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Abstract Neonatal mammalian hearts are capable of regenerating by inducing cardiomyocyte proliferation after injury. However, this regenerative capability in adult mammalian hearts almost disappears. Extracellular vesicles (EVs) have been shown to play vital cardioprotective roles in heart repair. Here, we report that EVs from regenerating neonatal heart tissues, after apical resection surgery (AR-Neo-EVs), exhibit stronger pro-proliferative, anti-apoptotic, and pro-angiogenesis activities than EVs from neonatal mouse cardiac tissues (Neo-EVs), effects which are absent in adult mouse heart-derived EVs (Adu-EVs). Proteomic analysis reveals the expression of Wdr75 protein, a regulator of p53, is higher in AR-Neo-EVs than in Neo-EVs. It is shown the regenerative potential of AR-Neo-EVs is abrogated when Wdr75 is knocked down. We further show that delivery of AR-Neo-EVs by sodium alginate hydrogel microspheres is an effective treatment in myocardial infraction. This work shows the potential of using EVs from regenerating tissue to trigger protective and regenerative mechanisms.

Abstract Rotor unmanned aerial vehicles (UAVs) play an important role in both military and civilian fields nowadays. The safety risks associated with the UAVs increase the urgent need for detecting UAVs in urban environments as well. Moreover, UAVs are easily located in the non‐line‐of‐sight (NLOS) building sheltered area relative to the radar, making it very challenging to detect and localise. A novel algorithm for localising the rotor UAV in the common L‐shaped street building sheltered area is proposed. First, the authors establish a multipath signal model for a rotor UAV hovering over an L‐shaped street scene, leveraging the frequency‐modulated continuous wave signal. Then, the multipath information of the UAV is extracted by identifying the rotating periodicity of the blade embedded in the time‐frequency spectrum of the received signal. The back projection imaging is then conducted on the UAV‐related multipath. After extracting multipath ghosts in the image, the street area, where the UAV locates, can be determined, and the UAV is further localised using the path reflection characteristics of this area. Simulations and practical experiments based on millimetre waves indicate that the proposed method can enable high‐accuracy estimation of rotor UAV in the NLOS building sheltered area.

Abstract Background Dermatophagoides farinae proteins (DFPs) are abundantly expressed in D. farinae; however, their functions remain unknown. Our previous transcriptome sequencing analyses revealed that the basal expression of DFP1 and DFP2 in D. farinae was high and, more importantly, upregulated under temperature stress. Therefore, DFPs were speculated to exert a temperature stress response function. Results Real-time quantitative polymerase chain reaction detection revealed that both DFP1 and DFP2 were significantly upregulated under temperature stress. Particularly, DFP1 was upregulated under cold stress. Electrophoresis of D. farinae total proteins revealed an increased abundance of DFP1 and DFP2 (40–55 kDa bands) under temperature stress, which was corroborated by the mass spectrometry results. After silencing DFP1 and DFP2 further, temperature stress led to decreases in gene expression and survival rates. Moreover, DFP1 was identified as the upstream regulator of DFP2. Conclusion This study highlights the temperature stress response functions of DFP1 and DFP2 at the mRNA and protein levels. These results provide important insights for applying DFP1 and DFP2 as potential target genes for the molecular prevention and control of D. farinae to prevent allergic diseases. The newly established methods provide methodological guidance for the study of genes with unknown functions in mites.

ObjectiveThis study aims to evaluate the utility of polygenic risk scores (PRS) in women with early menopause (EM) and to investigate the clinical characteristics and risk factors associated with EM based on genetic risk.Study designGenotyping data and clinical data from women with EM and women with normal age of menopause retrieved from UK Biobank were used for early menopause risk prediction model establishment. Subsequently, 99 women diagnosed with EM and 1027 control women underwent PGT-M were recruited for model validation from across eight hospitals in China. According to PRS percentiles, these participants were further classified into high risk and intermediate risk groups. Characteristics among women at different risk levels were compared, and risk factors with early menopause were also statistical analyzed.Main outcome measuresThe proportion of women at high risk in EM and control groups; Characteristics with significant difference among women at different risk levels; risk factors associated with EM.ResultsThe proportion of high-risk women in the EM group was significantly higher than that in control women underwent PGT-M (Group PGT-M) (OR = 3.78), and that in women with normal age menopause from UK Biobank (Group UKB) (OR = 5.11). Notably, the women with high risk of EM exhibited distinct characteristics compared to women with the intermediate-risk of EM, and identified several risk factors associated with EM.ConclusionsWe established a PRS model to serves as a valuable instrument for EM risk prediction. The exploratory analysis revealed that women with high risk of EM exhibited a higher height, suggesting EM related genetic loci may also influence growth and development level. Several risk factors were found to be potentially associated with EM, such as excessive familial contentment, COVID-19 vaccination, staying up late, and the husband’s engagement in smoking and alcohol abuse.

In response to the global call to promote green production and achieve sustainable development, the proper use of the digital economy plays an important role. The deepening development of the digital economy has led to changes in the input of manufacturing factors and the structure of product demand, which in turn has led to corresponding changes in the level of green and sustainable development. This study employs a factor input-output non-expectation SBM-DEM model to assess the green manufacturing efficiency of 273 prefecture-level and higher cities in China. The relationship between the digital economy and green manufacturing efficiency is analyzed based on this model. The rise of the digital economy is found to contribute to the increase in green manufacturing efficiency, albeit with a non-linear “inverted U-shaped” trend. At the same time, the current level of digital economy development is slowly improving but has not yet reached the inflection point of the “inverted U-shaped” curve, and digital economy development still has a positive impact on green manufacturing efficiency at the current level of development. Furthermore, government intervention is critical in moderating the inverted U-shaped link between the digital economy and green manufacturing efficiency, which has a major weakening effect.

Summary: During space travel, microgravity leads to disturbances in cognitive function, while the underlying mechanism is still unclear. Simulated microgravity mice showed neuronal age-like changes in the hippocampus of our study. In the context of microgravity, we discovered m6A modification reshapes in the hippocampal region. When paired with RNA-seq and MeRIP-seq, Shox2 was found to be a powerful regulator in hippocampal neuron that respondes to microgravity. Decreased expression of senescence-associated secretory phenotype factors and improved genes related to synapses led to the restoration of memory function in the hippocampus upon increased expression of Shox2. Moreover, we discovered that IGF2BP2 was required for the m6A modification of the Shox2, and overexpressed IGF2BP2 in the hippocampus protected against both neuronal senescence and learning and memory decline caused by loss of gravity. Accordingly, our research identified the hippocampal IGF2BP2-Shox2 axis as a possible therapeutic approach to maintaining cognitive function during space travel.

Abstract The integration of nano-semiconductors into electromagnetic wave absorption materials is a highly desirable strategy for intensifying dielectric polarization loss; achieving high-attenuation microwave absorption and realizing in-depth comprehension of dielectric loss mechanisms remain challenges. Herein, ultrafine oxygen vacancy-rich Nb2O5 semiconductors are confined in carbon nanosheets (ov-Nb2O5/CNS) to boost dielectric polarization and achieve high attenuation. The polarization relaxation, electromagnetic response, and impedance matching of the ov-Nb2O5/CNS are significantly facilitated by the Nb2O5 semiconductors with rich oxygen vacancies, which consequently realizes an extremely high attenuation performance of − 80.8 dB (> 99.999999% wave absorption) at 2.76 mm. As a dielectric polarization center, abundant Nb2O5–carbon heterointerfaces can intensify interfacial polarization loss to strengthen dielectric polarization, and the presence of oxygen vacancies endows Nb2O5 semiconductors with abundant charge separation sites to reinforce electric dipole polarization. Moreover, the three-dimensional reconstruction of the absorber using microcomputer tomography technology provides insight into the intensification of the unique lamellar morphology regarding multiple reflection and scattering dissipation characteristics. Additionally, ov-Nb2O5/CNS demonstrates excellent application potential by curing into a microwave-absorbing, machinable, and heat-dissipating plate. This work provides insight into the dielectric polarization loss mechanisms of nano-semiconductor/carbon composites and inspires the design of high-performance microwave absorption materials.

Abstract A dual‐mode dielectric resonator antenna based on a microstrip line‐slot coupling feed, operating in both the GMS‐900 and GMS‐1800 frequency bands, is presented. The antenna structure consists of a rectangular dielectric substrate and a cylindrical dielectric resonator, which is fed by a microstrip line‐slot coupling. The cylindrical resonant cavity and the dual‐stub coupling slot are designed so that the HEM111 and HEM311 modes are excited simultaneously, resulting in resonance at the two desired frequency points. The gain of the antenna is 3.74 and 7.63 dBi at 0.9 and 1.8 GHz respectively, and the efficiency of the antenna is greater than 70% in both operating bands.

This study uses the non-expected SBM-DEM model of factor input-output to measure the green manufacturing efficiency of 274 cities at prefecture level and above in China. The relationship between digital economy and green manufacturing efficiency is analysed on this basis. It is found that the current coupling coordination between digital economy and green manufacturing efficiency is low overall, and there are obvious regional differences. And the digital economy has a significant positive impact on the green manufacturing efficiency of the region and the neighbouring regions, so the digital economy has a radiation effect on the green manufacturing efficiency. Among them, industrial agglomeration plays part of the mediating effect. Based on this conclusion, the following policy recommendations are proposed: first, accelerate the development of the digital economy to stimulate the new kinetic energy of urban green development. Second, implement differentiated development strategies, focusing on the leading role of green advanced cities. Third, deepen the convergence of industries and smooth the channels for green urban development.

Abstract Background and objectives Visual impairment (VI) and dementia both increase with age, and it is likely that many older people are living with both conditions. This scoping review aims to investigate the prevalence and types of VI among older people living with dementia, and the impact of VI on older people living with dementia and their caregivers. Methods This scoping review used Arksey and O’Malley’s methodological framework. Studies in any setting involving people living with dementia and some assessment of either VI, eye diseases causing VI or the impact of VI were included. Results Thirty-six studies were included. Thirty-one studies reported the prevalence of VI in older people living with dementia, while ten studies reported on impacts of VI on people living with dementia. Only one study reported on impacts on caregivers. The prevalence of VI or specific eye diseases among older people living with dementia ranged from 0.2 to 74%. The impacts of VI on older people living with dementia included increased use of hospital services, increased disability and dependency, reduced social engagement, negative emotions, increased abnormal behaviours, loss of hobbies, difficulty in using visual aids or memory aids, and greater Neuropsychiatric Inventory symptoms. And the impacts on caregivers included increased conflict and physical exhaustion. Conclusion VI is common in older people living with dementia and is associated with negative impacts on those with dementia and their caregivers. However, heterogeneity between studies in terms of setting and method for assessing and defining VI make it difficult to compare findings among studies. Further research is needed, particularly assessing the impact on caregivers.

Myocardial infarction (MI), the most serious of the ischemic heart diseases, is accompanied by myocardial metabolic disorders and the loss of cardiomyocytes. Increasing evidence has shown that long noncoding RNAs (lncRNAs) are involved in various pathological conditions such as cancer and cardiovascular diseases (CVDs), and are emerging as a novel biomarker for these disorders. This study aims to investigate the regulatory role and mechanisms of lncRNAs in myocardial remodeling in the setting of MI. We find that post-infarcted hearts exhibit a reduction of adenosine triphosphate (ATP) and an alteration of the glucose and lipid metabolism genes cluster of differentiation 36 (CD36), hexokinase 1 (HK1), and clucose transporter 4 (GLUT4), accompanied by cardiomyocyte pyroptosis. We then identify a previously unknown conserved lncRNA, AK009126 (cardiomyocyte pyroptosis-associated lncRNA, CPAL), which is remarkably upregulated in the myocardial border zone of MI mice. Importantly, the adeno-associated virus 9 (AAV9)-mediated silencing of endogenous CPAL by its short hairpin RNA (shRNA) partially abrogates myocardial metabolic alterations and cardiomyocyte pyroptosis during MI in mice. Mechanistically, CPAL is shown to bind directly to nuclear factor kappa B (NFκB) and to act as an activator of NFκB to induce NFκB phosphorylation in cardiomyocytes. We also find that CPAL upregulates caspase-1 expression at the transcriptional level and consequently promotes the release of interleukin (IL)-18 and IL-1β from cardiomyocytes. Collectively, our findings reveal the conserved lncRNA CPAL as a new regulator of cardiac metabolic abnormalities and cardiomyocyte pyroptosis in the setting of MI and suggest CPAL as a new therapeutic target to protect cardiomyocytes against ischemic injury in infarcted hearts.

Abstract Background Evidence showed possible benefits of a less gestational weight gain (GWG) than the US Institute of Medicine (IOM) recommendation in gestational diabetes mellitus (GDM) pregnancy. Here, we aimed to explore an appropriate GWG range in GDM women according to adverse pregnancy outcomes. Methods We enrolled all the singleton GDM pregnant women (n = 14,213) from January 2015 to December 2018 in Xi'an, Northwest China. According to the pre-pregnancy body mass index (BMI), they were classified into the Underweight (

ObjectiveThis study aims to evaluate the effect of acupuncture on the emotion domain and metabolic parameters of Chinese women with polycystic ovarian syndrome (PCOS) by secondary analysis of a randomized clinical trial, conducted from 6 July 2012 to 7 October 2015.MethodIn this study, we investigated the effects of acupuncture (458 patients) and sham acupuncture (468 patients) on metabolic parameters, serum ions, and all quality-of-life scale scores related to PCOS. The quality of life of patients was evaluated using five relevant scales, operated by the research assistant, namely, PCOSQ, SF-36, and ChiQOL, as well as Zung-SAS and Zung-SDS. Metabolic parameters and serum ions were measured.ResultsA reduction in acne score, AN, Hcy, and LDL-C, and an increase in the level of lipoprotein α, Apo A1, and Apo A1/Apo B were observed in the acupuncture group after 4 months’ intervention after adjusting clomiphene and reproductive outcome (p< 0.05). An increase in SF-36 total scores, RP and RE scores, ChiQOL total scores, and emotion domain scores was observed in the acupuncture group after 4 months’ intervention, while PF and HT scores were decreased (adjusted p< 0.05). Those same changes were observed in sham acupuncture. Meanwhile, the serum levels of Ca, K, and Cl were elevated in the acupuncture group after the interventions (adjusted p< 0.005). There were no significant differences in HOMA-IR, MetS, FPG, FINS, HDL-C, TG, Apo B, and level of serum P, Mg, and Na. Also, no changes in BP, GH, VT, SF, physical form domain, and spirit domain were observed after treatment.ConclusionAcupuncture can improve not only the emotional changes in SF-36 scores and ChiQOL scores, but also lipid metabolism, implying that it may have a correlation between emotional change and lipid metabolism. Furthermore, acupuncture can also regulate the changes of serum Ca, K, and Cl.Clinical trial registrationClinicalTrials.gov, identifier NCT01573858.

Abstract Background Primary ovarian carcinoid is a very rare ovarian low-grade neuroendocrine tumor, accounting for about 0.1% of all ovarian neoplasms. Case presentation We reported a case of primary ovarian carcinoid arising from a mature cystic teratoma in a 50-year-old woman. Intraoperative frozen section of left ovarian mass was assessed and a malignant epithelial tumor was considered. Morphologically, the main tumor was composed of cells forming trabeculae, and mature cystic teratoma was observed adjacent to the main part. Immunohistochemistry revealed that the trabecular cells were diffuse positive for pan Cytokeratin, CD56 and synaptophysin with low Ki-67 index (about 1%). Conclusions Careful morphological observation combined with appropriate accessory examination are essential for the diagnosis of primary ovarian carcinoid arising from mature cystic teratoma. In addition, the classification criteria of the primary ovarian neuroendocrine tumor are discussed.

Graphene oxide nanofiltration membranes with tunable interlayer spacing tend to be either unstable in water or have low water permeation rates. Here the authors report a general synthetic method to achieve ultrafine metal oxide - reduced graphene oxide nanocomposites for dye filtration, achieving high water permeability and selectivity.

Abstract Ferromagnetic alloys/carbon composites with excellent electrical and magnetic properties are highly desirable as electromagnetic wave absorption materials, but achieving high‐attenuation performance in C‐band (4–8 GHz) remains a challenge. Herein, a direct carbothermal reduction of organic gluconate solid‐solution precursor method is developed to synthesize ferromagnetic Fe‐Co‐Ni alloy/carbon composites, which realize high‐attenuation electromagnetic wave absorption in C‐band. By virtue of Fe, Co, and Ni elements homogeneously dispersing at the molecular level in the solid‐solution precursor with the regulated mole ratio, serial FeCo2Ni/C, Co7Fe3/C, FeNi3/C, and Co3Ni/C composites can be deliberately prepared. First‐principles calculations and off‐axis electron holograms can clearly unravel that these Fe‐Co‐Ni alloys could perform as excellent dielectric‐magnetic complementary loss units to trigger synergistic electronic dipole polarization oscillation, magnetic moment resonance, and magnetic coupling interaction. Meanwhile, the rich alloy–carbon interfaces and conductive carbon skeleton can facilitate delightful interfacial polarization and conductive loss. Combining these positive electromagnetic energy dissipation characteristics, FeCo2Ni/C with strengthened dipole polarization oscillation and outstanding impedance matching realizes an extremely high‐attenuation absorption performance with a minimum reflection loss of −82.2 dB at 5.21 GHz. This work provides a feasible and flexible insight into producing magnetic‐dielectric complementary Fe‐Co‐Ni alloys/carbon composites with various alloy compositions as excellent electromagnetic wave absorbers.

The digital economy uses its own digital information advantages to reduce the intensity of energy consumption brought by economic growth. Intelligent manufacturing achieves cost reduction and efficiency through the integration of manufacturing and intelligence as well as digitalization and information technology. The two have become a new engine for sustainable economic development at present, and they can promote and influence each other. However, there is a lack of research on the relationship between them. In this regard, this study aims to build a coupling coordination model of digital economy and intelligent manufacturing and to make an empirical analysis using the data of Chinese provincial administrative regions in order to provide a theoretical reference for promoting sustainable economic development. The research finds that (1) the digital economy and intelligent manufacturing are mainly cross-coupled from four aspects: infrastructure, technological innovation, product optimization and organizational change. The development level and speed of the former are significantly higher than those of the latter, and the gap does not decrease with time. The two have a strong correlation, but there is no high-quality coupling coordination. (2) The main obstacle factors to the digital economy lie in the imperfect supporting facilities, the short board of technological innovation and the lack of technological application capacity. Intelligent manufacturing lacks intelligent application and technological innovation. (3) Influencing factors such as opening to the outside world, economic development, high-level talent input, industrial structure and innovation emphasis have different effects on their coupling and coordinated development in different regions. (4) The spatial correlation test shows that the coupling coordination degree of each region is spatially positively correlated. This research helps to promote the coupling and coordinated development of the digital economy and intelligent manufacturing.

Under the dual pressure of economic development and environmental protection, it is urgent that we improve the efficiency of green innovation. Enterprise digital transformation brings opportunities to improve the efficiency of green innovation. However, most current studies focus on the relationship between the two from the micro level, ignoring the impact of enterprise digital transformation on the green innovation of other innovation entities within the region, and have not yet described it in detail from the perspective of digital capabilities. Therefore, based on Chinese data, this paper studies the impact of enterprise digital transformation on regional green innovation efficiency from the perspective of digital capability, and provides a theoretical reference for improving regional green innovation efficiency. The research shows that (1) the digital capabilities of enterprise digital transformation include digital acquisition capability, digital utilization capability, and digital sharing capability, which have significant promoting effects on regional green innovation efficiency; (2) strengthening information resources, knowledge resources, R&D funds, and human resources are the role channels indicated by mechanism analysis; (3) heterogeneity analysis shows that the promotion effect is not related to geographical location, but the disadvantaged areas of enterprise digital transformation and regional green innovation efficiency have a greater impact. Further, the applicability of the research conclusions is extended through case studies in other countries. This study enriches the research perspective of the relationship between enterprise digital transformation and green innovation, and provides a new path for regional sustainable development.

Genetic modification (GM) technology is a technology that changes the characteristics of species through changing the genes of species. Public attitudes toward GM technology have an important impact on the technology’s development. Previous surveys conducted in China used to assess public attitudes toward GM have mostly focused on the explicit level, which is recognized and acknowledged through the self-report method. However, the corresponding research on the implicit level is still lacking, which is unconscious and automated. The public attitudes toward the complete concept of GM are still unclear. In order to fill this gap, this study uses a questionnaire survey (Study 1), and interaction verification of the SC-IAT paradigm and the GNAT paradigm (Study 2) to investigate the explicit and implicit attitudes of Chinese university students towards GM. The role of education level is also examined in this study. The results show that the explicit attitudes of Chinese university students towards GM are generally positive, and the main effect of education level is significant. Finally, the mediating effect of the cognitive level between education level and explicit GM attitude is significant. However, the implicit GM attitudes of university students are generally negative, and neither the main effect of education level nor the mediating effect of cognition level is significant. University students as the future consumers and an important part of public opinion, their attitude to GM will affect the development of GM technology to a large extent. This study provides a theoretical basis for improving Chinese university students’ attitudes toward GM, and also provides new research ideas for the public view of GM.

Physical exercise benefits hippocampal function through various molecular mechanisms. Protein acetylation, a conserved and widespread post-translational modification, is involved in the synaptic plasticity and memory. However, whether exercise can change global acetylation and the role of acetylated proteins in the hippocampus have remained largely unknown. Herein, using healthy adult mice running for 6 weeks as exercise model and sedentary mice as control, we analyzed the hippocampal lysine acetylome and proteome by Liquid chromatography-tandem mass spectrometry. As a result, we profiled the lysine acetylation landscape for the hippocampus and identified 3,876 acetyl sites and 1,764 acetylated proteins. A total of 272 acetyl sites on 252 proteins were differentially regulated by chronic exercise, among which 18.58% acetylated proteins were annotated in mitochondria. These proteins were dominantly deacetylated and mainly associated with carbon-related metabolism, the Hippo signaling pathway, ribosomes, and protein processing. Meanwhile, 21 proteins were significantly expressed and enriched in the pathway of complement and coagulation cascades. Our findings provide a new avenue for understanding the molecular mechanisms underlying the benefits of exercise for hippocampal function and can contribute to the promotion of public health.

Abstract Oestradiol, an important hormone in follicular development and endometrial receptivity, is closely related to clinical outcomes of fresh in vitro fertilization-embryo transfer (IVF-ET) cycles. A supraphysiologic E2 level is inevitable during controlled ovarian hyper-stimulation (COH), and its effect on the outcome of IVF-ET is controversial. The aim of this retrospective study is to evaluate the association between elevated serum oestradiol (E2) levels on the day of human chorionic gonadotrophin (hCG) administration and neonatal birthweight after IVF-ET cycles. The data of 3659 infertile patients with fresh IVF-ET cycles were analysed retrospectively between August 2009 and February 2017 in First Hospital of Zhengzhou University. Patients were categorized by serum E2 levels on the day of hCG administration into six groups: group 1 (serum E2 levels ≤ 1000 pg/mL, n = 230), group 2 (serum E2 levels between 1001 and 2000 pg/mL, n = 524), group 3 (serum E2 levels between 2001 and 3000 pg/mL, n = 783), group 4 (serum E2 levels between 3001 and 4000 pg/mL, n = 721), group 5 (serum E2 levels between 4001 and 5000 pg/mL, n = 548 ), and group 6 (serum E2 levels > 5000 pg/mL, n = 852). Univariate linear regression was used to evaluate the independent correlation between each factor and outcome index. Multiple logistic regression was used to adjust for confounding factors. The LBW rates were as follows: 3.0% (group 1), 2.9% (group 2), 1.9% (group 3), 2.9% (group 4), 2.9% (group 5), and 2.0% (group 6) (P = 0.629), respectively. There were no statistically significant differences in the incidences of neonatal LBW among the six groups. We did not detect an association between peak serum E2 level during ovarian stimulation and neonatal birthweight after IVF-ET. The results of this retrospective cohort study showed that serum E2 peak levels during ovarian stimulation were not associated with birth weight during IVF cycles. In addition, no association was found between higher E2 levels and increased LBW risk. Our observations suggest that the hyper-oestrogenic milieu during COS does not seem to have adverse effects on the birthweight of offspring after IVF. Although this study provides some reference, the obstetric-related factors were not included due to historical reasons. The impact of the high estrogen environment during COS on the birth weight of IVF offspring still needs future research.

BackgroundThe implications of gestational diabetes mellitus (GDM) on the short- and long-term health outcomes of both mother and child have been extensively studied. However, studies related to negative Oral Glucose Tolerance Test (OGTT) results in the second trimester but dysglycemia in late pregnancy on maternal and infant pregnancy outcomes are rare.MethodsWe conducted a nest case-control study within the Xi'an Longitudinal Mother-Child Cohort study (XAMC) to investigate the risk of adverse pregnancy outcomes in mothers and children with maternal negative mid-pregnancy OGTT results but high glycated hemoglobin (HbA1c) levels (≥5.7%) in late pregnancy. All target women who delivered from January 1st, 2017 to December 31st, 2018 in Northwest Women's and Children's Hospital in Xi'an were enrolled as the case group (HbA1c ≥ 5.7%). Others with HbA1c < 5.7% but without GDM were selected as the control group (HbA1c < 5.7%) by matching with the same delivery period. The logistic regression models were used to find out the risk factors of adverse pregnancy outcomes in the target population.ResultsA total of 2,116 and 1,907 women were finally enrolled in the case and control groups, respectively. Compared to the control group, more newborns with macrosomia (9.2% vs 4.1%, P < 0.001) and large for gestational age (LGA) (23.7% vs. 13.5%, P < 0.001), but less small for gestational age (SGA) (4.4% vs. 6.1%, P = 0.017) were found in the case group. The differences in other outcomes were not statistically significant. The multiple logistic regression analysis showed that gestational age, fetal length, prenatal HbA1c, and total cholesterol (TG) were independent risk factors for newborns with large-for-gestational-age (LGA). The case group had a 2.516-fold (95% CI, 1.692–3.739) risk of delivering LGA newborns compared to the control group.ConclusionThe glycemic management during the late pregnancy of non-GDM women should be given special consideration to reduce the risk of overweight offspring at birth.

BackgroundNon-alcoholic fatty liver disease (NAFLD) is one of the most prevalent chronic liver diseases worldwide. Dietary vitamin C intake might play an important role in reducing the risk of NAFLD. This study assesses the relationship between dietary vitamin C intake and diagnostic biomarkers of NAFLD.MethodsThe data from the 2009 China Health and Nutrition Survey (CHNS), nine provinces across four diverse regions (Northeast, East Coast, Central, and West) were included in the study. The dietary vitamin C intake of participants was calculated based on 3-day 24-h diet questionnaires at the individual level. The associations of dietary vitamin C intake and the biochemical indicators of liver function and glucose/lipid metabolism were determined.ResultsA total of 8,307 participants were included in the final analysis. The mean dietary vitamin C intake for the overall, male and female subjects was 79.8 ± 58.6, 81.6 ± 55.3, and 78.2 ± 61.2 mg/day, respectively. The prevalence of inadequate dietary vitamin C intake for the overall, male and female subjects was 24.4, 26.5, and 22.6%, respectively. Intake of vitamin C was associated with both lower concentrations of plasma ferritin and hemoglobin A1c (HbA1c). Higher dietary vitamin C intake was associated with higher albumin, even further adjusted for body mass index (BMI), residence, and smoking status. No improvement in lipid metabolism was found.ConclusionThis study demonstrated that higher dietary vitamin C intake is a benefit for improving glucose metabolism and liver function in which reducing ferritin, a biomarker of iron accumulation, may be involved.

Ras proteins are monomeric G proteins that are ubiquitous in fungal cells and play important roles in fungal growth, virulence, and environmental responses. Botrytis cinerea is a phytopathogenic fungus that infects various crops. However, under specific environmental conditions, the overripe grapes infected by B. cinerea can be used to brew valuable noble rot wine. As a Ras protein, the role of Bcras2 in the environmental responses of B. cinerea is poorly understood. In this study, we deleted the Bcras2 gene using homologous recombination and examined its functions. Downstream genes regulated by Bcras2 were explored using RNA sequencing transcriptomics. It was found that ΔBcras2 deletion mutants showed significantly reduced growth rate, increased sclerotia production, decreased resistance to oxidative stress, and enhanced resistance to cell wall stress. Additionally, Bcras2 deletion promoted the expression of melanin-related genes in sclerotia and decreased the expression of melanin-related genes in conidia. The above results indicate that Bcras2 positively regulates growth, oxidative stress resistance, and conidial melanin-related genes expression, and negatively regulates sclerotia production, cell wall stress resistance and sclerotial melanin-related genes expression. These results revealed previously unknown functions of Bcras2 in environmental responses and melanin metabolism in B. cinerea.

Non-alcoholic fatty liver disease (NAFLD) is now recognized as the most prevalent hepatic disorder worldwide, and an unhealthy lifestyle is the leading risk factor for its occurrence. Vitamin C (VC) has been suggested to protect NAFLD, whereas evidence from randomized controlled trials (RCTs) is sparse. In this study, we aimed to investigate the potential benefits of VC supplementation daily on liver health and associated parameters in patients with NAFLD. In this double-blind, RCT, 84 patients with NAFLD, aged 18–60 years old, were assigned to 12 weeks of oral treatment with either low (250 mg/day, n = 26), medium (1,000 mg/day, n = 30), or high (2,000 mg/day, n = 28) doses of VC supplements. After the intervention, the Medium group had a more significant decrease in aspartate aminotransferase [Medium, −5.00 (−10.25, −1.75) vs. High, −2.50 (−7.75, 0.00), P = 0.02] and alanine aminotransferase [Medium, −8.00 (−18.00, −1.75) vs. High, −3.50 (−13.75, 4.25), P = 0.05; Medium vs. Low, −3.00 (−9.00, 5.50), P = 0.031]. The levels of other indicators of liver health, such as gamma-glutamyl transferase, alkaline phosphatase, total bilirubin, and direct bilirubin were decreased after the intervention but comparable among the three groups and so did the parameters of glucose metabolism, such as fasting insulin, fasting glucose, and homeostasis model assessment for insulin resistance. The plasma level of VC in patients and total adiponectin and high molecular weight (HMW) adiponectin levels were also elevated but not in a dose-dependent manner. Meanwhile, analysis of fecal microbiota composition showed an increase in the alpha diversity (Abundance-based Coverage Estimator (ACE), Shannon, chao1, and Simpson) both in the Low and the Medium groups. A total of 12 weeks of VC supplementation, especially 1,000 mg/day, improved liver health and glucose metabolism in patients with NAFLD. The elevated plasma levels of VC, total and HMW adiponectin, and the improvement of intestinal microbiota may have made some contributions.

Abstract Background Little is known about the prevalence and zoonotic potential of Cryptosporidium spp. and Giardia duodenalis in deer in China. In this study, 662 fecal samples were collected from 11 farms in Henan and Jilin Provinces between July 2013 and August 2014, and were screened for the presence of Cryptosporidium and G. duodenalis with genotyping and subtyping methods. Results Cryptosporidium spp. and G. duodenalis were detected in 6.80% (45/662) and 1.21% (5/662) of samples, respectively. Six Cryptosporidium species/genotypes were identified based on the small subunit ribosomal ribonucleic acid (SSU rRNA) gene: C. parvum (n = 11); C. andersoni (n = 5); C. ubiquitum (n = 3); C. muris (n = 1); C. suis-like (n = 1); and Cryptosporidium deer genotype (n = 24). When five of the 11 C. parvum isolates were subtyped by sequencing the 60 kDa glycoprotein (gp60) gene, zoonotic subtypes IIaA15G2R2 (n = 4) and IIdA19G1 (n = 1) were found. According to a subtype analysis, three C. ubiquitum isolates belonged to XIIa subtype 2. In contrast, only assemblage E was detected in the five Giardia-positive samples with small subunit ribosomal ribonucleic acid (SSU rRNA) gene sequencing. Conclusions To our knowledge, this is the first study to report C. andersoni, as well as C. parvum zoonotic subtypes IIaA15G2R2 and IIdA19G1 in cervids. These data, though limited, suggest that cervids may be a source of zoonotic Cryptosporidium and Giardia. Cervids in the present study are likely to be of low zoonotic potential to humans, and more molecular epidemiological studies are required to clarify the prevalence and public health significance of Cryptosporidium and G. duodenalis in cervids throughout China.

Abstract Background Hypospadias is a common congenital malformation of male external genitalia, which mainly manifests as an abnormal urethral opening on the ventral side of the penis. The etiology and clinical phenotype of hypospadias is highly heterogeneous, and its clinical diagnosis is challenging. Currently, over 70% of patients have an unknown etiology. Here, we performed a targeted analysis of gene mutations in 130 patients with hypospadias of unknown etiology to find the precise genetic cause. Methods We developed a targeted next‐generation sequencing (NGS) panel, encompassing the exon coding regions of 105 genes involved in external genitalia and urogenital tract development and performed sequencing analysis on 130 children with hypospadias of unknown etiology. Results In total, 25 patients with hypospadias (19.2%) were found to have 20 mutations among the nine genes involved in external genitalia and urogenital tract development, including 16 reported and four novel mutation sites. Twenty‐two patients (16.9%) had diagnostic variants. Multiple genetic mutations were identified in three of the 25 patients. Hypospadias combined with micropenis was the most common phenotype (68%) in 25 patients. Conclusions Higher frequency mutations were identified in SRD5A2 (52%) and AR (24%) in our patient cohort. Middle or posterior hypospadias with micropenis may be significant indicators of genetic variations. Polygenic inheritance may be a rare genetic cause of hypospadias.

The cognitive characteristics of service designers in the design process were analyzed from the perspective of semantic linkages, and the visualization expression method of the cognitive characteristics of service designers was proposed to address the problem of absent references for constructing a high-efficiency service design team from a design cognition. The proposed method mainly determined the cognitive activity level of designers through link entropy, which was calculated on the basis of linkography. The proposed method also quantified the degrees of interaction and cooperation among designers from the cognitive activity relationship of the design team, which was constructed on the basis of linkography. An experiment based on design of transport service for thin-walled parts was conducted. Results showed that the proposed method can quantify a design cognition process, analyze cognitive features of designers effectively, and determine the compatibility among designers. The cognitive features of designers will provide scientific references for optimizing the design team.

Previous research has shown that that evaluative verbal information (praise and criticism) conveys different affective values: criticism is perceived as unpleasant while praise is generally considered pleasant. Here, using praise and criticism in Chinese, we investigated how affective value is modulated in men and women, depending on the particular attribute (personality vs. appearance) targeted by social comments. Results showed that whereas praise was rated as pleasant and criticism as unpleasant overall, criticizing personality reduced pleasantness more than criticizing appearance. In men, moreover, criticism of personality was deemed more unpleasant than criticism of appearance while personality-targeted praise was rated more pleasant than appearance-targeted praise. This effect was absent in women and consistent with men’s higher arousal ratings for personality- relative to appearance-targeted comments. Our findings suggest that men are more concerned about external perception of their personality than that of their appearance whereas women’s affective judgment is more balanced. These gender-specific results may have implications for topic selection in evaluative social communication.

A growing body of research has provided evidence for the foreign language effect on thinking, notably decision-making. Our prior work found reduction of recency effect following positive feedback in a foreign language as compared to the native tongue during even-probability gambling. However, the fundamental mechanisms underlying this effect remain unclear. The present study, therefore, aims to probe into this by engaging Chinese-English bilinguals in a functional magnetic resonance imaging version of our gambling task, which required participants to make decisions between playing and leaving equal-odds bets whilst manipulating language and valence of feedback. Results showed fewer 'play' choices following positive feedback presented in English relative to Chinese while no cross-language differences were observed after negative feedback. This valence-dependent language effect on risk-taking behaviour was supported by a language-emotion-decision neural circuit involving interplay between the right lingual gyrus, left fusiform gyrus, and right inferior frontal gyrus. Overall, our findings suggest valence-differential mechanisms of the foreign language effect in the risky decision. That is, the use of a foreign language in feedback presentation attenuates emotional reaction to positive feedback and thus diminishes subsequent risk-taking behaviour. Differently, negative counterparts seem to trigger detachment from negative emotion, leading to dissociation between feedback-encoding and decision-making.