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Objective: To evaluate the effectiveness and safety of Chinese medicine (CM) in the treatment of coronavirus disease 2019 (COVID-19) in China. Methods: A multi-center retrospective cohort study was carried out, with cumulative CM treatment period of ⩾3 days during hospitalization as exposure. Data came from consecutive inpatients from December 19, 2019 to May 16, 2020 in 4 medical centers in Wuhan, China. After data extraction, verification and cleaning, confounding factors were adjusted by inverse probability of treatment weighting (IPTW), and the Cox proportional hazards regression model was used for statistical analysis. Results: A total of 2,272 COVID-19 patients were included. There were 1,684 patients in the CM group and 588 patients in the control group. Compared with the control group, the hazard ratio (HR) for the deterioration rate in the CM group was 0.52 [95% confidence interval (CI): 0.41 to 0.64, P<0.001]. The results were consistent across patients of varying severity at admission, and the robustness of the results were confirmed by 3 sensitivity analyses. In addition, the HR for all-cause mortality in the CM group was 0.29 (95% CI: 0.19 to 0.44, P<0.001). Regarding of safety, the proportion of patients with abnormal liver function or renal function in the CM group was smaller. Conclusion: This real-world study indicates that the combination of a full-course CM therapy on the basic conventional treatment, may safely reduce the deterioration rate and all-cause mortality of COVID-19 patients. This result can provide the new evidence to support the current treatment of COVID-19. Additional prospective clinical trial is needed to evaluate the efficacy and safety of specific CM interventions. (Registration No. ChiCTR2200062917) [ABSTRACT FROM AUTHOR]

To develop the Chinese version of Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) and examine its psychometric properties, we investigated a sample of 689 non-clinical and 309 clinical participants and found this measurement had good acceptability, internal reliability, test-retest reliability and convergent validity; it had moderate correlations with the Schwartz Outcome Scale and Symptom Check List-90, which showed an acceptable concurrent validity. Specifically, we explored the cut-off line of clinical criterion and found a g factor plus three-factor solution better than original four-domain model in Chinese context. The CORE-OM is a valid tool with referenced cut-offs to measure clinical outcomes, which can bridge the gap in routine clinical evaluation in China.

Objective: Epilepsy patients exhibit considerable differences in their response to sodium valproate (VPA) therapy, a phenomenon that might be attributed to individual genetic variances. The role of genetic variations, specifically in sodium channels encoded by SCN1A and SCN2A genes, in influencing the effectiveness of VPA in treating epilepsy is still debated. This research focuses on examining the impact of these genetic polymorphisms on the efficacy of VPA therapy among pediatric epilepsy patients in China. Methods: Five single nucleotide polymorphisms (SNPs), including SCN1A (rs10188577, rs2298771, rs3812718) and SCN2A (rs2304016, rs17183814), were genotyped in 233 epilepsy patients undergoing VPA therapy. The associations between genotypes and the antiepileptic effects of VPA were assessed, with 128 patients categorized as VPA responders and 105 as VPA non-responders. Results: In the context of VPA monotherapy, SCN1A rs2298771 and SCN2A rs17183814 were found to be significantly associated with VPA response (P< 0.05). Conclusion: Our study suggests the findings of this investigation indicate that the polymorphisms SCN1A rs2298771 and SCN2A rs17183814 could potentially act as predictive biomarkers for the responsiveness to VPA among Chinese epilepsy patients. [ABSTRACT FROM AUTHOR]

With shared routes of transmission, HBV and HCV co-infection are estimated to occur more in subjects with HIV. This study aimed to characterize and describe the prevalence of HBV and HCV co-infections in a cohort of newly diagnosed HIV+ subjects living in China. We conducted a cross-sectional study among newly diagnosed HIV+ subjects aged 18–100 who participated in surveys on the national HIV molecular epidemiology in 2015 and 2023. (The epidemiological table survey is located in the national database alongside serologic testing). The chi-square test was used to identify changes in infections between the studying populations in 2015 and 2023, and conditional logistic regression models were fit to identify risk factors for each co-infection. Among the 11,024 newly diagnosed HIV+ subjects who were surveyed (n = 4501 in 2015; n = 6523 in 2023), the prevalence of HBV, HCV, and HBV/HCV in 2023 was lower than that in 2015, respectively. No decrease was observed in HCV co-infection in men who had sex with men (MSM) in North China, Northeast China, and East China. Increasing recognition among those at high risk of heterosexual transmission and those with low educational backgrounds is paramount to the prevention and control of HIV/HBV/HCV infections. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Resources & Ecology is the property of Journal of Resources & Ecology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

With large-scale grid-connected renewable energy, new power systems require more flexible and reliable energy storage power sources. Pumped storage stations play an important role in peak shaving, valley filling, and promoting renewable energy consumption. This paper presents the reasonable energy-abandonment operation of a combined power generation system (CPGS), in which a pumped storage station is the core control power, with an ultra-high proportion of renewable energy. Firstly, based on the seasonal characteristics of wind, solar, and load demand, typical days are selected through improved clustering analysis algorithms. Then, a daily optimal scheduling model for combined power generation systems (CPGS) is developed with the goals of economy, low-carbon, and stable operation. Finally, the correlation between the energy-abandonment rate and pumped storage station peak shaving and system optimization operation indicators is obtained by a reasonable energy-abandonment calculation method considering source-grid-load coordination. Taking the operation data of an energy base in the western region of China as an example, when the penetration rate of renewable energy is 60–70% in the future, the operating cost on the power side is greatly affected by the construction of the source side. When the system operates at a planned reasonable energy-abandonment rate of 2%, electricity regulation, load tracking, and daily operating costs all show better performance. [ABSTRACT FROM AUTHOR]

Copyright of Service Industries Journal is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

To analyze the relevant research publications on infectious disease nursing in China to understand the current research status of infectious disease in nursing. Methods: Retrieve relevant literature on infectious disease in nursing from the establishment of the Chinese Biomedical Literature Database, China National Knowledge Infrastructure (CNKI), VIP Database, and Wanfang Database until May 10, 2021. Conduct bibliometric analysis using CiteSpace software. Key words were analyzed using cluster analysis. Results: A total of 4693 relevant literature on infectious disease research in nursing care were included in this study. The overall number of publications on infectious disease research in nursing showed an increasing trend, with a peak in 2010. There were 324 papers funded by scientific research funds, mainly from provincial-level fund projects. The core journal with the most published articles was Nursing Research. The research on infectious disease in nursing mainly focused on various aspects of infectious disease in nursing and infection control. CiteSpace cluster analysis of keywords showed that a total of six clusters were formed: infectious diseases, infectious disease care, health education, mental health, infectious disease nurses, and etiology. After 2015, high-mutation keywords included "quality nursing" and "infection control". Conclusion: Chinese research on infectious disease research in nursing closely follows clinical reality and has developed rapidly. Currently, research focuses on infectious disease research in nursing and infection control. Future research trends will further broaden the depth and breadth of the research, enhance research on infection control and quality nursing, and improve the breadth and depth of the research. [ABSTRACT FROM AUTHOR]

Background: Membranous lupus nephritis (MLN) is a subepithelial immune deposition or its morphological sequelae with or without mesangial changes. Previous studies on the prognosis of MLN have shown relatively small sample sizes and short follow-up periods. Methods: Our study was a retrospective analysis of biopsy-proven MLN patients from January 2010 to January 2020 at Jinling Hospital in China. The clinical manifestations, pathological features, and renal outcomes of MLN patients were collected. The endpoint was defined as end-stage kidney disease (eGFR≤15 mL/min·1.73 m2 or need for renal replacement therapy) or a doubling of serum creatinine or an eGFR decline of more than 40%. We used Cox regression to analyze the risk factors for renal outcome and Kaplan–Meier curves were used to analyze renal survival rate. Results: In the total of 2884 lupus patients, we screened 535 MLN patients. 456 MLN patients were recruited with an average age of 34 ± 12 years, 87.8% for female patients and 62.1% patients of nephrotic syndrome with proteinuria of 2.67 g/24h. After follow-up of 78 (IQR, 47.3–113.0) months, 37 (8.1%) patients reached the renal endpoint. The 5-year and 10-year renal survival rates were 95.8% and 89.4%, respectively. 370 patients (81.1%) achieved complete remission, 43 patients (9.4%) had partial remission, and only 43 had no response. 34.4% MLN experienced a relapse. The Cox regression showed the risk factors that affect the renal prognosis include male, hypertension history, anemia, high uric acid, acute kidney injury, and interstitial fibrosis in the renal pathology. Conclusions: MLN mostly manifested as nephrotic syndrome, with few renal dysfunctions. Although MLN had a high relapse rate, most patients had a response to immunosuppressants and had a good renal outcome. [ABSTRACT FROM AUTHOR]

Objectives To assess the impact of pretreatment low-abundance HIV drug-resistant variants (LA-DRVs) on virological outcomes among ART-naive HIV-1-infected Chinese people who initiated ART. Methods A nested case–control study was conducted among HIV-1-infected individuals who had pretreatment drug resistance (PDR) genotypic results. Cases were defined as individuals with virological failure (HIV-1 RNA viral load ≥1000 copies/mL) after 1 year of ART, and controls were individuals from the same cohort whose viral load was less than 1000 copies/mL. Next-generation sequencing was used to identify low-abundance PDR mutations at detection thresholds of 10%, 2% and 1%. The mutant load was calculated by multiplying the abundance of HIV-1 drug-resistant variants by the pretreatment viral load. The impact of pretreatment low-abundance mutations on virological failure was estimated in logistic regression models. Results Participants (43 cases and 100 controls) were included in this study for the analysis. The proportion of participants with PDR was higher in cases than in controls at different detection thresholds (44.2% versus 22.0%, P  = 0.007 at 10% threshold; 58.1% versus 31.0%, P  = 0.002 at 2% threshold; 90.7% versus 69.0%, P  = 0.006 at 1% threshold). Compared with participants without PDR, participants with ≥10% detectable PDR mutations were associated with an increased risk of virological failure (adjusted OR 8.0, 95% CI 2.4–26.3, P  = 0.001). Besides this, individuals with pretreatment LA-DRVs (2%–9% abundance range) had 5-fold higher odds of virological failure (adjusted OR 5.0, 95% CI 1.3–19.6, P  = 0.021). Furthermore, LA-DRVs at 2%–9% abundance resistant to NRTIs and mutants with abundance of ≥10% resistant to NNRTIs had a 4-fold and 8-fold risk of experiencing virological failure, respectively. It was also found that a mutant load of more than 1000 copies/mL was predictive of virological failure (adjusted OR 7.2, 95% CI 2.5–21.1, P  = 0.0003). Conclusions Low-abundance PDR mutations ranging from 2% to 9% of abundance can increase the risk of virological failure. Further studies are warranted to define a clinically relevant threshold of LA-DRVs and the role of NRTI LA-DRVs. [ABSTRACT FROM AUTHOR]

Despite the increase in proximity to one's family amid university closures during the COVID-19 pandemic, the mechanisms underlying how family cohesion influenced students' sleep remain understudied. Using a large sample of college students in China (N = 1,178) during the COVID-19 pandemic, the current study examined the serial mediating roles of sense of security and perceived stress on the effect of family cohesion on sleep disturbance. Generalized linear modeling serial mediation analysis with 1,000 resampled bootstrapping methods showed that sense of security and perceived stress were negatively and positively associated with sleep disturbance, respectively. Furthermore, sense of security and perceived stress fully mediated the indirect effect of family cohesion on sleep disturbances. Implications and conclusions are discussed. [ABSTRACT FROM AUTHOR]

Background: Orofacial pain (OFP) is a highly prevalent disorder in mainland China that predisposes to an associated physical and psychological disability. There is lack of a good properties mainland Chinese version of instrument to examine OFP. This study aims to cross-cultural adaptation and evaluate psychometrics properties of the Manchester Orofacial Pain Disability Scale (MOPDS) in mainland Chinese Mandarin context. Methods: Translation and cross-cultural adaption of the mainland Chinese version MOPDS were conducted following accepted guidelines of self-report measures. Chinese college students (N = 1039) completed the mainland Chinese version of the MOPDS for item analysis, reliability and validity tests, and measurement invariance analysis, and after a one-month interval, around 10% of the sample (n = 110) were invited to retest. To conduct the CFA and measurement invariance analysis, Mplus 8.4 was used. IBM SPSS Statistics 26 software were used for all additional studies. Results: We found that the mainland Chinese version of MOPDS contains 25 items, divided into two categories: physical disability and psychological disability. The scale demonstrated excellent internal reliability, test-retest reliability, and validity. The measurement invariance results proved that the scale could be applied to people of different gender, age, and health consultation status. Conclusions: The results demonstrated the mainland Chinese version of MOPDS has good psychometric properties and can be used to measure the level of physical and psychological disability of Chinese OFP peoples. [ABSTRACT FROM AUTHOR]

Objective: To develop a new, alternative sarcopenia risk score to screen for sarcopenia in type 2 diabetes patients in China and to demonstrate its validity. Research design and methods: The data for this study came from a multicenter, cross-sectional study that had been designed to estimate the prevalence of sarcopenia among adults with type 2 diabetes and had been conducted in several hospitals in Beijing, China. A total of 1125 participants were randomly divided into two groups: an exploratory population and a validation population. A multivariable logistic regression model using the backward stepwise likelihood ratio method to estimate the probability of sarcopenia was fitted with candidate variables in the exploratory population. A new, alternative sarcopenia risk score was developed based on the multivariable model. The internal and external validations were performed in the exploratory and validation populations. The study was registered at Chinese Clinical Trial Registry (ChiCTR-EOC-15006901). Results: The new, alternative sarcopenia risk score included five variables: age, gender, BMI, total energy intake per day, and the proportion of calories supplied by protein. The score ranged from − 2 to 19. The area under the receiver operating characteristic (ROC) curve of the risk score for the prediction of sarcopenia in type 2 diabetes patients was 0.806 (95% CI 0.741–0.872) and 0.836 (95% CI 0.781–0.892) in the exploratory and validation populations, respectively. At the optimal cutoff value of 12, the sensitivity and specificity of the score for the prediction of sarcopenia were 70.9% and 81.0% in the exploratory population and 53.7% and 88.8% in the validation population, respectively. The Hosmer–Lemeshow goodness-of-fit test showed a good calibration with the risk score in external validation (χ2 = 4.459, P = 0.813). Conclusions: The new, alternative sarcopenia risk score appears to be an effective screening tool for identification of sarcopenia in Chinese patients with type 2 diabetes in clinical practice. Clinical trial registration Chinese Clinical Trial Registry, ChiCTR-EOC-15006901. [ABSTRACT FROM AUTHOR]

Unraveling the complex relationship between orogenesis and hydrocarbon formation and accumulation is challenging and is often hampered by physical and chemical overprints of younger events. The Permian reservoir in the Longmen Shan orogen, South China, is such an example, and its evolution has been hotly debated. In this study, we use a new combination of paleomagnetic dating analysis and Re–Os isotope dating to try to resolve this. Paleomagnetic dating of the hydrocarbon‐host carbonate indicates two remagnetization events during: (a) the Late Triassic, and (b) the Middle Jurassic–Cretaceous. These two remagnetization events are shown to represent two distinct stages of hydrocarbon accumulation. The paleomagnetic estimates are supported by Re–Os dating of bitumen (∼264 Ma) and oil (∼94 Ma). The two different Re–Os ages are associated with two periods of oil generation. We interpret these data in terms of known geological processes: (a) the ∼260 Ma Dongwu large igneous province caused oil generation, and the Indosinian tectonic event caused the migration and accumulation; and (b) the Late Cretaceous Yanshan orogenic events promoted another generation and entrapment of oil in the same reservoir. This combined approach reliably tracks the sequence of oil generation and accumulation, even when the source rock is uncertain, and multi‐phase accumulation and complex tectonism has occurred. Given that paleomagnetic and Re–Os dating are independent methods which can constrain multiple geological processes, when used together they have the potential to be universally applied. Plain Language Summary: Key to understanding complex geological processes is the dates and sequence of each event. The timing of hydrocarbon formation and accumulation is one such complex geological process that can be difficult to unravel, but critical to evaluate the complex orogenesis and hydrocarbon explorations. In this paper, we combine for the first time two independent dating methods to study hydrocarbon reservoirs of Longmen Shan orogen: (a) paleomagnetic and (b) rhenium‐osmium isotope dating. The two methods identified two periods of hydrocarbon formation, followed by two extended periods of hydrocarbon migration. This combined method is particularly powerful as it is independent of the hydrocarbon source rock and complex geological settings. Moreover, the two methods can provide additional tests for each dating technique. The new combined methods can, therefore, be applied in complex hydrocarbon‐bearing regions worldwide. Key Points: Paleomagnetic and Re–Os isotope data were collected for a hydrocarbon carbonate reservoir to determine the hydrocarbon evolution processesOil accumulations are found to have remagnetized the reservoir carbonates during the Late Triassic and CretaceousTiming of oil generation is constrained by Re‐Os dates of bitumen and oil hosted in carbonates at ∼264 and ∼94 Ma, respectively [ABSTRACT FROM AUTHOR]

Plant materials used in the construction of segments and beacon towers of the ancient Great Wall in northwestern China contain untapped potential for revealing local paleoclimatic and environmental conditions. For the first time, we characterize the molecular preservation and stable carbon and nitrogen isotope compositions of AMS-dated common reeds (Phragmites) collected from ancient Great Wall fascines in today's Gansu and Xinjiang using a combination of chromatographic techniques and isotope analyses. Our molecular data, along with Scanning Electron Microscopy, demonstrate excellent preservation of these ancient reeds, which were harvested from nearby habitats during periods of significant expansion of Imperial China when climate conditions sustained sizeable oases in the region. Stable isotope data capture differential rates of environmental change along the eastern margin of the Tarim Basin since the Han Dynasty (170 BC), implying that significant surface-water hydrological changes occurred only after the Song Dynasty (1160 AD) due to regional climate change. This study reveals the wealth of environmental and climate information obtainable from these site-specific organic building materials and establishes the foundation for further applications of advanced molecular, biochemical, and isotopic technologies to study these common and widely-distributed organic archaeological materials. [ABSTRACT FROM AUTHOR]

Rabbit antithymocyte globulin (rATG) instead of horse ATG has been used for severe aplastic anemia (SAA) patients in China. This study aimed to investigate the hematologic responses and long-term overall survival (OS) outcomes in SAA patients who received rATG and cyclosporine as first-line immunosuppressive therapy. We analyzed data of 542 SAA patients treated with this therapy between 2005 and 2019. The median age was 20 (range, 2-80) years, and the median follow-up time was 45.5 (range, 0.1-191.4) months. The early mortality rate was 3.9%. The overall response rates (ORRs) were 40.2%, 56.1%, and 62.4% at 3, 6, and 12 months, respectively. The 6- and 12-month ORR of patients treated with 3 mg/kg/d of rATG in 2015-2019 seemed higher than that of patients treated with 3.5-3.75 mg/kg/day in 2005-2014 (60.2% vs. 54.9%, P = 0.30 and 69.9% vs. 60.1%, P = 0.049, respectively). The 10-year cumulative incidences of relapse and clonal evolution were 10.6 ± 2.9% and 7.5 ± 1.5%, respectively. The 10-year OS rate and event-free survival rate were 80.1 ± 2.1% and 75.6 ± 3.7%, respectively. Age, disease severity, treatment periods, and the interval from diagnosis to IST were independent predictors of OS. In conclusion, 3 mg/kg/day rATG is effective as first-line treatment for SAA. [ABSTRACT FROM AUTHOR]

The precise exploration of the characteristics of geothermal fields in sedimentary basins, such as the temperature and burial depth of their deep geothermal reservoirs, is of great significance for improving the probability of penetration and reducing exploration risks and development costs. This study proposed a joint exploration method combining magnetotelluric (MT) sounding and geothermometers. Using this method, this study estimated the geothermal reservoirs' temperature and the circulation depth of geothermal water in the Xianxian geothermal field, a typical geothermal field in a large sedimentary basin in northern China, and prepared the temperature and depth maps of the geothermal reservoirs. The main results are as follows. First, the bedrock's geothermal reservoirs with karst fissures in the Xianxian geothermal field have great potential for development. Among them, geothermal reservoirs in the Jixianian Wumishan formation have a top depth of 1100–1500 m and a thickness of 700–1700 m, and the geothermal reservoirs in the Jixianian Gaoyuzhuang formation have a top depth of 3700–4000 m and a maximum drilled thickness of 400 m. The geothermal reservoirs of the Xianxian geothermal field mainly have medium and low temperatures of 138–160 °C and the circulation depth of the geothermal water is 5873 m. [ABSTRACT FROM AUTHOR]

Background: The Oral Health-related Quality of Life (OHRQoL) is a multi-dimensional concept commonly used to examine the impact of health status on quality of life, and the Oral Health Impact Profile-14 (OHIP-14) questionnaire is a good self-assessment tool. This study was designed to investigate the factor structure of the OHIP-14 scale Chinese version, measurement invariance and latent mean differences across genders among college students. Methods: The online survey was completed by 919 college students. This study used confirmatory factor analysis (CFA) to check the structural models of the OHIP-14 scale, The correlation of each item with the scale total score could test homogeneity, and Cronbach's alpha (Cronbach's α) could evaluate internal consistency. Multi-group CFA was used to explore whether the Chinese version of the OHIP-14 scale was used in male and female populations for measurement consistency. T-test compared scores between men and women. Regression analyses were used to evaluate the relationship between age, gender, education, subject, and the score on the OHIP-14 scale. Results: We found that the 7-factor structure had the best fit index in the sample. According to Cronbach's α, the overall score of OHIP was 0.958, and Cronbach's α for 7 factors was: functional limitation was 0.800, physical pain was 0.854, psychological discomfort was 0.902, physical disability was 0.850, psychological disability was 0.768, social disability was 0.862, social handicap was 0.819 and the test–retest reliability interval was 0.723. Multi-group confirmatory factor analysis supported residual measurement invariance across gender. T-test for scores showed that females scored higher significantly than men as did the overall score, in terms of physical pain (p<0.001), physical disability (p<0.001), and psychological disability (p<0.001). Conclusions: This study found the OHIP-14 Chinese version to be a good tool for assessing the college students' OHRQoL in China, allowing people to conduct self-assessments. [ABSTRACT FROM AUTHOR]

There are many promising renewable energy (RE) technologies that could help increase the contribution of RE in energy supply but which are not yet commercially available. The development rate of new RE technologies depends on many factors, such as Research and Development (R&D) efforts and policies. This study focuses on comparing China's efforts regarding the development of new RE technologies (e.g., wave and tidal, binary geothermal power, floating solar, micro hydro, osmotic energy, floating offshore wind and vertical axis wind turbines) with those of the European Union (EU). For this purpose, we collected data from publications and databases and analysed several indicators: e.g., the development of renewable electricity generation and capacity, demonstration projects, investments in R&D and patent applications. The results show that China has become a big player globally for mainstream renewable electricity (hydropower, wind and solar PV). This development is due to China's industrial policy and prioritization of effectiveness over cost efficiency. The main developments in China occurred in the 2010s, while the EU was a frontrunner in the 2000s. For the newer or less mainstream technologies, the application in China is still low, compared to the EU, except for floating solar, where China is a lead player. Regarding patent applications, China has shown a higher application amount compared to the EU since 2006. However, only a small share of China's patents are valid internationally. We conclude that China has emerged as a big player in mainstream renewable energy technologies over the last decade. In regard to new renewable energy technologies, China is predominantly involved in solar energy and, in comparison to the EU, less in other new technologies (e.g., binary geothermal systems and ocean energy). [ABSTRACT FROM AUTHOR]

As a 3D real-time monitoring method, microseismic (MS) monitoring technique has been widely used in various underground engineering applications. However, in such applications, it is still challenging to acquire precise and efficient MS locations. Here, we examined the applicability and accuracy of a fully convolutional neural network for source localization, where the modified loss function was utilized. The Shuangjiangkou underground powerhouse in southwestern China served as the engineering background. The dataset was made of the MS events that occurred near the main powerhouse from September 2018 to December 2019. A fully convolutional neural network, named MS-location Net, was then built. The original waveform data were directly used as the input of the neural network, while 3D Gaussian distribution functions of the monitoring area were used as the output of the neural network. The epicenter error, focal depth error and absolute error were applied as indicators to evaluate the model. The results show that all the three indicators, namely the epicenter error, focal depth error and absolute error, were less than 5 m for all the MS events in the test set. The average time for locating an MS event was 0.01435 s using a usual computer configuration, which greatly improves the positioning efficiency. The proposed location method in this paper overcomes the shortcomings of the traditional localization methods, e.g., the inaccuracy of velocity model and arrival picking. Highlights: A fully convolutional neural network, named MS-location Net, was built for microseismic source localization. The applicability and efficiency of the proposed location method were validated via a case study. The proposed location method overcomes the shortcomings of the traditional localization methods, e.g., the inaccuracy of velocity model and arrival picking. [ABSTRACT FROM AUTHOR]

Extending the benefits of tumor molecular profiling for all cancer patients requires a comprehensive analysis of tumor genomes across distinct patient populations worldwide. In this study, we perform deep next-generation DNA sequencing (NGS) from tumor tissues and matched blood specimens from over 10,000 patients in China by using a 450-gene comprehensive assay, developed and implemented under international clinical regulations. We perform a comprehensive comparison of somatically altered genes, the distribution of tumor mutational burden (TMB), gene fusion patterns, and the spectrum of various somatic alterations between Chinese and American patient populations. Here, we show 64% of cancers from Chinese patients in this study have clinically actionable genomic alterations, which may affect clinical decisions related to targeted therapy or immunotherapy. These findings describe the similarities and differences between tumors from Chinese and American patients, providing valuable information for personalized medicine. Understanding the mutation landscape of cancer may enable the development of more targeted therapies. Here, the authors sequence a panel of genes in a large Asian cohort and compare to American cohorts and find 64% of the Asian patients have actionable mutations. [ABSTRACT FROM AUTHOR]

Taking the technical standards alliance (TSA) of strategic emerging industries as the sample, including China's new energy vehicles, new-generation information technology, new materials, and high-end equipment manufacturing, the article empirically verified the impact of the external cooperation network and internal knowledge network of late-developing enterprises on their dual catch-up. The results showed that the appropriate centrality of the cooperative network promotes the exploitative catch-up and exploratory catch-up of late-developing enterprises. However, the excessive centrality blocked its exploratory catch-up. The structural hole of the cooperation network was conducive to the exploratory catch-up of late-developing enterprises, but not to their exploitative catch-up. The comprehensive cohesiveness of the knowledge network strengthened the positive impact of the centrality of the cooperation network on exploitative catch-up of late-developing enterprises, damaging the negative impact of the structural hole of the cooperation network on exploitative catch-up. The partial cohesiveness of the knowledge network positively adjusted the centrality of the cooperative network, the relationship between the structural hole and exploratory catch-up, and negatively adjusted the relationship between the centrality of the network and exploitative catch-up. By analyzing the differential impact of the dual network on two types of technology catch-up strategies of late-developing enterprises, the article deepened the theory of organizational duality. Meanwhile, the article contained innovation activities of late-developing enterprises in the TSA, which provided a new theoretical perspective and empirical basis for the combination of standardization of cooperation and innovation management theory. [ABSTRACT FROM AUTHOR]

Drip fertigation with reduced fertilizer and water inputs has been widely used in greenhouse vegetable production in China. However, farmers usually do not apply additional organic material with a high carbon content, although soil organic carbon (SOC) concentrations are mostly below the optimum level for vegetable production. Returning straw or biochar to fields is an effective strategy for sustainability and environmental friendliness. We tested whether drip fertigation, (DIF) combined with maize straw (DIF+S) or biochar (DIF+BC), is a suitable option to improve SOC sequestration over eight growing seasons, and how these options affect soil N2O emissions and yields or partial factor productivity of applied N (PFPN) of crops over three growing seasons. During the winter–spring growing season, DIF+BC significantly reduced soil N2O emission by 61.2% and yield-scaled N2O emission by 62.4%, while increasing the tomato yield and PFPN compared with DIF. Straw incorporation had similar trends but without significant effects. Conversely, straw and biochar incorporation increased N2O emission during the autumn–winter season. The structural equation model indicated N2O emission was dominantly driven by soil NH4+-N concentration, temperature and moisture. The N2O emission factor decreased significantly with increased PFPN. Moreover, the contribution of biochar to the increased SOC was approximately 78%, which was four times higher than that of straw incorporation. Overall, the results highlighted the potential of drip fertigation with biochar incorporation to mitigate N2O emissions, improve PFPN and significantly increase SOC storage, which could all contribute to maintaining environmental sustainability and soil quality of greenhouse vegetable production. [ABSTRACT FROM AUTHOR]

Resource-based cities are an important concern for the construction of ecological civilization in China, and developing tourism is an important direction for the transformation of resource-based cities. Based on the mechanism of the coupling and coordination effect of ecological civilization construction and tourism development, four different types of resource-based cities in China, Wuwei City (growing type), Pingliang City (mature type), Baiyin City (declining type) and Zhangye City (regenerative type), were selected as the research area. Based on the improved entropy weight method, coupling coordination model and obstacle model, the evaluation index system of ecological civilization construction and tourism development in resource-based cities was constructed, and its coupling development status and obstacle factors were analyzed. According to the results: (1) From 2013 to 2020, the comprehensive scores of ecological civilization construction of four different types of resource-based cities were higher than that of tourism development. They were divided into two gradients according to the comprehensive score of ecological civilization construction. The first gradient was the regeneration and maturity of resource-based cities, while the other gradient was growth and decline of resource-based cities. The comprehensive score of tourism development of four resource-based cities were regeneration, maturity, growth and decline in turn. (2) The coupling degree between regenerative and mature resource-based cities was the best. All of them were in the period of coordinated coupling during the study period, and the coupling degree tended to 1. (3) The regenerative resource city had the highest degree of coupling and coordination between the two systems, followed by mature, growing and finally declining type. (4) Among growing, mature, and declining resource-based cities, the obstacle degree of the tourism development system layer was always higher than that of the ecological civilization construction system layer, while the result was the opposite for regenerative resource-based cities. [ABSTRACT FROM AUTHOR]

Evidence of a connection between living near major roadway and adverse health outcome has come to light. However, little is known about the effect of residential traffic exposure on aging-related physical disability and whether this effect can be modified. We used data derived from Chinese Longitudinal Healthy Longevity Surveys in 2018, with a total of 15,771 participants aged ≥ 65. Residential proximity to major roadway was used as a surrogate for traffic-related air pollution and physical function was measured using basic and instrumental activities of daily living. Logistic regression models were adopted for the analyses. Compared with those living > 300 m from major road, participants living within 200 m had higher risk of poorer physical functioning. The peak odds ratio was observed in severe disability caused by 101–200 m distance (OR = 1.34, 95% CI: 1.08, 1.66). And this association got stronger with longer duration of living close to major road. In dichotomized analyses using 200 m as a cutoff point, the effect associated with living close to major road was greater in male and current smoker. Specially, poor physical function appears earlier in female, but less severe than that in male. The result emphasizes the adverse effect of residential proximity to major roadways to aging-related declines in health—especially for basic living ability. This association was more pronounced in male and current smokers, which cannot be reversed by lowering the indoor air pollution. [ABSTRACT FROM AUTHOR]

Observed damages of bridge bearings in some engineering projects during high-temperature asphalt pavement paving has attracted more attention to the dramatic temperature effect during the paving process. In this research, field monitoring was conducted for measuring the temperature variations and temperature-induced responses of bridge components during the asphalt mixture paving, and the Jiujiang Yangtze River Bridge in China was used for illustration. Based on the transient temperature field theory, a temperature field model of steel beam picked out from Jiujiang Bridge was established using the commercial finite-element (FE) package Abaqus, and the element-deletion method was used to simulate the dynamic paving process of asphalt pavement. The temperature responses of steel beam were calculated by applying the temperature load during the pavement paving to the steel beam model, and the field monitoring data validated the numerical simulation method. Finally, the validated simulation method was used for safety analysis of a bridge bearing system during pavement paving. The results show that the temperature field and temperature responses of a steel bridge during the pavement paving present spatiotemporal variation characteristic, and these temperature effects are likely to cause damage in the bridge bearings. To ensure the structural safety of the bridge bearing system in Jiujiang Bridge, the width of each paving area should be no larger than 5.5 m. [ABSTRACT FROM AUTHOR]

To fulfill sustainability principles, a three-site field experiment was conducted to screen suitably mixed passivators from lime + biochar (L + C, 9000 kgha−1 with a rate of 1:1) and lime + biochar + sepiolite (L + C + S, 9000 kg ha−1 with a rate of 1:1:1), in Yuecheng (YC), Zhuji (ZJ), and Fuyang (FY), where there are typical contaminated soils, in South China. Treated with passivators in soil, DTPA-extractable Cd, Cr and Pb in soil were decreased by 9.87–26.3%, 37.2–67.5%, and 19.0–54.2%, respectively; Cd, Cr, and Pb in rice were decreased by 85.9–91.5%, 40.0–76.5%, and 16.4–45.4%, respectively; and these were followed by slightly higher efficacy of L + C + S than L + C. The differences between L + C and L + C + S mainly lie in soil microbial communities, enzymes, and fertility. In YC, treatment with L + C + S increased microbial carbon and activities of urease (EC3.5.1.5) and phosphatase (EC3.1.3.1) by 21.0%, 85.5%, and 22.3%; while treatment with L + C decreased microbial carbon and activities of phosphatase and sucrose (EC3.2.1.26) by 1.31%, 34.9%, and 43.4%, respectively. Moreover, the treatment of FY soils with L + C + S increased microbial carbon and activities of urease, phosphatase, and sucrase by 35.4%, 41.6%, 27.9%, and 7.37%; and L + C treatment only increased the microbial carbon and the activity of phosphatase by 3.14% and 30.3%, respectively. Furthermore, the organic matter and available nitrogen were also increased by 8.8–19.0% and 7.4–14.6% with L + C + S treatments, respectively. These suggested that the combination of L + C + S stimulated the growth of soil microbial communities and increased the activity of soil enzymes. Therefore, the L + C + S strategy can be a practical and effective measure for safe rice production as it was more suitable for the remediation of heavy metals in our experimental sites. [ABSTRACT FROM AUTHOR]

Background: The appropriateness of antibiotic prescriptions in primary care has not been well evaluated in China in recent years. Furthermore, the impact of coronavirus disease 2019 (COVID-19) on antibiotic prescriptions has not yet been investigated in China. We aimed to assess the appropriateness of antibiotic prescriptions and to evaluate the potential association between the COVID-19 pandemic and antibiotic prescriptions in primary care settings of Yinchuan, a city in China. Methods: This study included 155 primary care institutions and 10,192,713 outpatient visits. Outpatient prescriptions were classified as appropriate, potentially appropriate, inappropriate, or not linked to any diagnosis for antibiotic use following a validated evaluation scheme. Interrupted time-series analyses were performed to assess the effects of the COVID-19 pandemic on antibiotic prescriptions in Chinese primary care facilities. Results: During the study period, 1,287,678 (12.6%, 95% confidence interval [12.6–12.7]) of 10,192,713 outpatient visits in primary care resulted in antibiotic prescriptions. Among 1,287,678 antibiotic prescriptions, 653,335 (50.7% [50.6–50.9]) were inappropriate, 463,081 (36.0% [35.8–36.1]) were potentially appropriate, 171,056 (13.3% [13.1–13.5]) were appropriate, and 206 could not be linked to any diagnosis. Furthermore, patient, physician, and institutional factors were associated with inappropriate antibiotic prescriptions; there was an overall decreasing trend in the proportions of inappropriate antibiotic prescriptions, with the highest level in 2017 (67.1% [66.8–67.5]) and the lowest in 2021 (40.8% [40.3–41.3]). A total of 1,416,120 individual antibiotics were prescribed, of which 1,087,630 (76.8%) were broad-spectrum and 777,672 (54.9%) were classified in the World Health Organization's "Watch" category. In addition, the COVID-19 pandemic was associated with changes of −2.8% (−4.4 to −1.3) in the level and 0.3% (0.2–0.3) in the monthly trend of antibiotic prescription rates, as well as changes of −5.9% (−10.2 to −1.5) in the level and 1.3% (1.0–1.6) in the monthly trend of the proportions of inappropriate antibiotic prescriptions. Conclusion: More than half of the antibiotic prescriptions were inappropriate during the study period in primary care in Yinchuan. The COVID-19 pandemic may be associated with a decrease in the overall and inappropriate use of antibiotics in primary care settings in China. [ABSTRACT FROM AUTHOR]

The Key Cultural Relics Protection Sites in China (CKCRPS) are part of China's tangible cultural heritage with the highest level of protection. These sites constitute an important witness and remnant of Chinese civilization. Little research attention has been devoted to heritage conservation and tourism use of CKCRPS, however. Therefore, this article aims to promote the conservation planning and tourism revitalization utilization of CKCRPS by studying its spatial and temporal differentiation characteristics. This article uses geospatial analysis to explore the spatial distribution and temporal evolution of the 5,053 CKCRPS and their impact on tourism development in various provinces of mainland China. The results show that CKCRPS is mainly concentrated in the middle and lower reaches of the Yangtze and Yellow Rivers, the sites have experienced the evolution process of concentration–dispersion–reconcentration–redispersion, and the program has a significant positive impact on tourism development, but the influence is smaller in central provinces and greater in peripheral provinces. [ABSTRACT FROM AUTHOR]

Conservative survival strategy of plants growing in harsh karst habitats is observed from the view of plant functional traits, such as morphological traits and ecological stoichiometry. However, whether the plant communities in karst forests with high species turnover adopt a conservative strategy remains undetermined. This study comprehensively investigated the characteristics of functional traits of dominant plant species in four forests (i.e. Platycarya strobilacea, Quercus fabri, Quercus variabilis, and Pinus massoniana forests) in a trough‐valley karst watershed in Northern Guizhou Province, Southwestern China to explore the adaptation strategy of karst forests at the community level. At the organ and the species levels, traits differed among species, and the leaf and the bark morphological traits and root C:N:P ecological stoichiometry presented large interspecific variations. At the community level, the P. massoniana forest presented the lowest specific root length and dry matter content and tissue density of roots, branch, twig, and bark; the Q. fabri and the Q. variabilis forests displayed low specific leaf area and high dry matter content and tissue density of roots, branch, and twig; and the Platycarya strobilacea forest exhibited high specific leaf area. The P. massoniana forest was subjected to N and P colimitation, and the three other broad‐leaved forests were limited by P supply. The community‐weighted means rather than the arithmetic means of traits were preferential to represent the trait characteristics at the community level. From the view of plant functional traits at the community level, karst forests develop multiple functional traits like low specific leaf area, high dry matter content and tissue density of leaf, roots, branch, and twig, and decrease N and P investments in leaf for a conservative survival strategy to adapt to harsh habitats. [ABSTRACT FROM AUTHOR]

Dietary capsaicin (CAP), the main irritant component in pepper, can reduce the incidence of diabetes, while metformin (MET) is a first-line oral hypoglycemic drug. The purpose of this study was to investigate whether CAP on the hypoglycemic effect of MET is pertinent to gut microbiota. The glucose and insulin tolerance of diabetic rats were monitored. The glycolipid metabolism was analyzed by detecting blood biochemical parameters. Liver pathological changes were observed by Hematoxylin eosin (HE) staining. The inflammatory cytokines and intestinal tight junction proteins were detected by RT-qPCR and Western blot. 16S rRNA sequencing was employed to analyze gut microbiota profiles. The results showed that CAP and MET co-treatment could significantly reduce fasting blood glucose, improve glucose tolerance, lessen liver injury and inflammatory infiltration, down-regulate inflammatory cytokines and up-regulate intestinal tight junction proteins in diabetic rats by comparing it with MET monotherapy. Moreover, CAP and MET co-treatment altered gut microbiota profiles by regulating microbials' abundances such as Akkermansia. In conclusion, CAP showed the significant hypoglycemic effect of MET and remodulated gut microbiota profiles in diabetic rats. [ABSTRACT FROM AUTHOR]

The construction industry is the backbone of most countries, but its carbon emissions are huge and growing rapidly, constraining the achievement of global carbon-peaking and carbon-neutrality goals. China's carbon emissions are the highest in the world, and the construction industry is the largest contributor. Due to significant differences between provinces in pressure, potential, and motivation to reduce emissions, the "one-size-fits-all" emission reduction policy has failed to achieve the desired results. This paper empirically investigates the spatial and temporal evolution of carbon emissions in China's construction industry and their decoupling relationship with economic growth relying on GIS tools and decoupling model in an attempt to provide a basis for the formulation of differentiated construction emission reduction policies and plans in China. The study shows that, firstly, the changes in carbon emissions and carbon intensity in the provincial construction industry are becoming increasingly complex, with a variety of types emerging, such as declining, "inverted U-shaped", growing, "U-shaped", and smooth fluctuating patterns. Secondly, the coefficient of variation is higher than 0.65 for a long time, indicating high spatial heterogeneity. However, spatial agglomeration and correlation are low, with only a few cluster-like agglomerations formed in the Pearl River Delta, Yangtze River Delta, Bohai Bay, Northeast China, and Loess and Yunnan–Guizhou Plateau regions. Thirdly, most provinces have not reached peak carbon emissions from the construction industry, with 25% having reached peak and being in the plateau stage, respectively. Fourthly, the decoupling relationship between carbon emissions from the construction industry and economic growth, as well as their changes, is increasingly diversified, and most provinces are in a strong and weak decoupling state. Moreover, a growing number of provinces that have achieved decoupling are moving backward to re-coupling, due to the impact of economic transformation and the outbreaks of COVID-19, with the degraded regions increasingly concentrated in the northeast and northwest. Fifthly, we classify China's 30 provinces into Leader, Intermediate, and Laggard policy zones and further propose differentiated response strategies. In conclusion, studying the trends and patterns of carbon-emission changes in the construction industry in different regions, revealing their spatial differentiation and correlation, and developing a classification management strategy for low carbonized development of the construction industry help significantly improve the reliability, efficiency, and self-adaptability of policy design and implementation. [ABSTRACT FROM AUTHOR]

Objective To reveal the relationship between anti-Golgi antibody (AGA) and clinical diseases through retrospective analysis. Methods The clinical data of 584 cases testing positive for AGA in the past 11 years were collected and retrospectively analyzed. Results AGA pattern accounted for.2% of positive ANA results. In total, 35.0% of diagnosed patients had autoimmune diseases (AID), mainly rheumatoid arthritis (RA). High-titer AGA (≧1:1000) was common in AID. In nondiagnosed patients with clinical symptoms, joint pain/muscle pain was the most common. Conclusions Positive AGA with high titer was closely related to RA. Joint pain/muscle pain was the most common symptom in patients who tested AGA positive. Therefore, AGA may be a key indicator of RA in the Chinese population. [ABSTRACT FROM AUTHOR]

Esophageal squamous cell carcinoma (ESCC) is one of the most common aggressive malignancies worldwide, particularly in northern China. The absence of specific early symptoms and biomarkers leads to late-stage diagnosis, while early diagnosis and risk stratification are crucial for improving overall prognosis. We performed UPLC-MS/MS on 450 ESCC patients and 588 controls consisting of a discovery group and two validation groups to identify biomarkers for early detection and prognosis. Bioinformatics and clinical statistical methods were used for profiling metabolites and evaluating potential biomarkers. A total of 105 differential metabolites were identified as reliable biomarker candidates for ESCC with the same tendency in three cohorts, mainly including amino acids and fatty acyls. A predictive model of 15 metabolites [all-trans-13,14-dihydroretinol, (±)-myristylcarnitine, (2S,3S)-3-methylphenylalanine, 3-(pyrazol-1-yl)-L-alanine, carnitine C10:1, carnitine C10:1 isomer1, carnitine C14-OH, carnitine C16:2-OH, carnitine C9:1, formononetin, hyodeoxycholic acid, indole-3-carboxylic acid, PysoPE 20:3, PysoPE 20:3(2n isomer1), and resolvin E1] was developed by logistic regression after LASSO and random forest analysis. This model held high predictive accuracies on distinguishing ESCC from controls in the discovery and validation groups (accuracies > 89%). In addition, the levels of four downregulated metabolites [hyodeoxycholic acid, (2S,3S)-3-methylphenylalanine, carnitine C9:1, and indole-3-carboxylic acid] were significantly higher in early cancer than advanced cancer. Furthermore, three independent prognostic markers were identified by multivariate Cox regression analyses with and without clinical indicators: a high level of MG(20:4)isomer and low levels of 9,12-octadecadienoic acid and L-isoleucine correlated with an unfavorable prognosis; the risk score based on these three metabolites was able to stratify patients into low or high risk. Moreover, pathway analysis indicated that retinol metabolism and linoleic acid metabolism were prominent perturbed pathways in ESCC. In conclusion, metabolic profiling revealed that perturbed amino acids and lipid metabolism were crucial metabolic signatures of ESCC. Both panels of diagnostic and prognostic markers showed excellent predictive performances. Targeting retinol and linoleic acid metabolism pathways may be new promising mechanism-based therapeutic approaches. Thus, this study would provide novel insights for the early detection and risk stratification for the clinical management of ESCC and potentially improve the outcomes of ESCC. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the efficacy and safety of Pai-Neng-Da Capsule (派能达胶囊, panaxadiol saponins component, PNDC) in combination with the cyclosporine and androgen for patients with chronic aplastic anemia (CAA). Methods: A total of 79 CAA patients was randomly divided into 2 groups by a random number table, including PCA group [43 cases, orally PNDC 320 mg/d plus cyclosporine 5 mg/(kg·d) plus andriol 80 mg/d] and CA group [36 cases, orally cyclosporine 5 mg/(kg·d) plus andriol 160 mg/d]. All patients were treated and followed-up for 6 treatment courses over 24 weeks. The complete blood counts, score of Chinese medical (CM) symptoms were assessed and urine routine, electrocardiogram, hepatic and renal function were observed for safety evaluation. Female masculinization rating scale was established according to the actual clinical manifestations to evaluate the accurate degree of masculinization in female CAA patients treated by andriol. Results: The effective rates were 88.1% (37/42) in the PCA group and 77.8% (28/36) in the CA group based on the standard for the therapeutic efficacy evaluation of hematopathy. There was no significant difference in the white blood cell (WBC) counts, platelet counts and hemoglobin concentration of peripheral blood between two groups after 6 months treatment. The masculinization score of female patient in the PCA group was significantly lower than the CA group (P<0.05). The mild abdominal distention was observed in 1 cases in the PCA group. In CA group, the abnormalities in the hepatic function developed in 2 cases and the renal disfunction was found in 1 case. Conclusion: The PNDC possesses certain curative effects in the treatment of CAA without obvious side-effects and can partially replace andriol thereby to reduce the degree of masculinization [Registried at Chinese Clinical Trial Registry (ChicTR1900028153)]. [ABSTRACT FROM AUTHOR]

Purpose: The incidence of diastasis rectus abdominis (DRA) in parturients is continuously increasing, which may cause uncomfortable and affect the quality of life. The present study aims to retrospectively summarize the experience and efficacy in the treatment of DRA via standardized rehabilitation procedures in Eastern China. Methods: This retrospective study included the parturients with DRA admitted to the Xishan People's Hospital of Wuxi between January 2017 and May 2021. Patients were separated into standardized rehabilitation group (SR) and non-standardized rehabilitation group (non-SR). The outcomes were the change in rectus abdominis separation and Physical Functioning Scale (PFS). Measurement data were compared between the two groups, and multivariate linear regression was used to analyze the factors associated with the standardized rehabilitation process. P values < 0.05 were considered statistically significant. Results: Among a total of 294 patients with DRA who were included in the study, 171 patients were treated with SR (SR), and the other 123 patients were treated without SR process (non-SR). Compared with non-SR, the separation of the rectus abdominis was significantly reduced in SR after standardized rehabilitation treatment (p value < 0.0001). The multiple linear regression model analysis results suggested that standardized rehabilitation was an independent factor influencing the prognosis of DRA in parturients (p < 0.0001). In addition, the quality of life of the study group was significantly improved (p < 0.0001). Conclusion: Standardized rehabilitation method revealed high efficiency in treating DRA in postpartum women and could improve the quality of life of parturients. [ABSTRACT FROM AUTHOR]

The variability of air temperature extremes exerts a great influence on agricultural production and the global hydrologic cycle. It has been the focus of attention for the past several decades. Using observed surface air temperature from 192 meteorological stations in South China maintained by the China Meteorological Administration, this study computed and analyzed 10 extreme temperature indices and the mean temperature at multiple spatiotemporal scales for the period from 1961 to 2018. These indices were analyzed with particular reference to the growing season of rice. Results showed that the variation trends of all annual indices exhibited different north–south patterns across decades, and the most recent 20-year period experienced greater warming than previous periods. The regional averaged rates of the annual mean maximum temperature, the annual mean minimum temperature, summer days, and tropical nights were 0.163 °C decade−1, 0.197 °C decade−1, 1.2 days decade−1, and 5.4 days decade−1, respectively. Except for the month of April, the southern region mostly experienced stronger warming than the northern region, especially in summer and autumn. Nighttime warming was usually greater than daytime warming, especially in June and October. Most temperature indices showed very weak correlations with large-scale atmospheric oscillations. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 has grown into a global pandemic. This study investigated the public psychosocial and behavioral responses through different time periods of the pandemic, and assessed whether these changes are different in age, gender, and region. Methods: A three-phase survey was conducted through the DaDui Social Q&A Software for COVID-19. A total of 13,214 effective responses of COVID-19 were collected. Statistical analysis was performed based on their basic information and psychosocial responses. Results: The degree of attention, understanding, and cooperation with preventive and control measures of the disease increased and then decreased. The panic level gradually increased with the epidemic process. The degree of satisfaction with management measures and of confidence in defeating COVID-19 increased throughout the survey. Compared with residents in other areas, respondents from the COVID-19 epicenter (Wuhan) reported a higher degree of self-protection during the outbreak and a significantly lower degree of satisfaction with respect to government prevention and control measures during all phases. Shortages of medical supplies and low testing capacity were reported as the biggest shortcoming in the prevention and control strategies during COVID-19, and an abundance of disorderly and inaccurate information from different sources was the primary cause of panic. Conclusions and Relevance: Major public health events elicit psychosocial and behavioral changes that reflect the different phases of the biologic curve. Sufficient medical supplies and improved organization and accurate information during epidemics may reduce panic and improve compliance with requested changes in behavior. We need to recognize this natural phenomenon and our public policy preparedness should attempt to move the social/psychological curve to the left in order to minimize and flatten the biologic curve. [ABSTRACT FROM AUTHOR]

To measure the seroprevalence of high-exposure populations in brucellosis endemic areas and report the outcome and duration of seropositive asymptomatic subjects, we screened 595 family members of shepherds in Jilin Province, China and then followed up 15 seropositive asymptomatic subjects for 18 months. We found that the seropositive rate of 15.5%. Nearly half of seropositive asymptomatic subjects (7/15) developed into brucellosis in the short term; others were still seropositive asymptomatic or had decreased SAT titer in a longer time. [ABSTRACT FROM AUTHOR]

We report a Cu 2 O/CuO-C nanocomposite which fabricated by thermal decomposition of Cu-based metal-organic framework (Cu-MOF-74) precursor. The attractive advantages of MOF-74 incorporating the abundant unsaturated (open) metal sites and excellent stability provide a guarantee for developing of efficient gas-sensing materials. After annealing, the material retains its skeleton structure and the surface area is greatly increased. The high porosity feature of the as-prepared Cu 2 O/CuO-C offers plentiful active sites for adsorption of gas molecules, thus ensuring high sensing performance. The results indicate that the Cu 2 O/CuO-C-based sensor exhibits high sensitivity (1.03–30 ppb NO 2), good linear relationship and excellent selectivity to NO 2 at room temperature (RT, 25 ℃). Notably, the theoretical detection limit of the as-prepared sensor is ∼7 ppb, which is significantly below the annual average NO 2 concentration limit (40 ppm) imposed by China. The synergistic effect between CuO/Cu 2 O heterostructure and carbon, and the derived solid structure are considered as the main reason for high sensitivity and selectivity. In addition, the high oxygen vacancy concentration is also the key to ensure excellent gas sensitivity. This work provides a new choice for developing high performance room temperature NO 2 gas sensor. [Display omitted] • The Cu-MOF-74-derived Cu 2 O/CuO-C was prepared by simple pyrolysis method. • Carbon film is wrapped around Cu 2 O/CuO to form a pomegranate-like structure. • The prepared sensor shows high response of 1.03–30 ppb at room temperature. • Excellent linear relationship and NO 2 selectivity of the sensor was obtained. • Reasonable mechanism has been proposed to explain the sensing enhancement. [ABSTRACT FROM AUTHOR]

Chrysanthemum rhombifolium (Ling et C. Shih), an endemic plant that is extremely well-adapted to harsh environments. However, little is known about its molecular biology of the plant's resistant traits against stress, or even its molecular biology of overall plant. To investigate the molecular biology of C. rhombifolium and mechanism of stress adaptation, we performed transcriptome sequencing of its leaves using an Illumina platform. A total of 130,891 unigenes were obtained, and 97,496 (~74.5%) unigenes were annotated in the public protein database. The similarity search indicated that 40,878 and 74,084 unigenes showed significant similarities to known proteins from NCBI non-redundant and Swissprot protein databases, respectively. Of these, 56,213 and 42,005 unigenes were assigned to the Gene Ontology (GO) database and Cluster of Orthologous Groups (COG), respectively, and 38,918 unigenes were mapped into five main categories, including 18 KEGG pathways. Metabolism was the largest category (23,128, 59.4%) among the main KEGG categories, suggesting active metabolic processes in C. rhombifolium. About 2,459 unigenes were annotated to have a role in defense mechanism or stress tolerance. Transcriptome analysis of C. rhombifolium revealed the presence of 12,925 microsatellites in 10,524 unigenes and mono, trip, and dinucleotides having higher polymorphism rates. The phylogenetic analysis based on GME gene among related species confirmed the reliability of the transcriptomic data. This work is the first genetic study of C. rhombifolium as a new plant resource of stress-tolerant genes. This large number of transcriptome sequences enabled us to comprehensively understand the basic genetics of C. rhombifolium and discover novel genes that will be helpful in the molecular improvement of chrysanthemums. [ABSTRACT FROM AUTHOR]

Traditional Chinese medicine (TCM), originated from China, is different from Western medicine in theory and practice. This study aimed to document the longitudinal trends and the patterns by demographical characteristics in the prevalence of TCM among the middle-aged and elderly Chinese population. This study used nationally representative longitudinal survey data from the China Health and Retirement Longitudinal Study (CHARLS), covering approximately 20,000 individuals in each panel survey from 2011 to 2018. The questions regarding medication use in the questionnaire was used to identify the TCM users. The prevalence of using TCM for treating chronic diseases among the patients with chronic diseases stabilized between 2011 and 2018, while the prevalence of TCM use for any purpose among the overall population climbed from 19.03% (95% CI 18.37% to 19.69%) in 2011 to 23.91% (95% CI 23.23% to 24.60%) in 2015. Moreover, the prevalence of TCM use for nonchronic conditions among the overall population increased during the same period as well. The TCM users were more likely to be females and city dwellers. The increasing prevalence of TCM use for any purpose among the overall population reflects the increasing influence and potentials of TCM by year. With the expected rising demand in TCM for the following decades in China, more clinical trials on safety and healthcare policy regarding TCM are merited in the future. [ABSTRACT FROM AUTHOR]

The aim of this study was to illustrate the applicability of chemometric intraregional discrimination of three famous Chinese liquors in Sichuan province of China based on multi-element analytical results by atomic spectrometry. Twenty-one minor/trace and six macro elements were measured by inductively coupled plasma mass spectroscopy (ICP-MS) and inductively coupled plasma optical emission spectroscopy (ICP-OES), respectively. A two-step chemometric procedure was proposed, firstly finding out important element variables according to the random forests score of importance, and secondly predicting by random forests (RF) and support vector machine (SVM). It turned out that the liquor brand can be traced by constructing prediction models with 4 typical elements, Sr, Mg, Ca and Se. Meanwhile, an attempt at vintage prediction of two liquors from the same manufacturer was performed. These investigations showed that the brands of liquors in a small geographical area could be clearly identified by chemometric techniques combined with element analysis with only a few numbers of elements, and this will provide a convenient methodology for liquor differentiation and identification. [ABSTRACT FROM AUTHOR]

The production of Chinese chives is reduced throughout China due to a root-feeding dipteran pest Bradysia odoriphaga Yang et Zhang (Diptera: Sciaridae), therefore deciphering the conditions influencing its growth and development are important in developing ecological control strategies. A study was conducted from 2014 to 2017 to determine the relationship between the abundance of B. odoriphaga and temperature (atmospheric and soil), soil water content, and atmospheric humidity in a Chinese chive field in Beijing City, China. Numbers of adults peaked in March and October to November and were lowest in July to August and December to next February; numbers of larvae were highest in December to next February and lowest in July to August. From 2014 to 2017, the numbers of adults and larvae were significantly correlated with monthly mean atmospheric temperatures and soil temperatures, but were not significantly correlated with monthly mean atmospheric relative humidity and soil water content. However, for both adults and larvae, numbers were significantly greater with high soil water contents compared with drought treatment. The results of this study suggest that the very low soil water contents, high atmospheric temperatures, and high soil temperatures were critical for regulating field populations of B. odoriphaga. [ABSTRACT FROM AUTHOR]

Studies examining the associations between the interleukin‐6 (IL‐6) rs1800795 and rs1800796 gene polymorphisms and risk of coronary artery disease (CAD) remain controversial. Our aim was to evaluate the accurately determine role of these two polymorphisms in CAD risk. PubMed, Embase, VIP, Wan fang and China National Knowledge Infrastructure databases were searched. The odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. The trial sequential analysis (TSA) was conducted, and bioinformatics tools were employed. A total of thirty‐seven articles were obtained. For the IL‐6 rs1800795 polymorphism, 9411 CAD patients and 3161 controls were included, 4720 patients with CAD, and 5000 controls were included for the IL‐6 rs1800796 polymorphism. In the pooled analysis, significant associations were only observed for the rs1800796 polymorphism (allelic: OR [95%CI] = 1.28 [1.13, 1.44], dominant: OR [95%CI] = 1.35 [1.17, 1.57], recessive: OR [95%CI] = 1.35 [1.18, 1.55], heterozygote: OR [95%CI] = 1.26 [1.15, 1.37], homozygote: OR [95%CI] = 1.62 [1.23, 2.13]). Significant associations were detected in the Asian and Mongoloid populations and 'more than 500' subgroup for the rs1800795 polymorphism. TSA confirmed the true‐positive results for the rs1800796 polymorphism. The bioinformatics analysis showed that the two polymorphisms played important roles in the gene transcription. The IL‐6 rs1800796 polymorphism is associated with an increased susceptibility to CAD and is a risk factor for CAD. The IL‐6 rs1800795 polymorphism is associated with an increased risk of CAD in Asians, particularly in Chinese, and a decreased risk of CAD in an African population is remarkably observed. [ABSTRACT FROM AUTHOR]

The consumption of rice contaminated with soil cadmium (Cd) threatens human health. It is essential to ensure the production of rice that meets food quality standards. Therefore, a large-scale field survey was conducted in Zhejiang province, southeastern China, to investigate the relationship between Cd accumulation in rice grains and Cd bioavailability in soil, and thus to establish a model to predict Cd contents in rice grains based on soil properties. For this purpose, a total of 156 paired rice and soil samples were collected. Pearson's correlation analysis revealed that Cd measurements obtained by diffusive gradient in thin films (DGT) had a higher correlation (r = 0.818, p < 0.001) with the Cd in rice grains as compared to the Cd measured by the DTPA, CaCl2, EDTA, and HCl extraction methods, which indicated that the DGT technique was a reliable method for the assessment of Cd bioavailability in soils. In addition, among the four extraction methods, the DTPA-extractable Cd showed the highest correlation with the Cd contents in rice grains. Therefore, we developed two predictive models (modelDGT and modelDTPA) to predict Cd levels in rice grains via Cubist multivariate mixed linear regression, using "soil DGT-measured Cd, pH, and oxide contents of Ca, Si, and Fe" or "soil DTPA-extractable Cd, pH, OM, and oxide contents of Ca and Fe" as explanatory variables, respectively. The overall modelDGT and modelDTPA had R2 values of 0.95 and 0.93, respectively, and relative error values of 0.30 and 0.33, respectively. Simple correlation analysis showed direct and close relationships between the measured Cd in rice grains and the Cd concentrations predicted by the Cubist modelDGT and modelDTPA, with R2 values of 0.979 and 0.922, respectively. Therefore, Cd levels in rice grains could be predicted very well based on the two prediction models, and thus, the two models derived in this study are effective in identifying soils in which the Cd in rice grains will exceed food safety standards, thereby helping to ensure safe rice production. [ABSTRACT FROM AUTHOR]

The study aimed to retrospectively investigate the clinical significance of anti‐rods and rings (anti‐RR) antibodies in antinuclear antibodies (ANAs) test samples of western China. Between January 2016 and November 2018, the laboratory data and clinical details of patients with positive anti‐RR antibodies were collected and analysed. The results showed that total of 197 227 patients tested, 109 453 patients presented with positive ANAs (55.50%), but only 107 patients with positive anti‐RR antibodies (0.10%), including 51 females and 56 males. Diagnose were established in 51 of 107 patients: 25 were hepatopathy (HCV 8/25, HBV 12/25); 13 were autoimmune diseases (AID); and 7 were renal insufficiency; 6 were chronic obstructive pulmonary disease (COPD). We make the conclusions that anti‐RR antibodies have a low prevalence, and there is no gender difference. Anti‐RR antibodies exist other diseases besides hepatitis C, such as HBV, some autoimmune diseases, renal insufficiency and COPD, which we need further investigation. [ABSTRACT FROM AUTHOR]

Objective To determine a method to reduce specimen hemolysis rates in pediatric blood specimens. Methods A total of 290 blood specimens from pediatric patients were classified into the capped group or uncapped group. The hemolysis index and levels of lactate dehydrogenase (LDH) were measured using an automated biochemical analyzer. Also, we performed a paired test to measure the concentration of free hemoglobin in specimens from 25 randomly selected healthy adult volunteers, using a direct spectrophotometric technique. Results The hemolytic rate of capped specimens was 2-fold higher than that of uncapped specimens. We found significant differences for LDH. Also, there was a significant difference in the concentration of free hemoglobin in the random-volunteers test. Conclusions Eliminating the residual negative pressure of vacuum blood-collection tubes was effective at reducing the macrohemolysis and/or microhemolysis rate. [ABSTRACT FROM AUTHOR]

Background: Acupoint selection is a key factor in the treatment of diseases and has not been well studied. The aim of this trial is to explore the differences in efficacy between compatible acupoints and a single acupoint for patients with functional dyspepsia (FD).Methods: This randomized controlled trial will be conducted in the First Affiliated Hospital of Changchun University of Chinese Medicine in China. Two hundred and sixteen FD patients will be randomly assigned to the compatible acupoints group, single acupoint group, or sham acupuncture group. This trial will include a 1-week baseline period, a 4-week treatment period, and a 4-week follow-up period. During the 4-week treatment period, patients will receive 20 sessions of acupuncture (weekly cycles of one session per day for 5 consecutive days followed by a 2-day break). The primary outcome will be a change in the Nepean Dyspepsia Life Quality Index from baseline to after the 4-week treatment period. Secondary outcome measures will include the dyspeptic symptom sum score, Overall Treatment Effect questionnaire, and 36-item Short Form survey. Adverse events also will be recorded. Ultraweak photon emission and metabolomics tests will be performed at baseline and at the end of treatment to explore the mechanisms of the differences between compatible acupoints and a single acupoint.Discussion: The results of this trial will allow us to compare the difference in efficacy between compatible acupoints and a single acupoint. The findings from this trial will be published in peer-reviewed journals.Trial Registration: Acupuncture-Moxibustion Clinical Trial Registry, AMCTR-IPC-18000176, registered on 4 March 2019; Chinese Clinical Trial Registry, ChiCTR1900023983, registered on 23 June 2019. [ABSTRACT FROM AUTHOR]

This paper investigates disparities in subjective wellbeing in China by analyzing the Chinese General Social Survey (2003–2015). Our hierarchical age-period-cohort models reveal how Chinese Communist Party membership, the urban-rural divide, and cohort differences have jointly shaped levels of happiness. Interestingly, the significance of political status in shaping happiness varies profoundly across birth cohorts and locations of residence. In earlier cohorts (1910–1948), Communist Party members in rural areas have a considerable advantage over nonmembers, but this advantage gradually diminishes later, except the 1977–1985 cohort. The advantage of urban party membership keeps increasing up to the cohort born during 1957–1965 but declines rapidly after that. Findings suggest that in the planned economy, political status plays a central role in promoting subjective wellbeing especially in urban China; the transition to a market economy in post-Mao China has reduced political disparities among younger cohorts, mainly for urban residents. [ABSTRACT FROM AUTHOR]