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ABSTRACTGliomas are malignant tumours of the human nervous system with different World Health Organization (WHO) classifications, glioblastoma (GBM) with higher grade and are more malignant than lower-grade glioma (LGG). To dissect how the DNA methylation heterogeneity in gliomas is influenced by the complex cellular composition of the tumour immune microenvironment, we first compared the DNA methylation profiles of purified human immune cells and bulk glioma tissue, stratifying three tumour immune microenvironmental subtypes for GBM and LGG samples from The Cancer Genome Atlas (TCGA). We found that more intermediate methylation sites were enriched in glioma tumour tissues, and used the Proportion of sites with Intermediate Methylation (PIM) to compare intertumoral DNA methylation heterogeneity. A larger PIM score reflected stronger DNA methylation heterogeneity. Enhanced DNA methylation heterogeneity was associated with stronger immune cell infiltration, better survival rates, and slower tumour progression in glioma patients. We then created a Cell-type-associated DNA Methylation Heterogeneity Contribution (CMHC) score to explore the impact of different immune cell types on heterogeneous CpG site (CpGct) in glioma tissues. We identified eight prognosis-related CpGct to construct a risk score: the Cell-type-associated DNA Methylation Heterogeneity Risk (CMHR) score. CMHR was positively correlated with cytotoxic T-lymphocyte infiltration (CTL), and showed better predictive performance for IDH status (AUC = 0.96) and glioma histological phenotype (AUC = 0.81). Furthermore, DNA methylation alterations of eight CpGct might be related to drug treatments of gliomas. In conclusion, we indicated that DNA methylation heterogeneity is associated with a complex tumour immune microenvironment, glioma phenotype, and patient’s prognosis.

Abstract Flat electronic bands are expected to show proportionally enhanced electron correlations, which may generate a plethora of novel quantum phases and unusual low-energy excitations. They are increasingly being pursued in d-electron-based systems with crystalline lattices that feature destructive electronic interference, where they are often topological. Such flat bands, though, are generically located far away from the Fermi energy, which limits their capacity to partake in the low-energy physics. Here we show that electron correlations produce emergent flat bands that are pinned to the Fermi energy. We demonstrate this effect within a Hubbard model, in the regime described by Wannier orbitals where an effective Kondo description arises through orbital-selective Mott correlations. Moreover, the correlation effect cooperates with symmetry constraints to produce a topological Kondo semimetal. Our results motivate a novel design principle for Weyl Kondo semimetals in a new setting, viz. d-electron-based materials on suitable crystal lattices, and uncover interconnections among seemingly disparate systems that may inspire fresh understandings and realizations of correlated topological effects in quantum materials and beyond.

Lattice symmetries are central to the characterization of electronic topology. Recently, it was shown that Green's function eigenvectors form a representation of the space group. This formulation has allowed the identification of gapless topological states even when quasiparticles are absent. Here we demonstrate the profundity of the framework in the extreme case, when interactions lead to a Mott insulator, through a solvable model with long-range interactions. We find that both Mott poles and zeros are subject to the symmetry constraints, and relate the symmetry-enforced spectral crossings to degeneracies of the original noninteracting eigenstates. Our results lead to new understandings of topological quantum materials and highlight the utility of interacting Green's functions toward their symmetry-based design.

Compared to conventional ceramic particle-reinforced Mg composites, incorporating Ti particles into the Mg molten melt poses greater difficulty due to their significantly higher density compared to Mg. To develop a feasible and effective method for incorporating Ti particles, the water flow visualization experiment was used to reveal the optimum parameters of the stirring velocity, the height of the stirrer, and the angle of the stirrer to the horizon. Based on the results, the Ti/AZ81 composite was successfully fabricated at a variable speed (100–950 rpm/min) and height (4–10 cm) with an angle of 75° via nearly semi-solid stirring casting and followed by hot extrusion. The distribution of Ti particles in the Mg matrix was more homogenous, exhibiting fewer flaws and a higher recovery rate. The tensile results indicated that the Ti/AZ81 composite exhibited excellent comprehensive mechanical properties with an ultimate strength (UTS), yield strength (YS), and elongation of 374.5 MPa, 263.5 MPa, and 11.5%, respectively, which were superior to other Ti particle-reinforced AZ alloys. The characterizations revealed that the interfacial product AlTi phase was additionally formed and the Ti/Mg interface showed a strong bonding strength. The dynamic recrystallization (DRX) was significantly promoted due to the particle-stimulated nucleation (PSN) and Ti particles weakened the precipitation of Mg17Al12. Based on the quantitative calculations, the increased strength was mainly attributed to grain refinement, the mismatch coefficient of thermal expansion (CTE), and the heterogeneous microstructures of Ti/AZ81 composite, in which heterogeneous deformation-induced (HDI) strengthening is dominant.

The interplay of dynamical correlations and electronic ordering is pivotal in shaping phase diagrams of correlated quantum materials. In magic-angle twisted bilayer graphene, transport, thermodynamic, and spectroscopic experiments pinpoint a competition between distinct low-energy states with and without electronic order, as well as between localized and delocalized charge carriers. In this study, we utilize dynamical mean-field theory on the topological heavy fermion model of twisted bilayer graphene to investigate the emergence of electronic correlations and long-range order in the absence of strain. We contrast moment formation, Kondo screening, and ordering on a temperature basis and explain the nature of emergent correlated states based on three central phenomena: (i) the formation of local spin and valley isospin moments around 100 K, (ii) the ordering of the local isospin moments around 10 K preempting Kondo screening, and (iii) a cascadic redistribution of charge between localized and delocalized electronic states upon doping. At integer fillings, we find that low-energy spectral weight is depleted in the symmetric phase, while we find insulating states with gaps enhanced by exchange coupling in the zero-strain ordered phases. Doping away from integer filling results in distinct metallic states: a “bad metal” above the ordering temperature, where scattering off the disordered local moments suppresses electronic coherence, and a “good metal” in the ordered states with coherence of quasiparticles facilitated by isospin order. This finding reveals coherence from order as the microscopic mechanism behind the Pomeranchuk effect observed experimentally by Rozen et al. [Nature (London) 592, 214 (2021)NATUAS0028-083610.1038/s41586-021-03319-3] and by Saito et al. [Nature (London) 592, 220 (2021)NATUAS0028-083610.1038/s41586-021-03409-2]. Upon doping, there is a periodic charge reshuffling between localized and delocalized electronic orbitals leading to cascades of doping-induced Lifshitz transitions, local spectral weight redistributions, and periodic variations of the electronic compressibility ranging from nearly incompressible to negative. Our findings highlight the essential role of charge transfer, hybridization, and ordering in shaping the electronic excitations and thermodynamic properties in twisted bilayer graphene and provide a unified understanding of the most puzzling aspects of scanning tunneling spectroscopy, transport, and compressibility experiments.

Self-oscillating systems can directly convert ambient energy to mechanical work, and new type self-oscillating systems are worth designing for applications in energy harvesters, engines, and actuators. Taking inspiration from the hand drill, we have developed a novel self-rotating drill system, which is consist of a turnplate and a liquid crystal elastomer (LCE) fiber under steady illumination. To investigate the self-rotating behaviors of the LCE drill, we have proposed a nonlinear theoretical model of the LCE drill under steady illumination based on the well-established dynamic LCE model. Numerical calculation reveals that the LCE drill can undergo a supercritical Hopf bifurcation between the static regime and the self-rotation regime. The self-rotation of drill originates from the contraction of winding portion of LCE fiber in illumination at winding state, and its continuous periodic motion is sustained by the interrelation between light energy and damping dissipation. The Hopf bifurcation conditions are also investigated in detail, as well as the vital system parameters affecting its frequency and amplitude. In contrast to the abundant existing self-oscillating systems, this self-rotating drill stands out due to its simple and lightweight structure, customizable dimensions, and high speed, and thus facilitates the design of compact and integrated systems, enhancing their applicability in microdevices and systems. This bears great significance in fields like micro-robotics, micro-sensors, and medical instruments, enabling the realization of smaller and higher-performance devices.

The many-banded krait, Bungarus multicinctus, has been recorded as the animal resource of JinQianBaiHuaShe in the Chinese Pharmacopoeia. Characterization of its venoms classified chief phyla of modern animal neurotoxins. However, the evolutionary origin and diversification of its neurotoxins as well as biosynthesis of its active compounds remain largely unknown due to the lack of its high-quality genome. Here, we present the 1.58 Gbp genome of B. multicinctus assembled into 18 chromosomes with contig/scaffold N50 of 7.53 Mbp/149.8 Mbp. Major bungarotoxin-coding genes were clustered within genome by family and found to be associated with ancient local duplications. The truncation of glycosylphosphatidylinositol anchor in the 3′-terminal of a LY6E paralog released modern three-finger toxins (3FTxs) from membrane tethering before the Colubroidea divergence. Subsequent expansion and mutations diversified and recruited these 3FTxs. After the cobra/krait divergence, the modern unit-B of β-bungarotoxin emerged with an extra cysteine residue. A subsequent point substitution in unit-A enabled the β-bungarotoxin covalent linkage. The B. multicinctus gene expression, chromatin topological organization, and histone modification characteristics were featured by transcriptome, proteome, chromatin conformation capture sequencing, and ChIP-seq. The results highlighted that venom production was under a sophisticated regulation. Our findings provide new insights into snake neurotoxin research, meanwhile will facilitate antivenom development, toxin-driven drug discovery and the quality control of JinQianBaiHuaShe.

This study optimized the design of an aeration device for pond engineered recirculating aquaculture systems (RASs) whose application is aimed at increasing dissolved oxygen (DO) levels in RAS aquaculture practice. DO is a key factor in aquaculture productivity, and oxygenators are the power devices used for regulating its levels in aquaculture ponds. In this study, grass carp (Ctenopharyngodon idellus) aquaculture trials were conducted in a self-built RAS by using the new aeration device (NAD); the microporous and impeller aeration components were individually tested in terms of performance, and then combined for the orthogonal testing of their operating parameters in order to assess the NAD’s oxygenation capacity. The test results show that the device effectively increased the dissolved oxygen levels in the RAS tank, enhanced the upper–lower water layer exchange and directional flow, and met the design and parameter selection requirements. Compared with the existing RAS oxygenation equipment, the NAD operated with the optimal parameters and increased the oxygen transfer rate in the pond water tank by 122%.

Lateralization is a fundamental characteristic of many behaviors and the organization of the brain, and atypical lateralization has been suggested to be linked to various brain-related disorders such as autism and schizophrenia. Right-handedness is one of the most prominent markers of human behavioural lateralization, yet its neurobiological basis remains to be determined. Here, we present a large-scale analysis of handedness, as measured by self-reported direction of hand preference, and its variability related to brain structural and functional organization in the UK Biobank (N = 36,024). A multivariate machine learning approach with multi-modalities of brain imaging data was adopted, to reveal how well brain imaging features could predict individual's handedness (i.e., right-handedness vs. non-right-handedness) and further identify the top brain signatures that contributed to the prediction. Overall, the results showed a good prediction performance, with an area under the receiver operating characteristic curve (AUROC) score of up to 0.72, driven largely by resting-state functional measures. Virtual lesion analysis and large-scale decoding analysis suggested that the brain networks with the highest importance in the prediction showed functional relevance to hand movement and several higher-level cognitive functions including language, arithmetic, and social interaction. Genetic analyses of contributions of common DNA polymorphisms to the imaging-derived handedness prediction score showed a significant heritability (h2=7.55%, p

Abstract Fritillaria naturally grows in the temperate region of Northern Hemisphere and mainly distributes in Central Asia, Mediterranean region, and North America. The dried bulbs from a dozen species of this genus have been usually used as herbal medicine, named Beimu in China. Beimu had rich sources of phytochemicals and have extensively applied to respiratory diseases including coronavirus disease (COVID-19). Fritillaria species have alkaloids that act as the main active components that contribute multiple biological activities, including anti-tussive, expectorant, and anti-asthmatic effects, especially against certain respiratory diseases. Other compounds (terpenoids, steroidal saponins, and phenylpropanoids) have also been identified in species of Fritillaria. In this review, readers will discover a brief summary of traditional uses and a comprehensive description of the chemical profiles, biological properties, and analytical techniques used for quality control. In general, the detailed summary reveals 293 specialized metabolites that have been isolated and analyzed in Fritillaria species. This review may provide a scientific basis for the chemical ecology and metabolomics in which compound identification of certain species remains a limiting step.

Pyrochlore iridates lie at a tuning-free magnetic quantum critical point hosting several complex exotic phenomena. Here, the authors discover an electronic phase separation in single crystalline Pr2Ir2O7, where well-defined Kondo resonances are interweaved with a non-magnetic metallic phase with Kondo-destruction.

Polygonum is a generalized genus of the Polygonaceae family that includes various herbaceous plants. In order to provide aid in understanding the evolutionary and phylogenetic relationship in Polygonum at the chloroplast (cp) genome-scale level, we sequenced and annotated the complete chloroplast genomes of four Polygonum species using next-generation sequencing technology and CpGAVAS. Then, repeat sequences, IR contractions, and expansion and transformation sites of chloroplast genomes of four Polygonum species were studied, and a phylogenetic tree was built using the chloroplast genomes of Polygonum. The results indicated that the chloroplast genome construction of Polygonum also displayed characteristic four types of results, comparable to the published chloroplast genome of recorded angiosperms. The chloroplast genomes of the four Polygonum plants are highly consistent in genome size (159,015 bp–163,461 bp), number of genes (112 genes, including 78 protein-coding genes, 30 tRNA genes, and 4 rRNA genes), gene types, gene order, codon usage, and repeat sequence distribution, which identifies the high preservation among the Polygonum chloroplast genomes. The Polygonum phylogenetic tree was recreated by a full sequence of the chloroplast genome, which illustrates that the P. bistorta, P. orientale, and P. perfoliatum are divided into the same branch, and P. aviculare belongs to Fallopia. The precise system site of lots base parts requires further verification, but the study would provide a basis for developing the available genetic resources and evolutionary relationships of Polygonum.

A research study on a type of cascaded single-phase VIENNA converter (CSVC) is presented in this paper. And a type of DC voltage balancing control strategy for each cascaded module of the CSVC based on improved one-cycle control (I-OCC) is proposed, in which voltage balancing signals are added to the conventional OCC (C-OCC) control loop to cause a difference in the modulation signals of each of the cascaded modules, so that the DC voltages of all modules can be quickly balanced under unbalanced loads. At the same time, the average modulation wave maintains a constant value so that the CSVC achieves a unity power factor operation. The operating principle of the I-OCC strategy is discussed in detail, and the corresponding mathematical relationships are derived. In the proposed strategy, the ability to adjust the DC voltages is also analyzed. Finally, the simulation and experiment results are provided to verify the validity and feasibility of this I-OCC-based voltage balancing control strategy. The control strategy proposed by this paper is also applicable to all other cascaded unidirectional rectifiers.

The Chinese Monal (Lophophorus lhuysii) is an alpine-obligate galliform species of global conservation priority. It has been listed as a first class protected wildlife species in China, requiring conservation actions during the 14th Five-Year Plan period. However, the diet composition of Chinese Monal and its seasonal variations have rarely been studied, constraining the effective conservation of the species. Here, we investigated the plant diet composition of the Chinese Monal and its seasonal variations using a DNA metabarcoding approach on fecal samples. We collected 190 fecal samples of the Chinese Monals from the central Qionglai Mountains located in China, and analyzed the plant diet of this species using a DNA metabarcoding approach. Taxonomic profiling of higher plants in the fecal samples was performed using the second internal transcribed spacer (ITS2) amplicon. Downstream analyses, including rarefaction curves, nonmetric multidimensional scaling (NMDS) and permutational multivariate analysis of variance (PERMANOVA), were used to explore the seasonal variations in diet composition. The Chinese Monal foraged a wide range of plant recipes composed of 35 families and 83 genera throughout the year, with Brassicaceae, Apiaceae, and Poaceae as the dominant families, and Cardamine as the dominant genus. The species consumed plants from 62 genera from 28 families during the breeding season (n ​= ​81) and 66 genera from 31 families during the non-breeding season (n ​= ​109). Further, the plant diet composition significantly varied between the breeding and non-breeding seasons, especially for the frequency of occurrence and relative read abundances at genus level. Our study analyzed the plant diet of the Chinese Monal at a high resolution for the first time, and the results revealed that the seasonal variations in its plant diet composition was adapted to plant phenology and foraging strategy. Fritillaria species, a previously confirmed important food resource for the Chinese Monal, were not detected in any fecal samples, potentially due to overharvesting of Fritillaria bulbs for Traditional Chinese Medicine. Therefore, we highly recommend further restriction of herb gathering in Chinese Monal habitats to facilitate the conservation of this endangered species. Altogether, our study enriches essential ecological information for the Chinese Monal and also provides insights into conservation management for this endangered species.

Herbgenomics is an emerging field of traditional Chinese medicine (TCM) research and development. By combining TCM research with genomics, herbgenomics can help to establish the scientific validity of TCM and bring it into wider usage within the field of medicine. Salvia Linn. (S. Linn.) is a large genus of Labiatae that includes important medicinal plants. In this herbgenomics study, the complete chloroplast (cp) genomes of two Salvia spp.—namely, S. przewalskii and S. bulleyana, which are used as a surrogate for S. miltiorrhiza—were sequenced and compared with those of two other reported Salvia spp.—namely, S. miltiorrhiza and S. japonica. The genome organization, gene number, type, and repeat sequences were compared. The annotation results showed that both Salvia plants contain 114 unique genes, including 80 protein-coding, 30 transfer RNA (tRNA), and four ribosomal RNA (rRNA) genes. Repeat sequence analysis revealed 21 forward and 22 palindromic sequences in both Salvia cp genomes, and 17 and 21 tandem repeats in S. przewalskii and S. bulleyana, respectively. A synteny comparison of the Salvia spp. cp genomes showed a high degree of sequence similarity in the coding regions and a relatively high divergence of the intergenic spacers. Pairwise alignment and single-nucleotide polymorphism (SNP) analyses found some candidate fragments to identify Salvia spp., such as the intergenic region of the trnV–ndhC, trnQ–rps16, atpI–atpH, psbA–ycf3, ycf1, rpoC2, ndhF, matK, rpoB, rpoA, and accD genes. All of the results—including the repeat sequences and SNP sites, the inverted repeat (IR) region border, and the phylogenetic analysis—showed that S. przewalskii and S. bulleyana are extremely similar from a genetic standpoint. The cp genome sequences of the two Salvia spp. reported here will pave the way for breeding, species identification, phylogenetic evolution, and cp genetic engineering studies of Salvia medicinal plants. Keywords: Salvia, Chloroplast genome, Comparative analysis

Abstract Background Patellofemoral pain syndrome (PFPS) is common and affects approximately 15% of individuals at different ages and activity levels. As a non-surgical intervention, physiotherapy is widely used to treat PFPS. Neuromuscular training exercise is one of the most effective methods for decreasing musculoskeletal pain and improving knee function. However, the effectiveness of neuromuscular training exercise for treating PFPS is not without argument. The purpose of this study is to evaluate the effect of neuromuscular training exercise on patellofemoral pain and whether the neuromuscular training exercise have more advantage effects than taping and health education. Methods We will operate a prospective, single-blind, randomized controlled trial of 60 patients with patellofemoral pain. Individuals will be indiscriminately assigned to two intervention groups and a health education group. The neuromuscular training exercise which includes the muscle strength training, balance training and knee joint proprioception training, and taping group will use “Y” and “I” type taping on the participants three times a week for three months. The health education group will be given education lectures once each week and which last for three months. The primary outcome measures include the adverse events, visual analog scale for pain, and Anterior Knee Pain Scale Index, which is a knee function self-report questionnaire to evaluate the function of the knee especially for PFPS patients. The secondary outcome measures are the muscle strength and endurance of knee joint flexion and extensor muscles, knee joint proprioception, muscle thickness of the quadriceps femoris, knee function ability, and quality of life. We will manage the intention-to-treat analysis for individuals who will withdraw from this study. Discussion According to previous studies, neuromuscular training exercise and the taping method are effective treatment for PFPS patients. In this study, we will perform a neuromuscular training exercise for patients with PFPS. We believe that this study may prove the effectiveness of neuromuscular training exercise in treating PFPS. Trial registration Chinese Clinical Trial Registry, ChiCTR1800014995. Registered on 27 February 2018.

Abstract Background The endangered rate of medicinal plant exceeds that of endangered plant species. However, blindly introducing medicinal plants in regions without comprehensively considering the involved environmental factors results in diseases and insect pests and the consequent overproof pesticide residue as well as reduces the quality of herbal medicine produced. Methods Global Medicinal Plant Geographic Information System (GMPGIS) was developed to analyze environmental information of ecologically suitable regions, thus guiding the conservation and introduction of medicinal plants. This system is based on theories and methods from multiple disciplines, including computer science, geoinformatics, ecology, and traditional herbal medicine. Using a range-based method, the previously established ecologically suitable regions were evaluated. This new method effectively resolved the problem of outlier points, and its functions were implemented in Python. The system automatically calculates the Euclidean distance of climatic factors and intersection of soil factors, thus identifying regions with high ecological similarity and those are climatically and edaphically suitable for the cultivation of medicinal plants. Results These results, validated using real-world regions, revealed that GMPGIS is highly accurate in screening ecologically suitable regions for the cultivation of medicinal plants worldwide. Conclusions Overall, because of these features, the GMPGIS is considered as a suitable distribution analysis system for global medicinal plant cultivation.

Road transport safety is an important part of transport construction in China. China is now the world’s second-largest country for road traffic deaths. Research on the road traffic mortality rate (RTMR) in China is of great significance in promoting sustainable development in global traffic. This study analyzes the RTMR in 31 provinces in China between 2003 and 2018. Research shows that the RTMR of China demonstrated a downward trend after 2004, but it increased slightly after reaching the lowest points in 2015. The RTMR in coastal and western areas was quite high, requiring targeted management and prevention. During the study period, the RTMR in Guangdong and Tibet improved greatly, whereas the RTMR in Hubei and Guangxi deteriorated. Tobit model results show that economic development level, medical assistance level and government expenditure on health are significantly negatively correlated with RTMR, while urbanization level and motorization level significantly promote RTMR. This study provides macro policy support for improving traffic safety in China.

The literature about changes in land use includes many studies of global sustainable development goals, while studies of transport land expansion have been relatively scarce. In this paper, we present an analysis of the spatiotemporal characteristics of transport land expansion in China’s 31 provinces from 2009 to 2017, applying the spatial Dubin model to identify the factors that influenced changes in per capita transport land area (PCTLA). The eastern and western regions have continued to lead the nation in terms of the total area dedicated to transport land. The expansion speed of transport land in the central and western regions, however, has been faster than in the eastern and northeast regions. As for PCTLA, the western region had the greatest amount and the central region the least. Further, PCTLA showed significant spatial autocorrelation. Economic development, government regulations, industrial structure, and the extent of opening up and urbanization had significant positive impacts on PCTLA, while the development of railway freight had a negative impact. This paper concludes with some policy suggestions for optimizing transport investment, accelerating the adjustment of industrial structure and transport structure, and implementing high-quality urbanization. The results should be of interest to those involved in the sustainable development of transport systems.

CO2 emission reduction has become a consensus all around the world. This paper investigates the spatiotemporal characteristics of industrial land carbon emission intensity (ILCEI) in China by spatial autocorrelation analysis, and applies the spatial Durbin model to reveal the influence of driving factors on ILCEI. The results indicate the following: (1) national ILCEI first shows a downward and then an upward trend during the period and presents a low pattern in both Eastern and Northeastern regions and a high pattern in the Northwestern region. (2) From a global perspective, ILCEI shows significant spatial agglomeration characteristics; from a local perspective, ILCEI is dominated by H-H and L-L agglomeration types, showing that spatial heterogeneity and spatial dependence are apparent in ILCEI. (3) ILCEI is significantly negatively affected by both R & D personnel and foreign-trade dependence, while urban population density notably has positive impacts on ILCEI. This paper is a beneficial policy practice for harmonizing the contradiction between industrial land expansion and carbon discharge.

Electron correlations play a central role in iron-based superconductors. In these systems, multiple Fe 3d-orbitals are active in the low-energy physics, and they are not all degenerate. For these reasons, the role of orbital-selective correlations has been an active topic in the study of the iron-based systems. In this article, we survey the recent developments on the subject. For the normal state, we emphasize the orbital-selective Mott physics that has been extensively studied, especially in the iron chalcogenides, in the case of electron filling n∼6. In addition, the interplay between orbital selectivity and electronic nematicity is addressed. For the superconducting state, we summarize the initial ideas for orbital-selective pairing and discuss the recent explosive activities along this direction. We close with some perspectives on several emerging topics. These include the evolution of the orbital-selective correlations, magnetic and nematic orders, and superconductivity as the electron filling factor is reduced from 6 to 5, as well as the interplay between electron correlations and topological band structure in iron-based superconductors.

Purpose: To establish a valid prediction model to prognose the occurrence of microvascular invasion (MVI), and to compare the efficacy of anatomic resection (AR) or non-anatomic resection (NAR) for hepatocellular carcinoma (HCC).Methods: Two hundred twenty-eight patients with HCC who underwent surgical treatment were enrolled. Their hematological indicators, MRI imaging features, and outcome data were acquired.Result: In the multivariable analysis, alpha-fetoprotein >15 ng/mL, neutrophil to lymphocyte ratio >3.8, corona enhancement, and peritumoral hypointensity on hepatobiliary phase were associated with MVI. According on these factors, the AUROC of the predictive model in the primary and validation cohorts was 0.884 (95% CI: 0.829, 0.938) and 0.899 (95% CI: 0.821, 0.967), respectively. Patients with high risk of MVI or those with low risk of MVI but tumor size >5 cm in the AR group were associated with a lower rate of recurrence and death than patients in the NAR group; however, when patients are in the state of low-risk MVI with tumor size >5 cm, there is no difference in the rate of recurrence and death between AR and NAR.Conclusion: Our predictive model for HCC with MVI is convenient and accurate. Patients with high-risk of MVI or low-risk of MVI but tumor size >5 cm executing AR is of great necessity.

BackgroundAccurate determination of intrahepatic anatomy remains challenging for laparoscopic anatomical hepatectomy (LAH). Laparoscopic augmented reality navigation (LARN) is expected to facilitate LAH of primary liver cancer (PLC) by identifying the exact location of tumors and vessels. The study was to evaluate the safety and effectiveness of our independently developed LARN system in LAH of PLC.MethodsFrom May 2018 to July 2020, the study included 85 PLC patients who underwent three-dimensional (3D) LAH. According to whether LARN was performed during the operation, the patients were divided into the intraoperative navigation (IN) group and the non-intraoperative navigation (NIN) group. We compared the preoperative data, perioperative results and postoperative complications between the two groups, and introduced our preliminary experience of this novel technology in LAH.ResultsThere were 44 and 41 PLC patients in the IN group and the NIN group, respectively. No significant differences were found in preoperative characteristics and any of the resection-related complications between the two groups (All P > 0.05). Compared with the NIN group, the IN group had significantly less operative bleeding (P = 0.002), lower delta Hb% (P = 0.039), lower blood transfusion rate (P < 0.001), and reduced postoperative hospital stay (P = 0.003). For the IN group, the successful fusion of simulated surgical planning and operative scene helped to determine the extent of resection.ConclusionsThe LARN contributed to the identification of important anatomical structures during LAH of PLC. It reduced vascular injury and accelerated postoperative recovery, showing a potential application prospects in liver surgery.

There are a few existing studies on whether domestic migration improves China's pension system's fiscal sustainability in the context of rapid urbanization and industrialization. In this paper, we systematically investigate the impact of migration on the solvency of the worker's old-age insurance for urban employees by constructing actuarial and econometric models. We use panel data from 2002 to 2018, collected from 31 provinces in China. The results show that the association between migration and the solvency of pensions is an inverted-U shape along the urbanization process. Further regional comparison showed that the above-stated inverted-U curve is more pronounced in the central and western regions. We also established that the number of participants and the contribution base are the main contributors to these results. Our conclusions are important for future population policies and public pension systems in China.

Abstract Background Diosgenin, mainly extracted from wild diosgenin-contained Dioscorea species, is a well-known starting material of steroidal and contraceptive drugs. However, due to large market demand and increasingly ecological damage, wild Dioscorea species resources available have been gradually declining. Therefore, identification of new potential ecological distribution of diosgenin-contained Dioscorea species is necessary for diosgenin production. Methods In this study, a large occurrence dataset (1808 data points) of diosgenin-contained Dioscorea species was obtained from Eastern Asia, Southern North America and Southern Africa. Along with the data for six critical environmental parameters and one soil factor, Geographic Information System for Global Medicinal Plant was applied to predict the potential suitable distribution of Dioscorea species. Results The results showed that the potential distribution of these Dioscorea species covered a wide field, and that new ecological suitability areas were mainly distributed in the central region of South America, the southern part of the European and coastal region of Oceania. Jackknife test indicated that annual precipitation and annual mean radiation were the important climatic factors controlling the distribution of Dioscorea species. Conclusions The suitable areas and critical climatic factors will serve as a useful guide for diosgenin-contained Dioscorea species conservation and cultivation in ecological suitable areas.

Based on the gradual transformation from wild growth to artificial cultivation, the accurate authentication of licorice seeds contributes to the first committed step of its quality control and is pivotal to ensure the clinical efficacy of licorice. However, it is still challenging to obtain genetically stable licorice germplasm resources due to the multi-source, multi-heterozygous, polyploid, and hybrid characteristics of licorice seeds. Here, a new method for determining the heterozygosity of licorice seed mixture, based on the various sites, and finding the composition characteristics of licorice seed is preliminarily designed and proposed. Namely, high-throughput full-length multiple DNA barcodes(HFMD), based on ITS multi-copy variation exist, the full-length amplicons of ITS2, psbA-trnH and ITS are directly sequenced by rDNA through the next-generation sequence(NGS) and single-molecule real-time (SMRT) technologies. By comparing the three sequencing methods, our results proved that SMRT sequencing successfully identified the complete gradients of complex mixed samples with the best performance. Meanwhile, HFMD is a brilliant and feasible method for evaluating the heterozygosity of licorice seeds. It shows a perfect interpretation of DNA barcoding and can be applied in multi-base multi-heterozygous and polyploid species.

Based on morphology and molecular data, a new species Semenovia gyirongensis Q.Y.Xiao & X.J.He, from Gyirong County, Xizang, China, is described and illustrated. It is morphologically most similar to S. malcolmii (Hemsley & Pearson) Pimenov, but differs in its cylindric much-branched root, intensively branching long underground caudex with distinct nodes, narrowly ovate to ovate terminal leaf lobes, oblong bracts with obtuse-rounded or cuneate apex.

With the challenge to reach targets of carbon emission reduction at the regional level, it is necessary to analyze the regional differences and influencing factors on China’s carbon emission efficiency. Based on statistics from 2005 to 2015, carbon emission efficiency and the differences in 30 provinces of China were rated by the Modified Undesirable Epsilon-based measure (EBM) Data Envelopment Analysis (DEA) Model. Additionally, we further analyzed the influencing factors of carbon emission efficiency’s differences in the Tobit model. We found that the overall carbon emission efficiency was relatively low in China. The level of carbon emission efficiency is the highest in the East region, followed by the Central and West regions. As for the influencing factors, industrial structure, external development, and science and technology level had a significant positive relationship with carbon emission efficiency, whereas government intervention and energy intensity demonstrated a negative correlation with carbon emission efficiency. The contributions of this paper include two aspects. First, we used the Modified Undesirable EBM DEA Model, which is more accurate than traditional methods. Secondly, based on the data’s unit root testing and cointegration, the paper verified the influencing factors of carbon emission efficiency by the Tobit model, which avoids the spurious regression. Based on the results, we also provide several policy implications for policymakers to improve carbon emission efficiency in different regions.

BACKGROUND: The internal anatomy of the liver is extremely complex. Laparoscopic anatomical segmentectomy requires reference to the position and alignment of intrahepatic vascular. However, the surface of the liver lacks anatomical landmarks and the liver segment boundaries cannot be identified with the naked eye. Augmented reality navigation (ARN) and indocyanine green fluorescence imaging (FI) are emerging navigation tools in liver resection. This study aimed to explore the efficacy and application value of laparoscopic anatomical segmentectomy guided by ARN combined with indocyanine green FI. STUDY DESIGN: Ninety-eight patients who were diagnosed with hepatocellular carcinoma and underwent laparoscopic anatomical segmentectomy from January 2018 to January 2022 were retrospectively analyzed. They were divided into the ARN-FI group (45 patients) and the non-ARN-FI group (53 patients) based on whether ARN combined with FI was applied during the operation. The differences in intraoperative and postoperative outcomes were compared. RESULTS: There was no significant difference in preoperative baseline data and postoperative complication rates between the 2 groups. Compared with the non-ARN-FI group, the ARN-FI group had much lower intraoperative blood loss (100 vs 200 mL, p = 0.005) and a lower incidence of remnant liver ischemia (13.3% vs 30.2%, p = 0.046). The 1- and 3-year disease-free survival rates in the ARN-FI and non-ARN-FI groups were 91.01% vs 71.15% and 70.01% vs 52.46%, respectively; the differences between the 2 groups were statistically significant (p = 0.047). CONCLUSIONS: The ARN-FI technology provides a more standardized approach for liver parenchyma section during laparoscopic liver resection, effectively minimizing intraoperative blood loss, reducing postoperative remnant liver ischemia, and improving oncological prognosis. This method is safe and feasible and has good clinical application prospects. [ABSTRACT FROM AUTHOR]

Background: Three-dimensional reconstruction visualization technology (3D-RVT) is an important tool in the preoperative assessment of patients undergoing liver resection. However, it is not clear whether this technique can improve short-term and longterm outcomes in patients with hepatocellular carcinoma (HCC) compared with two-dimensional (2D) imaging. Method: A total of 3402 patients from five centers were consecutively enrolled from January 2016 to December 2020, and grouped based on the use of 3D-RVT or 2D imaging for preoperative assessment. Baseline characteristics were balanced using propensity score matching (PSM, 1:1) and stabilized inverse probability of treatment-weighting (IPTW) to reduce potential selection bias. The perioperative outcomes, long-term overall survival (OS), and recurrence-free survival (RFS) were compared between the two groups. Cox-regression analysis was used to identify the risk factors associated with RFS. Results: A total of 1681 patients underwent 3D-RVT assessment before hepatectomy (3D group), while 1721 patients used 2D assessment (2D group). The PSM cohort included 892 patient pairs. In the IPTW cohort, there were 1608.3 patients in the 3D group and 1777.9 patients in the 2D group. In both cohorts, the 3D group had shorter operation times, lower morbidity and liver failure rates, as well as shorter postoperative hospital stays. The 3D group had more margins ≥10 mm and better RFS than the 2D group. The presence of tumors with a diameter ≥ 5 cm, intraoperative blood transfusion and multiple tumors were identified as independent risk factors for RFS, while 3D assessment and anatomical resection were independent protective factors. Conclusion: In this multicenter study, perioperative outcomes and RFS of HCC patients following 3D-RVT assessment were significantly different from those following 2D imaging assessment. Thus, 3D-RVT may be a feasible alternative assessment method before hepatectomy for these patients. [ABSTRACT FROM AUTHOR]