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Abstract The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a rapidly spreading illness, coronavirus disease 2019 (COVID-19), affecting more than seventeen million people around the world. Diagnosis and treatment guidelines for clinicians caring for patients are needed. In the early stage, we have issued “A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version)”; now there are many direct evidences emerged and may change some of previous recommendations and it is ripe for develop an evidence-based guideline. We formed a working group of clinical experts and methodologists. The steering group members proposed 29 questions that are relevant to the management of COVID-19 covering the following areas: chemoprophylaxis, diagnosis, treatments, and discharge management. We searched the literature for direct evidence on the management of COVID-19, and assessed its certainty generated recommendations using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. Recommendations were either strong or weak, or in the form of ungraded consensus-based statement. Finally, we issued 34 statements. Among them, 6 were strong recommendations for, 14 were weak recommendations for, 3 were weak recommendations against and 11 were ungraded consensus-based statement. They covered topics of chemoprophylaxis (including agents and Traditional Chinese Medicine (TCM) agents), diagnosis (including clinical manifestations, reverse transcription-polymerase chain reaction (RT-PCR), respiratory tract specimens, IgM and IgG antibody tests, chest computed tomography, chest x-ray, and CT features of asymptomatic infections), treatments (including lopinavir-ritonavir, umifenovir, favipiravir, interferon, remdesivir, combination of antiviral drugs, hydroxychloroquine/chloroquine, interleukin-6 inhibitors, interleukin-1 inhibitors, glucocorticoid, qingfei paidu decoction, lianhua qingwen granules/capsules, convalescent plasma, lung transplantation, invasive or noninvasive ventilation, and extracorporeal membrane oxygenation (ECMO)), and discharge management (including discharge criteria and management plan in patients whose RT-PCR retesting shows SARS-CoV-2 positive after discharge). We also created two figures of these recommendations for the implementation purpose. We hope these recommendations can help support healthcare workers caring for COVID-19 patients.

Understanding drought evolution and its driving factors is crucial for effective water resource management and forecasting. This study enhances the analysis of drought probability by constructing bivariate distributions, providing a more realistic perspective than single-characteristic approaches. Additionally, a meteorological drought migration model is established to explore spatiotemporal paths and related characteristics of major drought events in the Choushui River alluvial fan. The results reveal a significant increase in the probability of southward-moving drought events after 1981. Before 1981, drought paths were diverse, while after 1981, these paths became remarkably similar, following a trajectory from north to south. This is primarily attributed to the higher rainfall in the northern region of the Choushui River alluvial fan from February to April, leading to a consistent southward movement of drought centroids. This study proposes that climate change is a primary factor influencing changes in the spatiotemporal paths of drought. It implies that changes in rainfall patterns and climate conditions can be discerned through the meteorological drought migration model. As a result, it provides the potential for simplifying drought-monitoring methods. These research findings provide further insight into the dynamic process of drought in the Choushui River alluvial fan and serve as valuable references for future water resource management. [ABSTRACT FROM AUTHOR]

Negative Pressure Wound Therapy (NPWT) is a commonly employed clinical strategy for wound healing, yet its early-stage mechanisms remain poorly understood. To address this knowledge gap and overcome the limitations of human trials, we establish an NPWT C57BL/6JNarl mouse model to investigate the molecular mechanisms involved in NPWT. In this study, we investigate the intricate molecular mechanisms through which NPWT expedites wound healing. Our focus is on NPWT's modulation of inflammatory immune responses and the concurrent orchestration of multiple signal transduction pathways, resulting in shortened coagulation time and reduced inflammation. Notably, we observe a significant rise in dickkopf-related protein 1 (DKK-1) concentration during NPWT, promoting the differentiation of Hair Follicle Stem Cells (HFSCs) into epidermal cells, expediting wound closure. Under negative pressure, macrophages express and release DKK-1 cytokines, crucial for stimulating HFSC differentiation, as validated in animal experiments and in vitro studies. Our findings illuminate the inflammatory dynamics under NPWT, revealing potential signal transduction pathways. The proposed framework, involving early hemostasis, balanced inflammation, and macrophage-mediated DKK-1 induction, provides a novel perspective on enhancing wound healing during NPWT. Furthermore, these insights lay the groundwork for future pharmacological advancements in managing extensive wounds, opening avenues for targeted therapeutic interventions in wound care. [ABSTRACT FROM AUTHOR]

Introduction: Prunellae Spica (PS) is a commonly used medicinal herb in China. Secondary metabolites and saccharides are major bioactive components of PS. However, holistic quality consistency of commercial PS is ambiguous due to lack of comprehensive evaluation methods and reliable quality control markers. Objectives: Integrating multiple chromatographic and chemometric methods to comprehensively evaluate the holistic quality of PS. Material and methods: Ultrahigh‐performance liquid chromatography coupled with triple‐quadrupole tandem mass spectrometry (UPLC‐TQ‐MS/MS) was applied to quantify 12 secondary metabolites of PS. High‐performance liquid chromatography coupled with photodiode array/evaporative light scattering detection (HPLC‐PDA/ELSD) and high‐performance gel permeation chromatography (HPGPC) methods were used to characterise the saccharides. Multivariate statistical analysis was adopted to evaluate the quality consistency of commercial PS and explore the potential quality control markers. Results: The contents of secondary metabolites and saccharides were significantly different among commercial PS. All samples could be classified into three groups with ferulic acid, protocatechualdehyde, gallic acid, ursolic acid/oleanolic acid, sucrose, p‐coumaric acid, chlorogenic acid as the major contributing components responsible for the difference. The content of rosmarinic acid was correlated with that of betulinic acid, hyperposide, chlorogenic acid, rutin, caffeic acid, p‐coumaric acid and glucose, whereas polysaccharides, ferulic acid, protocatechualdehyde and ursolic acid/oleanolic acid, quercetin, sucrose and majority monosaccharides were not. Conclusion: The holistic quality of commercial PS was inconsistent. Together with rosmarinic acid, ferulic acid, protocatechualdehyde, ursolic acid/oleanolic acid, polysaccharides and sucrose might be recommended as potential quality control markers for the holistic quality control of PS. A comprehensive strategy integrating multiple chromatographic and chemometric methods was developed for evaluating the quality of commercial Prunellae Spica (PS) by determinant secondary metabolites and saccharides. Poor quality consistency of commercial PS was experimentally demonstrated, and the characteristic components contributing to overall quality difference were explored. Furthermore, potential chemical markers were suggested for holistic quality control of PS. [ABSTRACT FROM AUTHOR]

A TiO2 strip array with a thickness of 90 nm was fabricated by photolithography and physical vapor deposition. This work utilized the chemical and physical methods to fabricate the TiO2 strip array. A porous semiconductor layer made of TiO2 nanoparticles was coated on the TiO2 strip array. The TiO2 strip array has a one-dimensional protrusive structure. The energy conversion efficiency (4.38%) of a dye-sensitized solar cell (DSSC) with the TiO2 strip array exceeded that (3.20%) of a DSSC without a TiO2 strip array by 37%. In addition, this result was verified by the electrochemical impedance spectra of the two DSSCs. Therefore, the TiO2 strip array can be used to increase the energy conversion efficiencies of DSSCs. The large energy conversion efficiency of the DSSC with the TiO2 strip array arises from the large surface area of the one-dimensional protrusive structure and its specific electron transport paths. The DSSC with the TiO2 strip array has advantages of economical production cost, easy fabrication, and boosting energy conversion efficiency. [ABSTRACT FROM AUTHOR]

Resistance to apoptosis is a characteristic of cancer. Curcumin has become a potential anticancer drug for its pro-apoptotic effects, but the underlying mechanisms remain unclear. Furthermore, the Notch3-p53 signaling axis serves an important role in cell fate. The present study was designed to investigate the antitumor effect of curcumin by the Notch3-p53 axis in mouse myeloma P3X63Ag8 cells. The effects of curcumin on the viability of P3X63Ag8 cells were evaluated using an MTT assay. Quantitative expression of the Notch3-p53 signaling axis-associated genes was measured by reverse transcription-quantitative polymerase chain reaction, and western blot analysis was used to investigate the expression of proteins. Additionally, flow cytometry was used to measure the ratio of apoptosis. The results demonstrated that curcumin could significantly inhibit cell viability. No significant pro-apoptotic effect was observed when the concentration of curcumin was <30 µM. At 30 µM, curcumin-treated cells exhibited an apoptotic phenomenon, and the ratio of late apoptosis increased with the concentration of curcumin, and reached 28.4 and 51.8% in the medium- and high-dose groups, respectively. Curcumin inhibited the expression of Notch3, while the middle- and high-dose groups promoted p53. The expression of Notch3-responsive genes Hes family BHLH transcription factor 1 and Hes-related family transcription factor with YRPW motif 1 were notably promoted. Curcumin treatment significantly downregulated B-cell lymphoma-2 (Bcl-2) at the mRNA and protein levels, but upregulated Bcl-2-associated X. These data indicated that curcumin exhibited antitumor effects in mouse myeloma cells with induction of apoptosis by affecting the Notch3-p53 signaling axis. [ABSTRACT FROM AUTHOR]