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This article discusses a case study of a 17-year-old boy with X-linked agammaglobulinemia (XLA) who experienced chronic cellulitis caused by non-Helicobacter pylori Helicobacter (NHPH) species. XLA is a rare immune disorder characterized by recurrent infections and low levels of B cells. The boy's skin infections persisted despite treatment with intravenous immunoglobulin (IVIG) and various antibiotics. Metagenomic next-generation sequencing (mNGS) was used to identify the causative bacteria, and a combination of antibiotics was found to be effective in treating the infection. The study highlights the importance of considering NHPH infections in XLA patients with refractory cellulitis and the potential of mNGS as a diagnostic tool. [Extracted from the article]

The aim of this study was to explore the relationship between serum uric acid (SUA) and the triglyceride-glucose (TyG) index, which is a more effective indicator of insulin resistance. The study participants included 1700 children and adolescents with short stature who were recruited at the Affiliated Hospital of Jining Medical University in China between March 2013 and April 2021. A positive association between SUA levels and the TyG index was detected by univariate analysis (p < 0.001). Furthermore, a nonlinear relationship was detected between SUA and the TyG index, whose point was 6.55 mg/dL. There was a positive association between SUA and the TyG index when the SUA level was greater than 6.55 mg/dL (β 0.17, 95% CI: 0.07, 0.27; P < 0.001). However, we did not observe a significant relationship between SUA and the TyG index when the SUA level was less than 6.55 mg/dL (β 0.02, 95% CI: − 0.01, 0.05; P = 0.091). In addition, a stratified analysis was performed to appraise changes in this relationship for different sexes. The relationship between SUA and the TyG index in males and females is consistent with that in the general population, showing a nonlinear relationship. However, the inflection points of SUA level were significantly higher in males than in females, and the inflection points were approximately 6.72 and 5.88 mg/dL, respectively. This study revealed a nonlinear relationship between SUA and the TyG index in children with short stature. The nonlinear relationship remained in gender stratification analysis, but the inflection point of SUA level was higher in men. Further studies are needed to establish a causal relationship between SUA levels and the TyG index in children with short stature. [ABSTRACT FROM AUTHOR]

Rates of adolescent mood disorders and adolescent smartphone use have risen in parallel, leading some to suggest that smartphone use might have detrimental effects on adolescents' moods. Alternatively, it is possible that adolescents turn to smartphone use when experiencing negative mood. Past experimental study suggests that certain smartphone activities can reduce adolescents' negative moods or induce more positive moods, but little is known about the effects of real-world smartphone use, which can involve many different activities. A sample of N = 253 adolescents participated in an Ecological Momentary Assessment (EMA) procedure, which assessed which smartphone activities they were engaged in at random moments throughout the day. This procedure also prompted adolescents to rate their moods before and during smartphone use. Adolescents reported mood improvements during almost all smartphone activities and did not report that moods became more negative during any smartphone activity. Mood improvements were the largest when adolescents said they were listening to music, podcasts, or audiobooks. This may suggest some adolescent smartphone use is driven by a desire to alleviate negative mood. [ABSTRACT FROM AUTHOR]

Idiopathic inflammatory myopathy (IIM) are heterogeneous autoimmune diseases that primarily affect the proximal muscles. IIM subtypes include dermatomyositis (DM), polymyositis (PM), and anti-synthetase syndrome (ASS). Metabolic disturbances may cause irreversible structural damage to muscle fibers in patients with IIM. However, the metabolite profile of patients with different IIM subtypes remains elusive. To investigate metabolic alterations and identify patients with different IIM subtypes, we comprehensively profiled plasma metabolomics of 46 DM, 13 PM, 12 ASS patients, and 30 healthy controls (HCs) using UHPLC-Q Exactive HF mass spectrometer. Multiple statistical analyses and random forest were used to discover differential metabolites and potential biomarkers. We found that tryptophan metabolism, phenylalanine and tyrosine metabolism, fatty acid biosynthesis, beta-oxidation of very long chain fatty acids, alpha-linolenic acid and linoleic acid metabolism, steroidogenesis, bile acid biosynthesis, purine metabolism, and caffeine metabolism are all enriched in the DM, PM, and ASS groups. We also found that different subtypes of IIM have their unique metabolic pathways. We constructed three models (five metabolites) to identify DM, PM, ASS from HC in the discovery and validation sets. Five to seven metabolites can distinguish DM from PM, DM from ASS, and PM from ASS. A panel of seven metabolites can identify anti-melanoma differentiation-associated gene 5 positive (MDA5 +) DM with high accuracy in the discovery and validation sets. Our results provide potential biomarkers for diagnosing different subtypes of IIM and a better understanding of the underlying mechanisms of IIM. [ABSTRACT FROM AUTHOR]

Background: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder. An increasing number of researchers have found extra motor features in ALS, which are also called ALS-plus syndromes. Besides, a great majority of ALS patients also have cognitive impairment. However, clinical surveys of the frequency and genetic background of ALS-plus syndromes are rare, especially in China. Methods: We investigated a large cohort of 1015 patients with ALS, classifying them into six groups according to different extramotor symptoms and documenting their clinical manifestations. Meanwhile, based on their cognitive function, we divided these patients into two groups and compared demographic characteristics. Genetic screening for rare damage variants (RDVs) was also performed on 847 patients. Results: As a result, 16.75% of patients were identified with ALS-plus syndrome, and 49.5% of patients suffered cognitive impairment. ALS-plus group had lower ALSFRS-R scores, longer diagnostic delay time, and longer survival times, compared to ALS pure group. RDVs occurred less frequently in ALS-plus patients than in ALS-pure patients (P = 0.042) but showed no difference between ALS-cognitive impairment patients and ALS-cognitive normal patients. Besides, ALS-cognitive impairment group tends to harbour more ALS-plus symptoms than ALS-cognitive normal group (P = 0.001). Conclusion: In summary, ALS-plus patients in China are not rare and show multiple differences from ALS-pure patients in clinical and genetic features. Besides, ALS-cognitive impairment group tends to harbour more ALS-plus syndrome than ALS-cognitive normal group. Our observations correspond with the theory that ALS involves several diseases with different mechanisms and provide clinical validation. [ABSTRACT FROM AUTHOR]

Simple Summary: Cephalopods are not only important economic products in fisheries, but also located in the middle pyramid of the marine ecosystem, playing a role of carrying the top and bottom. Cephalopods are the meals of large marine mammals, and their soft tissues are mostly digested in the stomach, and the beaks can be retained as hard tissues of cephalopods, which are structurally stable and resistant to corrosion. Therefore, the biodiversity of cephalopods can be analyzed by studying the beaks. However, there are many difficulties in the identification of beaks, such as the high level of similarity between different species of beaks and the variability arising from the growth process. The local shallow features, namely texture features and morphological features, and the global deep features were used, and the two types of features were fused for identification. This study verifies the complementarity between the two types of features and further contributes to the progress of beak recognition, providing a new approach to analyzing the biodiversity of cephalopods. Cephalopods are an essential component of marine ecosystems, which are of great significance for the development of marine resources, ecological balance, and human food supply. At the same time, the preservation of cephalopod resources and the promotion of sustainable utilization also require attention. Many studies on the classification of cephalopods focus on the analysis of their beaks. In this study, we propose a feature fusion-based method for the identification of beaks, which uses the convolutional neural network (CNN) model as its basic architecture and a multi-class support vector machine (SVM) for classification. First, two local shallow features are extracted, namely the histogram of the orientation gradient (HOG) and the local binary pattern (LBP), and classified using SVM. Second, multiple CNN models were used for end-to-end learning to identify the beaks, and model performance was compared. Finally, the global deep features of beaks were extracted from the Resnet50 model, fused with the two local shallow features, and classified using SVM. The experimental results demonstrate that the feature fusion model can effectively fuse multiple features to recognize beaks and improve classification accuracy. Among them, the HOG+Resnet50 method has the highest accuracy in recognizing the upper and lower beaks, with 91.88% and 93.63%, respectively. Therefore, this new approach facilitated identification studies of cephalopod beaks. [ABSTRACT FROM AUTHOR]

The aim of this study was to explore the relationship between serum uric acid (SUA) and the triglyceride-glucose (TyG) index, which is a more effective indicator of insulin resistance. The study participants included 1700 children and adolescents with short stature who were recruited at the Affiliated Hospital of Jining Medical University in China between March 2013 and April 2021. A positive association between SUA levels and the TyG index was detected by univariate analysis (p < 0.001). Furthermore, a nonlinear relationship was detected between SUA and the TyG index, whose point was 6.55 mg/dL. There was a positive association between SUA and the TyG index when the SUA level was greater than 6.55 mg/dL (β 0.17, 95% CI: 0.07, 0.27; P < 0.001). However, we did not observe a significant relationship between SUA and the TyG index when the SUA level was less than 6.55 mg/dL (β 0.02, 95% CI: − 0.01, 0.05; P = 0.091). In addition, a stratified analysis was performed to appraise changes in this relationship for different sexes. The relationship between SUA and the TyG index in males and females is consistent with that in the general population, showing a nonlinear relationship. However, the inflection points of SUA level were significantly higher in males than in females, and the inflection points were approximately 6.72 and 5.88 mg/dL, respectively. This study revealed a nonlinear relationship between SUA and the TyG index in children with short stature. The nonlinear relationship remained in gender stratification analysis, but the inflection point of SUA level was higher in men. Further studies are needed to establish a causal relationship between SUA levels and the TyG index in children with short stature. [ABSTRACT FROM AUTHOR]

Background: Short stature is a common human trait. More severe and/or associated short stature is usually part of the presentation of a syndrome and may be a monogenic disease. The present study aimed to identify the genetic etiology of children with short stature of unknown origin. Methods: A total of 232 children with short stature of unknown origin from March 2013 to May 2020 were enrolled in this study. Whole exome sequencing (WES) was performed for the enrolled patients to determine the underlying genetic etiology. Results: We identified pathogenic or likely pathogenic genetic variants in 18 (7.8%) patients. All of these variants were located in genes known to be associated with growth disorders. Five of the genes are associated with paracrine signaling or cartilage extracellular matrix in the growth plate, including NPR2 (N = 1), ACAN (N = 1), CASR (N = 1), COMP (N = 1) and FBN1 (N = 1). Two of the genes are involved in the RAS/MAPK pathway, namely, PTPN11 (N = 6) and NF1 (N = 1). Two genes are associated with the abnormal growth hormone-insulin-like growth factor 1 (GH-IGF1) axis, including GH1 (N = 1) and IGF1R (N = 1). Two mutations are located in PROKR2, which is associated with gonadotropin-releasing hormone deficiency. Mutations were found in the remaining two patients in genes with miscellaneous mechanisms: ANKRD11 (N = 1) and ARID1A (N = 1). Conclusions: The present study identified pathogenic or likely pathogenic genetic variants in eighteen of the 232 patients (7.8%) with short stature of unknown origin. Our findings suggest that in the absence of prominent malformation, genetic defects in hormones, paracrine factors, and matrix molecules may be the causal factors for this group of patients. Early genetic testing is necessary for accurate diagnosis and precision treatment. [ABSTRACT FROM AUTHOR]

KNbTeO 6 transparent ceramics were prepared by combining pressure-less sintering and pseudo-hot isostatic pressing (PHIP) of the synthesized submicron single-phase powder. The PHIP was conducted by wrapping coarse magnesium aluminate powders around the pre-sintered body in the spark plasma sintering (SPS) furnace. With an average grain size of 412 ± 23 nm, the in-line transmittance of transparent KNbTeO 6 ceramics reaches 80.25% at 2677 nm. By contrast, the density of the samples prepared by conventional SPS with the same sintering procedure is only 98.73%, and the highest in-line transmittance 64.25% occurs at 4976 nm. In particular, by investigating the sintering mechanism of PHIP, the improvement of microstructure and optical transmittance could be attributed to the plastic deformation caused by shear stress. The obtained ceramics exhibited excellent mechanical and dielectric properties, which was benefited from the novel sintering technology. • KNbTeO 6 transparent ceramics without significant grain growth were prepared by an innovative sintering route，and the optical, mechanical and dielectric properties of ceramics were synergistically improved. • Common SPS equipment was proved to be suitable for PHIP, and that transparent ceramics could be prepared with much higher transmittance compared to conventional SPS. • The plastic deformation of PHIP could effectively strengthen the densification process and optimize the microstructure. [ABSTRACT FROM AUTHOR]

In this case, the MRI imaging findings are not characteristic to distinguish CNS sparganosis from neoplastic disorders and other inflammatory diseases. Most infections in humans involve the subcutaneous tissue, muscle, and eye, while central nervous system (CNS) sparganosis is relatively rare. Keywords: Central nervous system sparganosis; Spinal sparganosis; Next-generation sequencing; Meningeal granulomatous disease EN Central nervous system sparganosis Spinal sparganosis Next-generation sequencing Meningeal granulomatous disease 1823 1826 4 04/17/23 20230501 NES 230501 Supplementary Information The online version contains supplementary material available at https://doi.org/10.1007/s10072-022-06596-6. [Extracted from the article]

Pavement compaction is an important index to evaluate the construction quality of rubber asphalt pavement. The spreading temperature segregation of mixture will affect the pavement compaction degree. To study the relationship between temperature segregation of crumb rubber-modified asphalt (CRA) mixture and pavement compactness, the 40-mesh crumb rubber powder was used to prepare CRA, and the Superpave design method was adopted to design the CRA mixture in the laboratory. Based on the infrared thermal imaging technology, the segregation of CRA mixture was quickly detected, and the pavement compactness was measured by coring at the temperature detection point. On this basis, a numerical analysis model of temperature–pavement compactness was established. The results show that the temperature data detected by the infrared thermal imager are reliable after comparison with the measured data of the thermometer. The temperature segregation of the mixture in direct contact with the atmosphere and the car body during transportation is serious. When the temperature segregation difference of CRA mixture is increased by 5 °C, the bulk specific gravity difference of coring specimen increases by 0.012. According to the field measured data, the relationship between paving temperature and compactness of rubber asphalt mixture is a quadratic function. [ABSTRACT FROM AUTHOR]

Fibrosis of the liver is a degenerative alteration that occurs in the majority of chronic liver disorders. Further progression can lead to cirrhosis, liver failure, and hepatocellular carcinoma, which can seriously affect the health and lives of patients. The field of liver fibrosis research has flourished in the last 20 years, with approximately 9000 articles retrieved from the Web of Science Core Collection database alone. In order to identify future research hotspots and potential paths in a thorough and scientifically reliable manner, it is important to organize and visualize the research on this topic from a holistic and very general perspective. This study used bibliometric analysis with CiteSpace and VOSviewer software to provide a quantitative analysis, hotspot mining, and commentary of articles published in the field of liver fibrosis over the last 20 years. This bibliometric analysis contains a total of 8994 articles with 45667 authors from 6872 institutions in 97 countries, published in 1371 journals and citing 156 309 references. The literature volume has steadily increased over the last 20 years. Research has focused on gastroenterology and hepatology, pharmacology and pharmacy, and medicine, research, and experimental areas. We found that the pathological mechanisms, diagnostic and quantitative methods, etiology, and antifibrotic strategies constitute the knowledge structure of liver fibrosis. Finding mechanisms for liver fibrosis regression, identifying precise noninvasive diagnostic and prognostic biomarkers, and creating efficient liver fibrosis patient treatments are the main goals of current research. [ABSTRACT FROM AUTHOR]

Visible-infrared person re-identification (VIPR) has great potential for intelligent transportation systems for constructing smart cities, but it is challenging to utilize due to the huge modal discrepancy between visible and infrared images. Although visible and infrared data can appear to be two domains, VIPR is not identical to domain adaptation as it can massively eliminate modal discrepancies. Because VIPR has complete identity information on both visible and infrared modalities, once the domain adaption is overemphasized, the discriminative appearance information on the visible and infrared domains would drain. For that, we propose a novel margin-based modal adaptive learning (MMAL) method for VIPR in this paper. On each domain, we apply triplet and label smoothing cross-entropy functions to learn appearance-discriminative features. Between the two domains, we design a simple yet effective marginal maximum mean discrepancy (M 3 D) loss function to avoid an excessive suppression of modal discrepancies to protect the features' discriminative ability on each domain. As a result, our MMAL method could learn modal-invariant yet appearance-discriminative features for improving VIPR. The experimental results show that our MMAL method acquires state-of-the-art VIPR performance, e.g., on the RegDB dataset in the visible-to-infrared retrieval mode, the rank-1 accuracy is 93.24% and the mean average precision is 83.77%. [ABSTRACT FROM AUTHOR]

The physician assistant/associate (PA) profession originated in the United States; PAs play an active role in alleviating the shortage of health and medical resources and improving the quality of medical care. This position has been introduced in and developed by many countries. Based on extensive literature research, this article summarizes the three main features of PAs, namely, that there is professional education for training PAs, the PA is an independent and exclusive professional type and PAs assist doctors in completing medical work. With reference to the innovative concept of the PA profession, this article summarized the existing "assistant" position in China that is similar to the PA position, compared it with the three features of PAs, revealed the shortcomings of the existing "assistant" position in China, provided a reference for the development of relevant careers in China, and provided solutions for solving the problems of medical and health resources in China. [ABSTRACT FROM AUTHOR]

In this paper, we focus on the number of nontrivial limit cycles in a kind of piecewise smooth generalized Abel equation d x d t = x p p − 1 + ∑ i = 1 2 i (A i − (t) x p + B i − (t) x 2 p − 1) , − 1 ≤ t ≤ 0 , x ∈ R , − x p p − 1 + ∑ i = 1 2 i (A i + (t) x p + B i + (t) x 2 p − 1) , 0 ≤ t ≤ 1 , x ∈ R , where p ∈ Z + ∖ { 1 } , A 1 ± = a 1 0 ± + a 1 1 ± t , B 1 ± = b 1 0 ± + b 1 1 ± t , A 2 ± = a 2 0 ± + a 2 1 ± t , B 2 ± = b 2 0 ± + b 2 1 ± t and | | ≪ 1. Under the condition b 1 1 + ≠ 0 , employing Melnikov functions of any order and using properties of Chebyshev systems, we prove that if p is odd, then the maximum number of nontrivial limit cycles bifurcating from the periodic annulus of the unperturbed system is 6 and it is attainable, and if p is even, then the maximum number is 3, and it can be attained too. [ABSTRACT FROM AUTHOR]

In practical factorial experiments, we sometimes find that complete randomization of the order of the runs is infeasible because it is more difficult to change the levels of some factors than the others, especially in some engineering experiments. Then, fractional factorial split-plot (FFSP) designs represent a practical option in such situations. The difficult-to-change factors are called whole plots (WP) factors, and the other factors are called subplot (SP) factors. The WP and SP factors do not have the same importance in many experiments. Then, the popular minimum aberration criterion is not suitable any more for choosing FFSP designs. This paper proposes two criteria for selecting FFSP designs. Algorithms for constructing the optimal FFSP designs under the two criteria are proposed. Some optimal designs under the two criteria are tabulated. [ABSTRACT FROM AUTHOR]

Objective: To provide a rare case of local recurrent Paget's disease after nipple-sparing mastectomy (NSM) with immediate breast reconstruction with 10 years of disease-free survival and to analyze the clinical and pathological characteristics. Background: Mammary Paget's disease can be considered a rare type of local recurrence after breast cancer treatment, both in cases of conservative surgery and NSM with immediate breast reconstruction (Lohsiriwat et al, Ann Surg Oncol 19:1850-1855, 2012). Recurrent patients who present with nipple-areolar Paget's disease usually have unfavorable primary pathological characteristics and different latency periods. However, the recurrent status in patients with favorable primary pathological characteristics and the latency periods after NSM with immediate breast reconstruction are unclear. Methods: First, we present a case of local recurrent Paget's disease in a young patient diagnosed with invasive breast carcinoma at age 30 who underwent NSM with primary silicone reconstruction. Then, the keywords "Paget's disease" and "nipple-sparing mastectomy" were selected. Articles including the local recurrence of Paget's disease after NSM were collected from the PubMed, Springer, and OVID databases, and the acquired relevant data were analyzed. We did not restrict our search by study design or publication date. Results: Five studies describing 31 cases of local recurrent Paget's disease after NSM with implant breast reconstruction were included. The mean patient age reported was 45 years, and the average latency period from NSM to the local recurrence of Paget's disease was 40.2 months. Recurrent tumor histological features were Paget's disease with ductal carcinoma in situ (DCIS) in 16 patients (50%), Paget's disease without DCIS in 13 patients (40.6%), and Paget's disease with ductal intraepithelial neoplasia (DIN) in 3 patients (9.4%). The primary tumor histological feature was estrogen receptor (ER)(−)/progesterone receptor (PR)(−)/human epidermal growth factor receptor (HER-2)(+) in 21 patients (77.8%). Neither locoregional relapse nor metastatic events were found in these recurrent patients who accepted NAC excision after 4–5 years of follow-up. Our reported case showed that the patient experienced pregnancy and lactation after primary adjuvant chemotherapy and endocrine therapy. However, she developed an eczematoid lesion in the NAC 120 months after breast surgery. The histopathological examination was consistent with Paget's disease of the breast. Complete NAC and breast silicone prosthesis removal were performed. The patient accepted no systematic or local therapy and is currently alive. It is noteworthy that the biological features of the primary tumor were ER(+), PR(+), and HER-2(−); however, the recurrent tumor changed to ER(−), PR(−), and HER-2(+). Conclusions: The local recurrence of Paget's disease after NSM is uncommon; it may develop at a very early age and have a very long time to recurrence, as in our patient, who presented with recurrence 10 years after primary surgery. Surgeons should be wary of local recurrence of the nipple-areola complex after NSM in patients with ER-negative and HER-2-positive primary tumors. However, patients with ER/PR-positive and HER-2-negative tumors should not be neglected; we reported a case of an ER/PR-positive and HER-2-negative primary tumor, and ER-positive recurrent cases have the longest latency period. The local recurrence rate of Paget's disease after NSM is low, and the prognosis is good in recurrent patients who accept further extensive NAC excision. Further systematic treatment was not considered for this patient. [ABSTRACT FROM AUTHOR]

Endometriosis (EM) is a common chronic inflammatory disease in women. Sampson's retrograde menstruation theory is the most widely accepted theory of EM pathogenesis. The periodic bleeding of ectopic lesions is an important pathological feature of this disease, and the occurrence and progression of EM are closely associated with the iron overload caused by ectopic lesions. However, animal models that simulate menstrual-blood reflux and hemorrhage from EM lesions are lacking. In this study, we performed intraperitoneal injection of endometrial fragments and periodic intraperitoneal blood injection to simulate the real cause and disease state of EM and successfully constructed a mouse model of EM iron overload. Our research found that the number, size, and degree of adhesion of EM lesions in the iron-overload model mouse were significantly higher than those in the model mouse. Moreover, the iron concentration in the abdominal fluid and ovary significantly increased, and the level of malondialdehyde (MDA) in the ovary increased. Conversely, GPX4, GSH, and other anti-ferroptosis-related proteins were downregulated, proving the occurrence of ferroptosis. Huayu Jiedu Fang (HYJDF) is an empirical prescription for EM treatment. This study combined animal experiments, UHPLC-QE-MS analysis, and network pharmacology to analyze whether HYJDF can inhibit ferroptosis to slow down the progression of EM and protect ovarian function. Based on the constructed iron-overload model, HYJDF can reduce the volume of EM lesions and the degree of adhesion, downregulate the total iron concentration in the peritoneal fluid and ovary, upregulate GPX4 expression and GSSG in the ovary, downregulate the level of MDA in the ovary, and promote the development of follicles. We further confirmed that HYJDF can inhibit the progression of EM disease and improve the ovarian function of the model mouse by inhibiting ferroptosis. Finally, through UHPLC-QE-MS and network pharmacology analysis, the natural compounds in HYJDF were identified and verified and the regulatory effect of HYJDF on the EM ferroptosis pathway through the IL-6/hepcidin pathway was preliminarily elucidated. [ABSTRACT FROM AUTHOR]

Nowadays, the development of online college education is in full swing, and various online college education platforms have also sprung up. The development of technology has made these online platforms more and more powerful, escorting the continuous development of online education. Colleges and universities, as the main front for the cultivation of high-quality talents in my country, have already introduced large-scale online courses into education and teaching, enriching the teaching content, and expanding the teaching form. In the face of new technical means and abundant online education resources, the teaching quality of online classrooms in colleges and universities is so low, which deserves our further reflection. For a long time, the effect of online classroom teaching in colleges and universities has been closely concerned by the academic community, but most of them start from external factors, ignoring the internal relationship of online classrooms. Clarifying the complex relationships in the online classroom field of colleges and universities and clarifying the rules of habitus and capital operation in the online classroom field of colleges and universities are the intrinsic motivation and important source to stimulate the vitality of the online classroom field of colleges and universities and improve the quality of teaching. By grasping the essence of classroom teaching and analyzing the inherent characteristics of the online classroom field, this research intends to clarify the proper state of the online classroom field, and to explore the reasons why the current online classroom field function has not been fully realized, so as to find the depth of college education. [ABSTRACT FROM AUTHOR]

An evolutionary algorithm-based optimal allocation method of wind resources under the background of carbon neutralization is proposed in order to better achieve the goal of energy conservation and emission reduction under the background of carbon neutralization, aiming at the current unreasonable allocation of wind resources. The evaluation model of balanced wind resource allocation is designed, and the evaluation index of optimal wind resource allocation is constructed using the evolutionary algorithm. The optimal allocation path of wind energy resources is chosen to achieve the goal of reasonable wind energy resource allocation. Finally, simulation experiments show that using an evolutionary algorithm to solve the problem of poor energy allocation and achieve the research goal, the optimal allocation method of wind energy resources under the background of carbon neutralization can effectively solve the problem of poor energy allocation. [ABSTRACT FROM AUTHOR]

Importance: The rate of postoperative death in children undergoing tonsillectomy is uncertain. Mortality rates are not separately available for children at increased risk of complications, including young children (aged <3 y) and those with sleep-disordered breathing or complex chronic conditions.Objective: To estimate postoperative mortality following tonsillectomy in US children, both overall and in relation to recognized risk factors for complications.Design, Setting, and Participants: Retrospective cohort study based on longitudinal analysis of linked records in state ambulatory surgery, inpatient, and emergency department discharge data sets distributed by the Healthcare Cost and Utilization Project for 5 states covering 2005 to 2017. Participants included 504 262 persons younger than 21 years for whom discharge records were available to link outpatient or inpatient tonsillectomy with at least 90 days of follow-up.Exposures: Tonsillectomy with or without adenoidectomy.Main Outcome and Measures: Postoperative death within 30 days or during a surgical stay lasting more than 30 days. Modified Poisson regression with sample weighting was used to estimate postoperative mortality per 100 000 operations, both overall and in relation to age group, sleep-disordered breathing, and complex chronic conditions.Results: The 504 262 children in the cohort underwent a total of 505 182 tonsillectomies (median [IQR] patient age, 7 [4-12] years; 50.6% females), of which 10.1% were performed in young children, 28.9% in those with sleep-disordered breathing, and 2.8% in those with complex chronic conditions. There were 36 linked postoperative deaths, which occurred a median (IQR) of 4.5 (2-20.5) days after surgical admission, and most of which (19/36 [53%]) occurred after surgical discharge. The unadjusted mortality rate was 7.04 (95% CI, 4.97-9.98) deaths per 100 000 operations. In multivariable models, neither age younger than 3 years nor sleep-disordered breathing was significantly associated with mortality, but children with complex chronic conditions had significantly higher mortality (16 deaths/14 299 operations) than children without these conditions (20 deaths/490 883 operations) (117.22 vs 3.87 deaths per 100 000 operations; adjusted rate difference, 113.55 [95% CI, 51.45-175.64] deaths per 100 000 operations; adjusted rate ratio, 29.39 [95% CI, 13.37-64.62]). Children with complex chronic conditions accounted for 2.8% of tonsillectomies but 44% of postoperative deaths. Most deaths associated with complex chronic conditions occurred in children with neurologic/neuromuscular or congenital/genetic disorders.Conclusions and Relevance: Among children undergoing tonsillectomy, the rate of postoperative death was 7 per 100 000 operations overall and 117 per 100 000 operations among children with complex chronic conditions. These findings may inform decision-making for pediatric tonsillectomy. [ABSTRACT FROM AUTHOR]

(1) Background: Acute ischemic stroke (IS) is one of the main causes of human disability and death. Therefore, multifunctional nanosystems that effectively cross the blood–brain barrier (BBB) and efficiently eliminate reactive oxygen species (ROS) are urgently needed for comprehensive neuroprotective effects. (2) Methods: We designed a targeted transferrin (Tf)-based manganese dioxide nanozyme (MnO2@Tf, MT) using a mild biomimetic mineralization method for rebalancing ROS levels. Furthermore, MT can be efficiently loaded with edaravone (Eda), a clinical neuroprotective agent, to obtain the Eda-MnO2@Tf (EMT) nanozyme. (3) Results: The EMT nanozyme not only accumulates in a lesion area and crosses the BBB but also possesses satisfactory biocompatibility and biosafety based on the functional inheritance of Tf. Meanwhile, EMT has intrinsic hydroxyl radical-scavenging ability and superoxide-dismutase-like and catalase-like nanozyme abilities, allowing it to ameliorate ROS-mediated damage and decrease inflammatory factor levels in vivo. Moreover, the released Mn2+ ions in the weak acid environment of the lesion area can be used for magnetic resonance imaging (MRI) to monitor the treatment process. (4) Conclusions: Our study not only paves a way to engineer alternative targeted ROS scavengers for intensive reperfusion-induced injury in ischemic stroke but also provides new insights into the construction of bioinspired Mn-based nanozymes. [ABSTRACT FROM AUTHOR]

The basic leucine zipper (bZIP) is an important transcription factor required for fungal development, nutrient utilization, biosynthesis of secondary metabolites, and defense against various stresses. Aspergillus flavus is a major producer of aflatoxin and an opportunistic fungus on a wide range of hosts. However, little is known about the role of most bZIP genes in A. flavus. In this study, we developed a high-throughput gene knockout method based on an Agrobacterium-mediated transformation system. Gene knockout construction by yeast recombinational cloning and screening of the null mutants by double fluorescence provides an efficient way to construct gene-deleted mutants for this multinucleate fungus. We deleted 15 bZIP genes in A. flavus. Twelve of these genes were identified and characterized in this strain for the first time. The phenotypic analysis of these mutants showed that the 15 bZIP genes play a diverse role in mycelial growth (eight genes), conidiation (13 genes), aflatoxin biosynthesis (10 genes), oxidative stress response (11 genes), cell wall stress (five genes), osmotic stress (three genes), acid and alkali stress (four genes), and virulence to kernels (nine genes). Impressively, all 15 genes were involved in the development of sclerotia, and the respective deletion mutants of five of them did not produce sclerotia. Moreover, MetR was involved in this biological process. In addition, HapX and MetR play important roles in the adaptation to excessive iron and sulfur metabolism, respectively. These studies provide comprehensive insights into the role of bZIP transcription factors in this aflatoxigenic fungus of global significance. [ABSTRACT FROM AUTHOR]

Background: Chronic granulomatous disease (CGD) is an inborn error of immunity. It is characterized by recurrent bacterial or fungal infections, including infections by Burkholderia species. This is due to respiratory burst dysfunction of phagocytes. Currently, there is no report on Burkholderia contaminans (B. Contaminans) infection in children with CGD. Case presentation: We present a previously healthy, 17-month-old Chinese boy infected with B. Contaminans in the intra-abdominal regions. Immunological screening, including assessment of cellular immunity and humoral immunity did not yield conclusive results. The level of nicotinamide adenine dinucleotide phosphatase (NADPH) activity was decreased and whole-exome sequencing identified a de novo mutation in the CYBB gene. Conclusions: For specific pathogens such as B. Contaminans, immune assessment should be carried out even if there is no positive medical history or specificity in basic immunity screening. [ABSTRACT FROM AUTHOR]

• 1. The PH/CS layer was constructed on the membrane surface by incorporating CS nanoparticles. • 2. PH/CS layer with beads-on-string structure reduced temperature polarization in MD membrane. • 3. The water flux of ENMs was increased 2.4 times after incorporating CS in PH nanofiber. • 4. PH/CS composite ENMs exhibited good long-term stability of over 5100 min. Membrane distillation (MD) is a promising technology among various desalination processes. However, the membrane used in MD is still problematic due to its low permeability and tendency to become wet. In this work, we fabricated a novel electrospun nanofiber membrane (ENM) with micro-nano structures resembling beads on a string to enhance water flux and anti-wetting properties in MD desalination. The composite ENM consists of a heat-conducting top layer made of polyvinylidene fluoride co-hexafluoropropylene (PH) nanofibers embedded with carbon sphere (CS) nanoparticles and a heat-insulating support layer made of pH nanofibers. The PH/CS top layer with beads-on-string micro-nano structures can not only provide a rough surface to elevate anti-wetting property of the membrane, but also create a maximum temperature difference inside the membrane to improve mass transfer of water vapor. The PH/CS composite ENMs acquired the highest water flux of ∼ 71.3 L m−2 h−1 at a temperature difference of 40 °C, and its salt rejection rate for a 3.5 wt% NaCl solution was higher than 99.9% in direct contact membrane distillation. Meanwhile, the composite ENM exhibited long-term stability of 5100 min. Our work presents a novel composite ENM with great potential for promoting water flux and anti-wetting properties towards MD desalination. [ABSTRACT FROM AUTHOR]

In this study, TiO 2 nanocages with a hollow structure were integrated into the polyvinylidene fluoride co-hexafluoropropylene (PH) spinning solution, leading to the fabrication of a novel PH/TiO 2 electrospun nanofiber membrane (PH/TiO 2 ENM) through electrostatic spinning. The incorporation of TiO 2 nanocages resulted in the formation of abundant micro-nano structures on the PH nanofiber surface, enhancing membrane roughness and hydrophobicity. Additionally, the hollow nanostructure of TiO 2 nanocages effectively reduced the thermal conductivity of the ENMs. This reduction in thermal conductivity mitigated the temperature polarization effect, thereby increasing mass transfer driving force for the ENMs. The maximum water flux of the PH/TiO 2 ENM reached ∼57.9 L m−2 h−1 (LMH), which was approximately 3.7 times higher than that of the original PH ENM. In addition to the formation of micro-nano structures on PH nanofibers, the presence of TiO 2 nanocages facilitated the attachment of more low-surface-energy FAS molecules, improving the resistance of them to fouling and anti-wetting properties against both inorganic and organic contaminants, even in the presence of SDS, in a composite feed solution during the DCMD process. Moreover, even after prolonged exposure to a composite salt solution, this membrane also exhibited exceptional anti-fouling properties and stable desalination performance during a 168 h long-term stability test. [Display omitted] • The incorporation of TiO 2 nanocages into ENM could enhance its hydrophobicity. • TiO 2 nanocages reduce temperature polarization and enhance mass transfer in ENMs. • TiO 2 nanocages improve membrane resistance to fouling by organic and inorganic contaminants. • PH/TiO 2 ENMs exhibited an outstanding long-term stability over 168 h. [ABSTRACT FROM AUTHOR]

• Bright yellow-emitting Bi3+-activated phosphor was successfully synthesized. • Significant improvement in thermal stability via structural rigidity alteration. • Double the luminous intensity of phosphor by cation substitution. (Sr2+→Ba2+). • Dramatic increase in quantum yield from 34.7 % to 85 % via introducing Sr2+. The development of high-quality lighting requires phosphors with excellent performance, and dramatically optimizing the luminescent properties of phosphors is a major challenge. Herein, a novel bismuth-activated yellow phosphor (Ba 3 Ga 2 O 5 Cl 2 :Bi3+) was firstly prepared by a multi-step solid-state reaction, and the crystal structure, luminescence characteristics, decay time, and thermal stability of the phosphor were systematically studied. Subsequently, the cation substitution strategy (Sr → Ba) was adopted to improve the optical properties. A comparison of the thermal quench performance of the phosphors before and after Sr substitution reveals that this strategy can effectively improve the thermal stability from 17.3 %@423 K to 61.1 %@ 423 K. More importantly, the luminescence intensity of the optimized phosphor was increased by about two times, and the quantum yield was significantly improved from 34.7 % to 85.0 %. Such a large improvement could be rationalized by the modulation of the local structure of Bi3+ ions or the change of band gap when Sr and Ba coexist in the host lattice. In addition, a WLED was prepared by combining Ba 2.55 Sr 0.45 Ga 2 O 5 Cl 2 :Bi3+ with commercially available blue phosphor (BaMgAl 10 O 17 :Eu2+) and red phosphor (CaAlSiN 3 :Eu2+) on a 365 nm LED chip, which achieved full-spectrum illumination and demonstrated potential applications. [ABSTRACT FROM AUTHOR]

Soils is a crucial reservoir influencing mercury (Hg) emissions and soil-air exchange dynamics, partially modulated by microbial reducers aiding Hg reduction. Yet, the extent to which microbial engagements contribute to soil Hg volatilization remains largely unknown. Here, we characterized Hg-reducing bacterial communities in natural and anthropogenically perturbed soil environments and quantified their contribution to soil Hg(0) volatilization. Our results revealed distinct Hg-reducing bacterial compositions alongside elevated mercuric reductase (merA) gene abundance and diversity in soils adjacent to chemical factories compared to less-impacted ecosystems. Notably, solely industry-impacted soils exhibited increased merA gene abundance along Hg gradients, indicating microbial adaption to Hg selective pressure through quantitative changes in Hg reductase and genetic diversity. Microcosm studies demonstrated that glucose inputs boosted microbial involvement and induced 2–8 fold increments in cumulative Hg(0) volatilization in industry-impacted soils. Microbially-mediated Hg reduction contributed to 41.6% of soil Hg(0) volatilization in industry-impacted soils under 25% water-holding capacity and glucose input conditions over a 21-day incubation period. Alcaligenaceae, Moraxellaceae, Nitrosomonadaceae and Shewanellaceae were identified as potential contributors to Hg(0) volatilization in the soil. Collectively, our study provides novel insights into microbially-mediated Hg reduction and soil-air exchange processes, with important implications for risk assessment and management of industrial Hg-contaminated soils. [Display omitted] • Soils adjacent to chemical factories show pronounced emission potential of legacy Hg. • Hg pollution selects unique Hg-reducing bacteria in industry-impacted soils. • The merA abundance increases along Hg gradients in industry-impacted soils. • Labile carbon inputs boost microbial contribution to Hg(0) volatilization. [ABSTRACT FROM AUTHOR]

• Among the multiple pathways affecting short stature, genes involved in basic cellular processes play a larger role, especially the RAS-MAPK pathway. • All children showed varying degrees of height improvement during rhGH treatment, especially for the first year. • Genetic variation is an important factor in the efficacy of rhGH therapy. • Patients with hormone signaling pathway mutations had a better response to rhGH, while those with paracrine factor mutations had a worse response to rhGH. Significant differences have been observed in the efficacy of recombinant human growth hormone (rhGH) treatment for short children. The present study aimed to identify the genetic etiology of short stature and to assess the role of molecular diagnosis in predicting responses to rhGH treatment. A total of 407 short children were included in the present study, 226 of whom received rhGH treatment. Whole-exome sequencing (WES) was conducted on short children to identify the underlying genetic etiology. Correlations between molecular diagnosis and the efficacy of rhGH treatment were examined. Pathogenic or likely pathogenic mutations were identified in 86 of the 407 patients (21.1%), including 36 (41.9%) novel variants. Among the multiple pathways affecting short stature, genes involved in fundamental cellular processes (38.7%) play a larger role, especially the RAS-MAPK pathway. In general, patients without pathogenic mutations responded better to rhGH than those with mutations. Furthermore, patients with hormone signaling pathway mutations had a better response to rhGH, while those with paracrine factor mutations had a worse response to rhGH. This study highlights the utility of WES in identifying genetic etiology in children with short stature. Identifying likely causal mutations is an important factor in predicting rhGH response. [ABSTRACT FROM AUTHOR]

MFeO3 (M = La or Bi) photocatalysts were synthesized via a sol–gel process. The MFeO3 photocatalysts showed lower photocatalytic activity for the degradation of doxycycline hydrochloride under visible light irradiation. After the MFeO3 nanoparticles were loaded in the channels of SBA-15, the photocatalytic activity of MFeO3/SBA-15 was enhanced by nine and two times compared to that of pure LaFeO3 and BiFeO3, respectively. The enhanced photocatalytic activity of the MFeO3/SBA-15 photocatalysts could be attributed to their larger surface areas. In order to further enhance the degradation efficiency for doxycycline hydrochloride, MFeO3/SBA-15 was used to activate peroxymonosulfate; the Vis/MFeO3/SBA-15/PMS system showed the best activity in the degradation of doxycycline hydrochloride, which was two and three times higher than that of the Vis/LaFeO3/SBA-15 and Vis/BiFeO3/SBA-15 systems, respectively. The influences of PMS dosage, pH value, temperature, natural organic matter, inorganic anions and doxycycline hydrochloride concentration on the degradation rates were investigated in detail. The PMS activation mechanisms induced by MFeO3/SBA-15 were examined by radical quenching, electron paramagnetic resonance tracing methods and photoluminescence spectral characterization. It was found that the photogenerated e−/h+ and the Fe(III)/Fe(II) redox pairs on the surface of MFeO3/SBA-15 could synergistically activate PMS to produce sulfate radical, and the sulfate radical was the main active substance. [ABSTRACT FROM AUTHOR]

Well-dispersed chiral Ag2S quantum dots (Ag2S QDs) were facilely synthesized by using N-acetyl- L -cysteine (NALC) as the chiral ligand and loaded onto nanosheets of two-dimensional (2D) few-layer carbon nitride (C3N4). The resultant nanocomposite (Ag2S QDs/few-layer C3N4) shows enhanced electrochemiluminescence (ECL) while maintaining the chirality of Ag2S QDs, which can be used for the chiral discrimination of the enantiomers of tyrosine (Tyr). Due to the higher affinity of chiral Ag2S QDs toward L -Tyr than toward its enantiomer, the ECL intensity of Ag2S QDs/few-layer C3N4 is significantly decreased after its incubation with L -Tyr, and thus the Tyr enantiomers can be discriminated. The developed ECL chiral sensor exhibits high stability and reproducibility. The universality of the ECL chiral sensor for the discrimination of other chiral amino acids is also studied, and the results indicate that it can work only in the case of chiral aromatic amino acids. [ABSTRACT FROM AUTHOR]

Purpose: Radiation therapy, which is vital for the treatment of primary liver cancer, comes with unavoidable liver injury, which limits its implementation. N6-methyladenosine (m6A) methylation is involved in many molecular functions. However, its role in radiation-induced liver diseases (RILD) remains unknown. Herein, we investigate the role of m6A methylation in RILD.Methods and Materials: Methylated RNA-immunoprecipitation sequencing and RNA transcriptome sequencing were used to reveal the methylation pattern of human hepatic stellate cells (HSCs) exposed to irradiation. C3H/HeN mice and stimulator of interferon genes (STING)-deficient mice underwent x-ray irradiation of 24 Gy in 3 fractions. The m6A methylation of the high-mobility group box 1 (HMGB1) transcript was validated using methylated RNA immunoprecipitation, RNA immunoprecipitation, luciferase assays, and a messenger RNA decay assay.Results: Human hepatic stellate cells showed significant differences in methylation patterns after 8 Gy of x-ray irradiation. Irradiation recruited AlkB homolog 5 (ALKBH5) to demethylate m6A residues in the 3' untranslated region of HMGB1, which resulted in the activation of STING-interferon regulatory factor 3 signaling. Changes in the transcription of the 3' untranslated region of HMGB1 occurred after the knockdown of ALKBH5, which were eliminated after m6A residue mutation. Strikingly, ALKBH5 deficiency or HMGB1 silencing both attenuated type I interferon production and decreased hepatocyte apoptosis. In vivo depletion of ALKBH5 abolished the upregulation of HMGB1-mediated STING signaling and decreased liver inflammation, which was consistent with STING-/- mice treated with irradiation. Notably, YTHDF2 (m6A reader protein) directly bound to HMGB1 m6A-modified sites and promoted its degradation.Conclusions: ALKBH5-dependent HMGB1 expression mediates STING-interferon regulatory factor 3 innate immune response in RILD. [ABSTRACT FROM AUTHOR]

Fe2(MoO4)3 photocatalysts were synthesized by a simple hydrothermal method. Fe2(MoO4)3 photocatalysts showed lower photocatalytic activity for the degradation of methylene blue under visible light irradiation. After compositing with g-C3N4, the photocatalytic activity of Fe2(MoO4)3 was enhanced obviously. The enhanced photocatalytic activity of the g-C3N4/Fe2(MoO4)3 photocatalysts could be attributed to the effective separation of the photogenerated e−/h+ pairs. In order to further enhance the degradation efficiency of g-C3N4/Fe2(MoO4)3, g-C3N4/Fe2(MoO4)3 was used to double activate peroxymonosulfate to degrade methylene blue. The influences of peroxymonosulfate dosage, pH value, inorganic anions and methylene blue concentration on double activating peroxymonosulfate to degrade methylene blue were investigated in detail. The mechanism of g-C3N4/Fe2(MoO4)3 double activating peroxymonosulfate was proved by radical quenching experiments, which proved that SO4˙− dominated the degradation of methylene blue. [ABSTRACT FROM AUTHOR]

Background: Osteoporosis and cardiovascular diseases (CVDs) are 2 major public health problems. Osteoporosis and CVDs may be linked but the association between lipid profile and osteoporosis is still controversial. The purpose of this study was to examine the associations of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and triglyceride (TG) with osteoporosis.Methods: Using inpatients' and outpatients' electronic medical records (EMR) and dual X-ray absorptiometry (DXA) database stored at The Second Hospital of Jilin University, we included 481 individuals with complete and valid lipid and bone mineral density (BMD) data in 2017. Serum samples were used to measure TC, LDL-C, HDL-C and TG. Femoral neck and total hip BMD were measured by DXA; osteoporosis was defined as femoral neck or total hip T-score ≤ -2.5. Multivariable logistic regression models were used to test the associations of TC, LDL-C, HDL-C and TG with osteoporosis.Results: The mean age for included individuals was 62.7 years (SD = 8.6 years); 60.1 % of them were female. Each standard deviation (SD) increase in TC (Odds Ratio [OR]: 1.48; 95 % Confidence Interval [CI]: 1.06-2.07) and TG (OR: 1.67; 95 % CI: 1.16-2.39) were associated with increased risk of osteoporosis; LDL-C and HDL-C levels were not associated with osteoporosis. Age, sex and body mass index (BMI) did not interact with the relationships of TC and TG with osteoporosis (all P > 0.10).Conclusions: Higher TC and TG levels were associated with greater risk of osteoporosis in this cross-sectional study. [ABSTRACT FROM AUTHOR]

Bi2MoO6 nanoflakes are synthesized via a normal hydrothermal method. Bi2MoO6 photocatalysts show lower photocatalytic activity for the degradation of methylene blue under visible light irradiation. In order to further enhance the degradation efficiency, Bi2MoO6 is used to activate the peroxymonosulfate for the degradation of methylene blue under visible light. Bi2MoO6 nanoflakes show excellent degradation efficiency in the Bi2MoO6/Vis/peroxymonosulfate (PMS) system. Moreover, the influences of PMS dosage, pH value, and inorganic anions on photodegradation are evaluated. The mechanism of activating peroxymonosulfate is proved by radical quenching experiment, which reveals that sulfate radicals govern the removal of methylene blue. [ABSTRACT FROM AUTHOR]

Many natural phenomena can be modeled as discontinuous dynamical systems separated by a nonregular line. The number and distribution of limit cycles in discontinuous linear systems are important topics for research. In this paper, we focus on the limit cycles created by discontinuous planar piecewise linear systems separated by a nonregular line of center–center type, and prove that such systems have at most two limit cycles, which can be reached. Furthermore, the two limit cycles are nested and intersect the separation line at two points or four points, that is, either both intersect the separation line at two points or one intersects the separation line at two points and the other one at four points. [ABSTRACT FROM AUTHOR]

The relationship between insulin-like growth factor-1 (IGF-1) and systolic blood pressure (SBP) is controversial in adults and children. The purpose of this study was to investigate the relationship between the IGF-1 standard deviation score (IGF-1 SDS) and SBP in children with short stature. A cross-sectional analysis including 1315 children with short stature was conducted from March 2013 to October 2020. We estimated IGF-1, blood pressure and other laboratory tests, and anthropometric indicators were also evaluated. Subgroup analyses of the pubertal stage, sex, growth hormone levels, thyroid hormone levels, fasting blood glucose levels, and triglyceride levels were performed. A positive association between the IGF-1 SDS and SBP was observed by univariate analysis (p < .001). We further found a nonlinear association between the IGF-1 SDS and SBP. The inflection point for the curve was found at an IGF-1 SDS level of -2.91. In multivariate piecewise linear regression, there was a positive association between the IGF-1 SDS and SBP when the IGF-1 SDS was greater than -2.91 (β 1.56, 95% CI: 0.91, 2.22; p < .001). However, we did not observe a significant relationship between the IGF-1 SDS and SBP when the IGF-1 SDS level was less than -2.91 (β -0.95, 95% CI -3.17, 1.28; p = .379). This association was consistent across subgroup analyses. The present study demonstrated that there is a nonlinear relationship between the IGF-1 SDS and SBP in children with short stature. Increased serum IGF-1 levels were associated with elevated SBP when the IGF-1 levels reached the inflection point. [ABSTRACT FROM AUTHOR]

Background: Family caregivers need to be supported in caring for patients at the end of life, but practical tools to assess their support needs have been missing in China. So this study aimed to culturally adapt and validate the Carer Support Needs Assessment Tool (CSNAT). Methods: Cross-cultural adaptation of the original CSNAT for a Chinese setting was performed according to Brislin's translation guidelines. A pilot study was conducted with 15 Chinese family caregivers of cancer patients receiving hospice home care and 5 medical staff. A cross-sectional survey of 205 family caregivers was conducted from December 2018 to May 2019 at a home-based hospice care institute in Shenzhen, China. The validation procedure comprised the establishment of (1) content validity by a group of six experts; (2) face validity by 15 family caregivers; (3) criterion validity by calculating Spearman's correlations between the CSNAT and caregiving burden, caregiving preparedness and quality of life scales; (4) internal consistency using Cronbach's alpha. Results: The CSNAT demonstrated good face validity and good content validity. CSNAT scores showed clear positive correlations with caregiving burden and negative correlations with preparedness for caregiving and quality of life. Internal consistency was high (Cronbach's alpha = 0.899), although such reliability testing is not recommended for this tool. Conclusions: The Chinese version of the CSNAT is a valid tool that is appropriate for identifying needs of family caregivers of cancer patients in home-based hospice care. [ABSTRACT FROM AUTHOR]

Mixed-level designs are widely used in various experiments. This paper considers how to construct minimum aberration 4 1 2 n mixed-level designs. Based on finite projective geometry, secondary complementary set is defined as part of the design which plays a crucial role in constructing the optimal designs. Then, algebraic connection between the wordlength pattern of a 4 1 2 n design and that of its secondary complementary set is established. According to the connection, some general rules for identifying type 0 minimum aberration 4 1 2 n mixed-level designs are proposed via their secondary complementary sets. Those rules can help construct minimum aberration 4 1 2 n designs conveniently when the secondary complementary set contains fewer elements than the complementary set. The type 0 minimum aberration 4 1 2 n designs with large n are tabulated via secondary complementary sets. [ABSTRACT FROM AUTHOR]

Objective. To identify the aetiology of growth and development diseases and assess the long-term effectiveness of recombinant human growth hormone (rhGH) therapy in a real-life clinical setting and provide better guidance in clinical strategy and decision making. Methods. This retrospective study included 1145 children and adolescents with short stature admitted to the Department of Endocrinology, Affiliated Hospital of Jining Medical University, from January 2013 to December 2019, of whom 484 received rhGH treatment. The related anthropometrics and laboratory examinations were assessed in all participants. Results. A total of 1145 children and adolescents with short stature aged 10.5 ± 3.3 years, including 740 boys and 405 girls, were analysed in this study. The number of children and adolescents with short stature gradually increased per year from 2013 to 2019. The mean pretreatment height standard deviation score (SDS) and insulin-like growth factor-1 SDS were − 2.93 ± 1.05 and -1.01 (-1.83--0.16), respectively. The majority of the children (658, 57.47%) were prepubescent. In total, 484 subjects aged 10.6 ± 3.2 years received rhGH and were followed up, and among them, 292 children were treated for more than one year. As the treatment time increased, the children's height SDS gradually increased, and most of them attained a height SDS within the normal range. The mean height SDS in children who were treated for more than one year was − 3.0 ± 1.0 at baseline and gradually increased to − 0.8 ± 0.3 by year 6. The results were consistent across subgroups of different aetiologies of short stature. Conclusions. Increasing attention has been given to the height of children during the period of 2013–2019 in eastern China. The present findings indicate that children with short stature need to be referred to a specialist centre to diagnose the cause of growth failure and that short children receiving rhGH therapy show a significant increase in height over time. [ABSTRACT FROM AUTHOR]

Latcripin-16 (Lp16-PSP) is a gene that was extracted as a result of de novo characterization of the Lentinula edodes strain C91-3 transcriptome. The aim of the present study was to clone, express, and investigate the selective in vitro anticancer potential of Lp16-PSP in human cell lines. Lp16-PSP was analyzed using bioinformatics tools, cloned in a prokaryotic expression vector pET32a (+) and transformed into E. coli Rosetta gami. It was expressed and solubilized under optimized conditions. The differential scanning fluorometry (DSF)-guided refolding method was used with modifications to identify the proper refolding conditions for the Lp16-PSP protein. To determine the selective anticancer potential of Lp16-PSP, a panel of human cancerous and non-cancerous cell lines was used. Lp16-PSP protein was identified as endoribonuclease L-PSP protein and a member of the highly conserved YjgF/YER057c/UK114 protein superfamily. Lp16-PSP was expressed under optimized conditions (37 °C for 4 h following induction with 0.5 mM isopropyl β-d-1-thiogalactopyranoside). Solubilization was achieved with mild solubilization buffer containing 2 M urea using the freeze–thaw method. The DSF guided refolding method identified the proper refolding conditions (50 mM Tris–HCl, 100 mM NaCl, 1 mM EDTA, 400 mM Arginine, 0.2 mM GSH and 2 mM GSSG; pH 8.0) for Lp16-PSP, with a melting transition of ~ 58 °C. A final yield of ~ 16 mg of purified Lp16-PSP from 1 L of culture was obtained following dialysis and concentration by PEG 20,000. A Cell Counting Kit-8 assay revealed the selective cytotoxic effect of Lp16-PSP. The HL-60 cell line was demonstrated to be most sensitive to Lp16-PSP, with an IC50 value of 74.4 ± 1.07 µg/ml. The results of the present study suggest that Lp16-PSP may serve as a potential anticancer agent; however, further investigation is required to characterize this anticancer effect and to elucidate the molecular mechanism underlying the action of Lp16-PSP. [ABSTRACT FROM AUTHOR]

Cholangiocarcinoma (CCA) represents a clinically challenging disease with a dismal prognosis. A therapeutic plateau has been reached with traditional treatments. However, with immunotherapy advances in cancer therapy, integration of stereotactic body radiotherapy (SBRT) with anti-PD-1 antibody shows a synergistic effect and high clinical efficacy in many cancer types. This combination may represent a breakthrough in the treatment of this fatal malignancy. Here, we report four cases of refractory advanced intrahepatic or hilar cholangiocarcinoma that were successfully controlled with anti-PD-1 antibody following or concurrent with SBRT. Furthermore, one case was initially unresectable; however, following this novel combined therapy, it became operable. We discuss the challenges of developing predictive biomarkers for anti-PD-1 antibody responsiveness. We also consider the regulatory effect of SBRT on the tumor microenvironment and the potential advantages of this therapy combination for treatment of intrahepatic or hilar cholangiocarcinoma. These are important considerations and provide direction for future clinical trial designs. [ABSTRACT FROM AUTHOR]

Ovarian carcinoma (OV) is a lethal gynecological malignancy. Most OV patients develop resistance to platinum-based chemotherapy and recurrence. Peroxisome proliferator-activated receptors (PPARs) are the ligand activating transcription factor of the nuclear receptor superfamily. PPARs as important transcriptional regulators regulate important physiological processes such as lipid metabolism, inflammation, and wound healing. Several reports point out that PPARs can also have an effect on the sensitivity of tumor cells to platinum-based chemotherapy drugs. However, the role of PPAR-target related genes (PPAR-TRGs) in chemotherapeutic resistance of OV remains unclear. The present study is aimed at optimizing candidate genes by integrating platinum-chemotherapy expression data and PPAR family genes with their targets. The gene expression profiles were obtained from Gene Expression Omnibus (GEO) and The Cancer Genome Atlas (TCGA) database. A total of 4 genes (AP2A2, DOCK4, HSDL2, and PDK4) were the candidate differentially expressed genes (DEGs) of PPAR-TRGs with platinum chemosensitivity. After conducting numerous survival analyses using different cohorts, we found that only the upexpression of DOCK4 has important significance with the poor prognosis of OV patients. Meanwhile, DOCK4 is detected in plasma and enriched in neutrophil and monocyte cells of the blood. We further found that there were significant correlations between DOCK4 expression and the levels of CD4+ T cell infiltration, dendritic cell infiltration, and neutrophil infiltration in OV. In addition, we verified the expression level of DOCK4 in OV cell lines treated with platinum drugs and found that DOCK4 is potentially responsive to platinum drugs. In conclusion, DOCK4 is potentially associated with immune cell infiltration and represents a valuable prognostic biomarker in ovarian cancer patients. [ABSTRACT FROM AUTHOR]

The concept of minimum aberration (MA) is a well-accepted criterion for selecting good fractional factorial designs, in both unblocked and blocked designs with a single block variable. This paper extends the concept to blocked designs with multiple block variables and considers the construction of MA blocked designs with multiple block variables with respect to two wordlength patterns. By using a finite projective geometric approach, we obtain identities that govern the relationship between the blocking wordlength patterns of a general blocked design and a relatively small blocked design with the same block factors. Based on these identities, we establish the rules for finding MA designs with multiple block variables in terms of the relatively small blocked designs. Some MA blocked designs are tabulated. [ABSTRACT FROM AUTHOR]

Growth hormone (GH) secretion is related to many factors, such as weight and puberty, and the reproducibility of GH provocation tests is very poor. This study aimed to evaluate whether the triglyceride (TyG) index was associated with peak GH in children with short stature. This study included 1095 children with short stature divided into two groups based on peak GH level in GH provocation tests [GH deficiency (GHD) group = 733 children; non-GHD group = 362 children]. We found that the TyG index was significantly higher in the GHD group than in the non-GHD group (P < 0.001). A nonlinear relationship was detected between the TyG index and peak GH, whose point was 7.8. A significant negative association between the TyG index and peak GH was observed when the TyG index was greater than 7.8 (β − 2.61, 95% CI − 3.98, − 1.24; P < 0.001), whereas, the relationship between the TyG index and peak GH was not significant when the TyG index was lower than 7.8 (β 0.25, 95% CI − 1.68, 2.17; P = 0.799). There is a nonlinear relationship between the TyG index and peak GH, and a higher TyG index is associated with decreased peak GH in children with short stature. [ABSTRACT FROM AUTHOR]

Background: Elevated triglyceride (TG) levels are a biomarker for cardiovascular disease (CVD) risk. The correlation between serum uric acid (SUA) and TG concentrations in adults or obese children is well established. However, studies on SUA and TG in children with short stature are limited. Aim: To determine the relationship between SUA and TG levels in short children and adolescents. Method: This was a cross-sectional evaluation of a cohort of 1095 patients with short stature (720 males and 375 females). The related clinical characteristics, including anthropometric and biochemical parameters, were determined. Results: Smooth curve fitting, adjusted for potential confounders was performed, which indicated the existence of a non-linear relationship between these measures. Piecewise multivariate linear analysis revealed a significant positive relationship between SUA and TG at SUA concentrations over 7 mg/dL (β = 0.13, 95% CI: 0.05–0.22, P = 0.002) but no significant correlation at lower SUA levels (β = 0.01, 95% CI: 0.01–0.04, P = 0.799). Furthermore, a stratified analysis was performed to appraise changes in this relationship for different sexes and standard deviation levels of body mass index (BMI). The non-linear relationship remained consistent in males and females with BMI standard deviation scores (BMI SDS) ≥ 0, with inflection points of 6.71 mg/dL and 3.93 mg/dL, respectively. Within these two groups, SUA and TG levels showed a positive association when SUA levels were higher than the inflection point (β = 0.21, 95% CI: 0.11–0.31, P < 0.001 for males and β = 0.1, 95% CI: 0.03–0.17, P = 0.005 for females). However, a specific relationship was not observed at lower SUA levels. No significant relationships were found between SUA and TG levels in males and females with BMI SDS < 0. Conclusion: The present study identified the non-linear association of SUA and TG levels with short children and adolescents. This relationship was based on BMI status. This finding suggests that health status should be considered for short stature children with high SUA levels, especially in children with a high BMI standard deviation score. [ABSTRACT FROM AUTHOR]

In practice, fractional factorial split-plot (FFSP) designs are widely used when the levels of some factors are very difficult to change or control. The factors of an FFSP design are divided into two groups, the whole plot (WP) and subplot (SP) factors. When the WP factors are more important than SP factors, Wang et al. (2019) gave a new optimal criterion for selecting designs, that is, the minimum aberration of type WP (WP-MA). This article considers the construction of WP-MA FFSP designs by using the complementary sets as the main technical tool. The results are then applied to find optimal designs under the WP-MA criterion. Many useful designs are found and tabulated. • Some theoretical results of design construction are given. • Many useful designs are tabulated. [ABSTRACT FROM AUTHOR]

Objective. Delays in skeletal maturity are related to bone mass and fracture risk in children, but the factors that determine it are unknown. We aimed to identify the association between insulin-like growth factor-1 (IGF-1) and skeletal maturation before and after growth hormone (GH) treatment. Methods. In this retrospective cohort study, we observed 783 short children and adolescents, 229 of whom received GH therapy. Skeletal maturation was assessed based on the difference between bone age (BA) and chronological age (CA) (noted as BA-CA). Anthropometric data and laboratory values were measured, and BA was evaluated using the Greulich and Pyle method. Results. The delayed BA group was defined as BA ‐ CA < − 2 SD (n = 457), and the occurrence rate of BA delay was 58.37%. A nonlinear relationship was observed between the IGF-1 standard deviation score (IGF-1 SDS) and BA-CA before and after GH therapy. Before GH therapy, there was a significant positive association between the IGF-1 SDS and BA-CA when the IGF-1 level was greater than -2 SDS (β 0.17, 95% CI 0.08, 027; P < 0.001). However, we did not observe a significant relationship between the IGF-1 SDS and BA-CA when the IGF-1 level was lower than -2 SDS (β 0.07, 95% CI -0.12, 0.26; P = 0.454). After GH therapy, there was a significant positive association between the IGF-1 SDS and BA-CA when the IGF-1 level was lower than 2 SDS (β 0.20, 95% CI 0.12, 028; P < 0.001). However, we did not observe a significant relationship between the IGF-1 SDS and BA-CA when the IGF-1 level was greater than 2 SDS (β -0.03, 95% CI -0.33, 0.27; P = 0.866). Conclusion. BA is more delayed in short children and adolescents. There is a nonlinear relationship between IGF-1 and BA maturation in short children before and after GH treatment. These findings suggest that a low level of IGF-1 may contribute to BA delay in short children and adolescents. [ABSTRACT FROM AUTHOR]

Background: The growth hormone/insulin-like growth factor-1 (GH/IGF-1) axis is critical for the regulation of children's growth and development. Serum IGF-1 concentrations are usually low in individuals with idiopathic short stature (ISS) despite normal endogenous GH levels, and the associated underlying factors are unknown. This study aimed to explore the relationship between IGF-1 and hemoglobin (Hb) in children with ISS. Methods: A cross-sectional analysis was performed including 178 children and adolescents with ISS who were enrolled from March 2013 to February 2019. The related clinical and biochemical parameters were evaluated for each patient. Univariate analysis, smooth curve fitting and multivariate piecewise linear regression were performed. Result: The mean levels of IGF-1 standard deviation scores (SDS) and Hb were − 0.99 (− 1.60 - -0.09) and 131.81 ± 9.36 g/L, respectively. Univariate analysis displayed a significant positive association between Hb and IGF-1 SDS (P < 0.001). After adjusting for potential confounding factors, the positive relationship between Hb and IGF-1 SDS remained (P = 0.001). Furthermore, there was an inflection point for Hb in the curve. In a multivariate piecewise linear regression model, IGF-1 SDS was significantly positively associated with Hb when Hb concentrations were lower than 145 g/L (B 0.05; 95% CI 0.02, 0.07; P < 0.001). However, IGF-1 SDS decreased with increasing Hb levels when Hb concentrations were greater than 145 g/L (B -0.15; 95% CI -0.23, − 0.06; P = 0.001). Conclusion: This study demonstrated that Hb is associated with IGF-1 in Chinese children and adolescents with ISS. The levels of IGF-1 increased with the elevation of Hb, but when the concentration of Hb exceeded a certain range, with the increase of Hb, IGF-1 decreased instead. [ABSTRACT FROM AUTHOR]

A high‐performance NH2‐MIL‐88B(Fe)‐SA−V for the direct catalytic oxidation of benzene hydroxylation using hydrogen peroxide as the oxidant was designed and prepared. The synthesized material was characterized by scanning electron microscopy, x‐ray powder diffraction, flourier transform infrared spectroscopy and nitrogen adsorption‐desorption. The influence of different parameters on the catalytic performance of NH2‐MIL‐88B(Fe)‐SA−V for benzene hydroxylation was researched. Under optimized condition, the high yield of 22.2% and selectivity of 98.6% were obtained, while the pure NH2‐MIL‐88B(Fe) only gained the yield of 1.2%. Furthermore, the V/Fe3O4 catalyst was obtained by calcination of NH2‐MIL‐88B(Fe)‐SA−V in N2 for photocatalytic recycle, and the yield and selectivity of phenol were 20.2% and 98.2% respectively. And the V/Fe3O4 has good photocatalytic efficiency after several recycling tests in the acid reaction condition. [ABSTRACT FROM AUTHOR]