curvature is presented by analyzing the terrain curvature formation and determining its classification and computational methods. Clarifying the mechanism that the terrain curvature changes reflects the intensity of tectonic activity and the tectonic stress field variation, as well as coal and rock mass energy storing. By using the N-shaped landform in the Pingdingshan coal mine as a case study, an area having strong tectonic activity and coal and gas outbursts was recorded to occur where terrain curvature changed, notably occurring where the positive curvature radius was 80.21% of the total. These findings indicate that terrain curvature has significant controlling effects on coal and gas outbursts. A preliminary assessment for the occurrence risk of coal and gas outbursts using the terrain curvature value is proposed which can be used as an effective method to predict future outbursts.

The evaluation of value for money (VFM) is an essential part of the pre-evaluation of public-private partnership (PPP) projects in China. It can be divided into qualitative evaluation and quantitative evaluation. However, there is no uniform weighting criterion for the indices of qualitative evaluation. To reasonably weigh the qualitative evaluation indices, this paper sorts and measures these indices through the analytic hierarchy process (AHP), using the public data on preapplied PPP aged care projects, and obtains the reference values. On this basis, several suggestions were put forward to standardize and develop VFM evaluation of PPP aged care projects, such as improve the scientific VFM evaluation system and realize whole-process performance appraisal. Based on actual project data, the qualitative evaluation is more objective than the analysis based on subjective experience. Therefore, our findings promote the application of VFM qualitative evaluation.

Grouping function is a special kind of aggregation function which measures the amount of evidence in favor of either of the two choices. Recently, complex fuzzy sets have been successfully used in many fields. This paper extends the concept of grouping functions to the complex-valued setting. We introduce the concepts of complex-valued grouping, complex-valued 0-grouping, complex-valued 1-grouping, and general complex-valued grouping functions. We present some interesting results and construction methods of general complex-valued grouping functions.

Background. Hip fractures of elderly patients are a public health problem worldwide, mostly lying in bed for a long time; therefore, the importance of life quality in such patients is an issue beyond question. Orem’s self-care model is a nursing pattern which is introduced with the purpose of improving the self-care ability of individuals, especially the patients suffering from diseases with limits on activity. Objective. The aim of this study was to determine the effects of Orem’s self-care program on life quality of senile patients with hip fractures. Methods. A randomized clinical trial study was conducted on 130 eligible old patients suffering from hip fractures who were selected using easy sampling methods and allocated randomly into two groups of experiment and control. The data were collected through validated questionnaires including visual analogue scale (VAS) and Barthel index for them. The experiment group was treated according to Orem’s self-care model, and the control group was treated on the basis of the traditional care model. The data of complications including pneumonia, deep venous thrombosis, urinary infection, wound problem, and bedsore were also gathered. Results. As revealed, mean scores of VAS and Barthel index one week after operation in the experiment group were significantly different from the control one (P

Based on principles of chemical thermodynamics, the relationship between temperature and the Gibbs free energy of erosion products generated during the sulfate attack on cement concrete was deduced. The orientation of chemical reactions of sulfate attack on cement concrete was theoretically determined as well as the critical sulfate ion concentration and the formation conditions of erosion products. The phase composition, microstructure, crystal form, and morphology of erosion products before and after sulfate attack were investigated by environmental scanning electron microscope and energy spectrum analysis (ESEM-EDS) and X-ray diffraction (XRD). The results show that the effects of sulfate ion concentration and temperature on cement concrete sulfate attack are significant, and different influencing factors correlate with each other. The crystal transition temperature between the anhydrite and dihydrate gypsum is 42°C, and the corresponding concentration of sulfate ion is about 2.3 × 10−3 mol/L. Simultaneously, the crystal transition temperature between the thenardite and mirabilite is 32.4°C. Moreover, the theoretical upper limit temperature and sulfate ion lower limit concentration of thaumasite are 44°C and 0.0023 mol/L, respectively. The ESEM-EDS and XRD results imply that the chemical thermodynamics can be used to reveal the erosion mechanism of sulfate attack on cement concrete. The major erosion products of sulfate attack on cement concrete are rod-like ettringite with a larger slenderness ratio, plate-like gypsum, granular sulfate salt, incompletely corroded calcium hydroxide, and residual skeleton of calcium silicate hydrate. The sulfate attack has double effects on mechanical properties of specimens, which can affect the microstructure, phase composition, type, and morphology of erosion products.

This study systematically investigates the failure patterns, energy dissipation, and fracture behavior of rock specimens containing a vertical hole under impact loads. First, an improved damage calculation equation suitable for the analysis of rock specimens with a vertical hole is obtained based on the one-dimensional stress wave theory and the interface continuity condition. After that, the Hopkinson pressure bar (SHPB) device was used to conduct cyclic impact tests with different impact pressures and impact modes (impact pressures with equal amplitude and unequal amplitude). The experimental results suggest that, under the equal-amplitude high pressure and unequal-amplitude pressure, the degree of damage of the rock significantly increased, the bearing capacity greatly reduced, and the rock gradually transitions from having good ductility to experiencing brittle failure. The cumulative specific energy absorption value gradually increases with the increase in the cyclic impact. Compared to that of the equal impact condition, the degree of damage to the rock is more severe for the case of equal-amplitude high pressure and unequal impact, and the failure mode undergoes a transformation from transverse tensile failure to transverse tensile failure-axial splitting failure combination and axial splitting failure. Through the analysis of rock energy changes and rock failure patterns during cyclic impact, it will be helpful to predict and control the fracture caused by local stress concentration during excavation, thus can reduce the cost of support and reinforcement in excavation and improve the stability of surrounding rocks.

Chemokine receptor CXCR5-mediated control of B cell trafficking in the lymphoid tissues plays a central role in orchestrating the B cell function, which not only guides the colocalization of B cells with follicular helper T cells in the follicular mantle zone but also determines the position of germinal center dark and light zones. However, the mechanisms that regulate the expression of CXCR5 in B cells remain unclear. Here, we show that the expression level of CXCR5 in B cells was substantially reduced in vitro culture conditions, while being maintained in the presence of CD40 signals. Furthermore, CD40 signaling promotes CXCR5 expression in B cells at least partially through noncanonical NF-κB signaling pathway activation. However, other non-B cells also contributed to the optimal expression of CXCR5 in B cells through cell-cell contact and cytokine secretion. Our findings suggest that CD40 signaling-mediated activation of the noncanonical NF-κB pathway promotes the expression of CXCR5 in a B cell-intrinsic way to orchestrate the trafficking of B cells.

Imbalances of proatherogenic inflammatory and antiatherogenic inflammatory mediators were involved in the pathogenesis of atherosclerosis. This study sought to investigate the effects of proatherogenic inflammatory and antiatherogenic inflammatory mediators on the proximal, middle, and distal coronary artery reocclusions in elderly patients after coronary stent implantations. We measured the expression levels of proatherogenic inflammatory/antiatherogenic inflammatory cytokines. This included interleukin-1 β (IL-1 β), interleukin-6 (IL-6), interleukin-8 (IL-8), tumor necrosis factor-α (TNF-α), high-sensitivity C-reactive protein (hs-CRP), interleukin-10 (IL-10), interleukin-17 (IL-17), interleukin-13 (IL-13), and interleukin-37 (IL-37) in the elderly patients with the proximal, middle, and distal coronary artery reocclusions after coronary stent implantations. Levels of IL-1 β, IL-6, IL-8, TNF-α, and hs-CRP were remarkably increased (P

To date, little research has been carried out on the integration of switchable and diversified functionalities into a single metamaterial in the terahertz (THz) range. Here, a hybrid vanadium dioxide (VO2) metamaterial was designed with switchable properties of band-pass filter and band-stop filter in the frequency range of 0.3–1.6 THz. Simulations demonstrated that under TE polarization, the proposed system acted as band-stop filter with the center frequency of 0.95 THz when VO2 is in the insulating state. Upon the transformation of VO2 into the metallic state, the proposed system behaved as a band-pass filter with a transmittance of >80%. The physical mechanism of the band-pass/band-stop conversion was examined by analyzing the surface current distribution of the designed device. The switchable characteristics of this structure can enable its wide application in tunable THz functional components such as amplitude modulators, polarization control, and intelligent switches.

In order to establish a method for the simultaneous determination of trace elements Al, As, B, Ca, Cr, Cu, Fe, K, Li, Mg, Mn, Na, Ni, P, Si, Ti, and Zn in Corydalis conspersa and Corydalis linarioides, we collected the samples from different areas and treated with acid hydrolysis into tissues to be detected by the way of inductively coupled plasma-atomic emission spectrometry compared with the standard element control method. We can know that the contents of Al, Ca, Fe, K, Mg, Na, and P in roots, stems, leaves, and flowers were higher. The contents of elements in different tissues and areas were as follows: flower > leaf > stem > root, Zeku County > Guide County > Nangqian County > Henan County. Among them, the contents of each element in the flowers of Maixiu Forest Farm were higher, while the contents of B, Cr, Cu, Li, Mn, Ni, Si, Ti, and Zn in roots, stems, and leaves of other areas were lower. The contents of heavy metal elements complied with the limit degree. A 3-factor model was obtained by principal component analysis which could clarify 82.46% of the total experimental data; the factors of Al, Fe, Mg, Na, P, Ca, Cu, Si, and Zn had great influence on the efficacy of 21 kinds of medicinal materials. Cluster analysis classified the samples into three categories; the flowers of Corydalis conspersa and stems of Corydalis linarioides from different collection areas are clustered containing high contents of type 1 and 3 characteristic components; the roots, stems, and leaves from other collection areas are clustered with low contents of 1 and 2 characteristic components. It can be used for the determination of trace elements in Corydalis conspersa and Corydalis linarioides to provide effective basis for revealing the function of trace elements with plant growth.

Background. Infective endocarditis (IE) is a complex infectious disease with high morbidity and mortality. The inflammation mechanism of IE is a complex network including interactions of inflammatory cytokines and other components of host response. As an important inflammation marker, the prediction ability of neutrophil-to-lymphocyte ratio (NLR) in IE deserves further investigation. Methods. NLR values were measured and compared between IE patients and healthy controls, good and bad clinical outcome groups. The receiver operating characteristic curves (ROCs) of NLR and cut-off values were measured in IE patients, pathogen-subgroups, and different clinical outcome groups. Results. There were 678 IE patients and 2520 healthy controls enrolled in our study. The number of good and bad clinical outcome patients was 537 and 141, respectively. The value of NLR was significantly higher in IE patients than healthy controls (6.29±9.36 vs. 1.87±0.34, p

Sepsis remains a major global concern and is associated with high mortality and morbidity despite improvements in its management. Markers currently in use have shortcomings such as a lack of specificity and failures in the early detection of sepsis. In this study, we aimed to identify key genes involved in the molecular mechanisms of sepsis and search for potential new biomarkers and treatment targets for sepsis using bioinformatics analyses. Three datasets (GSE95233, GSE57065, and GSE28750) associated with sepsis were downloaded from the public functional genomics data repository Gene Expression Omnibus. Differentially expressed genes (DEGs) were identified using R packages (Affy and limma). Functional enrichment of the DEGs was analyzed with the DAVID database. Protein-protein interaction networks were derived using the STRING database and visualized using Cytoscape software. Potential biomarker genes were analyzed using receiver operating characteristic (ROC) curves in the R package (pROC). The three datasets included 156 whole blood RNA samples from 89 sepsis patients and 67 healthy controls. Between the two groups, 568 DEGs were identified, among which 315 were upregulated and 253 were downregulated in the septic group. These genes were enriched for pathways mainly involved in the innate immune response, T-cell biology, antigen presentation, and natural killer cell function. ROC analyses identified nine genes—LRG1, ELANE, TP53, LCK, TBX21, ZAP70, CD247, ITK, and FYN—as potential new biomarkers for sepsis. Real-time PCR confirmed that the expression of seven of these genes was in accordance with the microarray results. This study revealed imbalanced immune responses at the transcriptomic level during early sepsis and identified nine genes as potential biomarkers for sepsis.

Parkinson’s disease (PD) is the second most common neurodegenerative disease. Crocetin, derived from saffron, exerts multiple pharmacological properties, such as anti-inflammatory, antioxidant, antifatigue, and anticancer effects. However, the effect of crocetin on PD remains unclear. In this study, we designed experiments to investigate the effect of crocetin against MPTP-induced PD models and the underlying mechanisms. Our results showed that crocetin treatment attenuates MPTP-induced motor deficits and protects dopaminergic neurons. Both in vivo and in vitro experiments demonstrated that crocetin treatment decreased the expression of inflammatory associated genes and inflammatory cytokines. Furthermore, crocetin treatment protected mitochondrial functions against MPP+ induced damage by regulating the mPTP (mitochondrial permeability transition pore) viability in the interaction of ANT (adenine nucleotide translocase) and Cyp D (Cyclophilin D) dependent manner. Therefore, our results demonstrate that crocetin has therapeutic potential in Parkinson’s disease.

To investigate the fracture process and failure mechanism of concrete subjected to uniaxial compressive loading, a new finite element method—the base force element method (BFEM)—was adopted in the modeling of numerical simulation. At mesoscale, concrete is considered as a three-phase heterogeneous material composed of aggregate particles, cement mortar, and the interfacial transition zones between the two phases. A two-dimensional random convex aggregate model was established using the principle of the area equivalence method. A multistage linear damage constitutive model that can describe nonlinear behavior of concrete under mechanical stress was proposed. The mechanical properties of concrete mesoscopic components are determined. The numerical simulation results indicate that the base force element method can be applied to predict the failure pattern of concrete under compressive loading, which have a good accordance with the available experiment data. The stress contour plots were given and used to analyze the failure mechanism of concrete. The effects of specimen size on the strength of concrete material were studied. It is found that compressive strength of concrete decreases as the specimen size increases. In addition, the influences of aggregate distribution, coarse aggregate content, and end friction on concrete performance are explored.

Objective. Acupuncture is effective for irritable bowel syndrome (IBS); however, the mechanisms of action are not fully understood. We aim to explore the mechanism of electroacupuncture (EA) in the dual regulation of disorders of gut-brain interaction. Methods. A rat model of IBS was generated by chronic unpredictable mild stress (CUMS). Eight of 32 rats were assigned to the blank control group. The remaining 24 rats received CUMS for 14 days. Then, the rats surviving and successfully modelled were randomly divided into the CUMS group, the CUMS+EA group, and the CUMS+PB (pinaverium bromide) group. In the next 14 days of treatment, rats in the CUMS+EA group were acupunctured at ST25 (Tianshu), ST36 (Zusanli), SP6 (Sanyinjiao), and LR3 (Taichong) for 15 min every day. Rats in the CUMS+PB group were treated by the administration of gavage with 2.7 mg/mL pinaverium every day. Visceral pain threshold, the percentage of time spent in open arms (OT%) in the elevated plus maze test (EPMT), and the sucrose preference (SP%) in the sucrose preference test (SPT) were measured at baseline, day 15, and day 30. The expression of zonula occludens-1 (ZO-1), the morphology of the connective structure of intestinal epithelium, the CRF and CRF-R1 mRNA expression in the hypothalamus, and the double staining of intestinal mucosal mast cells (IMMC) and CRF-R1 were measured at the end of the experiment. Results. Compared with the blank control group, visceral pain threshold pressure, the expression of ZO-1, OT%, SP%, CRF, and CRF-R1 mRNA expression in the hypothalamus, and double staining of IMMC and CRF-R1 were decreased significantly in the CUMS group. Meanwhile, the morphology of the connective structure in the CUMS group was indistinct. Compared with the CUMS group, SP% was significantly increased in the CUMS+EA group, but there was no significant difference for it in the CUMS+PB group. The morphology of the connective structure in the two treatment groups was clear and seeable. And the expression of other parameters mentioned above was apparently increased in the two treatment groups. Compared with the CUMS+PB group, the expression of ZO-1 in the CUMS+EA group was significantly enhanced. And no obvious difference for other parameters was found between the two treatment groups. Conclusions. EA treatment can decrease the expression of hypothalamic CRF and CRF-R1, relieve anxiety and depression, meanwhile reduce the expression of CRF-R1 in the gastrointestinal mucosa, increase ZO-1 expression, and adjust tight junctions (TJs) to repair the intestinal mucosal barrier. The above roles suggest that EA may play a dual role in alleviating the gastrointestinal and psychological symptoms of IBS, suggesting a potentially dual therapeutic role for EA in regulating disorders of gut-brain interaction in IBS rats.

In this study, the effect of temperature on macroperformance and microcharacteristic of carbonized concrete was investigated. The carbonation depth, compressive strength, and surface strain of concrete under different simulated environments for 28 d were measured. XRD and ESEM-EDS analysis were conducted to present the phase composition, types of hydration products, and microstructure characteristics of samples before and after carbonation. The results showed that the effects of temperature on carbonation depth, strain, and compressive strength were significant. There was a linear relation between temperature and carbonation depth as well as compressive strength of concrete. The effects of environment factors on concrete surface strain after carbonation manifested as the strain value and the slope of linear segment of strain curve. Significant differences of phase composition and hydration products were observed before and after the carbonation, which mainly manifested as attenuation and disappearance of diffraction peaks of hydration products. Temperature affects the crystal form of the carbonation products.

Background. Severe coronary stenosis and multiple coronary chronic total occlusions are serious side effects of coronary stent implantation in elderly patients. This research sought to investigate the side effects of coronary stenting such as severe coronary stenosis and multiple coronary chronic total occlusions in elderly patients via induced proinflammatory and prooxidative stress. Methods. We evaluated the expression levels of tumor necrosis factor-α (TNF-α), toll-like receptor 4 (TLR4), acrolein (ACR), malondialdehyde (MDA), high-sensitivity C-reactive protein (hs-CRP), stromal cell-derived factor-1α (SDF-1α), superoxide dismutase 3 (SOD3), and endothelial nitric oxide synthase (eNOS) in elderly patients with severe coronary stenosis and multiple coronary chronic total occlusions. Results. Levels of TNF-α, TLR4, ACR, MDA, and hs-CRP were remarkably increased (P

Evidence suggests that inflammation and neurogenesis play an important role in major depressive disorder (MDD). Mahuang-Fuzi-Xixin decoction (MFX), as the traditional Chinese prescription, has been widely applied for asthma, migraine, and MDD in clinics. However, the effects of MFX on the potential mechanism in MDD are still unclear. Hence, the present study is aimed at exploring whether the antidepressive effect of MFX is connected to the anti-inflammatory and promoting neurogenesis. Besides, lipopolysaccharide (LPS) of Gram-negative bacteria can induce depressive-like behaviors. We demonstrated that administration of MFX corrected the depressive-like behaviors in LPS-induced mice and significantly decreased the expression of IL-1β in the hippocampus. LPS injection induced a significant increase in the levels of NLRP3, cleaved caspase-1 p20, and ASC in the hippocampus, as well as Trx-interacting protein (TXNIP), and MFX could reverse this change. What is more, treatment of MFX increased the level of doublecortin (DCX), brain-derived neurotrophic factor (BDNF), and tropomyosin-related kinase receptor B (TrkB) in the hippocampus which means that MFX could promote the neurogenesis. In conclusion, the study indicates that MFX relieves a depressive-like state in LPS-induced mice through the inhibition of the NLRP3 inflammasome and the enhancement of the neurogenesis pathway.

Background and Objectives. Pneumocystis pneumonia (PCP) is a common opportunistic infection in acquired immune deficiency syndrome (AIDS) patients that continues to result in a high mortality rate. To develop a better treatment strategy and improve PCP prognosis, a cohort study was conducted to evaluate the therapeutic potential of echinocandin treatment for AIDS patients with PCP (AIDS-PCP). Methods. The AIDS-PCP patients were analyzed in our retrospective cohort study that were hospitalized in The First Affiliated Hospital of Zhejiang University during 2013–2018. The antifungal effects of echinocandins were evaluated in two subgroups that were classified by oxygenation as a proxy for the disease state: PaO2/FiO2>200 mmHg and PaO2/FiO2≤200 mmHg. Intergroup comparisons and survival curves were used to evaluate the effectiveness of the two AIDS-PCP treatment regimens. Results. During the follow-up, 182 AIDS-PCP patients were diagnosed and analyzed in the study. After excluding 55 patients with other superinfections and five patients that were treated with HAART, the remaining 122 patients were enrolled in the study. The group treated with echinocandins combined with trimethoprim-sulfamethoxazole (TMP-SMZ) and clindamycin exhibited a lower mortality rate (9.62%, 5/52) than did the group with TMP-SMZ and clindamycin treatment (20%, 14/70). For AIDS-PCP patients in the PaO2/FiO2>200 mmHg subgroup, treatment with echinocandins combined with TMP-SMZ and clindamycin significantly reduced their mortality rate (4.44% (2/45) vs. 18.18% (10/55), P=0.035). Conclusion. The results of this study indicate that treatment with echinocandins in combination with the standard TMP-SMZ and clindamycin regimen can improve the prognosis and reduce the mortality rate in patients with mild to moderate AIDS-PCP disease.

Aims. The aim of the present study is to investigate whether the aqueous extract from Huaier, a traditional Chinese medicine (TCM), can affect the expression of Duffy antigen receptor for chemokines (DARC) and its ligands. Moreover, we compare the status of DARC in primary and metastatic breast cancer tissues from the same patient. Methods. Immunohistochemistry was used to detect the expression of DARC in primary and metastatic focuses in 30 patients with breast cancer. The effect of Huaier aqueous extract on the expression of DARC and its ligands was investigated by quantitative real-time polymerase chain reaction, Western blotting, and enzyme-linked immunosorbent assay. Results. The expression score of DARC in primary focuses was significantly higher than that in metastatic focuses, while changes of ER, PR, and HER2 receptors were not significantly different between primary and metastatic focuses. Huaier aqueous extract promoted the expression of DARC and reduced the secretion of CC chemokine ligand 2 (CCL-2), CXC chemokine ligand 8 (CXCL-8, IL-8), matrix metalloproteinase 2 (MMP-2), and CXC chemokine ligand 1 (CXCL-1). Conclusion. The present study demonstrates that difference in expression level of DARC between primary and metastatic focuses of breast cancer was significant, while differences in expression of ER, PR, and HER2 between primary and metastatic focuses were not significant. DARC may play a negative role in the metastasis of breast cancer. Traditional Chinese medicine extract from Huaier can increase DARC expression and reduce the expression of its ligands such as CCL-2, IL-8, MMP-2, and CXCL-1.

In this paper, we fabricated a PMMA sandwiched Bi2Te3 self-assembly layer as a saturable absorber device, which was used as a passive mode locker for ultrafast pulse generation at the telecommunication band. Nanosheets of Bi2Te3 as a bulk topological insulator were successfully synthesized through a solvothermal treatment and self-assemble method to form a thin film at a water-air interface. In order to transfer the Bi2Te3 self-assembly layer to the optical fiber end, we design a construction of two PMMA layers sandwiched self-assembly layer. By incorporating this saturable absorber into an erbium-doped fiber laser, femtosecond mode-locking operation was experimentally demonstrated. The output pulse width is about 505 fs. Our results indicate that PMMA sandwiched topological insulator layer structure could be an improvement technology in traditional PMMA transfer method and could be used as a long-term stable saturable absorber for the passively mode locking lasers.

Solar energy is the most abundant renewable energy and it has a great potential for development. There are two ways to transfer solar energy to electricity: photovoltaic power generation (PV) and concentrated solar power (CSP). CSP-PV hybrid system can be fully integrated with the advantages of the two systems to achieve low cost, stable output, and manageable to generate electricity. In this paper, the operation strategy of the CSP-PV system is proposed for parabolic trough CSP system and PV system which are now commercially operated. Genetic algorithm is used to optimize the design of the system and calculate PV-installed capacity, battery capacity, and storage capacity of CSP system, making the system to achieve the lowest cost of electricity generation. The results show that the introduction of the CSP system makes it possible to ensure the stability of the output power of hybrid system when the battery capacity is small, which greatly improves the annual utilization time of the PV and reduces solar abandonment. When the system is optimized by operation characteristics of Spring Equinox, the lowest LCOE is 0.0627 $/kWh, the rated capacity of PV and CSP system are 222.462 MW and 30 MW, respectively, and the capacity of heat storage and battery are 356.562 MWh and 14.687 MWh. When the system is optimized by the operation characteristics of the whole year, the lowest LCOE is 0.0555 $/kWh, the rated capacity of PV and CSP system are 242.954 MW and 30 MW, respectively, and the capacity of heat storage and battery are 136.059 MWh and 8.977 MWh. The comparison shows that the power generation curves of the hybrid system are similar in the two optimization-based methods—Spring Equinox based and annual based, but LCOE is lower when optimized by the annual operation characteristic, and the annual utilization rate of the system is higher when optimized by Spring Equinox based.

A simple cloud point preconcentration method was developed and validated for the determination of gallic acid, bergenin, quercitrin, and embelin in Ardisia japonica by high-performance liquid chromatography (HPLC) using ultrasonic assisted micellar extraction. Nonionic surfactant Genapol X-080 was selected as the extraction solvent. The effects of various experimental conditions such as the type and concentration of surfactant and salt, temperature, and solution pH on the extraction of these components were studied to optimize the conditions of Ardisia japonica. The solution was incubated in a thermostatic water bath at 60°C for 10 min, and 35% NaH2PO4 (w/v) was added to the solution to promote the phase separation and increase the preconcentration factor. The intraday and interday precision (RSD) were both below 5.0% and the limits of detection (LOD) for the analytes were between 10 and 20 ng·mL−1. The proposed method provides a simple, efficient, and organic solvent-free method to analyze gallic acid, bergenin, quercitrin, and embelin for the quality control of Ardisia japonica.

Guizhou Province, China, experienced several severe drought events over the period from 1960 to 2013, causing great economic loss and intractable conflicts over water. In this study, the spatial and temporal characteristics of droughts are analyzed with the standard precipitation index (SPI), comprehensive meteorological drought index (CI), and reconnaissance drought index (RDI). Meanwhile, historical drought records are used to test the performance of each index at identifying droughts. All three indices show decreasing annual and autumn trends, with the latter particularly prominent. 29, 30, and 32 drought events were identified during 1960–2013 by the SPI, CI, and RDI, respectively. Continuous drought is more frequent in winter–spring and summer–autumn. There is a significant increasing trend in drought event frequency, peak, and strength since the start of the 21st century. Drought duration indicated by CI shows longer durations in the higher-elevation region of central and western Guizhou. The corresponding drought severity is high in these regions. SPI and RDI indicate longer drought durations in the lower elevation central and eastern regions of Guizhou Province, where the corresponding drought severity is also very strong. SPI shows an increasing trend in drought duration and drought severity across most of the regions of Guizhou. In general, SPI and RDI show an increasing trend in the western Guizhou Province and a decreasing trend in central and eastern Guizhou. Comparing these three drought indices with historical records, the RDI is found to be more objective and reliable than the SPI and CI when identifying the periods of drought in Guizhou.

In this paper, the spatial characteristics of the optical parametric chirped-pulse amplification (OPCPA) process were numerically studied when initial pump beam was aberrated. Numerical results showed that the spatial walk-off effect transferred phase modulation partly to the signal beam as the pump phase was modulated. Moreover, the modulation amplitude became increasingly severe as the nonlinear length extended. In the absence of phase aberration in the initial input signal, the induced phase aberration in the output signal was assumed as the differential form of the pump beam phase. As the pump beam intensity was modulated, the spatial walk-off effect reduced the influence of pump beam noise on beam quality and the angular spectrum but reduced signal gain simultaneously; thus, it may do more harm than good in the OPCPA process. In the case of a non-diffraction-limited pump beam, the greater the beam quality factor Mp2, the lower the conversion efficiency of the output signal in the OPCPA process. These results have important guiding significance for optimized design of an OPCPA system for high power laser.

As the road conditions are completely unknown in the design of a suspension controller, an improved linear quadratic and Gaussian distributed (LQG) controller is proposed for active suspension system without considering road input signals. The main purpose is to optimize the vehicle body acceleration, pitching angular acceleration, displacement of suspension system, and tire dynamic deflection comprehensively. Meanwhile, it will extend the applicability of the LQG controller. Firstly, the half-vehicle and road input mathematical models of an active suspension system are established, with the weight coefficients of each evaluating indicator optimized by using genetic algorithm (GA). Then, a simulation model is built in Matlab/Simulink environment. Finally, a comparison of simulation is conducted to illustrate that the proposed LQG controller can obtain the better comprehensive performance of vehicle suspension system and improve riding comfort and handling safety compared to the conventional one.

Long-term exposure to crystalline silica leads to silicosis, which is characterized by persistent lung inflammation and lung fibrosis. Multiple immune cells have been demonstrated to participate in crystalline silica-induced immune responses. Our previous study indicated that B10 could control lung inflammation through modulating the Th balance in experimental silicosis in mice. However, the regulatory mechanism of B10 on CD4+ T cells is still unclear. MACS-sorted CD19+ B cells from the three different groups were cultured with CD4+ T cells either with or without transwell insert plates to evaluate the effects of B10 on CD4+ T cells, including Teff and Treg. B10 was eliminated by anti-CD22 application in vivo. Flow cytometry was used to test the frequencies of CD4+ T cells, and the expressions of the related cytokines were detected by real-time PCR and CBA. Insufficient B10 elevated the levels of proinflammatory cytokines and promoted Th responses in a way independent upon cell-cell contact in the Teff and B cell coculture system. B10 could both increase Treg activity and enhance conversion of Teff into Treg. Our findings demonstrated that B10 could affect Th responses by the release of IL-10, enhancing Treg functions and converting Teff into Treg.

BACKGROUND: Periodically surveying wait times for specialist health services in Canada captures current data and enables comparisons with previous surveys to identify changes over time.

CD4+ T cells play an important role in regulating silica-induced inflammation and fibrosis. Recent studies showed that Wnt/β-catenin pathway could modulate the function and the differentiation of CD4+ T cells. Therefore, Wnt/β-catenin pathway may participate in the development and progress of silicosis. To investigate the role of Wnt/β-catenin pathway, we used lentivirus expressing β-catenin shRNA to block the Wnt/β-catenin pathway by intratracheal instillation to the mice model of silicosis. Treatment of lentivirus could significantly aggravate the silica-induced lung inflammation and attenuated the fibrosis at the late stage. By analyzing CD4+ T cells, we found that blockade of Wnt/β-catenin pathway suppressed regulatory T cells (Tregs). Reciprocally, enhanced Th17 response was responsible for the further accumulation of neutrophils and production of proinflammatory cytokines. In addition, blockade of Wnt/β-catenin pathway delayed the Th1/Th2 polarization by inhibiting Tregs and Th2 response. These results indicated that Wnt/β-catenin pathway could regulate Tregs to modulate Th immune response, which finally altered the pathological character of silicosis. Our study suggested that Wnt/β-catenin pathway might be a potential target to treat the silica-induced inflammation and fibrosis.

Prognostic of electronic device under vibration condition can help to get information to assist in condition-based maintenance and reduce life-cycle cost. A prognostic and remaining life prediction method for electronic devices under random vibration condition is proposed. Vibration response is measured and monitored with acceleration sensor and OMA parameters, including vibration resonance frequency, especially first-order resonance frequency, and damping ratio is calculated with cross-power spectrum density (CPSD) method and modal parameter identification (MPI) algorithm. Steinberg vibration fatigue model which considers transmissibility factor is used to predict the remaining life of electronic component. Case study with a test board is carried out and remaining life is predicted. Results show that with this method the vibration response characteristic can be monitored and predicted.

Based on monthly streamflow and precipitation data from 1960 to 2010 in the Jinjiang River Basin of China, Standardized Precipitation Index (SPI) and Standardized Streamflow Index (SSI) were used to represent meteorological and hydrological drought, respectively. The response of hydrological drought to meteorological drought under the influence of Shanmei reservoir was investigated. The results indicate that SPI and SSI have a decreasing trend during recent several decades. Monthly scales of SSI series have a significant decreasing trend from November to the following February and a significant increasing trend from May to July at Shilong hydrological station. There are three significant periodic variations with a cycle of 6-7 years, 11-12 years, and 20-21 years for annual scales of SSI series. SPI series have the same periodic variations before the 1980s, but they have not been synchronous with SSI since the 1980s at Shilong due to influences of Shanmei reservoir, especially at the periodic variations of 20-21 years. The variation of the lag time of hydrological drought in response to meteorological drought is significant at the seasonal scale. The lag time of hydrological drought to meteorological drought extends one month on average in spring, summer, and autumn but about three months in winter.

BACKGROUND: Point-of-care practice audits allow documentation of procedural outcomes to support quality improvement in endoscopic practice.

BACKGROUND: Assessment of current wait times for specialist health services in Canada is a key method that can assist government and health care providers to plan wisely for future health needs. These data are not readily available. A method to capture wait time data at the time of consultation or procedure has been developed, which should be applicable to other specialist groups and also allows for assessment of wait time trends over intervals of years.

BACKGROUND: Monitoring wait times and defining targets for care have been advocated to improve health care delivery related to cancer, heart, diagnostic imaging, joint replacements and sight restoration. There are few data on access to care for digestive diseases, although they pose a greater economic burden than cancer or heart disease in Canada. The present study compared wait times for specialist gastroenterology care with recent, evidence-based, consensus-defined benchmark wait times for a range of digestive diseases.

BACKGROUND: Canadian wait time data are available for the treatment of cancer and heart disease, as well as for joint replacement, cataract surgery and diagnostic imaging procedures. Wait times for gastroenterology consultation and procedures have not been studied, although digestive diseases pose a greater economic burden in Canada than cancer or heart disease.

The large scale genome wide association studies (GWAS) have identified approximately 80 single nucleotide polymorphisms (SNPs) conferring susceptibility to type 2 diabetes (T2D). However, most of these loci have not been replicated in diverse populations and much genetic heterogeneity has been observed across ethnic groups. We tested 28 SNPs previously found to be associated with T2D by GWAS in a Mongolian sample of Northern China (497 diagnosed with T2D and 469 controls) for association with T2D and diabetes related quantitative traits. We replicated T2D association of 11 SNPs, namely, rs7578326 (IRS1), rs1531343 (HMGA2), rs8042680 (PRC1), rs7578597 (THADA), rs1333051 (CDKN2), rs6723108 (TMEM163), rs163182 and rs2237897 (KCNQ1), rs1387153 (MTNR1B), rs243021 (BCL11A), and rs10229583 (PAX4) in our sample. Further, we showed that risk allele of the strongest T2D associated SNP in our sample, rs757832 (IRS1), is associated with increased level of TG. We observed substantial difference of T2D risk allele frequency between the Mongolian sample and the 1000G Caucasian sample for a few SNPs, including rs6723108 (TMEM163) whose risk allele reaches near fixation in the Mongolian sample. Further study of genetic architecture of these variants in susceptibility of T2D is needed to understand the role of these variants in heterogeneous populations.

Underwater vehicle speed control methodology method is the focus of research in this study. Driven by a hydraulic flexible traction system, the underwater vehicle advances steadily on underwater guide rails, simulating an underwater environment for the carried device. Considering the influence of steel rope viscoelasticity and the control system traction structure feature, a mathematical model of the underwater vehicle driven by hydraulic flexible traction system is established. A speed control strategy is then proposed based on the sliding mode variable structure of fuzzy reaching law, according to nonlinearity and external variable load of the vehicle speed control system. Sliding mode variable structure control theory for the nonlinear system allows an improved control effect for movements in “sliding mode” when compared with conventional control. The fuzzy control theory is also introduced, weakening output chattering caused by the sliding mode control switchover while producing high output stability. Matlab mathematical simulation and practical test verification indicate the speed control method as effective in obtaining accurate control results, thus inferring strong practical significance for engineering applications.