Search

In this study, we reported on the successful fabrication of a novel heterojunction photocatalyst (in particulate system) with a Type II band alignment between 1D-ZnO nanorods and BiVO4 nanocrystals. Pristine 1D-ZnO nanorods and BiVO4 nanocrystals were first fabricated through hydrothermal reaction followed by heterojunction formation via the wet chemical reaction. The 1D-ZnO/xBiVO4 heterojunction photocatalyst (x = weight ratio of BiVO4 in g) that found optimum when x = 0.08 g was used for the degradation of salicylic acid (SA) and Reactive Black 5 (RB5) resulting in high pseudo-first-order reaction rate constants of 0.0049 min−1 and 0.0132 min−1, respectively. Electrochemical studies proved that the 1D-ZnO/0.08BiVO4 heterojunction photocatalyst demonstrated a fast charge mobility and the most efficient photogenerated charge carriers separation among other heterojunction samples as analysed from PL spectra. Besides, UV–vis spectroscopic measurement and optical characterisation showed that the improved photoactivity in 1D-ZnO/BiVO4 is attributed to the formation of a Type II heterojunction staggered arrangement that enables a broader visible-light harvesting ability. Finally, a postulation photocatalytic mechanism was proposed based on the theoretical band alignment diagram between the 1D-ZnO nanorods and BiVO4 nanocrystals as well as portraying the fundamental charge carriers transfer within the 1D-ZnO/BiVO4 heterojunction photocatalyst.

An adhesive of the SiBCN ceramic was synthesized through the polymer derived ceramics (PDC) route. Meanwhile with higher adhesion strength and simpler process condition, the polyborosilazane (PSNB) was modified by E-44 epoxy resin. The E-44 epoxy resin was used to promote the oxidation process of SiBCN, in other words, to produce more amount of SiO2-B2O3 glasses. The phase composition, elemental analysis, chemical bonds and microstructure were investigated by using X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), and scanning electron microscope (SEM) measurements. The E-44 modified adhesives were cured at 120 °C in air for 2 h, and were pyrolyzed at 1 200, 1 400, and 1 500 °C for 2 h in air, respectively. The highest adhesion strength of the modified adhesive was up to 5.33, 12.23, and 12.50 MPa after being heat treated at 1 200, 1 400, and 1 500 °C, respectively. Finally, we proposed an adhesion model and revealed the adhesion mechanism of SiBCN ceramic.

The strength and deformation properties of carbon fiber reinforced concrete under different fiber volume loadings under impact loading were studied by using the ɸ100 mm split Hopkinson pressure bar (SHPB) test system. The results show that after the carbon fiber is added, the stress-strain curve of the specimen shows the platform section at the peak stress. The strength and peak strain of the concrete under the impact load increase first and then decrease with the increase of the carbon fiber volume. Trend, when the carbon fiber volume is 0.2%, the impact mechanical properties of concrete are significantly improved.

In this paper we investigate the optimal control problem for set-valued quasivariational inequality with unilateral constraints. Under suitable conditions, we prove that the solution to the current optimal control problem converges to a solution to old control problems. By way of application, we utilize our results presented in the paper to study the optimal control associated with boundary value problems which is described by frictional contact problems and a stationary heat transfer problem with unilateral constraints.

ObjectiveIn the last half of the 20th century, many countries have already abolished antisuicide laws; however, more than 20 countries still adopt them. This paper is the first to systematically explore the association between criminalisation of suicide and national suicide rates in 171 countries/regions to examine the deterring effects of the antisuicide laws.DesignA cross-sectional ecological study.Setting171 countries in the world.ParticipantsIn 2012, 25 countries were identified to carry antisuicide laws. A linear regression analysis was adopted to explore the association between national suicide rates (log transformed) and criminalisation of suicide in the world in 2012, having controlled for the Human Development Index (HDI), majority religious affiliations and the national unemployment rate.Main outcome measureSex-specific age standardised suicide mortality rates.ResultsCriminalisation of suicide was associated with slightly increased national suicide rates (β estimate=0.29, 95% CI −0.04 to 0.61). Stronger association was found in women (β estimate=0.40, 95% CI 0.06 to 0.74), connecting criminalisation of suicide and higher suicide rates. The harmful effect of antisuicide laws on women was particularly prominent in non-Muslim countries and countries with lower HDI.ConclusionsLaws penalising suicide were associated with higher national suicide rates and even more so in the female population in the low HDI, non-Muslim countries. The non-supportive patriarchal culture with laws penalising suicide may render women vulnerable to suicidality. Instead of criminalising suicide, alternative approaches such as providing good mental healthcare and adjusting the socioeconomic, legal and cultural factors that contribute to suicide should be considered.

Background Removing highly hazardous pesticides from agricultural practice in low- and middle-income countries is crucial to ensuring community and environmental health and occupational safety of farmers. However, the approach has been challenged as threatening food production, despite evidence from Asian countries that curbing agricultural use of highly hazardous pesticides does not affect crop yields. In 2011, the state of Kerala, India, banned 14 highly hazardous pesticides resulting in a marked reduction in deaths from pesticide poisoning. Objective We aimed to determine whether the Kerala pesticide bans impacted agricultural yields. Methods We collected data on agricultural production, area under cultivation, and rainfall, published by the Kerala state agricultural department from 2004 to 2018 for eight key crops that had been treated with the banned pesticides. Trends in crop yields (total production/area under cultivation) and rainfall across 14 districts in Kerala were aggregated and analysed using joinpoint regression. These trends were evaluated to ascertain possible associations with the pesticide bans. Results The joinpoint regression analyses showed no evidence for any change in yield trends for any of the eight crops in the year of the pesticide bans (2011), or the subsequent year (2012), suggesting a negligible impact of the bans on crop yields. Steady trends of predominately reductions in overall rainfall, without any change around the time of the pesticide bans, was observed in Kerala throughout the period. No evidence of district-level changes in rainfall that might have offset any potential adverse impacts of the pesticide bans on crop yields was noted. Fluctuations in yield until 2018 could be explained by variation in rainfall, changes in land use, and agricultural policies. Conclusion We found no evidence of an adverse effect on agricultural yields in Kerala that could be attributed to bans of highly hazardous pesticides. This work provides further evidence that such pesticides can be withdrawn from agricultural use without affecting yields. Further studies are required for the whole of India after the national bans of 12 pesticides in 2018 to identify state-level effects of the bans.

In this study, we investigated the functional roles of Asp40, Asp57, and C-terminal Asn60 in Naja atra cardiotoxin 3 (CTX3) structure and function by modifying these three carboxyl groups with semicarbazide. The conjugation of the carboxyl groups with semicarbazide produced two conformational isomers whose gross and fine structures were different from those of CTX3. The blocking of the carboxyl groups increased the structural flexibility of CTX3 in response to trifluoroethanol-induced effect. Despite presenting modest to no effect on decreasing the induction of permeability in zwitterionic phospholipid vesicles, the carboxyl group-modified CTX3 showed a marked reduction in its permeabilizing effect on anionic phospholipid vesicles in comparison to that of the native protein. Compared with native CTX3, carboxyl group-modified CTX3 exhibited lower activity in inducing membrane leakage in U937 cells. The CD spectra of lipid-bound toxins and the color transition of polydiacetylene/lipid assay showed that the membrane interaction mode of CTX3 was distinctly changed by the modification in the carboxyl groups. Given that the selective modification of Asp40 does not cause the conformational isomerization of CTX3, our data indicate that the carboxyl groups in Asp57 and Asn60 are essential in maintaining the structural topology of CTX3. Furthermore, modification of carboxyl groups changes the interdependence between the infrastructure and the global conformation of CTX3 in modulating membrane permeabilizing activity.

Oral melatonin supplement has been shown to improve dermatitis severity in children with AD, but the mechanism of the effect is unclear, and it is uncertain whether melatonin has a direct immunomodulatory effect on the dermatitis. Topical melatonin treatment was applied to DNCB-stimulated Balb/c mice, and gross and pathological skin findings, serum IgE, and cytokine levels in superficial lymph nodes were analyzed. Secretion of chemokines and cell proliferative response after melatonin treatment in human keratinocyte HaCaT cells were also studied. We found that in DNCB-stimulated Balb/c mice, topical melatonin treatment improved gross dermatitis severity, reduced epidermal hyperplasia and lymphocyte infiltration in the skin, and decreased IP-10, CCL27, IL-4, and IL-17 levels in superficial skin-draining lymph nodes. Melatonin also reduced cytokine-induced secretion of AD-related chemokines IP-10 and MCP-1 and decreased IL-4-induced cell proliferation in HaCaT cells. Melatonin seems to have an immunomodulatory effect on AD, with IP-10 as a possible target, and topical melatonin treatment is a potentially useful treatment for patients with AD.

In the field of computer vision, large-scale image classification tasks are both important and highly challenging. With the ongoing advances in deep learning and optical character recognition (OCR) technologies, neural networks designed to perform large-scale classification play an essential role in facilitating OCR systems. In this study, we developed an automatic OCR system designed to identify up to 13,070 large-scale printed Chinese characters by using deep learning neural networks and fine-tuning techniques. The proposed framework comprises four components, including training dataset synthesis and background simulation, image preprocessing and data augmentation, the process of training the model, and transfer learning. The training data synthesis procedure is composed of a character font generation step and a background simulation process. Three background models are proposed to simulate the factors of the background noise and anti-counterfeiting patterns on ID cards. To expand the diversity of the synthesized training dataset, rotation and zooming data augmentation are applied. A massive dataset comprising more than 19.6 million images was thus created to accommodate the variations in the input images and improve the learning capacity of the CNN model. Subsequently, we modified the GoogLeNet neural architecture by replacing the FC layer with a global average pooling layer to avoid overfitting caused by a massive amount of training data. Consequently, the number of model parameters was reduced. Finally, we employed the transfer learning technique to further refine the CNN model using a small number of real data samples. Experimental results show that the overall recognition performance of the proposed approach is significantly better than that of prior methods and thus demonstrate the effectiveness of proposed framework, which exhibited a recognition accuracy as high as 99.39% on the constructed real ID card dataset.

The nationwide prevalence of somatic symptom disorder (SSD) has not yet been investigated in Asia. SSD is often comorbid with depression and anxiety, and the effects of these conditions on medical utilization await clarification. We hence performed a study in Taiwan to explore these issues.Using telephone-based sampling and interview, we obtained data for 3161 participants whose age, gender and living area were compatible with the Taiwan population. We gathered scores of the Patient Health Questionnaire-15 (PHQ-15), Health Anxiety Questionnaire (HAQ) and Patient Health Questionnaire-4 (PHQ-4). Individuals with a PHQ-15 score of at least 4 and a HAQ score of at least 17 were considered to have SSD. Descriptive statistics were used to clarify the prevalence and normative data of the questionnaires. We used multiple logistic regression analyses to investigate the relation between diagnoses and medical utilization.The prevalence of SSD was 5.00% and women had a higher SSD prevalence than men; participants aged 40-49 years had the highest SSD prevalence. In SSD patients, 33.58% had depression or anxiety. After correcting for demographics, SSD and anxiety (but not depression) were associated with a significantly high level of outpatient/emergency department attendance. Comorbid depression or anxiety did not significantly increase the medical utilization of SSD patients.The nationwide SSD prevalence in Taiwan is compatible with the description in the DSM-5. The comorbidity of SSD and depression/anxiety is common, but depression or anxiety does not significantly increase the SSD patients' medical utilization.

Background Previous studies, mainly from low- and middle-income settings, showed that pesticide self-poisonings were mostly impulsive with low levels of psychopathology. We aimed to investigate whether pesticide self-poisoning in a high-income country showed similar profiles, and whether those with certain characteristics and psychopathology were more likely to use specific pesticides. Methods Data were extracted from hospital records of pesticide self-poisoning patients treated at eight major hospitals in Taiwan between 2012 and 2019. Multinomial logistic regression was used to investigate the association of interpersonal conflicts, triggers of self-poisoning, and psychopathology with the groups of pesticides ingested. Results A total of 1,086 patients who self-poisoned using pesticides were identified; 67.0% were male and 39.8% aged 65+ years. Approximately three quarters (75.7%) of patients who received psychiatric assessment had at least one psychiatric diagnosis, and the prevalence was 48.3% in all patients. No association was found between the pesticide groups ingested and interpersonal conflicts, most of the triggers, past psychiatric service use, or having psychiatric diagnoses. Limitations Data were collected from hospital records retrospectively. Only 60.3% of the patients received a psychiatric assessment. Conclusions The majority of patients who self-poisoned using pesticides and received psychiatric assessment in Taiwan had psychiatric illness. Patients who ingested different groups of pesticides were similar in their characteristics. The choice of pesticides used in self-poisoning more likely relates to availability rather than intentional selection. Psychiatric assessment and treatment are important in patients who self-poisoned using pesticides, while restricting access to highly hazardous pesticides is likely to prevent many deaths from pesticide self-poisoning.

This study aims to develop and validate the use of machine learning-based prediction models to select individualized pharmacological treatment for patients with depressive disorder. This study used data from Taiwan’s National Health Insurance Research Database. Patients with incident depressive disorders were included in this study. The study outcome was treatment failure, which was defined as psychiatric hospitalization, self-harm hospitalization, emergency visits, or treatment change. Prediction models based on the Super Learner ensemble were trained separately for the initial and the next-step treatments if the previous treatments failed. An individualized treatment strategy was developed for selecting the drug with the lowest probability of treatment failure for each patient as the model-selected regimen. We emulated clinical trials to estimate the effectiveness of individualized treatments. The area under the curve of the prediction model using Super Learner was 0.627 and 0.751 for the initial treatment and the next-step treatment, respectively. Model-selected regimens were associated with reduced treatment failure rates, with a 0.84-fold (95% confidence interval (CI) 0.82–0.86) decrease for the initial treatment and a 0.82-fold (95% CI 0.80–0.83) decrease for the next-step. In emulation of clinical trials, the model-selected regimen was associated with a reduced treatment failure rate.

In this paper, we obtain an existence theorem of general strong noncooperative equilibrium point of vector-valued games, in which every player maximizes all goals. We also obtain an existence theorem of strong equilibrium point of vector-valued games with single-leader–multi-follower framework by using the upper semicontinuous of parametric strong noncooperative equilibrium point set of the followers. Moreover, we obtain some results on the generic stability of general strong noncooperative equilibrium point vector-valued games.

BackgroundA National Clinical Programme for the Management of Hospital-Presenting Self-Harm (NCP-SH) was introduced in Ireland in 2014. This involved the development of a model of care to standardise the management of self-harm in emergency departments, to be delivered by dedicated clinical nurse specialists. The core components of the programme were to: ensure an empathic and timely response, conduct a biopsychosocial assessment, involve family members in assessment and discharge planning, and provide a bridge to next care. The overall aim of the programme was to reduce the rate of repeat self-harm. This multistage study will evaluate the impact of the NCP-SH on hospital-presenting self-harm and to identify determinants influencing its implementation.MethodsEmploying a sequential mixed methods design, the first stage will use data from the National Self-Harm Registry Ireland to examine the impact of the NCP-SH on self-harm repetition, along with other aspects of care, including provision of psychosocial assessments and changes in admissions and postdischarge referrals. A cost-effectiveness analysis will assess the cost per repeat self-harm attendance avoided as a result of the NCP-SH. The second stage will identify the influences of implementation fidelity—adherence to the programme’s core components—using a combination of document analysis and semistructured interviews with staff of the programme, guided by the Consolidated Framework for Implementation Research.Ethics and disseminationThis study has received full ethical approval and will run until August 2023. This study is novel in that it will identify important factors influencing successful implementation of complex programmes. It is expected that the findings will provide important learnings for the integration of mental health services in general hospital settings and will be disseminated via peer-review publications along with reports for clinicians and policy-makers.

Although some studies have hinted at the therapeutic potential of daunorubicin (DNR) in chronic myeloid leukemia (CML), the mechanism by which DNR induces CML cell death is unclear. Therefore, this study aimed to investigate DNR-induced cell death signaling pathways in CML cell lines K562 and KU812. DNR-triggered apoptosis in K562 cells was characterized by inhibition of MCL1 expression, while restoration of MCL1 expression protected K562 cells from DNR-mediated cytotoxicity. In addition, DNR induced NOX4-dependent ROS production, leading to the activation of p38 MAPK and inactivation of Akt and ERK. Activated p38 MAPK stimulated protein phosphatase 2A-dependent dephosphorylation of CREB. Since Akt-mediated activation of ERK reduced β-TrCP mRNA stability, the inactivation of Akt-ERK axis increased β-TrCP expression, which in turn promoted proteasomal degradation of Sp1. Inhibition of CREB phosphorylation and Sp1 expression simultaneously reduced MCL1 transcription and protein expression. DNR-induced MCL1 suppression was not reliant on its ability to induce DNA damage. In addition, DNR induced the expression of drug exporter ABCB1 in K562 cells through the p38 MAPK/NFκB-mediated pathway, while imatinib or ABT-199 inhibited the DNR-induced effect. The combination of imatinib or ABT-199 with DNR showed synergistic cytotoxicity in K562 cells by increasing intracellular DNR retention. Cumulatively, our data indicate that DNR induces MCL1 downregulation in K562 cells by promoting p38 MAPK-mediated dephosphorylation of CREB and inhibiting the Akt-ERK axis-mediated Sp1 protein stabilization. Furthermore, experimental evidence indicates that DNR-induced death of KU812 cells occurs through a similar pathway.

The main purpose of this paper is threefold. One is to study the existence and convergence problem of solutions for a class of generalized mixed quasi-variational hemivariational inequalities. The second one is to study the existence of optimal control for such kind of generalized mixed quasi-variational hemivariational inequalities under given control u∈U. The third one is to study the relationship between the optimal control and the data for the underlying generalized mixed quasi-variational inequality problems and a class of minimization problem. As an application, we utilize our results to study the elastic frictional problem in a class of Hilbert spaces. The results presented in the paper extend and improve upon some recent results.

High-temperature stress is a major risk to fresh-market Salvia production, and heat intolerance is a major constraint in sage cultivation, particularly during the hot summer season. Previously, we investigated heat tolerance in five common-market cultivars of sage plants using leaf relative injury (RI) values and found that S. elegans Vahl (SE) and S. officinalis L. (SO) were the most and least heat-tolerant species, respectively. The exogenous applications of salicylic acid (SA) and calcium chloride (CaCl2) to alleviate heat stress in various species have been extensively studied, but reports of the effects of SA and CaCl2 treatments on the heat tolerance of sage plants are scarce. The objective of this study was to investigate how SA and CaCl2 affect the physiology and morphology of SE and SO plants under high-temperature conditions. Potted plants were pretreated with SA (0, 100, 200, 400, and 800 μM) and CaCl2 (0, 5, 10, and 15 mM), alone and combined, exposed to 55 °C and 80% humidity for 30 min, then placed in an environment-controlled chamber at 30 °C for three days and evaluated for changes in phenotypic appearance, RI, spectral reflectance, and chlorophyll fluorescence indices at different time intervals. Plants watered without chemical solutions were used as controls. Our results show that the growth of SO plants pretreated with SA and CaCl2 was more robust, compared with control plants, which were considerably affected by heat stress, resulting in brown, withered leaves and defoliation. The effects of the combined applications of SA (100 μM) and CaCl2 (5 mM) to SO plants were superior to control plants in increasing values of soil-plant analysis development (SPAD), normalized difference vegetation index (NDVI), and the maximal quantum yield of photosystemII photochemistry (Fv/Fm), while reducing RI%. Furthermore, SO plants exhibited higher SPAD and Fv/Fm values and lower RI% than SE plants in combined treatments at all time intervals after heat stress, implying that different genotypes displayed variations in their SPAD, Fv/Fm, and RI%. Thus, a combined treatment of 100 μM of SA and 5 mM of CaCl2 is effective and beneficial to plant appearance and ability to ameliorate heat stress. These indices can be used as indicators to characterize the physiology of these plants and applied on a commercial scale for informing the development of rapid and precise management practices on bedded sage plants grown in plant factories to achieve maximum market benefit.

Hyperglycemic environment-induced oxidative stress-mediated matrix metalloproteinase-1 (MMP-1) plays a crucial role in the degradation of the extracellular matrix (ECM), which might contribute to premature skin aging. Synthesized, environmentally friendly gallic acid-coated gold nanoparticles (GA–AuNPs) have been evaluated as an anti-aging antioxidant. Their microstructure was characterized by transmission electron microscopy (TEM), which showed that GA–AuNPs are spherical when prepared at pH 11. Dynamic light scattering (DLS) analysis revealed that the average hydrodynamic diameter of a GA–AuNP is approximately 40 nm and with a zeta potential of −49.63 ± 2.11 mV. Additionally, the present data showed that GA–AuNPs have a superior ability to inhibit high glucose-mediated MMP-1-elicited type I collagen degradation in dermal fibroblast cells. Collectively, our data indicated that high-glucose-mediated ROS production was reduced upon cell treatment with GA–AuNPs, which blocked p38 MAPK/ERK-mediated c-Jun, c-Fos, ATF-2 phosphorylation, and the phosphorylation of NFκB, leading to the down-regulation of MMP-1 mRNA and protein expression in high glucose-treated cells. Our findings suggest that GA-AuNPs have a superior ability to inhibit high-glucose-mediated MMP-1-elicited ECM degradation, which highlights its potential as an anti-aging ingredient.

Previous studies have confirmed that docetaxel (DTX) treatment increases TNF-α production in cancer cells, but its mechanism of action remains unclear. Therefore, this study aimed to determine the signaling axis by which DTX induced the expression of TNF-α in U937 leukemia and MCF-7 breast carcinoma cells. DTX treatment promoted Ca

The purpose of this study was to assess the prevalence and distribution of dental caries and periodontal disease in Taiwanese high school students aged 15–18. A total of 1069 Taiwanese students participated in a cross-sectional nationwide dental survey. By using a stratified method based on the National Health Insurance administration regions, 24 high schools were randomly sampled in different areas of Taiwan. The participants were examined with dental mirrors and community periodontal index (CPI) probes without using radiographs, to measure dental caries and periodontal status. Demographic information and other relevant risk indicators for the two diseases were gathered via a self-report questionnaire. In this study population, the weighted mean decayed, missing and filled teeth (DMFT) scores for ages 15 to 18 were 5.2, 6.1, 6.1, and 5.7. The weighted mean decayed, missing and filled surfaces (DMFS) scores were 9.0, 12.0, 13.1, and 11.2 at ages 15, 16, 17, and 18, respectively. Additionally, 88.2% of the subjects had periodontal disease, with calculus as the most prevalent type. Moreover, 5.2% of these students showed loss of attachment. There was no significant association between dental caries and periodontal disease. Dental caries and periodontal disease were prevalent among Taiwanese high school students in this national dental survey.

High-temperature stress is a major risk to fresh-market Salvia production, and heat intolerance is a major constraint in sage cultivation, particularly during the hot summer season. Previously, we investigated heat tolerance in five common-market cultivars of sage plants using leaf relative injury (RI) values and found that S. elegans Vahl (SE) and S. officinalis L. (SO) were the most and least heat-tolerant species, respectively. The exogenous applications of salicylic acid (SA) and calcium chloride (CaCl2) to alleviate heat stress in various species have been extensively studied, but reports of the effects of SA and CaCl2 treatments on the heat tolerance of sage plants are scarce. The objective of this study was to investigate how SA and CaCl2 affect the physiology and morphology of SE and SO plants under high-temperature conditions. Potted plants were pretreated with SA (0, 100, 200, 400, and 800 μM) and CaCl2 (0, 5, 10, and 15 mM), alone and combined, exposed to 55 °C and 80% humidity for 30 min, then placed in an environment-controlled chamber at 30 °C for three days and evaluated for changes in phenotypic appearance, RI, spectral reflectance, and chlorophyll fluorescence indices at different time intervals. Plants watered without chemical solutions were used as controls. Our results show that the growth of SO plants pretreated with SA and CaCl2 was more robust, compared with control plants, which were considerably affected by heat stress, resulting in brown, withered leaves and defoliation. The effects of the combined applications of SA (100 μM) and CaCl2 (5 mM) to SO plants were superior to control plants in increasing values of soil-plant analysis development (SPAD), normalized difference vegetation index (NDVI), and the maximal quantum yield of photosystemII photochemistry (Fv/Fm), while reducing RI%. Furthermore, SO plants exhibited higher SPAD and Fv/Fm values and lower RI% than SE plants in combined treatments at all time intervals after heat stress, implying that different genotypes displayed variations in their SPAD, Fv/Fm, and RI%. Thus, a combined treatment of 100 μM of SA and 5 mM of CaCl2 is effective and beneficial to plant appearance and ability to ameliorate heat stress. These indices can be used as indicators to characterize the physiology of these plants and applied on a commercial scale for informing the development of rapid and precise management practices on bedded sage plants grown in plant factories to achieve maximum market benefit.

In this study, we investigated whether modification of the carboxyl group with semicarbazide-enabled myoglobin (Mb) exhibits membrane-perturbing activity in physiological solutions. Mass spectrometry analysis showed that semicarbazide molecules were coupled to 19 of the 22 carboxyl groups in semicarbazide-modified Mb (SEM-Mb). Measurements of the absorption and circular dichroism spectra indicated that SEM-Mb lost its heme group and reduced the content of the α-helix structure in Mb. The microenvironment surrounding Trp residues in Mb changes after blocking negatively charged residues, as shown by fluorescence quenching studies. The results of the trifluoroethanol-induced structural transition indicated that SEM-Mb had higher structural flexibility than that of Mb. SEM-Mb, but not Mb, induced the permeability of bilayer membranes. Both proteins showed similar lipid-binding affinities. The conformation of SEM-Mb and Mb changed upon binding to lipid vesicles or a membrane-mimicking environment composed of SDS micelles, suggesting that membrane interaction modes differ. Unlike lipid-bound Mb, Trp residues in lipid-bound SEM-Mb are located at the protein-lipid interface. Altogether, our data indicate that modifying negatively charged groups relieves the structural constraints in Mb, consequently switching Mb structure to an active conformation that exhibits membrane-permeabilizing activity.

Suicide in the working-age population is an important public health issue. This group is heterogeneous regarding marital status, education level, and employment status, which are generally important socioeconomic factors for suicide, and has a wide age range. This study aims to explore the individual and combined effect of these socioeconomic factors on suicide in different age groups among the working-age population.This study utilized a population-based case-control design for the working-age population in South Korea. Suicide cases were identified in Korean Governmental Death Registry from 2008 to 2017, and eight controls from Korea Community Health Survey were matched to each case by gender, age group, and year of suicide. Conditional logistic regression models estimated the relationship between marital status and socioeconomic status (SES) including educational attainment and employment status and suicide and examined the combined effect of the SES indicators and marital status on suicide.Low education, single status, and unemployment or economically inactive status were associated with suicide, but their magnitude varied across SES indicators. The association between SES and suicide was more pronounced in younger adults. The suicide risk was highest among divorced women aged 25-34 years (OR = 7.93; 95% CI: 7.21-8.72). Individuals experiencing two social adversities among SES or marital status had a significantly increased suicide risk. Those who are divorced and unemployed or economically inactive have the highest suicide risk, specifically among men aged 24-35 years (OR = 17.53; 95% CI: 14.96-20.55).Marital status, education attainment, and employment status have a separate and combined impact on suicide among the working-age population. Specifically, the divorced and unemployed or economically inactive status amplified suicide risk, predominantly among young adults. Monitoring and intervention for those young adults should be considered for suicide prevention.

Our previous studies indicated that the benzene metabolite hydroquinone (HQ) evokes the ROS/p38 MAPK/protein phosphatase 2A/tristetraprolin axis, leading to increased TNF-α expression in human acute myeloid leukemia cell lines U937 and HL-60. In this study, we aimed to identify the upstream pathway involved in ROS-mediated TNF-α expression. HQ treatment increased SIDT2 expression, which subsequently decreased miR-25 and SIRT3 expression in U937 cells. Notably, miR-25 downregulation promoted SIDT2 expression in HQ-treated U937 cells. SIDT2 induced lysosomal degradation of SIRT3 mRNA, but inhibited miR-25 expression through a lysosome-independent pathway. MiR-25 inhibition reduced NOX4 mRNA turnover, resulting in increased NOX4 protein levels. NOX4 induces mitochondrial ROS production and HuR downregulation. Restoration of HuR expression increased SIRT3 expression, suggesting that NOX4-mediated HuR downregulation promotes SIDT2-mediated degradation of SIRT3 mRNA. Inhibition of NOX4 or SIRT3 overexpression abolished HQ-induced ROS production, thereby abolishing TNF-α upregulation. Overall, these results indicate that SIDT2 regulates the miR-25/NOX4/HuR axis and SIRT3 mRNA destabilization, leading to ROS-mediated TNF-α upregulation in HQ-treated U937 cells. HQ-induced increase in TNF-α expression in HL-60 cells was also mediated through a similar pathway.

The purpose of this article is to introduce a general shrinking projection algorithm for solving a finite family of quasi-variational inclusion problems in Hadamard manifolds. It is shown that under mild conditions, the sequence generated by the proposed algorithm converges strongly to a common solution to a finite family of quasi-variational inclusion problems. As applications, we apply our results to study a system of variational inequalities in Hadamard manifolds. Our results presented in the paper generalize and improve some recent results.

The number of psychiatrists working in community clinics in Taiwan has increased dramatically in the recent decade. This study aimed to investigate the trend of prevalence and incidence of depressive disorders and assess the quality of depression care between 2007 and 2016 in Taiwan.We used the claims database derived from Taiwan's National Health Insurance (NHI) program, in which approximately 23.0 million individuals were enrolled, translating to a coverage rate of 99%. Patients with depressive disorders were identified based on International Classification of Diseases codes. The process indicators of depression care quality included visit, duration, and dose adequacy. The outcome indicators included the rate of psychiatric hospitalisation, emergency visit, self-harm hospitalisation, and suicide.The prevalence of treated depressive disorders increased from 1.61% in 2007 to 1.92% in 2016, i.e., a 25% increase, whereas the incidence of first-ever or recurrent depressive disorder did not change significantly. The number of patients treated by psychiatrists and in community clinics also increased. The quality of depression care improved, the proportion of patients receiving minimum psychiatric clinic follow-up and adequate medication increased, and the rate of emergency visits, psychiatric hospitalisation, and self-harm hospitalisation declined.The community-based psychiatric services increased and the quality indicators of depression care in Taiwan improved during 2007-2016. The causality warrants further investigations.

Canakinumab is a fully human monoclonal antibody that specifically neutralizes human interleukin (IL)-1β and has been approved by the US Food and Drug Administration for treating different types of autoinflammatory disorders such as cryopyrin-associated periodic syndrome, tumor necrosis factor receptor-associated periodic syndrome and systemic juvenile idiopathic arthritis. However, long-term systemic neutralization of IL-1β by Canakinumab may cause severe adverse events such as serious upper respiratory tract infections and inflammation, thereby decreasing the quality of life of patients. Here, we used an IgG1 hinge as an Ab lock to cover the IL-1β-binding site of Canakinumab by linking with matrix metalloprotease 9 (MMP-9) substrate to generate pro-Canakinumab that can be specifically activated in the inflamed regions in autoinflammatory diseases to enhance the selectivity and safety of treatment. The Ab lock significantly inhibited the IL-1β-binding by 68-fold compared with Canakinumab, and MMP-9 completely restored the IL-1β neutralizing ability of pro-Canakinumab within 60 min and blocked IL-1β-downstream signaling and IL-1β-regulated genes (i.e., IL-6). It is expected that MMP-9 cleavable and efficient Ab lock will be able to significantly enhance the selective reaction of Canakinumab at the disease site and reduce the on-target toxicities of Canakinumab during systemic circulation, thereby showing potential for development to improve the safety and quality of life of patients with autoinflammatory disorders in the future.

We investigated factors associated with vulnerability to the psychological impact of celebrity suicide news reporting after the suicide of an emerging Taiwanese novelist, Ms Yi-Han Lin.We conducted a cross-sectional online survey. Participants completed a questionnaire which asked whether they were affected by the media coverage of Lin's suicide and whether they would seek help if affected. Logistic regression was used to identify factors associated with being affected by the celebrity suicide media reporting and, among those affected, factors associated with feeling suicidal or not seeking help.A total of 1258 respondents (81% females) completed the survey. Affected individuals (n=907; 70%) were more likely to be females, younger (age40 years), have past psychiatric treatment, and show increased interest in the incident (e.g., spending more time on reading the celebrity suicide news) than non-affected individuals. Among those affected, negative views of the media reporting impact, pessimistic attitude toward both depression treatment and suicide prevention, and having a history of past psychiatric treatment were associated with feeling suicidal, while low education attainment, increased interest in the celebrity suicide, and permissive attitude toward inappropriate media reporting were additionally associated with not seeking help.Selection bias of participants through internet-based surveying should be considered.Individuals affected by the media coverage of celebrity suicide showed similar demographic and mental health characteristics as those of the deceased celebrity. Poor mental health and suicide prevention literacy may increase the risk of psychological impact and not seeking help. Future interventions could target at enhancing mental health literacy and help seeking intention in vulnerable individuals.

Background and Aim:The risk factors of Barrett's esophagus (BE) include advancing age, male gender, obesity, and long-term reflux symptom. The aim of this study was to analyze the differences in risk factors and presentation of symptoms between young and elderly Chinese patients with BE. Methods:Data from VGHTC were prospectively collected from October 2012 to December 2014. The data of young ( Results:The 67 enrolled subjects comprised 36 (53.7%) young patients and 31 (46.3%) elderly patients. Most BE subjects were male (63.6~77.4%) and had short-segment BE (94.4~93.5%). The waist circumference, BMI, and prevalence of obesity were similar between the two groups. A non-significantly higher rate of hiatal hernia was noted in the elderly cases (58.1% vs. 38.9%, P=0.117). Two young cases (5.6%) and two elderly cases (6.5%) had dysplasia. One elderly subject (3.2%) had adenocarcinoma. Most patients had typical reflux symptoms (58.1%~61.1%), and cigarette smoking was more prevalent in elderly patients. SF-12 scores in the two groups were similar. Conclusion:Young BE patients had similar presentations to those of elderly BE patients. Further study is needed. Keywords:Age; Barrett's esophagus; Young patients

Background/Aims There has been major progress in our understanding of the irritable bowel syndrome (IBS), and novel treatment classes have emerged. The Rome IV guidelines were published in 2016 and together with the growing body of Asian data on IBS, we felt it is timely to update the Asian IBS Consensus. Methods Key opinion leaders from Asian countries were organized into 4 teams to review 4 themes: symptoms and epidemiology, pathophysiology, diagnosis and investigations, and lifestyle modifications and treatments. The consensus development process was carried out by using a modified Delphi method. Results Thirty-seven statements were developed. Asian data substantiate the current global viewpoint that IBS is a disorder of gut-brain interaction. Socio-cultural and environmental factors in Asia appear to influence the greater overlap between IBS and upper gastrointestinal symptoms. New classes of treatments comprising low fermentable oligo-, di-, monosacharides, and polyols diet, probiotics, non-absorbable antibiotics, and secretagogues have good evidence base for their efficacy. Conclusions Our consensus is that all patients with functional gastrointestinal disorders should be evaluated comprehensively with a view to holistic management. Physicians should be encouraged to take a positive attitude to the treatment outcomes for IBS patients. (J Neurogastroenterol Motil 2019;25:343-362)

This paper clarifies the correct transmission mechanism, misattributed in the previous research, of a hydrogenated amorphous silicon thin-film transistor (a-Si:H TFT) device. Complete drain current–gate voltage ( ${I}_{\text {D}}$ – ${V}_{\text {G}}$ ) transfer characteristics including the forward and backward gate sweeps (gate voltage carried out in the OFF-state $\to $ on-state and the ON-state $\to $ OFF-state) are performed, and the physics models of an energy-band schematic are clearly explained. This paper reveals that the ${I}_{\text {D}}$ – ${V}_{\text {G}}$ curve stretch-out behavior of the subthreshold region is due to the leakage of the Poole–Frenkel region. At the Poole–Frenkel regions, electrons transfer to the drain terminal, and holes remain in the valance band of the a-Si:H bulk. The remaining holes represent the positive voltage and cause the electron barrier height lowering. This causes an increase in subthreshold current of the subthreshold region. Finally, three experiments are performed to prove the correctness of these models, and the a-Si TFTs device improvement methods will be proposed to enhance the stability and performance of product of the a-Si TFTs.

In the present work, SiBCNO-based ceramic as high temperature adhesives are fabricated by polymer derived ceramic route. The effect of polysiloxane (PSO) and TiB 2 on the microstructure and high temperature strength is studied, and the toughing effect of TiB 2 is discussed. The highest adhesion strength of the joint (S12) reached up to 18.95 MPa at room temperature and 12.3 MPa at 1000 °C in vacuum after pyrolysis at 1000 °C in air for 2 h. It is interesting to find that the crystallization of nano-SiO 2 reinforces the strength and thermal stability of glass phase with the addition of PSO, besides, the TiB 2 plays the important role in improving adhesion strength by bearing load and facilitating the formation of stable SiO 2 -B 2 O 3 -TiO 2 glass.

Albendazole (ABZ) is a microtubule-targeting anthelmintic that acts against a variety of human cancer cells, but the dependence of its cytotoxicity on non-mitotic effect remains elusive. Thus, we aimed to explore the mechanistic pathway underlying the cytotoxicity of ABZ in human leukemia U937 cells. ABZ-induced apoptosis of U937 cells was characterized by mitochondrial ROS generation, p38 MAPK activation, TNF-α upregulation and activation of the death receptor-mediated pathway. Meanwhile, ABZ induced tubulin depolymerization and G2/M cell cycle arrest. ABZ-induced SIRT3 degradation elicited ROS-mediated p38 MAPK activation, leading to pyruvate kinase M2-mediated tristetraprolin (TTP) degradation. Inhibition of TTP-mediated TNF-α mRNA decay elicited TNF-α upregulation in ABZ-treated cells. Either the overexpression of SIRT3 or abolishment of ROS/p38 MAPK activation suppressed TNF-α upregulation and rescued the viability of ABZ-treated cells. In contrast to the inhibition of ROS/p38 MAPK pathway, SIRT3 overexpression attenuated tubulin depolymerization and G2/M arrest in ABZ-treated cells. Treatment with a SIRT3 inhibitor induced TNF-α upregulation and cell death without the induction of G2/M arrest in U937 cells. Taken together, our data indicate that ABZ-induced SIRT3 downregulation promotes its microtubule-destabilizing effect, and that the non-mitotic effect of ABZ largely triggers apoptosis of U937 cells via SIRT3/ROS/p38 MAPK/TTP axis-mediated TNF-α upregulation. Notably, the same pathway is involved in the ABZ-induced death of HL-60 cells.

Exogenous application of either salicylic acid (SA) or calcium chloride (CaCl2) to alleviate heat stress has been extensively studied. However, the effects of combined SA and CaCl2 treatment on the heat tolerance of poinsettia have been poorly studied. This study investigated the role of a foliar spray comprising SA and CaCl2 in managing heat tolerance of three poinsettia (Euphorbia pulcherrima Willd.) cultivars, Noel, Winter Rose (WR), and Ice Punch’ (IP). Plants were pretreated with SA, CaCl2, or combined SA and CaCl2 and then exposed to a temperature of 42 °C for 1 hour. Changes in the relative injury (RI) percentage, malondialdehyde (MDA) content, and antioxidant enzyme activities were determined. All plants were then placed in an environment-controlled greenhouse for 14 days and evaluated. Lateral bud sprouting (%), new leaf numbers, and phenotypic appearance were recorded. Results revealed that the three poinsettia cultivars varied in their appearance, morphological growth patterns, and ability to tolerate high-temperature stress. Plant growth of ‘Noel’ was more robust than that of ‘WR’ and ‘IP’, which were considerably affected by heat stress, resulting in brown, withered leaves and defoliation. In general, the effects of the combined application of SA and CaCl2 on heat-tolerant ‘Noel’ were superior to those of individual applications and no treatment (for control groups) in terms of the RI percentage, lateral bud sprouting (%), and appearance under heat stress. Application of combined SA and CaCl2 for ‘Noel’ plants was more beneficial for enhancing catalase activity and resulted in the effective alleviation of decreased malondialdehyde content under heat stress. Treatment including 200 μΜ SA and 10 mm CaCl2 may alleviate heat stress and may prove useful in breeding programs focused on improving poinsettia cultivars.

Ganglioneuroma (GN) is a rare benign neurogenic tumor which arises from the neural crest cells that represent the final maturation stage of neuroblasts. GN is commonly encountered in adolescent or young adult. Until now, only a few cases of intrathoracic GN were reported in pediatric patients, especially in below 10 years of age. We report here an 8-year-old boy, who first presented to primary care with symptoms of upper respiratory tract infection. Radiologic investigations revealed a giant posterior mediastinal mass extending from T4 to T9 vertebrae without evidence of vascular invasion or infiltration into adjacent structures. The patient subsequently underwent left thoracotomy and resection of mass under general anesthesia. He was discharged 3 days after operation without complication. Histopathologic examination confirmed the diagnosis of thoracic GN. Grades of the neuroblastic differentiation increase with the median age at diagnosis. Although GNs are usually benign, they can grow aggressively and cause compression to an adjacent structure. Therefore, surgical resection is the only treatment. Debulking of tumor provides an alternative solution, especially when vital structures are involved. Complete resection remains the gold standard treatment for GN. However, in cases of incomplete resection, all residual tumors require regular clinical and radiodiagnostic follow-up.