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Aims: Radiotherapy has become a basic treatment modality for head and neck cancer. However, radiotherapy results in inevitable side effects, particularly radiation sialadenitis, that significantly impairs quality of life. A previous study indicated that nerve growth factor (NGF) has a radio-protective effect, but the mechanism was not determined in salivary glands. In this study, we explored the functional role and mechanism regarding how NGF protects salivary glands against IR-induced damage., Main Methods: Human salivary gland (HSG) cells and C57BL/6 mice were selected to establish an IR-induced salivary gland damage model in vitro and in vivo. Recombinant NGF protein and NGF siRNA and over-expression plasmids were applied to manipulate NGF expression in vitro. AAV-NGF was retrogradely perfused into the submandibular gland (SMG) through the SMG duct to manipulate NGF expression in vitro. Small-molecule inhibitors and siRNAs were applied to inhibit AKT and JNK. Western blotting, quantitative PCR, flow cytometry and histology assays were performed to analyse the functional role and mechanism of NGF., Key Findings: Our study demonstrated that NGF expression was upregulated following radiotherapy both in human HSG cells and mouse SMG tissues. NGF could reduce IR-induced HSG cell apoptosis, and AAV-mediated gene therapy could restore the salivary flow rate and protect the salivary gland against IR-induced apoptosis in vivo. Mechanistically, NGF protects salivary glands from IR-induced apoptosis by de-phosphorylating JNK kinase rather than promoting AKT phosphorylation., Significance: The current study findings indicated that the modulation of the NGF pathway might prevent IR-induced salivary hypo-function., (Copyright © 2020. Published by Elsevier Inc.)

Background: Treatments for hepatic sinusoidal obstruction syndrome (HSOS) are limited., Aim: To evaluate transjugular intrahepatic portosystemic shunting (TIPS) as a treatment for pyrrolidine alkaloid-related HSOS (PA-HSOS)., Methods: This retrospective analysis included patients with PA-HSOS admitted to the First Affiliated Hospital of the University of Science and Technology of China (June 2015 to January 2019). Baseline clinical characteristics and follow-up data were extracted from the medical records. All patients included in this study experienced failure of initial therapy. Patients were divided into the TIPS and conservative treatment groups according to the therapy they received. Liver function, maximal ascites depth, imaging characteristics, pathology findings, and survival were compared between groups., Results: The TIPS group included 37 patients (28 males), and the conservative treatment group included 17 patients (11 males). Baseline characteristics were similar between groups. There were two deaths in the TIPS group and seven deaths in the conservative treatment group during follow-up (3-48 mo). The 3-, 6-, 12- and 24-mo survival rates were 94.6%, 94.6%, 94.6% and 94.6%, respectively, in the TIPS group and 70.6%, 57.8%, 57.8% and 57.8%, respectively, in the conservative treatment group. Kaplan-Meier analysis revealed significantly longer survival for the TIPS group than for the conservative treatment group ( P = 0.001). Compared with the pre-treatment value, maximal ascites depth was significantly lower at 1 wk, 2 wk, 1 mo, and 3 mo for the TIPS group (all P < 0.05) but not in the conservative treatment group. Contrast-enhanced computed tomography demonstrated the disappearance of patchy liver enhancement after TIPS. Pathology showed that liver congestion and hepatocyte swelling improved with time after TIPS placement., Conclusion: TIPS may achieve better outcomes than conventional symptomatic treatment in patients with PA-HSOS., Competing Interests: Conflict-of-interest statement: We have no financial relationships to disclose., (©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.)

Literatures regarding the prevalence and clinical significance of compound EGFR mutations are limited. Until now, none of retrospective or prospective research has focused on in cis compound EGFR mutations except case reports. In this study, we screened a cohort of 3,000 treatment-naïve Chinese advanced NSCLC patients using capture-based ultra-deep targeted sequencing to evaluate the prevalence of EGFR in cis compound mutations and the efficacy of EGFR-TKI in this population. Of the 3,000 patients screened, 1,266 (42.2%) had EGFR mutation; among them, 15 patients (1.2%) harborin g in cis compound EGFR mutations, with 10 patients carrying EGFR L858R in combination with a rare mutation and five patients carrying two rare EGFR mutations. No patient with EGFR 19del was observed. Interestingly, no in trans configuration was identified in this cohort. All of the patients harborin g in cis compound EGFR mutations were non-smokers, histologically diagnosed with adenocarcinoma and received first-generation EGFR-TKI. Furthermore, our data also revealed that patients with in cis compound EGFR mutations exhibit comparable PFS to first generation EGFR-TKI comparing to patients with single activating EGFR mutation. This observation was further supported by in silico molecular modeling analyses which demonstrated in cis compound mutations do not alter the ATP-binding pocket of EGFR , thus having no effect on the interaction between gefitinib and EGFR .

The purpose of this study was to characterize the decomposition process of different plant litters and its controlling factors, and to quantify the different contribution rates to sediments organic matter throughout the decomposition of different plant litters. Results showed that the decomposition rates of plant litters buried at medium tidal level were 0.655 a(-1) for mangrove and 1.723 a(-1) for Spartina, which were greater than those with 0.651 a(-1) for mangrove and 1.586 a(-1) for Spartina at high tidal level. The reduction of carbon concentration in plant litters at high tidal level was lower than that at medium tidal level, while the increment of nitrogen and sulfur concentrations in plant litters at high tidal level was greater than those at medium tidal. And the isotope abundance of carbon (delta13C) in plant litters at medium tidal level reduced much more significantly than that at high tidal level. The contribution rates of plant litters carbon to sediments organic matter differed among tidal levels, plant species and decomposition duration. Specifically, the decomposition of mangrove litters contributed 5.96% to the sediment organic matter at medium tidal level, which was greater than that (3.03%) at high tidal level. Similarly, the decomposition of Spartina litters contributed 14.81% to the sediment organic matter at medium tidal level, which was also greater than that (13.97%) at high tidal level. The contribution of the decomposition of Spartina litters organic matter (average with 14.39%) was greater than that of mangrove litters (4.50%). The decomposition of plant litters requires a long process. The contribution of plant litters to sediments organic matter throughout one year decomposition was lower than that in complete decomposition, in particular, mangrove litters. Our study showed that the quantitative differences in plant litters-derived sediment organic matter would improve the proper estimation of the contribution of litters to wetland organic matter.

In order to clarify the distribution characteristics and risk levels of heavy metals in typical drinking water sources of towns in Dongjiang River Basin, several regular water quality indexes as well as concentrations of Fe, Cu, Mn, Zn, As, Cr, Hg, Pb and Cd were analyzed in the 45 random water samples of 9 towns in the study area. The risk assessment was conducted according to different drinking water types using the environmental health risk assessment model recommended by U. S. EPA. The results indicated that the metal carcinogenic risk is relatively high in this area. The highest carcinogenic risk was from Cr in reservoir water, with the risk for adult people reaching 1.14 x 10(-4) x(-1) and the risk of children reaching 2.14 x 10(-4) x a(-1). Total carcinogenic risk of reservoir, river and underground water exceeded the accepted level of 5.0 x 10(5) x a(-1) as suggested by ICRP while all the non-carcinogenic risk levels were within the acceptable range. The primary control sequence of metal pollution in this area was Cr > As > Pb > Fe > Zn; the risk value of different drinking water sources descended in this order: reservoir > river > underground water > mountain spring.

Professor XIAO Ji-fang, an experienced practitioner of Chinese medicine of Guangxi, is famous for his medical ethics, wide range of studies, comprehensive understanding of the classics, innovation, as well as u nique academic ideas. He focuses on mind-regulating in acupuncture and pulse diagnosis. At the same time, differentiation of syndromes, diseases and meridians are emphasized. The combination of acupuncture and moxibustion and integration of acupuncture and medicine are promoted. He is especially skilled at slow twisting needle insertion, Taiji needling therapy, scalp acupuncture and moxibustion with a herb prepared thread of Zhuang nationality, which all achieve remarkable effects.

Based on the concept of ecosystem services and welfare, a definition of a sustainable city is proposed, and a quantitative model to describe sustainable welfare is established. With the analysis of the major issues and driving forces of sustainable city construction in China, the approaches for sustainable city construction are proposed as follows: to promote study on the theory and methodology of sustainable city construction, to set up and perfect institutional and management systems, and to establish a performance assessment system and an effective operation mechanism for sustainable city construction in China.

Objective: To study the prevalence of snoring, the blood pressure in the snoring population and the correlating between hypertension and snoring in Guangxi., Methods: From January 2003 to March 2005, people older than 14 from the south, central and north Guangxi were studied for the prevalence of snoring. A questionnaire was administered, and the blood pressure, height and weight of the participants were measured., Results: A total of 2862 families, 11 163 persons (aged 14 - 99 years, mean, 39.6 +/- 17.5 years) were surveyed. The prevalence of snoring was 27.3% (2940/10 758). The systolic blood pressure and the diastolic blood pressure of the non-snoring were 122.73 +/- 21.71 mm Hg and 75.68 +/- 13.17 mm Hg respectively. The systolic blood pressure and the diastolic blood pressure of the snoring were 128.23 +/- 30.85 mm Hg and 79.27 +/- 12.42 mm Hg respectively. The prevalence of hypertension of the two groups was 19.9% and 32.1% respectively. With the increase of age, there was an increasing tendency of snoring rate (tendency chi(2) = 592.613, P = 0.000) and hypertension rate (tendency chi(2) = 1868.277, P = 0.000). The hypertension incidence of the occasional snorers, habitual snorers, mild snorers, moderate snorers, and severe snorers and persons who suffered from sleep apnea was 27.6%, 37.4%, 27.5%, 31.1%, 37.4% and 44.1% respectively. Multiple logistic regression models showed that the risk factors for hypertension were snoring, age, body mass index (BMI), nationality and alcohol consumption. The partial correlation analysis showed that snoring was positively correlated to the diastolic blood pressure but not correlated to the systolic blood pressure. The severity of snoring was positively correlated to both the diastolic and the systolic blood pressures., Conclusions: The prevalence of snoring was 27.3% in Guangxi. The systolic blood pressure, the diastolic blood pressure and the prevalence of hypertension in snoring subjects were higher than those in non-snoring subjects. The prevalence of hypertension increased with increased severity of snoring. The severity of snoring was positively correlated to the diastolic and the systolic blood pressures. Snoring, age, BMI and alcohol consumption were the risk factors for hypertension.

Objective: To study the prevalence of snoring and obstructive sleep apnea-hypopnea syndrome (OSAHS) and its high risk factors in Guangxi Zhuang Autonomous Region., Methods: From January 2003 to March 2005, a total number of 11,163 persons aged > or =14 years Zhuang minority living in Guangxi (from Guinan, Guizhong and Guibei) were surveyed. Questionnaire was administered to draw information. Polysomnography(PSG) and in-home polygraphy were performed on participants being studied and who had reported snoring., Results: Among all the surveyed people, 2940reported snoring with a prevalence of 27.3%. 448 (320 males and 128 females) people reported OSAHS with prevalence as 4.3% (5.9% in males and 2.5% in females). From 14 to 60 year olds, the prevalence of snoring and OSAHS increased with age. Among those above 60 years of age, both the prevalencerates ofsnoring and OSAHS werereduced with age. Among all the study population, 260 (21.6%) had habitual OSAHS a nd 188 (10.8%) hadoccasional OSAHS. The high risk factors of OSAHS were: position during sleep, disease of nose, drinking alcohol, smoking, gender, body mass index (BMI) and age., Conclusion: The prevalence rates of snoring and OSAHS were 27.3% and 4.3% respectively. From 14 to 60 years of age, the prevalence rates of snoring and OSAHS were increasing with age while from 60 years of age on, the prevalence of snoring and OSAHS reduced with age. The prevalence rates of snoring and OSAHS in males were higher than females. The high risk factors of OSAHS were position during sleep,disease of nose, drinking, smoking,gender, BMI and age.

Economic development and increase of population pressure have caused a series of ecological environmental problems of Erhai Lake. These problems include: (1) Quickening of eutrophication process, (2) Decrease of water level and water resources, (3) Habitat deterioration of lakeside zone, and (4) Overfishing and slow depletion of aboriginal fish. Pollutant loading of Erhai Lake is as follows: COD(Cr) 3 008 t x a(-1), TP 137.31 t x a(-1), TN 1 426.35 t x a(-1). According to the mestrophic target of water quality, loading of nitrogen and phosphorus is far above environmental capacity of Erhai Lake. Erhai Lake is now in a pivotal and hypersensitive period of trophic states change, and the position is very critical. Therefore, some countermeasures to solve the problems are presented as follows: (1) Defining the dominant functions of Erhai Lake, (2) Paying attention to the adjustment of the industrial structure and distribution in the course of urbanization, (3) Setting up lakeside zone reserve, (4) Strengthening the control of tourism pollution, (5) Properly adjusting the water level of Erhai Lake, and (6) Some ecological engineering measures for water resources protection in the basin should be taken through collecting and treating of urban sewages, ecological rehabilitating of the main inflowing rivers, constructing of ecological agricultures and improving of rural environment, ecological restoring of aquatic ecosystem, and soil and water conservation.