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Background Liver cancer (LC) is the second leading cause of cancer-associated mortality. However, the critical time window during the marital status may influence the prognosis of LC is still unknown. Methods Information on a total of 4,933 patients diagnosed with primary LC who had not undergone surgery was collected from the Surveillance, Epidemiology, and End Results (SEER) database to analyze the impact of marital status on the risk of cancer-specific mortality (CSM). All confirmed patients were monitored from January 1, 2010 until December 31, 2015 for the occurrence of death. We performed 1:1 propensity score matching among the married and non-married groups to eliminate dissimilarities in age, sex, race and clinical characteristics. Cox proportional hazards regression model was adopted to investigate the associations between marital status and the risk of CSM. Results Married patients were significantly negatively associated with the risk of CSM among patients compared to non-married status, with a hazard ratio (HR) [95% confidence interval (CI)] of 1.15 (1.07-1.23). The strongest associations were observed for patients with Grade II, American Joint Committee on Cancer (AJCC) I and III. Furthermore, the protective effect of marriage on the prognosis of LC was independent of sex, age, race, grade, AJCC and SEER stage. Unmarried or separated patients may have a worse prognosis. Conclusions Marriage was strongly associated with a positive prognosis among patients with LC, especially in the critical window of Grade II, AJCC I and III. This study highlights the important impact of marriage on cancer prognosis.

Although mounting evidence has linked environmental factors with childhood allergies, some specific key issues still remain unclear: what is the main environmental factor? what is the critical timing window? And whether these contribute to the development of disease?This selective review summarizes recent epidemiological studies on the association between early-life exposure to indoor/outdoor air pollution and childhood allergic diseases. A literature search was conducted in the PubMed and Web of Science for peer-reviewed articles published until April 2020. Exposure to the traffic-related air pollutant, NOEarly-life exposure to outdoor air pollution and indoor environmental factors plays an important role in the development of childhood allergic diseases, and the synergy between indoor and outdoor exposures increases allergy risk. The available findings support the hypothesis of the 'fetal origins of childhood allergy,' with new implications for the effective control and early prevention of childhood allergies.

The coronavirus disease 2019 (COVID-19) is spreading rapidly all over the world. The transmission dynamics of the COVID-19 pandemic is still unclear, but developing strategies for mitigating the severity of the pandemic is yet a top priority for global public health. In this study, we developed a novel compartmental model, SEIR-CV(susceptible-exposed-infectious-removed with control variables), which not only considers the key characteristics of asymptomatic infection and the effects of seasonal variations, but also incorporates different control measures for multiple transmission routes, so as to accurately predict and effectively control the spread of COVID-19. Based on SEIR-CV, we predicted the COVID-19 epidemic situation in China out of Hubei province and proposed corresponding control strategies. The results showed that the prediction results are highly consistent with the outbreak surveillance data, which proved that the proposed control strategies have achieved sound consequent in the actual epidemic control. Subsequently, we have conducted a rolling prediction for the United States, Brazil, India, five European countries (the United Kingdom, Italy, Spain, Germany, and France), southern hemisphere, northern hemisphere, and the world out of China. The results indicate that control measures and seasonal variations have a great impact on the progress of the COVID-19 pandemic. Our prediction results show that the COVID-19 pandemic is developing more rapidly due to the impact of the cold season in the southern hemisphere countries such as Brazil. While the development of the pandemic should have gradually weakened in the northern hemisphere countries with the arrival of the warm season, instead of still developing rapidly due to the relative loose control measures such as the United States and India. Furthermore, the prediction results illustrate that if keeping the current control measures in the main COVID-19 epidemic countries, the pandemic will not be contained and the situation may eventually turn to group immunization, which would lead to the extremely severe disaster of about 5 billion infections and 300 million deaths globally. However, if China’s super stringent control measures were implemented from 15 July, 15 August or 15 September 2020, the total infections would be contained about 15 million, 32 million or 370 million respectively, which indicates that the stringent and timely control measures is critical, and the best window period is before September for eventually overcoming COVID-19.SignificanceCOVID-19 is now posing a huge threat to global public health. The key features such as asymptomatic infection and droplet or airborne transmission make COVID-19 more easily spread and more widely distributed around the world. It is an urgent need to explore the optimal intervention strategies and measures to contain the pandemic. Our novel SEIR-CV compartmental model considers the new features of COVID-19, exhibits the impact of the intervention strategies and seasonal variations, and thus can accurately predicts its trajectory in China and the rest of the world. Our research results suggest that control measures and seasonal variations have a great impact on the development of the COVID-19 pandemic, which can only be contained by stringent strategies during the best window period before September 2020 for eventually overcoming COVID-19, otherwise it would cause a severer global catastrophe.

Background: Pneumonia is the leading cause of death and hospitalization among young children worldwide, but its risk factors are not clear. Objective: To examine the effect of maternal exposure to diurnal temperature variation (DTV) during preconceptional and prenatal periods on childhood pneumonia.Methods: A retrospective case-control study was conducted for pneumonia (N=699) and normal (N=811) children under age of 14 who were enrolled in the Xiangya Hospital, Central South University, Changsha, China. Demographic data (gender, age, birth season, gestational weeks, parity, mode of delivery, and parental atopy) were collected from the hospital's electronic medical records system. We calculated the individual DTV exposure during different time windows. The relationship between maternal exposure to outdoor DTV and pneumonia in children was analyzed by logic regression models.Results: Pneumonia in children was linked to outdoor DTV exposure during one year before conception (adjusted OR=2.53, 95% CI:1.56-4.10), during entire pregnancy (adjusted OR =1.85, 95% CI:1.24-2.76), and the first and second trimesters, with statistical significance. Sensitivity analysis showed that boys exposure to outdoor DTV during prenatal period were at higher pneumonia risk than girls.Conclusions: Preconceptional and prenatal exposure to DTV plays an important role in the development of childhood pneumonia, the first and second trimesters were the key exposure timing-windows.

This paper studied associations between reported common cold and home dampness and mould, cleaning habits and ventilation, climate and outdoor air pollution in China among young adults without asthma or allergic rhinitis. Parents of children attending day care in eight Chinese cities answered a questionnaire on their health and home environment (75% response rate). We restricted the population to subject without asthma or allergic rhinitis (N = 37,275). Temperature and air pollution data was obtained from monitoring stations. Associations were estimated by multilevel logistic regression. Totally 12.5% reported common cold (≥3 colds) and 1.6% frequent common cold (≥5 colds) in the past 12 months. Female gender (OR = 1.53; 95% CI 1.37-1.71), residents in southern China (OR = 1.89; 95% CI 1.16-3.07) and living in homes with water leakage (OR = 1.32; 95% CI 1.16-1.50), mould odour (OR = 1.48; 95% CI 1.28-1.72), indoor mould (OR = 1.47; 95% CI 1.28-1.70), condensation on window panes (OR = 1.42; 95% CI 1.32-1.52) and damp bed clothing (OR = 1.19; 95% CI 1.11-1.28) were associated with common cold. Having many signs of dampness increased ORs. Daily cleaning (OR = 0.91; 95% CI 0.85-0.97) and mechanical ventilation in kitchen or bathroom (OR = 0.75; 95% CI 0.64-0.89) were protective. Higher mean ambient temperature (OR = 1.11 per °C; 95% CI 1.02-1.21), PM

Background: Monosomies and trisomies, as the most common aneuploid abnormalities, are the leading causes of miscarriages and fetal defects in humans. Although there is evidence suggested that aneuploid may have some common aspects, their common mechanism still remains unclear. This studies objective was to explore the common mechanism of monosomies and trisomies, with a purpose to identify some critical biomarkers and pathway so as to early diagnosis and effective therapy.Methods: We obtained the mRNA expression profile of GSE114559 including 101 samples data from GEO database. These data include normal, every monosomic, and trisomic transcriptome. We conducted Limma analysis by using the adj. p1 criteria to identify all monosomy-related, trisomy-related differentially expressed genes (DEGs), and also to found their overlapping DEGs through Venn diagram. We then performed Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes pathway (KEGG) enrichment analyses, protein-protein interaction(PPI) network analysis to find the functional, pathways and hub genes in these DEGs. We carried out weighted correlation network analysis (WGCNA) to further detect the candidate genes and pathways related to all DEGs and their overlappling DEGs. Finally, we further used qPCR to certify pathological change of specific genes. Results: We identified all monosomy-related, trisomy-related DEGs, and their overlapping DEGs which were enriched by spliceosome, thyroid hormone, infection-related genes and signalling pathways. We also found that epigenetic related pathways were significantly enriched in the DEGs of monosomies by GO, KEGG. We explode the hub gene and module in the DEGs of monosomies and the overlapping DEGs by PPI. Then, we found that spliceosome, thyroid hormone, infection-related genes and signalling pathways were enriched in all DEGs group and the overlapping DEGs group by weighted correlation network analysis (WGCNA). Finally, we certified some hub gene in the trisomy 21, 47, XYY samples from clinical patients by qPCR which were consistent with results of PPI analysis.Conclusion: Our study indicates the potential common mechanism underlining spliceosome, thyroid hormone and infection-related signalling pathways for both monosomies and trisomies, and the mechanism underling epigenetic for monosomies.

We estimated associations between ambient air pollution, home environment and asthma as well as rhinitis among adults across China. A total of 40,279 young adults from eight Chinese cities participated in a questionnaire survey (participation rate 75%). There were questions on health and home environment. Information on city level gross domestic product (GDP) per capita, ambient temperature and PM10 and NO2 were collected from registers. Two-level logistic regression models were used to study health associations. Totally 1.6% reported asthma and 6.6% reported allergic rhinitis (AR). Higher temperature was associated with more asthma but less AR. Higher GDP was associated with less asthma but more AR. Higher degree of urbanization, higher level of NO2 and living near heavily trafficked road were risk factors for asthma and AR. Participants in older buildings reported more asthma. Redecoration and buying new furniture were related to more asthma and AR (OR = 1.15–1.91). Using natural gas (OR = 1.34) and biomass (OR = 1.35) for cooking were risk factors for AR. Burning mosquito coils and incense increased the risk of asthma and AR. Cat keeping (OR = 2.88), dog keeping (OR = 2.04), cockroaches (OR = 1.54) and rats or mice (OR = 1.46) were associated with asthma. Cockroaches increased the risk of AR (OR = 1.22). Air humidifier and air cleaner were linked to asthma and AR. Frequent cleaning and exposing bedding to sunshine were protective. In conclusion, urbanization, NO2 and traffic exhaust can increase the risk of adult asthma and AR. Higher ambient temperature was related to more asthma but less AR. Indoor animals such as cats, dogs, rats/mice and presence of cockroaches were associated with asthma or AR. Indoor chemical sources such as redecoration and new furniture were other risk factors. Cooking with natural gas or biomass and burning mosquito coils and incense were associated with asthma or AR. Frequent cleaning and exposing bedding to sunshine were protective.

With the rapid development of surveying and spatial information technologies, more and more attention has been given to positioning. In outdoor environments, people can easily obtain positioning services through global navigation satellite systems (GNSS). In indoor environments, the GNSS signal is often lost, while other positioning problems, such as dead reckoning and wireless signals, will face accumulated errors and signal interference. Therefore, this research uses images to realize a positioning service. The main concept of this work is to establish a model for an indoor field image and its coordinate information and to judge its position by image eigenvalue matching. Based on the architecture of PoseNet, the image is input into a 23-layer convolutional neural network according to various sizes to train end-to-end location identification tasks, and the three-dimensional position vector of the camera is regressed. The experimental data are taken from the underground parking lot and the Palace Museum. The preliminary experimental results show that this new method designed by us can effectively improve the accuracy of indoor positioning by about 20% to 30%. In addition, this paper also discusses other architectures, field sizes, camera parameters, and error corrections for this neural network system. The preliminary experimental results show that the angle error correction method designed by us can effectively improve positioning by about 20%.

In the past, indoor positioning technology was mainly based on pedestrian dead reckoning and wireless signal positioning methods, but it was easy to cause some problems such as error accumulation and signal interference. Positioning accuracy still needs to be improved. With the development of neural networks in recent years, many researchers have successfully applied the neural network to the indoor positioning problem based on the Convolutional Neural Network (CNN). This technique mainly determines the position of the image by matching the image features. CNN faces the same challenges as other supervised learning. If the “clean” data cannot be collected, the trained model will not achieve good positioning accuracy. For CNN used for indoor positioning, if someone passes through in the training data, causing the person to appear in different positions of the images, the model may think that the images are the same location. To solve this problem, we propose a data pre-processing method to improve the accuracy of indoor positioning based on CNN. In this method, the moving objects recognized in training and testing data are modified in different ways. We perform data pre-processing method based on Mask R-CNN and YOLO, and then integrate the pre-processing method to PoseNet the famous CNN indoor positioning architecture. Through real experimental analysis, removing moving objects can effectively improve indoor positioning accuracy about 46%.

This paper studied associations between reported common cold and home dampness and mould, cleaning habits and ventilation, climate and outdoor air pollution in China among young adults without asthma or allergic rhinitis. Parents of children attending day care in eight Chinese cities answered a questionnaire on their health and home environment (75% response rate). We restricted the population to subject without asthma or allergic rhinitis (N = 37,275). Temperature and air pollution data was obtained from monitoring stations. Associations were estimated by multilevel logistic regression. Totally 12.5% reported common cold (≥3 colds) and 1.6% frequent common cold (≥5 colds) in the past 12 months. Female gender (OR = 1.53; 95% CI 1.37–1.71), residents in southern China (OR = 1.89; 95% CI 1.16–3.07) and living in homes with water leakage (OR = 1.32; 95% CI 1.16–1.50), mould odour (OR = 1.48; 95% CI 1.28–1.72), indoor mould (OR = 1.47; 95% CI 1.28–1.70), condensation on window panes (OR = 1.42; 95% CI 1.32–1.52) and damp bed clothing (OR = 1.19; 95% CI 1.11–1.28) were associated with common cold. Having many signs of dampness increased ORs. Daily cleaning (OR = 0.91; 95% CI 0.85–0.97) and mechanical ventilation in kitchen or bathroom (OR = 0.75; 95% CI 0.64–0.89) were protective. Higher mean ambient temperature (OR = 1.11 per °C; 95% CI 1.02–1.21), PM10 (OR = 1.17 per 10 μg/m3; 95% CI 1.14–1.21) and PM2.5 (OR = 1.28 per 10 μg/m3; 95% CI 1.20–1.37) were associated with common cold. The association with particulate air pollution was stronger in southern China. Similar associations were found for frequent common cold. In conclusion, indoor dampness and mould, a warmer climate and PM10 and PM2.5 can be associated with reported common cold. Further intervention and prospective studies are needed to verify causality of observed association in this cross-sectional study.

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Background Few Chinese population studies exist on early life risk factors for furry pet allergy. Objectives We studied childhood respiratory symptoms when in contact with furry pets in relation to early life exposure. Moreover, we studied similar environmental associations for rhinitis not related to furry pets. Methods Children aged 3–6 y from day care centres in seven Chinese cities participated (N = 39,782). Parents answered a questionnaire on home environment and children’s health, including rhinoconjunctivitis and wheeze when in contact with furry pets, and diagnosed rhinitis. Prenatal and postnatal outdoor temperature, PM2.5, PM10, and NO2 were calculated using data from monitoring stations. Associations were estimated by multilevel logistic regression. Results Totally 2% had cats, 4% dogs, and 3.2% had rhinoconjunctivitis or wheeze when in contact with furry pets (FP symptoms). Moreover, 1.1% had furry pet related diagnosed rhinitis and 7.5% had diagnosed rhinitis not related to furry pets (other diagnosed rhinitis). Prenatal PM2.5 and PM10, especially in second trimester, and a colder climate were risk factors for FP symptoms. ETS, dampness and mould, condensation on windows in wintertime, and cats and dog keeping were associated with FP symptoms. Breast feeding and frequent window opening were protective. Similar indoor associations were found for furry pet related diagnosed rhinitis. ETS, dampness and mould, window condensation, urbanization and mechanical exhaust ventilation were risk factors for other diagnosed rhinitis. Cooking with an electric stove and early life exposure to animals (cats, dogs, farm environment during pregnancy) were protective for diagnosed rhinitis not related to furry pets. Conclusions Prenatal outdoor PM10 and PM2.5 can be risk factors for symptoms suggestive of furry pet allergy. Early life dampness and mould can be risk factors for rhinitis related and not related to furry pets. Exposure to animals (cats, dogs, farm environment) may reduce diagnosed rhinitis not related to furry pets.

This study was to compare the short- and long-term outcomes of elderly versus middle-aged patients with localized renal cell carcinoma who had undergone laparoscopic radical nephrectomy.Between January 2012 and January 2018, a total of 54 patients aged 70 years and above with localized renal cell carcinoma (elderly group) underwent laparoscopic radical nephrectomy. The short- and long-term outcomes of these 54 patients were compared with those of 97 middle-aged patients (aged between 55 and 69 years; middle-aged group) who underwent laparoscopic radical nephrectomy due to localized renal cell carcinoma.The age, Charlson's comorbidity index, and American Society of Anesthesiologists (ASA) score were higher in the elderly group than in the middle-aged group. Other preoperative baseline data did not show any statistically significant differences. The differences in short-term outcomes, including operative time, intraoperative blood loss, transfer rate, postoperative 30-day complication rate and severity of complication, and pathological data were not statistically significant between the elderly and middle-aged groups. Long-term follow-up results showed that the tumor recurrence rates were similar in the two groups. Overall and disease-free survival rates were similar in the two groups. Multivariate analysis showed that age was not an independent predictor for overall and disease-free survival rates.Treatment with laparoscopic radical nephrectomy for elderly patients with localized renal cell carcinoma, could achieve short- and long-term outcomes, similar to those of middle-aged patients.

BiOBr hollow microspheres which were composed of BiOBr nanoslices were synthesized via a simple one-pot solvothermal method at 160 °C for 12 h without the addition of any spherical template. The resulted BiOBr hollow microspheres were regular in shape with external diameter of 1.4 μm in average. As a result, due to the highly hollow architecture, the resulted BiOBr hollow microsphere processed high BET surface area of 76.38 m2 g−1. Besides, a series of time-depended experiments had been listed, showing the morphological evolution for the formation and decomposition of the BiOBr hollow microspherical structure. SDS, which acted as a surfactant, played an important role in controlling the morphology of BiOBr. The obtained BiOBr hollow microspheres exhibited higher photocatalytic activity in the degradation of MB and RhB under visible-light irradiation.

Nephrotic syndrome (NS) is a common urinary system disease that carries a poor progrnosis due to nonresponsivess to current treatments. The purpose of this study was to investigate the therapeutic effects of Forsythiaside (FA) in a rat model of adriamycin-induced nephropathy (AN). Compared with control group, FA treatment significantly reduced proteinuria, serum creatinine and urea nitrogen levels and reduced the number of apoptotic cells in the kidneys. FA alleviated Adr induced renal injury, and increased the sactivity of superoxide dismutase (SOD), while decreasing malondialdehyde (MDA) and lactate dehydrogenase (LDH) in the serum. In addition, FA, in a dose-dependent manner, decreased the levels of NF-kappaBp65/MIP-2 in the kidenys, reduced the serum level of pro-inflammatory cytokines (IL-6, IL-1 β and TNF-alpha), and increased the survival rate of Adr treated rats. Taken together, the results show that FA alleviates renal dysfunction in adriamycin-induced nephropathy rats.

Background Common cold is a frequent upper respiratory tract infection, but the role of ambient temperature in the infection is unclear. Objective We investigated the role of prenatal exposure to diurnal temperature variation (DTV), the difference between the daily maximal and minimal temperatures, in the risk of common cold in children. Methods We conducted a cohort study of 2598 preschool children in Changsha, China. Occurrence of common cold during the past year was surveyed using questionnaire. We then estimated each child's prenatal exposure to DTV during pregnancy. Multivariate logistic regression model was used to examine the association between occurrence of common cold and prenatal exposure to DTV in terms of odds ratios (OR) and 95% confidence interval (CI). Results About 45% children have common cold (≥3 times) during the past year. We found that common cold in children was associated with maternal DTV exposure during pregnancy, particularly during the first trimester with adjusted OR (95% CI) = 1.27 (1.10–1.46). Male and atopic children were more susceptible to the effect of DTV during pregnancy. The risk of common cold due to DTV is higher in children living in the suburban areas and the bigger houses and in those exposed to environmental tobacco smoke, mold/dampness, new furniture and redecoration. We observed that the risk of common cold in children has been increased in recent years due to increasing DTV. Conclusions Common cold in children was associated with maternal exposure to temperature variation during pregnancy, suggesting that the risk of common cold may originate in pregnancy.

Background Few data exist on asthma and rhinitis across China in relation to indoor and outdoor air pollution, climate and socioeconomic factors. The main aim was to study associations between asthma, rhinitis and current respiratory symptoms among pre-school children across China and selected indoor and outdoor exposure and indicators of socio-economic status (SES) in mutually adjusted models. Methods Chinese children (3–6 yr.) (n = 39,782) were recruited from randomly selected day care centres in seven cities in China. Data on asthma, respiratory symptoms, rhinitis, indoor and outdoor exposure at home and SES were assessed by a parentally administered questionnaire. Lifetime mean ambient temperature, PM10, NO2, and GDP per capita on city level were calculated. Results Totally 7.4% had ever doctors' diagnosed (DD) asthma and 8.7% DD-rhinitis, 19.7% had current wheeze, 45.0% rhinitis and 16.9% cough. DD-asthma was associated with ambient temperature (OR = 1.15, 95% CI 1.11–1.20 per °C), NO2 (OR = 1.16, 95% CI 1.02–1.33 per 10 μg/m3), indoor mould/dampness (OR = 1.25, 95% CI 1.13–1.39) and living near major roads (OR = 1.13, 95% CI 1.02–1.25). DD-rhinitis was associated with ambient temperature (OR = 1.07, 95% CI 1.05–1.10 per °C), NO2 (OR = 1.20, 95% CI 1.09–1.32 per 10 μg/m3), GDP (OR = 1.03, 95% CI 1.01–1.06 per 10,000 RenMinBi/year), indoor mould/dampness (OR = 1.23, 95% CI 1.11–1.35), passive smoking (OR = 1.11, 95% CI 1.01–1.21), and living near major roads (OR = 1.14, 95% CI 1.03–1.25). Children in suburban or rural areas, in larger families (≥5 persons) and with prenatal farm exposure had less DD-asthma and DD-rhinitis. Conclusions Economic development level of the city, higher SES, ambient temperature, NO2, PM10, traffic air pollution and mould/dampness can be risk factors for asthma and rhinitis and respiratory symptoms among pre-school children in China. Breastfeeding, large family size and early-life farm exposure could be protective factors.

Allergy and infection have being exerted seriously adverse effect on children’s health. On the one hand, asthma and allergy have become the most common chronic diseases in childhood and the leading cause of pediatric hospitalization worldwide. The prevalence of childhood asthma has considerably increased since the 1950s, with some suggestion of plateauing in developed regions but rapidly increasing in low- and middle-income countries over recent years. On the other hand, pneumonia as the most prevalent infectious disease is the leading cause of mortality in children under 5 years old globally. Approximately 99% of the pneumonia death occurs in developing countries. During recent decade, China has witnessed a rapid increase in the prevalence of childhood asthma and allergies and the morbidity of childhood infectious diseases such as pneumonia tend to be very high. Environmental exposure is thought to be the most important factor which is responsible for this rising trend and serious burden of childhood allergic and infectious diseases. Ambient air pollution has been widely suggested to be associated with the incidence and prevalence of allergies and infections, and a distinct need is then to find out the key component of air pollution and the critical exposure window so as to develop more effective measures of prevention and intervention. A large body of evidence mainly from developed countries suggested that traffic-related air pollution (TRAP) plays a key role in the exacerbation and development of allergies and infections. However, differences in the chemical and physical composition of air pollution, both in level and source, between China and developed countries prompts the need for further investigation into the role of outdoor air pollution in the development of childhood allergic and infectious diseases. On the other hand, due to the rapid urbanization progress in China, a huge number of people, especially the new couples and expected parents, migrated into new buildings in urban areas during the past decade. New building materials, decoration materials, and new furniture caused high indoor level chemicals, such as volatile and semi volatile organ compounds (VOCs and SVOCs). Due to lack of central air conditioning and heating systems, mold and dampness in dwellings is very serious in the southern China with subtropical climate. Thus, indoor environmental risk factors are also serious in China, which play important role in the rapid increase in the allergic diseases and high prevalence of infectious diseases in childhood. Although the impact of environmental pollution on children’s health has attracted wide attention and extensive research, some key scientific issues such as “main environmental pollutants, critical exposure windows, and whether the exposure cause diseases” still remain unclear. This paper summarizes the effects of prenatal (one year before pregnancy, entire pregnancy and three trimesters of pregnancy) and postnatal (first year, past year, and entire postnatal period) exposure to both indoor and outdoor environmental pollution on childhood allergic and infectious diseases, and also analyzed the relative importance of the critical exposure time windows for different diseases. We concluded that most studies mainly from developed countries found a positive association between traffic related air pollution and childhood allergic diseases. However, in China, early life exposure to classical air pollution (such as industrial air pollution) also exerts an adverse effect on childhood asthma and allergies. The recent studies identified relative importance of traffic-related air pollution exposure in different critical time windows (such as different trimester of pregnancy) in the development of different allergic diseases. This paper also concluded that early-life exposure to indoor mould/dampness and renovation significantly increased risk of childhood allergic and infectious diseases. According to the analysis of available literatures, this study proved the hypothesis of “fetal origins of disease” in children, and revealed that exposure to indoor and outdoor environmental pollution during pregnancy and early postnatal period played an important role in the onset and development of childhood allergic and infectious diseases, which provides a scientific basis for effective prevention and intervention strategies to reduce childhood allergies and infections. Finally, this study summarized the different influences, and expected the problems and challenges of effective prevention and reduction of childhood allergies and infections.

Multi-order radially polarized modes (RPMs), including Bessel-Gaussian, Gaussian, Super Gaussian, and multi-order hollow Gaussian are respectively utilized as the illumination laser to achieve tip-enhanced spectroscopy (TES). Based on the vector diffraction theory and finite difference time domain (FDTD) analysis, we achieve the optimization of RPM illuminated TES system, including the focal spot size, focal depth, and electric field enhancement factor, in which the focal spot size of 5th order hollow Gaussian RPM is smallest (0.54λ) and the focusing depth of super Gaussian RPM is longest (4.71λ). Specially, it is found that the multi-order hollow Gaussian RPM illuminated TES system with the tip cone angle of 45° reveals better focusing ability and 40~60-fold electric field enhancement factor compared to the linearly polarized mode (LPM) illuminated TES system. These results will supply a useful reference for spectral signal enhancement of TES system.

The urbanization and industrialization in China is accompanied by bad air quality, and the prevalence of asthma in Chinese children has been increasing in recent years. To investigate the associations between ambient PM2.5 levels and asthmatic and allergic diseases or symptoms in preschool children in China, we assigned PM2.5 exposure data from the Global Burden of Disease (GBD) project to 205 kindergartens at a spatial resolution of 0.1° × 0.1° in six cities in China (Shanghai, Nanjing, Chongqing, Changsha, Urumqi, and Taiyuan). A hierarchical multiple logistical regression model was applied to analyze the associations between kindergarten-level PM2.5 exposure and individual-level outcomes of asthmatic and allergic symptoms. The individual-level variables, including gender, age, family history of asthma and allergic diseases, breastfeeding, parental smoking, indoor dampness, interior decoration pollution, household annual income, and city-level variable-annual temperature were adjusted. A total of 30,759 children (average age 4.6 years, 51.7% boys) were enrolled in this study. Apart from family history, indoor dampness, and decoration as predominant risk factors, we found that an increase of 10 μg/m3 of the annual PM2.5 was positively associated with the prevalence of allergic rhinitis by an odds ratio (OR) of 1.20 (95% confidence interval [CI] 1.11, 1.29) and diagnosed asthma by OR of 1.10 (95% CI 1.03, 1.18). Those who lived in non-urban (vs. urban) areas were exposed to more severe indoor air pollution arising from biomass combustion and had significantly higher ORs between PM2.5 and allergic rhinitis and current rhinitis. Our study suggested that long-term exposure to PM2.5 might increase the risks of asthmatic and allergic diseases or symptoms in preschool children in China. Compared to those living in urban areas, children living in suburban or rural areas had a higher risk of PM2.5 exposure.

Background Small for gestational age (SGA) is a major public health problem that affects 32.4 million infants worldwide and its prevalence is increasing rapidly in new-borns. However, the key risk factors and their exposure time window on the development of SGA are unclear. Objective We aim to investigate the association between exposure to outdoor air pollution and indoor environmental factors during which critical timing window and SGA, and to evaluate which specific personal factors modify this association. Methods A retrospective cohort study of 3509 infants was conducted in Changsha, China during 2011–2012. A questionnaire survey was performed to obtain the formation on infant's birth outcomes and prenatal exposure of indoor environmental factors containing parental (maternal and/or paternal) smoking, new furniture, house redecoration, mold or dampness, window condensation, and keeping dogs in gestational age. Intrauterine exposure to industrial air pollutant (SO2), traffic-related air pollutant (NO2) and inhalable particulate matter (PM10) was estimated during three trimesters and entire pregnancy. Associations between outdoor air pollutants and indoor environmental factors and SGA, term SGA (TSGA) and preterm SGA (PSGA) were assessed by multiple logistic regression model in terms of odds ratio (OR) and 95% confidence interval (CI). Results Prevalence of SGA (5.2%) and TSGA (4.9%) were significantly associated with intrauterine exposure to outdoor SO2 during the entire gestational age with adjusted ORs (95% CI) of 1.08 (1.01–1.15) and 1.08 (1.00–1.15) for per 10 μg/m3 increase in SO2 exposure after adjusting for the covariates, indoor environmental factors, and outdoor air temperature, and PSGA prevalence (0.3%) was significantly related with PM10 exposure during whole pregnancy with odds = 2.21 (1.08–4.51). However, no association was observed for traffic-related air pollutant NO2 exposure. Specifically, the association was more significant for SO2 exposure during the 1st and/or 2nd trimester. We further found that TSGA and PSGA were associated with indoor exposure to parental smoking and new furniture, respectively, ORs (95% CI) = 1.46 (1.00–2.11) and 10.95 (1.46–81.95). We observed that the odds of SGA and TSGA attributed to SO2 exposure in the first two trimesters was only significant among families with parental smoking and new furniture in gestation. Sensitivity analysis showed that infants with female sex and born in cold months were more susceptible to the effect of outdoor SO2 exposure during the first two trimesters and entire gestational age on SGA and TSGA. On the other hand, infants born in the cold season and by a younger mother were more sensitive to the effect of indoor parental smoking in utero on SGA and TSGA. Conclusion Maternal exposure to industry-related air pollution and indoor environmental risk factors during pregnancy, particularly during the first two trimesters, significantly increased SGA risk, and some specific personal factors could modify these associations.

T cells are activated and differentiated into Th cells depending on the rapid and accurate changes in the cell transcriptome. In addition to changes in mRNA expression, the sequences of many transcripts are altered by alternative splicing and alternative polyadenylation (APA). We profiled the APA sites of human CD4+ T cell subsets with high-throughput sequencing and found that Th1 cells harbored more genes with shorter tandem 3′ untranslated regions (UTRs) than did naive T cells. We observed that STAT5B, a key regulator of Th1 differentiation, possessed three major APA sites and preferred shorter 3′ UTRs in Th1 cells. In addition, small nuclear ribonucleoprotein polypeptide A (SNRPA) was found to bind directly to STAT5B 3′ UTR and facilitate its APA switching. We also found that p65 activation triggered by TCR signaling could promote SNRPA transcription and 3′ UTR shortening of STAT5B. Thus we propose that the APA switching of STAT5B induced by TCR activation is mediated by SNRPA.

Background There is some evidence that dampness, mould and cockroaches can increase the risk of respiratory infections in children but few studies exist from China on this topic. Aim To study associations between domestic early life exposure to biological indoor factors (dampness, mould, cats, dogs, rats, cockroaches), cleaning habits and common cold among pre-school children across China. Methods Children aged 3–6 years (n = 39,782) were recruited from randomly selected day care centres in seven cities in China. Data on common cold and prenatal and postnatal exposure to dampness, mould, windowpane condensation in wintertime (WPC), cats, dogs, cockroaches and rats were assessed by a parentally administered questionnaire. Data on annual ambient temperature and PM 10 was assessed on city level. Associations between high frequency (> 5 colds per year) and long duration (≥ 2 weeks) of common colds in the past year and exposure were calculated by multilevel logistic regression. Results A total of 9.2% had a high frequency and 11.9% had long duration of common cold. Exposure to mould (OR = 1.38, 95% CI 1.24–1.53) and WPC (OR 1.23, 95%CI 1.13–1.33) at birth was associated with frequent common cold. Exposure to dogs at birth was associated with long duration of common cold. (OR = 1.22, 95% CI 1.06–1.41). Exposure to mould (OR = 1.36, 95% CI 1.22–1.54), WPC (OR = 1.27, 95%CI 1.17–1.39) and water leakage (OR 1.34, 95% CI 1.20–1.49) in the current home was associated with frequent common cold. Presence of cockroaches were positively (OR = 1.12, 95% CI 1.02–1.24) and presence of rats (OR = 0.86, 95% CI 0.77–0.96) negatively associated with high frequency of common cold. Daily cleaning was negatively associated with frequent common cold (OR = 0.89, 95% CI 0.81–0.97). Similar associations for mould, WPC, cockroaches and rats were found for long duration. Ambient PM 10 (OR = 1.21, 95% CI 1.21–1.35 per 10 μg/m 3 ) and temperature (OR = 1.13, 95% CI 1.06–1.35 °C) on city level were associated with high frequency of common cold. Associations between cat keeping and high frequency of common cold were found only in southern China. Associations with cockroaches were stronger in northern China. Associations with dampness and mould were the same in the north and south. Conclusions Indoor mould, water damage, windowpane condensation, cockroaches and keeping cats or dogs as pets can be risk factors for common cold while daily cleaning can be protective factor. PM 10 and a warmer climate zone can be other risk factors for common cold.

Background Otitis media (OM) is a common infection in early childhood with repeated attacks that lead to long-term complications and sequelae, but its etiology still remains unclear. Objective To examine the association between early life exposure to air pollution and childhood OM, with the purpose of identifying critical windows of exposure and key components of air pollution in the development of OM. Methods We conducted a prospective cohort study of 1617 children aged 3–4 years in Changsha, China (2011–2012). The prevalence of OM was assessed by a questionnaire administered by the parents. Individual exposures to nitrogen dioxide (NO 2 ), sulfur dioxide (SO 2 ) and particulate matter with an aerodynamic diameter ≤ 10 μm (PM 10 ) during prenatal, postnatal, and current windows were estimated using the measured concentrations at monitoring stations. We used logistic regression model to examine the OM risk in terms of odds ratio (OR) and 95% confidence interval (CI) for exposure to different air pollutants during different timing windows, adjusting for covariates, multi-pollutants, and multi-windows. Results Life-time prevalence of doctor-diagnosed OM in preschool children in Changsha was 7.3%. Childhood OM was associated only with prenatal exposure to the industrial air pollution with adjusted OR (95% CI) = 1.44 (1.09–1.88) for a 27 μg/m3 increase in SO 2 , particularly during the first trimester of pregnancy. We further found that prenatal SO 2 exposure was not associated with the repeated attacks but was associated with the onset of OM, adjusted OR (95% CI) = 1.47 (1.10–1.96). The association between prenatal SO 2 exposure and early childhood OM was robust after adjusting for other pollutants and windows. Sensitivity analysis indicated that the association was stronger in females, children with parental atopy, and children living in houses with cockroaches, new redecoration, and condensation on window pane during winter. Conclusion We provide new evidence that prenatal exposure to industrial air pollution is associated with early childhood OM in China and may contribute to the onset of childhood OM. Our findings are helpful in developing more effective preventative strategies for childhood OM.

Background Childhood pneumonia is one of the leading single causes of mortality and morbidity in children worldwide, but its etiology still remains unclear. Objective We investigate the association between childhood pneumonia and exposure to diurnal temperature variation (DTV) in different timing windows. Methods We conducted a prospective cohort study of 2,598 children aged 3–6 years in Changsha, China. The lifetime prevalence of pneumonia was assessed by a questionnaire administered by the parents. Individual exposure to DTV during both prenatal and postnatal periods was estimated. Logic regression models was used to examine the association between childhood pneumonia and DTV exposure in terms of odds ratios (OR) and 95% confidence interval (CI). Results Lifetime prevalence of childhood pneumonia in preschool children in Changsha was high up to 38.6%. We found that childhood pneumonia was significantly associated with prenatal DTV exposure, with adjusted OR (95%CI) =1.19 (1.02–1.38), particularly during the second trimester. However, childhood pneumonia not associated with postnatal DTV exposure. Sensitivity analysis indicated that boys are more susceptible to the pneumonia risk of diurnal temperature variation than girls. We further observed that the prevalence of childhood pneumonia was decreased in recent years as DTV shrinked. Conclusions Early childhood pneumonia was associated with prenatal exposure to the diurnal temperature variation (DTV) during pregnancy, particularly in the second trimester, which suggests fetal origin of childhood pneumonia.

This study investigated whether levofloxacin-containing concomitant therapy can effectively eradicate Helicobacter pylori infection in patients with type 2 diabetes mellitus (T2DM).A total of 797 T2DM patients were screened for anti-H. pylori IgG antibodies, and the presence of H. pylori infection was confirmed byThe H. pylori eradication rates with concomitant therapy were higher than sequential therapy in both intention-to-treat (96.4% versus 81.4%, p = 0.012) and per-protocol (100% versus 85.4%, p = 0.006) analysis. The adverse effects in both groups were similarly mild. In the patients who received sequential therapy, clarithromycin resistance was significantly associated with eradication failure (p = 0.02). There were no significant differences in the antibiotic-resistant rates to amoxicillin, clarithromycin, metronidazole, tetracycline, and levofloxacin between the patients with and without T2DM.Ten days of levofloxacin-containing concomitant therapy is an effective and well-tolerated treatment to eradicate H. pylori infection for T2DM patients. Key messages Ten days of levofloxacin-containing concomitant therapy is well tolerated and superior to clarithromycin-containing sequential therapy for first-line H. pylori eradication in patients with type 2 diabetes. Clarithromycin resistance to H. pylori is the main factor associated with eradication failure in clarithromycin-containing sequential therapy in diabetic patients.

Background Otitis media (OM) is a common infection in early childhood with repeated attacks that lead to long-term complications and sequelae, but its risk factors still remain unclear. Objective To examine the risk of childhood OM for different indoor and outdoor air pollutants during different timing windows, with a purpose to identify critical windows of exposure and key components of air pollution in the development of OM. Methods We conducted a retrospective cohort study of 1617 children aged 3–4 years in Changsha, China (2011–2012). Children's life-time prevalence of OM and exposure to indoor air pollution related to home renovation activities were surveyed by a questionnaire administered by the parents. Children's exposure to outdoor air pollution, including nitrogen dioxide (NO 2 ), sulfur dioxide (SO 2 ), and particulate matter with an aerodynamic diameter ≤ 10 μm (PM 10 ), was estimated using the measured concentrations at municipal monitoring stations. The odds ratio (OR) and 95% confidence interval (CI) of childhood OM for prenatal and postnatal exposure to indoor and outdoor air pollution were examined by using logistic regression model. Results Life-time prevalence of OM in preschool children (7.3%) was associated not only with prenatal exposure to industrial air pollutant with adjusted OR (95% CI) = 1.44 (1.09–1.88) for a 27 μg/m 3 increase in SO 2 but also with postnatal exposure to indoor renovations with OR (95% CI) = 1.62 (1.05–2.49) for new furniture and 1.81 (1.12–2.91) for redecoration, particularly in girls. Combined exposure to outdoor SO 2 and indoor renovation significantly increased OM risk. Furthermore, we found that exposure to outdoor SO 2 and indoor renovation were significantly associated with the onset but not repeated attacks of OM. Conclusion Prenatal exposure to outdoor industrial air pollution and postnatal exposure to indoor renovation are independently associated with early childhood OM in China and may cause the OM onset.

Background Evidence linking prenatal exposure to outdoor air pollution with eczema in early childhood is scare, and the role of components of air pollution and exposure timing remains unclear. Objectives We investigated the association between exposure to air pollution during preconceptional and perinatal period and the risk of eczema in preschool children. Methods We conducted a prospective cohort study of 2598 children aged 3–6 years in Changsha, China. The prevalence of eczema was assessed by a standardized health questionnaire administered by the parents. Individual exposures to nitrogen dioxide (NO 2 ), sulfur dioxide (SO 2 ) and particulate matter with an aerodynamic diameter≤10μm (PM 10 ) during the 4th-6th and 1st-3rd month before pregnancy, entire pregnancy, and three trimesters were estimated by an inverse distance weighted (IDW) method based on concentrations measured at monitoring stations. Association between childhood eczema and exposure to air pollution was examined by logistic regression models in terms of odds ratio (OR) and 95% confidence interval (CI) for an interquartile range (IQR) increase in exposure. Results Life-time prevalence of eczema in preschool children in Changsha was 28.6%. Childhood eczema was associated with traffic-related air pollutant NO 2 during 3 months before pregnancy and entire pregnancy with adjusted ORs=1.19 (95% CI: 1.04–1.37) and 1.21 (95% CI: 1.03–1.42) respectively. The highest risk of eczema was observed for the 1st trimester exposure to NO 2 [OR=1.26 (95% CI: 1.09–1.46)]. However, no association was detected for SO 2 and PM 10 exposure during any window. High-level exposure to NO 2 during the whole time period significantly increased the effect of NO 2 in all windows on eczema risk as compared with low-level exposure. Sensitivity analysis indicated that the association between both preconceptional and perinatal exposure to NO 2 and childhood eczema was consistent and robust, and this association was modified by some personal, parental hereditary and indoor environmental factors. Conclusion Our findings support the hypothesis that early childhood eczema is associated with exposure to traffic-related air pollutant during both preconceptional and perinatal period, especially at a high level of exposure.

Wastewater treatment and biosecurity are essential for intensive recirculating aquaculture system (RAS) production. In this study, the viability of the electrochemical process using a Ti/RuO2-IrO2 anode for synergetic total ammonia nitrogen (TAN) and nitrite removal and disinfection of semi-commercial RAS wastewater was evaluated. During the electrochemical oxidation process, the effects of the applied current density, sodium chloride concentration, and initial pH on the removal of TAN and nitrite were investigated. Experiment results indicated that under the conditions of 1.7 g L-1 sodium chloride concentration and 60 min electrolysis time, TAN removal efficiencies reached 78% at a current density of 60 mA cm-2, while nitrite removal efficiencies reached more than 95% at a current density of 30 mA cm-2. TAN removal due to an indirect oxidation mechanism followed second-order kinetics, while nitrite removal was described by pseudo-first-order kinetics in low-salt water (1.7 g L-1). The kinetics for electro-oxidation of TAN and nitrite affected by the current density were expressed as kTAN = 1.0 x 10-5 J-0.0002 and kNO2- = 1.9 x 10-3 J-0.0041, respectively. For disinfection, the active chlorine in situ generated by electrochemical treatment caused and inactivation. The results showed that the two objective pathogens can be sterilized rapidly, which indicated that no extra treatment for disinfection was needed. Finally, a comparison was made of the energy consumption in this study with those in the literature. This study showed that the Ti/RuO2-IrO2 anodic oxidation process has a potential for sustainable RAS wastewater treatment.

Background Evidence linking long-term exposure to outdoor air pollution with allergic rhinitis (AR) in children is scare, and the role of components of air pollution and timing of exposure remains unclear. Objective To assess the association of pre- and post-natal exposure to air pollution with life-time prevalence of AR in preschool children. Methods We conducted a cohort study of 2598 children aged 3–6 years in Changsha, China. The lifetime prevalence of AR was assessed by a questionnaire administered by parents. Children's exposures to dioxide nitrogen (NO 2 ), sulfur dioxide (SO 2 ) and particulate matter with an aerodynamic diameter ≤ 10 μm (PM 10 ) during different pre- and post-natal timing windows were estimated using the measured concentrations at monitoring stations. The odds ratio (OR) and 95% confidence interval (CI) of childhood AR for exposure to different air pollutants during different timing windows were assessed by logistic regression model in terms of an interquartile range (IQR) increase in exposure level. Results Life-time prevalence of AR in preschool children (7.3%) was associated with both pre- and post-natal exposure to traffic-related air pollution (TRAP), but only significant during the third trimester of pregnancy with adjusted OR = 1.40 (95% CI: 1.08–1.82) for a 15 μg/m 3 increase in NO 2 and during the first-year of life with adjusted OR = 1.36 (95% CI: 1.03–1.78) and 1.54 (95% CI: 1.07–2.21) respectively for 11 and 12 μg/m 3 increase in NO 2 and PM 10 . The association of early life exposure to TRAP with childhood AR was robust by adjusting for other air pollutants and timing windows. Sensitivity analysis indicated that the association was higher in the children who are male, young, with genetic predisposition by parental atopy, and living in damp houses. Conclusion Early life exposure to traffic-related air pollutant during pregnancy and first-year of life may contribute to childhood AR.

Although much has been determined about the molecular mechanisms of hexavalent chromium [Cr(VI)]-induced hepatotoxicity, more remains to be explored. In particular, explicit epigenetic alterations of microRNAs (miRNAs) which can negatively regulate mRNAs at post transcriptional level remain understudied. In the present study, cell apoptosis was determined using Annexin V/propidium iodide (PI) staining, while proliferative growth was analyzed by colony formation assay and proliferating cell nuclear antigen (PCNA) detection. miRNA microarray was performed to compare the global miRNAs expression patterns. miR-21-5p mimics (mi)/inhibitor (in), and PDCD4-siRNAs were transfected into L02 hepatocytes. Our results revealed that Cr(VI) induced apoptosis and inhibited proliferation in L02 hepatocytes via reactive oxygen species (ROS), the formation of which is closely related to mitochondrial damage, especially the inhibition of mitochondrial respiratory chain complex (MRCC). We also confirmed that ROS-mediated miR-21-5p inhibition participated in cell apoptosis and proliferative inhibition induced by Cr(VI). Furthermore, programmed cell death protein 4 (PDCD4), the up-regulation of which was related to ROS over-production, was predicted and verified as a target of miR-21-5p. Transcription factor PDCD4 silencing suppressed apoptosis and stimulated cell proliferation. In conclusion, from the perspective of epigenetics, the present study revealed that ROS-mediated miR-21-5p regulated the proliferation and apoptosis of Cr(VI)-exposed L02 hepatocytes via targeting PDCD4, which provided the new targets for molecular intervention and treatment of liver damage in Cr(VI)-exposed population.

Background Although mounting evidence have linked traffic-related air pollution (TRAP) with increased risk of preterm birth (PTB), whether it can interact with indoor environmental factors remains unknown, and its window(s) susceptibility at the stage of gestation is unclear. Objective To explore PTB risk for prenatal exposure to traffic-related air pollution and home environmental factors during pregnancy, so as to identify critical window(s) in the combined effect of traffic air pollution and main home environmental factor(s) on PTB development. Methods A retrospective cohort study of 3,509 preschool children was performed in Changsha, China during 2011–2012. The PTB prevalence was reported by the parents based on a questionnaire. We estimated each mother's exposure to traffic-related air pollutant NO2 in different windows of gestation, including conception month, three trimesters, birth month, and whole gestation. Maternal exposure to home environmental factors was considered by renovation (new furniture/redecoration) in pregnancy, and mold/damp stains and window condensation during perinatal period. Associations of PTB with both ambient NO2 and home environmental factors, and their interactions on PTB were evaluated by logistic regression models using odds ratio (OR) with 95% confidence interval (CI). Results Traffic air pollutant NO2 exposure in utero was significantly associated with PTB, with adjusted odds ratio (OR) (95% CI) of 1.41 (1.00–1.98) for an IQR increase in NO2 exposure during whole pregnancy, particularly in the conception month and 1st trimester. We further found a positive relationship between perinatal exposure to mold/damp stains in the homes and PTB, OR (95% CI) = 1.73 (1.04–2.90). Especially, we detected a significant interaction between outdoor NO2 and indoor mold/damp stains on PTB risk. Male and female foetus were respectively more susceptible to perinatal mold/dampness at home and outdoor NO2 exposure in early gestation. Conclusion Our finding indicates that both outdoor traffic air pollutant and indoor mold/dampness play key roles in PTB development, and their interaction effect in early pregnancy significantly increases PTB risk.

Third-generation tyrosine kinase inhibitors (TKIs) were developed to overcome T790M-mediated resistance to earlier generations of epidermal growth factor receptor (EGFR)-targeted TKIs. We compared four well-established and one in-house method for the analysis of the EGFR T790M mutation in plasma cell-free DNA (cfDNA), in hope to find a better way to select non-small cell lung cancer (NSCLC) patients appropriate for 3rd-generation TKI therapy. For sensitivity levels of each method, plasmid DNA with EGFR T790M mutations was serially diluted with cfDNA from healthy controls with wild type EGFR. The clinical performance was analyzed in a clinical cohort of EGFR mutation-positive NSCLC patients with acquired EGFR TKI resistance (n = 40). All methods except the therascreen kit (Qiagen) had a sensitivity level of 10 copies of T790M plasmid DNA in the spiked specimen. The detection rates of the EGFR T790M mutation in plasma cfDNA from the clinical cohort were 42.5, 35, 32.5, 22.5, and 17.5% for the in-house ARMS method, Bio-Rad droplet digital PCR, PANAMutyper, Therascreen EGFR Plasma RGQ PCR Kit and Cobas EGFR Mutation kit (with suboptimal template amounts), respectively. Osimertinib was given to 17 of 20 patients with EGFR T790M mutations. The best treatment responses, based on the RECIST criteria, included 6 partial responses (PR) and 7 stable diseases (SD). The PANAMutyper and the Bio-Rad droplet digital PCR were comparable, the Cobas EGFR Mutation kit required significantly more template for testing. The best combination would be the in-house ARMS method plus the PANAMutyper or Bio-Rad droplet digital PCR, which would have a detection rate of 50% (20/40) and a disease control rate of 76% (13/17).

Neutralizing anti–IFN-γ autoantibodies are the underlying immunodeficiency that explains the susceptibility to Talaromyces marneffei infections in otherwise healthy individuals in epidemic regions. This finding reveals the critical role of the IFN-γ pathway in controlling this dimorphic fungus., Talaromyces marneffei causes life-threatening opportunistic infections, mainly in Southeast Asia and South China. T. marneffei mainly infects patients with human immunodeficiency virus (HIV) but also infects individuals without known immunosuppression. Here we investigated the involvement of anti–IFN-γ autoantibodies in severe T. marneffei infections in HIV-negative patients. We enrolled 58 HIV-negative adults with severe T. marneffei infections who were otherwise healthy. We found a high prevalence of neutralizing anti–IFN-γ autoantibodies (94.8%) in this cohort. The presence of anti–IFN-γ autoantibodies was strongly associated with HLA-DRB1*16:02 and -DQB1*05:02 alleles in these patients. We demonstrated that adult-onset acquired immunodeficiency due to autoantibodies against IFN-γ is the major cause of severe T. marneffei infections in HIV-negative patients in regions where this fungus is endemic. The high prevalence of anti–IFN-γ autoantibody–associated HLA class II DRB1*16:02 and DQB1*05:02 alleles may account for severe T. marneffei infections in Southeast Asia. Our findings clarify the pathogenesis of T. marneffei infection and pave the way for developing novel treatments.

Background H. pylori CagL-Y58/E59 increase gastric cancer risk by stronger binding with integrin to faciliate type IV secretory system (T4SS). H. pylori can secrete high temperature requirement A (HtrA) to mediate E-Cadherin cleavage for gastric epithelial junction disruption, so H. pylori CagL can adhere to integrin located on basolateral side of epithelium. The study test whether H. pylori HtrA amino acid polymorphisms can increase gastric cancer risk synergistically with CagL-Y58/E59. Methods One-hundred and sixty-four H. pylori-positive patients, including 71 with non-ulcer dyspepsia (NUD), 63 with peptic ulcers (PU), and 30 with gastric cancers (GC), were enrolled to receive upper gastrointestinal endoscopy to obtain gastric biopsies for H. pylori culture and histology by the updated Sydney system. Each isolate was screened for htrA & cagL genotype by polymerase chain reaction and HtrA & CagL-Y58/E59 amino acid sequence polymorphisms by sequencing. Results The prevalence rates of htrA & cagL gene were both 100%. The HtrA amino acid sequence polymorphisms were not different between NUD and PU. The H. pylori isolates of GC had higher rates of HtrA residue 171 as leucine than those of NUD (73.3% vs. 50.7%, P = 0.036, OR[95%CI] = 2.7[1.1–6.8]). The risk of the H. pylori-infected subjects to get gastric cancer was increased up to 15.4-fold, if the infected isolates had presence of both HtrA-L171 and CagL-Y58/E59 (P

Accession numbers of htrA gene analyzed in this study. (DOCX 37 kb)

The modified asphalt with waste packaging polypropylene (WPP) and WPP/organic rectorite (OREC) was prepared by the melt blending method. The effects of OREC on the physical and aging properties of WPP-modified asphalt were studied. The morphologies, microstructure, and thermal properties of WPP-modified asphalt and WPP/OREC-modified asphalt were characterized by fluorescence microscopy, Fourier transform infrared spectroscopy (FTIR), differential scanning calorimetry (DSC), and thermogravimetry (TG). The results show that the composite-modified asphalt exhibits excellent ductility and plasticity when the contents of WPP and OREC are 4 wt. % and 1.5 wt. %, respectively. The deformation ability, softening point, ductility, and high-temperature storage stability of WPP-modified asphalt can be improved by adding the appropriate content of OREC. It is demonstrated that the composite-modified asphalt has an outstanding operational performance when the content of OREC is in the range of 1.5–2 wt. %. Compared with base asphalt, the high temperature performance of WPP-modified asphalt and WPP/OREC-modified asphalt is also improved significantly.

Visible watermark plays an important role in image copyright protection and the robustness of a visible watermark to an attack is shown to be essential. To evaluate and improve the effectiveness of watermark, watermark removal attracts increasing attention and becomes a hot research top. Current methods cast the watermark removal as an image-to-image translation problem where the encode-decode architectures with pixel-wise loss are adopted to transfer the transparent watermarked pixels into unmarked pixels. However, when a number of realistic images are presented, the watermarks are more likely to be unknown and diverse (i.e., the watermarks might be opaque or semi-transparent; the category and pattern of watermarks are unknown). When applying existing methods to the real-world scenarios, they mostly can not satisfactorily reconstruct the hidden information obscured under the complex and various watermarks (i.e., the residual watermark traces remain and the reconstructed images lack reality). To address this difficulty, in this paper, we present a new watermark processing framework using the conditional generative adversarial networks (cGANs) for visible watermark removal in the real-world application. The proposed method enables the watermark removal solution to be more closed to the photo-realistic reconstruction using a patch-based discriminator conditioned on the watermarked images, which is adversarially trained to differentiate the difference between the recovered images and original watermark-free images. Extensive experimental results on a large-scale visible watermark dataset demonstrate the effectiveness of the proposed method and clearly indicate that our proposed approach can produce more photo-realistic and convincing results compared with the state-of-the-art methods.

We studied indoor sources of indoor particulate matter (PM), outdoor air pollution and antibiotic use in relation to asthma, rhinitis and eczema among pre-school children and investigated synergistic effects between PM and antibiotics use. Children (3-6y) from randomly selected day care centres in seven cities across China were included (n = 39,782). Data on ambient temperature and air pollution were collected from local monitoring stations. Data on indoor PM sources (ETS, burning of incense or mosquito coils and biomass for cooking), antibiotics use and health (doctor diagnosed asthma and rhinitis, lifetime eczema, current wheeze and current rhinitis) were assessed by a parental questionnaire. Associations were calculated by multilevel logistic regression. Asthma diagnosis was associated with outdoor temperature, NO

In order to overcome the problems of large image deviation and unsatisfactory details retention in traditional monitoring methods, a new remote sensing dynamic monitoring research of land cover in ecological protection area based on GIS technology was proposed. In this method, the combination of joint entropy and optimal index is used to analyse and collect remote sensing images. The geometric distortion is corrected by using the binary homogeneous polynomial correction transformation formula. According to the image enhancement, the invalid information of the image is removed, and the land cover type change is described. Finally, the prediction of land cover dynamic change in the future is completed by creating Markov model. The experimental results show that the accuracy of the land cover remote sensing image data obtained is high, the land cover monitoring rate is 73%, the pixel accuracy is more than 90%, and the edge information maintenance advantage is significant.

Hexavalent chromium [Cr(VI)] is seriously harmful to ecosystems and living organisms due to its strong toxicity. Role of dynamin-related protein 1 (Drp1) and Drp1-associated mitochondrial fragmentation in mitophagy and cytotoxicity after Cr(VI) exposure has not been clarified so far. We confirmed that Cr(VI) caused mitochondrial fission by up-regulating Drp1 expression and enhancing Drp1 mitochondrial translocation. By applying the intracellular Ca2+ antagonist BAPTA-AM and mitochondrial Ca2+ antagonist Ru360, we demonstrated that Cr(VI)-induced excessive mitochondrial fission was in a Ca2+-Drp1 dependent manner. The administration of Drp1 siRNA significantly suppressed the overactivation of mitophagy in Cr(VI)-induced hepatotoxicity. The specific Drp1 inhibitor mitochondrial division inhibitor-1 (Mdivi-1) blocked the overactive mitophagy and subsequently ameliorated hepatotoxicity caused by Cr(VI) in vivo. We reached the conclusion that Drp1-dependent mitochondrial fission contributes to Cr(VI)-induced mitophagy and hepatotoxicity, which may provide experimental basis for the study of chromium-associated toxicity, especially for the prevention of health damage in chromium-exposed population.