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This study aimed to describe and compare end-of-life care and decision-making preferences among Chinese community-dwelling older adults between Wuhan and Hong Kong in China. The study adopted a cross-sectional correlation design and recruited a convenience sample of 259 older adults, aged ≥65 years old from five community centers in Wuhan and Hong Kong. Participants completed a validated structured questionnaire that measured their end-of-life care and decision-making preferences. Multivariate logistic regression analyses were conducted. Results showed that Wuhan participants were significantly more likely to view "trying every means to extend the life span" as very important/important; and they perceived "support from religious personnel" as unimportant/very unimportant. Different from those older adults in Hong Kong, the Wuhan participants significantly chose their home as the preferred place for end-of-life care and death. They also tended to prefer family members to enact the decision-maker role in end-of-life decision situations. The study suggests older adults in Hong Kong and Wuhan have some differences in preferences for end-of-life care and decision-making, which provides the basis for future development of culturally relevant community-based end-of-life care., (© 2022 John Wiley & Sons Australia, Ltd.)

Aim: Mindset has been found to be closely related to mental health symptoms. Yet no scale for the Mindsets of Depression, Anxiety, and Stress (MDASS) has been validated. This study developed a 12-item MDASS with four items in each domain and examined its psychometric properties among young adults and adolescents., Methods: Young adults (Study 1: N = 1735, aged 18-25) and adolescents (Study 2, N = 1648, aged 9-16) completed socio-demographics information, MDASS (unidirectional items in Study 1 and bi-directional items in Study 2), and mental health symptoms measures. Both samples were randomly divided into two equal sub-samples, one for exploratory factor analysis (EFA) to identify the factor structure, the other for confirmatory factor analysis (CFA) to assess the goodness-of-fit of EFA models. Spearman correlations were used to assess the convergent validity of MDASS with measures of depression, anxiety, and stress., Results: In Study 1, EFA yielded a three-factor model with underlying factors of fixed mindsets on depression, anxiety, and stress; CFA revealed a good goodness-of-fit (CFI and TFI >0.95; RMSEA and SRMR <0.08). In Study 2 with reversed items, EFA and CFA yielded a complex model structure. Fixed mindsets were positively correlated with depression, anxiety, and stress symptoms (all absolute correlations >0.3) in both studies., Conclusion: MDASS is a reliable scale with clear factor structure to measure mindsets of negative emotions among early adults. MDASS is suggested to use only fixed-mindset statements. The MDASS are highly associated with symptoms of depression, anxiety, and stress., (© 2021 John Wiley & Sons Australia, Ltd.)

Current prognostication in myelofibrosis (MF) is based on clinicopathological features and mutations in a limited number of driver genes. The impact of other genetic mutations remains unclear. We evaluated for mutations in a myeloid panel of 54 genes using next-generation sequencing. Multivariate Cox regression analysis was used to determine prognostic factors for overall survival (OS) and leukaemia-free survival (LFS), based on mutations of these genes and relevant clinical and haematological features. One hundred and one patients (primary MF, N = 70; secondary MF, N = 31) with a median follow-up of 49 (1-256) months were studied. For the entire cohort, inferior OS was associated with male gender (P = 0.04), age > 65 years (P = 0.04), haemoglobin < 10 g/dL (P = 0.001), CUX1 mutation (P = 0.003) and TP53 mutation (P = 0.049); and inferior LFS was associated with male gender (P = 0.03), haemoglobin < 10 g/dL (P = 0.04) and SRSF2 mutations (P = 0.008). In primary MF, inferior OS was associated with male gender (P = 0.03), haemoglobin < 10 g/dL (P = 0.002), platelet count < 100 × 10 9 /L (P = 0.02), TET2 mutation (P = 0.01) and CUX1 mutation (P = 0.01); and inferior LFS was associated with haemoglobin < 10 g/dL (P = 0.02), platelet count < 100 × 10 9 /L (P = 0.02), TET2 mutations (P = 0.01) and CUX1 mutations (P = 0.04). These results showed that clinical and haematological features and genetic mutations should be considered in MF prognostication.

Among 489 bats of 11 species in China, three novel paramyxoviruses [Tuhokovirus 1, 2 and 3 (ThkPV-1, ThkPV-2 and ThkPV-3)] were discovered in 15 Leschenault's rousettes. Phylogenetically, the three viruses are most closely related to Menangle and Tioman virus. Genome analysis showed that their 3'-leader sequences are unique by possessing GA instead of AG at the 5th and 6th positions. Unlike Menangle and Tioman virus, key amino acids for neuraminidase activity characteristic of rubulavirus attachment proteins are present. The genome of ThkPV-1 represents the largest rubulavirus genome. Unique features between the three viruses include perfect complementary 5'-trailer and 3'-leader sequence and a unique cysteine pair in attachment protein of ThkPV-1, G at +1 position in all predicted mRNA sequences of ThkPV-2, and amino acid substitutions in the conserved N-terminal motif of nucleocapsid of ThkPV-3. Analysis of phosphoprotein gene mRNA products confirmed mRNA editing. Antibodies to the viruses were detected in 48-60% of Leschenault's rousettes., (Copyright 2010 Elsevier Inc. All rights reserved.)

Joint ventures with Chinese companies provide one of the most effective ways for international companies to establish a foothold in the booming Chinese economy. The benefits, opportunities and challenges of establishing a joint venture are explored here. Current partnering trends and successful Sino-foreign joint ventures in the fast-growing medical device industry in China are also highlighted.