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A cordycipitoid fungus infecting Hepialidae sp. in Nepal was supposed to be identical to Cordyceps liangshanensis, originally described from southwestern China, and thus, transferred to the genus Metacordyceps or Papiliomyces in previous studies. However, our multi-gene (nrSSU-nrLSU-tef-1a-rpb1-rpb2) phylogenetic and morphological studies based on the type specimen and additional collections of C. liangshanensis revealed that the fungus belongs to the genus Ophiocordyceps (Ophiocordycipitaceae). Therefore, a new combination O. liangshanensis was made, and a detailed description of this species was provided. [ABSTRACT FROM AUTHOR]

BACKGROUND: The predictive scoring systems for early stent thrombosis (EST) remains blank in China. The study aims to evaluate the risk factors and conduct a prediction model of EST in the Chinese population. METHODS: EST was defined as thrombosis that occurs within the first 30 days after primary percutaneous coronary intervention (PCI). Patients from ten Chinese hospitals diagnosed as stent thrombosis (ST) from January 2010 to December 2016 were retrospectively included as the study group. A control group (1 case:2 controls) was created by including patients without ST, major adverse cardiovascular events, or cerebrovascular events during follow-up. The present study evaluated 426 patients with single-vessel lesions and ultimately included 40 patients with EST and 80 control patients, who were included to identify factors that predicted EST and to develop a prediction scoring system. The other 171 patients without integrated 1:2 pair were used for external validation. RESULTS: EST was independently associated with a low hemoglobin concentration (adjusted odds ratio [OR] 0.946, 95% confi dence interval [95% CI] 0.901-0.993, P=0.026), a high pre-PCI Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) score (OR 1.166, 95% CI 1.049-1.297, P=0.004), and a DAPT (DAPT) duration of <30 days (OR 28.033, 95% CI 5.302-272.834, P<0.001). The simple EST prediction score provided an area under the curve (AUC) of 0.854 (95% CI 0.777- 0.932, P<0.001) with 70.0% sensitivity and 90.0% specifi city, and 0.742 (95% CI 0.649-0.835, P<0.001) with 54.5% sensitivity and 81.0% specificity for external validation dataset. CONCLUSIONS: EST may be independently associated with DAPT discontinuation within 30 days, a low hemoglobin concentration, and a high SYNTAX score. The scoring system also has a good ability to predict the risk of EST and may be useful in the clinical setting. [ABSTRACT FROM AUTHOR]

China's high-speed socioeconomic development has been characterized by rapid urbanization and a series of ecological environment issues, especially air pollution. This paper proposed a comprehensive indicator system for the evaluation of urbanization and the air environment in Wuhan, a metropolis in central China, and then investigated the relationship between urbanization and the air environment from the perspective of coupling coordination theory. Furthermore, a coupling coordination degree model (CCDM) was constructed to estimate the relationship by using panel data collected from 1996-2013. The results showed the following: (1) Spatial urbanization and air environment quality make the greatest contributions to the compound system compared to other first grade indicators, indicating that they are critical factors to consider when the government is making relevant decisions about urban sprawl. (2) The comprehensive level of the air environment initially decreased from 1996-1998 and then increased with fluctuations in Wuhan, with several inflection points, meaning that the variation process of the air environment is unstable and repetitive, and efforts to improve the air environment must persist over a long period of time. Lastly, (3) the degree of coordinated coupling between urbanization and the air environment exhibited an S-shaped curve, indicating that Wuhan changed from having slightly unbalanced development to barely balanced development and then entered into a period of superiorly balanced development, with the air environment lagging. Thus, the ambient urban air quality has been subject to great pressure, and the government should continue to take effective action to improve it. [ABSTRACT FROM AUTHOR]

The spatial concentrations, seasonal trends, profiles and congener pairs of ambient polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) were investigated within a seasonally active sampling scheme during Jun 2008 and Jan 2009 in Tianjin City, northern China. The PCDD/F concentrations ranged 14.2-172 fg I-TEQ/m³ (average 69.3 fg I-TEQ/m³) in summer and (89.8-1.01) ✕ 10³ fg I-TEQ/m³ (average 509 fg I-TEQ/m³) in winter, respectively, except for the E-waste dismantling site where much higher values were observed (1.04 ✕ 10³ fg I-TEQ/m³ in summer and 7.123 ✕ 10³ fg I-TEQ/m³ in winter). The results indicated a significantly seasonal trend with higher TEQ values in winter as compared with summer, which could be related to increased emission sources and seasonal variations of the atmospheric boundary layer height. 2,3,4,7,8-PeCDF was the dominant contributor to the total PCDD/F toxic equivalents, and 2,3,7,8-TCDD was detected at almost all the sampling sites in winter. Most of the similarly substituted PCDD/F congener pairs exhibited high correlations, suggesting that they might have similar environmental fate or sources. But different seasonal and spatial distributions of PCDD/F concentrations indicated that the emission sources might be intermittent. [ABSTRACT FROM AUTHOR]

Summary: Background: There has been a long-standing suspicion that an association exists between mesial temporal lobe epilepsy (MTLE) and the herpes virus. Evidence for HHV-6B involvement has been reported. However, no investigation has been performed in China. Methods: We used nested PCR and immunohistochemistry to detect viral DNA of human herpes virus (HHV)-6B, HHV-6A, herpes simplex virus (HSV)-1 and HSV-2 in resected brain tissues from patients with MTLE and control. A principal transcription factor, NF-κB, that is associated with the inflammatory response was also investigated by real-time PCR, western blotting and immunohistochemistry. Results: HHV-6B DNA was detected in hippocampal samples from 9 out of 32 (28.1%) patients with MTLE and in 1 of 12 (8.3%) control samples. Immunoreactivity for HHV-6B was consistently present in MTLE patients positive for HHV-6 detected by PCR. Significant staining for HHV-6B antigen was distributed mainly around or in the nucleus of cells that morphologically resembled astrocytes and microglia. HHV-6B positivity was related to febrile convulsion history of patients with MTLE. The expression of NF-κB was up-regulated and distributed in the nucleus of glial cells in MTLE patients positive for HHV-6B. Conclusion: This study was first to find HHV-6B in MTLE patients from West China and demonstrate a possible association between HHV-6B positivity and activation of NF-κB. The detailed role of HHV-6B and its association with NF-κB in the development of chronic MTLE requires further investigation. [ABSTRACT FROM AUTHOR]

The conditional convergence framework constitutes the theoretical basis for different dynamic panel data approaches. But models with different specifications or estimated by different methods may have very different results. This study empirically tests the results by applying different panel data approaches to the study of telecommunications infrastructure in regional economic growth across China. Specifically, the pattern of regional economic growth across 29 regions in China from 1986 to 2002 is examined. The results suggest the system GMM estimation is more likely to produce consistent and efficient estimates than OLS and fixed-effect estimation. Findings indicate a significant and positive relationship between telecommunications infrastructure and regional economic growth in China and the empirical results from different estimations suggest robust results for this particular assessment. [ABSTRACT FROM AUTHOR]

This article examines the changing demographics of China, with particular attention paid to the effect of the one-child policy in relation to long-term care of older people. It also examines the current state of health care for older people. Long-term stays characterize hospital care. Most geriatric syndromes are less common in hospitalized older people (e.g., delirium, falls), but some (e.g., polypharmacy) are more common. A high volume of patients and brief targeted visits characterize outpatient care. Nursing homes exist in China, but relatively fewer than in the most developed countries. Geriatric departments in university-based hospitals primarily have developed out of a need to care for retired government officials and workers. There are no formal geriatric fellowships or national board certifications in geriatrics Health care is primarily based on fee for service. Not all elderly have healthcare insurance. Although costs of health care and medications are less expensive than in the United States, they are relatively high for lower-and middle-class Chinese and have increased more quickly than has the standard of living in the past 20 years. Family and community support for older people is strong in China. Some older people have one-to-one care from a baomu (literally “protection” ( bao) “mother” ( mu)), a type of live-in maid who also provides care for the older person. Some of the challenges facing China in the care of its aging population are how to increase geriatric research and training, how to care for the uninsured or underinsured, and how to handle the inevitable growth of disabled and frail older people. [ABSTRACT FROM AUTHOR]

We screened Orientia tsutsugamushi from 385 domestic rodents and 19 humans with scrub typhus in rural Tai'an District, Shandong Province, a new scrub typhus epidemic area in northern China. Sequence analysis identified 7 genotypes in the rodents, of which 2 were also identified in the humans. [ABSTRACT FROM AUTHOR]

A total of 120 air samples were collected at three urban and one rural location l in Beijing, China in the summers of 2007-2010, and before, during, and after the Beijing 2008 Olympic Games (BOG), in order to assess the effectiveness of long-term and short-term emission-control measures in reducing polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in the atmosphere. During the BOG (August, 2008), the PCDD/Fs concentrations decreased to an average value of 1150 fg m-3 (63 fgI-TEQm-3 ), which was reduced by approximately 70% from the average in 2007 and by 29% from that injury 2008, before the Olympic event began. Although 2009-2010 levels of PCDD/Fs were significantly higher than 2008, the overall temporal trend was decreasing for summer months during the sampling campaign period. The apparent half-lives of atmospheric PCDD/Fs were estimated to be 3.2-5.8 years by statistically regressing the logarithm PCDD/Fs concentrations versus the number of years passed since 2006. The air concentrations of total suspended particulates (TSP) during the BOG ranged between 135 and 183 μg m-3, showing a 52% reduction from 2007 and 26% decrease from those prior to the Olympic event. No significant relationships were found between meteorological parameters (temperature, humidity, and wind speed) and PCDD/Fs or TSP during the BOG, whereas the PCDD/ Fs concentrations were significantly dependent on the air quality (p <0.05, positive against TSP and negative against visibility). This work is one of few temporal trend studies of atmospheric PCDD/Fs in mainland China, and provides unique insight into the effects of large-scale control measures in improving air quality and reducing one of the most ubiquitous and toxic organic pollutants in the environment. [ABSTRACT FROM AUTHOR]

The indistinct origins of some ubiquitous perfluorinated alkyl acids have attracted great attention in recent decades. In this present work, even-chained polyfluorinated iodides (PFIs), a group of volatile perfluorinated compounds (PFCs), including four perfluorinated iodine alkanes (FIAs) and three polyfluorinated telomer iodides (FTIs) were confirmed to be present in the environment. A wide concentration range was found for FIAs at 1.41 to 3.08 × 104 pg/L, and for FTIs at 1.39 to 1.32 × 10³ pg/L in the ambient air collected around a fluorochemical manufacturing plant in Shandong province, northern China. Whereas for surface soils, most of these PFIs were below detection limits and only small amounts of analytes with higher carbon chain (such as perfluorododecyl iodide and 1H,1H,2H,2H-perfluorodecyl iodide, 16.6-499 pg/g) could be sporadically detected. The presence of the PFIs in different environmental matrices in the investigated area and calculated vapor pressures (0.095-20.4 Torr) verify that they can be considered as volatile organic chemicals and easily be released into the atmosphere. Together with reported degradation ability and long-range transport potential, the identification of these PFIs indicates that unintentional release during the telomer reaction process might also be another route for the formation and distribution of certain polyfluorinated alcohols, aldehydes, and carboxylic acid derivatives under oxidative conditions in the environment. [ABSTRACT FROM AUTHOR]

Polyurethane foam disk passive air sampling was carried out to investigate the levels, vertical distributions, and potential sources of polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs) and organochlorine pesticides (OCPs) in the atmospheric boundary layer of an urban site in Asia. Sampling was performed at nine heights (15, 47, 80, 120, 160, 200, 240, 280, 320 m) of the 325-m meteorological tower in Beijing, China over three 2-month periods between December 2006 and August 2007. This is the first study to report vertical variations of PBDEs in the ABL and one of only a few studies to investigate vertical distributions of persistent organic pollutants. The levels of Σ19PCBs and Σ8PBDEs were relatively low, ranging from 22 to 65 and from 2.3 to 18 pg m-3, respectively. Air concentrations of γ-HCH were high, with values in the range of 39-103 pg m-3 in winter, 100-180 pg m-3 in spring, and 115-242 pg m-3 in summer, respectively. α-HCH concentrations ranged from 20 to 86 pg m-3, p,p'-DDT between 7.3 and 78 pg m-3, and HCB between 15 and 160 pg m-3. The seasonal variations of PCBs, PBDEs, and OCPs may reflect different sources for these chemicals, such as those related with regional use (γ-HCH), volatilization/re-emission (PBDEs, PCBs, α-HCH), and pesticide impurities (HCB). Although the performance reference compounds (PRCs) were spiked before deployment, the sampling rates showed strong dependency on wind speeds, resulting in large variations in uptake rates in the ABL, ranging from ∼7.0 m3 day-1 at ground level to 11 m3 day-1 at 320 m. Levels of PCBs, PBDEs, and OCPs decreased with increasing ABL height, indicating the potential of Beijing as the local sources. [ABSTRACT FROM AUTHOR]

Introduction: The lumbar puncture (LP) technique is widely used for diagnostic and therapeutic purposes. In recent years, the paramedian approach technique (PAT) has gained increasing interest due to its advantages over the conventional midline approach technique (MAT) that has been traditionally employed in clinical practice for LP. However, there have been inconsistent discussions regarding the efficacy of different LP techniques. Based on digital virtual human and computer simulation techniques, a new approach called computerised modified PAT (CMPAT) was proposed. Therefore, the aim of this study is to discuss a randomised controlled trial (RCT) protocol to investigate and compare the effects of CMPAT and MAT in patients undergoing LP., Methods and Analysis: We will conduct a prospective, multicentre RCT. The study will recruit 84 patients aged 18-99 years who require LP. Participants will be randomly assigned to either the CMPAT treatment group (group A) or the MAT treatment group (group B). The primary outcome measure will be the number of needle insertion attempts required for a successful LP. Secondary outcomes will include the puncture success rate, pain assessment in the back, head, and legs, and the occurrence of complications. The measurement of these secondary outcomes will be taken during the procedure, as well as at specific time points: 30 min, 6 hours, 1 day, 3 days, 7 days, 2 weeks and 4 weeks after the procedure. Pain levels will be assessed using a Numerical Rating Scale., Ethics and Dissemination: Ethical approval (2022YF052-01) has been obtained from the Ethics Committee of Fujian Medical University Union Hospital, Fuzhou, China. The research findings will be published in an international peer-reviewed scientific journal and presented at scientific conferences., Trial Registration Number: ChiCTR2300067937., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)