Genetic analysis of a Kaijiang duck conservation population through genome-wide scan

1. The Kaijiang duck is a native Chinese breed known for its excellent egg laying performance, killing-out percentage (88.57%), and disease resistance. The assessment of population genetic structure is the basis for understanding the genetics of indigenous breeds and for their protection and management.2. In this study, whole-genome sequencing was performed on 60 Kaijiang ducks to identify genetic variations and investigate the population structure. Homozygosity (ROH) analysis was conducted to assess inbreeding levels in the population.3. The study revealed a moderate level of inbreeding, indicated by an average inbreeding coefficient of 0.1043. This may impact the overall genetic diversity.4. Genomic Regions of Interest identified included 168 genomic regions exhibiting high levels of autozygosity. These regions were associated with processes including muscle growth, pigmentation, neuromodulation, and growth and reproduction.5. The significance of these pathways indicated their potential role in shaping the desirable traits of the Kaijiang duck. These findings provide insights into the genetic basis of the Kaijiang duck's desirable traits and can inform future breeding and conservation efforts.

[Clinical value of the implication of extracorporeal carbon dioxide removal in patients with acute respiratory distress syndrome]

Extracorporeal carbon dioxide removal (ECCO2R) is a respiratory support technique based on extra-pulmonary gas exchange, which can effectively remove carbon dioxide generated in-vivo, reducing the requirements of respiratory support from mechanical ventilation. With improvements in extracorporeal life support technologies and increasing clinical experience, ECCO2R has potential value in clinical application with acute respiratory distress syndrome (ARDS). This review article discusses the principles of ECCO2R, its relevant indications for ARDS, clinical evidence, existing issues, and future directions, aiming to provide more references for the application in ARDS.

Flexed elbow, abducted shoulder, forearm supinated (FABS) reconstruction from three-dimensional elbow MRI: diagnostic performance assessment in biceps head anatomy and pathology

AIM

To determine inter-reader analysis and diagnostic performance on digitally reconstructed virtual flexed, abducted, supinated (FABS) imaging from three-dimensional (3D) isotropic elbow magnetic resonance imaging (MRI).

MATERIALS AND METHODS

Six musculoskeletal radiologists independently evaluated elbow MRI images with virtual FABS reconstructions, blinded to clinical findings and final diagnoses. Each radiologist recorded a binary result as to whether the tendon was intact and if both heads were visible, along with a categorical value to the type of tear and extent of retraction in centimetres where applicable. Kappa and interclass correlation (ICC) were reported with 95% confidence intervals. Areas under the receiver operating curve (AUC) were reported.

RESULTS

FABS reconstructions were obtained successfully in all 48 cases. With respect to tendon intactness, visibility of both heads, and type of tear, the Kappa values were 0.66 (0.53-0.78), 0.24 (0.12-0.37), and 0.55 (0.43-0.66), respectively. For the extent of retraction, the ICC was 0.85 (0.79-0.91) when including the tendons with and without retraction and 0.78 (0.61-0.91) when only including tendons with retraction. For tear versus no tear, AUC values were 0.82 (0.74-0.89) to 0.96 (0.91-1.01).

CONCLUSION

Digital reconstruction of FABS positioning is feasible and allows good assessment of individual tendon head tears and retraction with high diagnostic performance.

Differential drought tolerance among dichondra (Dichondra repens) genotypes in relation to alterations in chlorophyll metabolism, osmotic adjustment, and accumulation of organic metabolites

Dichondra (Dichondra repens) is an important ground cover plant for landscaping and establishment of green space, but adaptive mechanism of drought tolerance is not well understood in this species. This study was conducted to compare differential response to drought stress among three genotypes (Dr5, Duliujiang, and Dr29) based on integrated physiological, ultrastructural, and metabolic assays. Results showed that drought significantly inhibited photosynthesis, accelerated lipids peroxidation, and also disrupted water balance and cellular metabolism in dichondra plants. Dr5 showed better photochemical efficiency of photosystem II and water homeostasis, less oxidative damage, and more stable chlorophyll metabolism than Duliujinag or Dr29 in response to drought stress. In addition, Dr5 accumulated more amino acids, organic acids, and other metabolites, which was good for maintaining better antioxidant capacity, osmotic homeostasis, and energy metabolism under drought stress. Drought tolerance of Duliujiang was lower than Dr5, but better than Dr29, which could be positively correlated with accumulations of sucrose, maltitol, aconitic acid, isocitric acid, and shikimic acid due to critical roles of these metabolites in osmotic adjustment and metabolic homeostasis. Current findings provide insights into understanding of underlying mechanism of metabolic regulation in dichondra species. Dr5 could be used as an important drought-tolerant resource for cultivation and water-saving breeding.

Genome-wide association analysis of neck ring traits in NongHua ma male ducks

1. Male NongHua ma ducks have more colourful feathers than females, especially considering that the former have a distinctive neck ring that is different from that of females. This ring development might be influenced by sex selection, the environment, genetics and other elements.2. Genome-wide association analysis (GWAS) was used to locate candidate genes that affect the neck ring formation of male ducks to investigate the genetic basis of this phenomenon.3. In this study, the neck ring area and width of 180 male ducks were assessed at ages 80, 90, 100, 110 and 120 d. GWAS was used to identify associated genes. There were 0, 7, 14, 48 and 21 possible candidate genes annotated around the 0, 12, 25, 76 and 40 SNP loci n corresponding regions. A total of 13 candidate genes were identified around 21 SNP sites at the neck ring width of 120 d.4. These significant genes were annotated and GO and KEGG enrichment analyses were performed. All SNPs that exceeded the significance threshold were annotated and preliminarily screened as candidate genes affecting neck ring formation. From analysis of gene function and enriched KEGG pathways, genes such as THSD1, SLC6A4, DGAT2, PRKDC, B3GAT2, ROR1, GRK7, EXTL3, TXNDC12, COL4A2, PRKG1, ACTR3, were considered important candidate marker sites related to the neck ring. This provided a reference starting point for the genetic mechanism underlying duck feather colour.

Combining the triglyceride-glucose index and glycated hemoglobin A1c to assess the risk of preeclampsia in women with normal glucose tolerance: a cross-sectional study

OBJECTIVE

This study aimed to explore the relationship between the triglyceride-glucose (TyG) index, glycated hemoglobin A1c (HbA1c), and preeclampsia in pregnant women without gestational diabetes mellitus (GDM).

PATIENTS AND METHODS

This retrospective study included pregnancies with normal oral glucose tolerance tests (OGTTs) from March 2018 to February 2019. During the second trimester, serum lipids, fasting plasma glucose (FPG), and HbA1c were measured, and OGTTs were performed. Participants were classified into four groups based on their TyG index and HbA1c levels. Logistic regression analysis was done to determine the odds ratios (ORs), and receiver operating characteristic (ROC) curve analysis was used to evaluate the ability of the TyG index and HbA1c to predict the risks of preeclampsia.

RESULTS

Patients with preeclampsia exhibited higher TyG index and HbA1c levels (all p < 0.001). The incidence of preeclampsia increased with elevated TyG index and HbA1c levels individually. Furthermore, the highest incidence of preeclampsia was observed when both the TyG index and HbA1c levels were elevated. ROC curve analysis revealed that the combined TyG index and HbA1c displayed an area under the curve (AUC) of 0.689 in predicting the risk of preeclampsia. Even after adjusting for potential confounding factors, the risk of developing preeclampsia remained significantly higher. These associations were especially prominent in women aged ≥ 35 years or those with a normal BMI.

CONCLUSIONS

The findings of this study indicate that increased TyG index and HbA1c levels are associated with a higher incidence and risk of preeclampsia in women with normal glucose tolerance during pregnancy. The TyG index and HbA1c levels may serve as potential markers for preeclampsia in individuals with normal OGTT results.

[Anticoagulation status and adherence in patients with atrial fibrillation hospitalized for ACS and the impact on 1-year prognosis: a multicenter cohort study]

Objective: For patients with atrial fibrillation (AF) complicated with acute coronary syndrome (ACS), both anticoagulant and antiplatelet therapy should be applied, but the use of anticoagulation therapy is still poor in these patients in China. The purpose of this study was to explore the status and adherence of antithrombotic therapy in AF patients with ACS and the impact on 1 year clinical outcomes. Methods: Patients with AF hospitalized for ACS were retrospectively included from 6 tertiary hospitals in China between July 2015 and December 2020. According to the use of anticoagulant drugs at discharge, patients were divided into two groups: anticoagulant treatment group and non-anticoagulant treatment group. Logistic regression model was used to analyze the main factors influencing the use of anticoagulant drugs in patients with atrial fibrillation complicated with ACS. Major adverse cardiac events (MACEs) were defined as all-cause death, non-fatal myocardial infarction or coronary revascularization, and ischemic stroke and Bleeding Academic Research Consortium (BARC) 3 bleeding events were also collected at 1 year after discharge. After propensity score matching, Cox proportional hazards models and Kaplan-Meier analysis were used to evaluate the effect of anticoagulant treatment and non-anticoagulant treatment on 1-year prognosis. The patients were divided into different groups according to whether anticoagulation was performed at discharge and follow-up, and the sensitivity of the results was analyzed. Results: A total of 664 patients were enrolled, and 273 (41.1%) were treated with anticoagulant therapy, of whom 84 (30.8%) received triple antithrombotic therapy, 91 (33.3%) received double antithrombotic therapy (single antiplatelet combined with anticoagulant), and 98 (35.9%) received single anticoagulant therapy. Three hundred and ninety-one (58.9%) patients were treated with antiplatelet therapy, including 253 (64.7%) with dual antiplatelet therapy and 138 (35.3%) with single antiplatelet therapy. After 1∶1 propensity score matching between the anticoagulant group and the non-anticoagulant group, a total of 218 pairs were matched. Multivariate logistic regression analysis showed that history of diabetes, HAS-BLED score≥3, and percutaneous coronary intervention were predictors of the absence of anticoagulant therapy, while history of ischemic stroke and persistent atrial fibrillation were predictors of anticoagulant therapy. At 1-year follow-up, 218 patients (79.9%) in the anticoagulant group continued to receive anticoagulant therapy, and 333 patients (85.2%) in the antiplatelet group continued to receive antiplatelet therapy. At 1-year follow-up, 36 MACEs events (13.2%) occurred in the anticoagulant group, and 81 MACEs events (20.7%) in the non-anticoagulant group. HR values and confidence intervals were calculated by Cox proportional risk model. Patients in the non-anticoagulant group faced a higher risk of MACEs (HR=1.802, 95%CI 1.112-2.921, P=0.017), and the risk of bleeding events was similar between the two group (HR=0.825,95%CI 0.397-1.715, P=0.607). Conclusions: History of diabetes, HAS-BLED score≥3, and percutaneous coronary intervention are independent factors for the absence of anticoagulant therapy in patients with AF complicated with ACS. The incidence of MACEs, death and myocardial infarction is lower in the anticoagulant group, and the incidence of bleeding events is similar between the two groups. The risk of bleeding and ischemia/thrombosis should be dynamically assessed during follow-up and antithrombotic regiments should be adjusted accordingly.

Overestimated nitrogen loss from denitrification for natural terrestrial ecosystems in CMIP6 Earth System Models

Denitrification and leaching nitrogen (N) losses are poorly constrained in Earth System Models (ESMs). Here, we produce a global map of natural soil ¹⁵N abundance and quantify soil denitrification N loss for global natural ecosystems using an isotope-benchmarking method. We show an overestimation of denitrification by almost two times in the 13 ESMs of the Sixth Phase Coupled Model Intercomparison Project (CMIP6, 73 ± 31 Tg N yr^-1), compared with our estimate of 38 ± 11 Tg N yr^-1, which is rooted in isotope mass balance. Moreover, we find a negative correlation between the sensitivity of plant production to rising carbon dioxide (CO₂) concentration and denitrification in boreal regions, revealing that overestimated denitrification in ESMs would translate to an exaggeration of N limitation on the responses of plant growth to elevated CO₂. Our study highlights the need of improving the representation of the denitrification in ESMs and better assessing the effects of terrestrial ecosystems on CO₂ mitigation.

Reshaping the Endogenous Electric Field to Boost Wound Repair via Electrogenerative Dressing

The endogenous electric field (EF) generated by transepithelial potential difference plays a decisive role in wound reepithelialization. For patients with large or chronic wounds, negative-pressure wound therapy (NPWT) is the most effective clinical method in inflammation control by continuously removing the necrotic tissues or infected substances, thus creating a proproliferative microenvironment beneficial for wound reepithelialization. However, continuous negative-pressure drainage causes electrolyte loss and weakens the endogenous EF, which in turn hinders wound reepithelialization. Here, an electrogenerative dressing (EGD) is developed by integrating triboelectric nanogenerators with NPWT. By converting the negative-pressure-induced mechanical deformation into electricity, EGD produces a stable and high-safety EF that can trigger a robust epithelial electrotactic response and drive the macrophages toward a reparative M2 phenotype in vitro. Translational medicine studies confirm that EGD completely reshapes the wound EF weakened by NPWT, and promotes wound closure by facilitating an earlier transition of inflammation/proliferation and guiding epithelial migration and proliferation to accelerate reepithelialization. Long-term EGD therapy remarkably advances tissue remodeling with mature epithelium, orderly extracellular matrix, and less scar formation. Compared with the golden standard of NPWT, EGD orchestrates all the essential wound stages in a noninvasive manner, presenting an excellent prospect in clinical wound therapy.

Reference intervals of systemic immune-inflammation index, neutrophil-to-lymphocyte ratio, lymphocyte-to-monocyte ratio, and platelet-to-lymphocyte ratio during normal pregnancy in China

OBJECTIVE

To observe the changes in systemic immune-inflammation index (SII), neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-monocyte ratio (LMR), and platelet-to-lymphocyte ratio (PLR) during normal pregnancy and establish appropriate reference intervals (RIs) for healthy pregnant women.

PATIENTS AND METHODS

This retrospective study was conducted from March 2018 to February 2019. Blood samples were collected from healthy pregnant and nonpregnant women. The complete blood count (CBC) parameters were measured, and SII, NLR, LMR, and PLR were calculated. RIs were established using the 2.5th and 97.5th percentile of the distribution. Besides, the differences in CBC parameters between three pregnant trimesters and maternal ages were also compared to assess their influences on each indicator.

RESULTS

SII and NLR in three pregnant trimesters increased in pregnant women, and the upper limit of SII and NLR in trimester 2 showed the highest value. On the contrary, LMR decreased in all three pregnant trimesters compared with nonpregnant women, and the values of LMR and PLR showed a gradual downward trend along with the trimesters. Besides, RIs of SII, NLR, LMR, and PLR during different trimesters in different age partitions showed that the values of SII, NLR, and PLR increased with age in a general trend, while LMR showed the opposite trend (p < 0.05).

CONCLUSIONS

The SII, NLR, LMR, and PLR showed dynamic changes during pregnant trimesters. RIs of SII, NLR, LMR, and PLR for healthy pregnant women according to pregnant trimesters and maternal age were established and validated in this study, which will promote the standardization of clinical application.

Quantifying Methane Emissions from Aquaculture Ponds in China

Small ponds are important methane (CH₄) sources. However, current estimates of CH₄ emissions from aquaculture ponds are largely uncertain due to data paucity, especially in China─the largest aquaculture producer in the world. Here, we present a nationwide metadata analysis with a database of 55 field observations to examine total CH₄ emissions from aquaculture ponds in China. We found that the annual CH₄ fluxes from aquaculture ponds are much larger than those from reservoirs and lakes. The total CH₄ emission from aquaculture ponds is 1.60 ± 0.62 Tg CH₄ yr^-1, with an average growth rate of ∼0.03 Tg CH₄ yr^-2 during the period 2008-2019. Compared with global major protein-producing livestocks, aquaculture species have a lower (63%) emission intensity, defined by the amount of CH₄ emitted per unit of animal proteins. Our study highlights the essential contribution of China's aquaculture ponds to national CH₄ emissions and the lower environmental cost of the aquaculture sector for future animal protein production. More field measurements with multi-scale observations are urgently needed to reduce the uncertainty of CH₄ emissions from aquaculture ponds.

Matching Mechanism of Charge Excitation Circuit for Boosting Performance of a Rotary Triboelectric Nanogenerator

The triboelectric nanogenerator (TENG) as an ideal low-frequency mechanical energy harvester has received extensive attention, while low output charge density limits its application. A charge excitation strategy is one of the techniques to effectively improve the surface charge density of the TENG. However, there is little in-depth research on the matching factors between the TENG and excitation circuit. Herein, a soft-contact charge excitation rotary TENG (SCER-TENG) is developed to explore the matching mechanism of different charge excitation strategies. The total output power transferred by the voltage-multiplying circuit (VMC) is 2.13 times that of the full-wave bridge rectifier, which effectively improves the output performance of the SCER-TENG. Moreover, through the established capacitor model and the theoretically calculated maximum output charge of the SCER-TENG with VMC and Zener diodes (VMC-Z), it is found that the output of the Main TENG is mainly affected by capacitors and Zener diodes. The theories have been verified by experiments. After optimization, the output charge of the Main TENG with VMC-Z (1.54 μC) is 3850% higher than that without excitation (0.04 μC). The SCER-TENG successfully harvests low-speed (2.5 m s^-1) wind energy to form a self-powered system. This work has crucial instructive implications for using charge excitation strategies to improve the performance of the rotary TENG.

Ultrahigh Performance Triboelectric Nanogenerator Enabled by Charge Transmission in Interfacial Lubrication and Potential Decentralization Design

Triboelectric nanogenerator (TENG) is a promising strategy for harvesting low frequency mechanical energy. However, the bottlenecks of limited electric output by air/dielectric breakdown and poor durability by material abrasion seriously restrict its further improvement. Herein, we propose a liquid lubrication promoted sliding mode TENG to address both issues. Liquid lubrication greatly reduces interface material abrasion, and its high breakdown strength and charge transmission effect further enhance device charge density. Besides, the potential decentralization design by the voltage balance bar effectively suppresses the dielectric breakdown. In this way, the average power density up to 87.26 W·m-2·Hz-1, energy conversion efficiency of 48%, and retention output of 90% after 500,000 operation cycles are achieved, which is the highest average power density and durability currently. Finally, a cell phone is charged to turn on by a palm-sized TENG device at 2 Hz within 25 s. This work has a significance for the commercialization of TENG-based self-powered systems.

Gridded maps of wetlands dynamics over mid-low latitudes for 1980–2020 based on TOPMODEL

Dynamics of global wetlands are closely linked to biodiversity conservation, hydrology, and greenhouse gas emissions. However, long-term time series of global wetland products are still lacking. Using a diagnostic model based on the TOPography-based hydrological MODEL (TOPMODEL), this study produced an ensemble of 28 gridded maps of monthly global/regional wetland extents (with more reliable estimates at mid-low latitudes) for 1980–2020 at 0.25° × 0.25° spatial resolution, calibrated with a combination of four observation-based wetland data and seven gridded soil moisture reanalysis datasets. The gridded dynamic maps of wetlands capture the spatial distributions, seasonal cycles, and interannual variabilities of observed wetland extent well, and also show a good agreement with independent satellite-based terrestrial water storage estimates over wetland areas. The long temporal coverage extending beyond the era of satellite datasets, the global coverage, and the opportunity to provide real-time updates from ongoing soil moisture data make these products helpful for various applications such as analyzing the wetland-related methane emission.

Measurement(s)	wetland area
Technology Type(s)	computational modeling technique
Factor Type(s)	geographic location • temporal interval
Sample Characteristic - Environment	land
Sample Characteristic - Location	global

Trade-off between tree planting and wetland conservation in China

Trade-offs between tree planting programs and wetland conservation are unclear. Here, we employ satellite-derived inundation data and a process-based land surface model (ORCHIDEE-Hillslope) to investigate the impacts of tree planting on wetland dynamics in China for 2000–2016 and the potential impacts of near-term tree planting activities for 2017–2035. We find that 160,000–190,000 km² (25.3–25.6%) of historical tree planting over wetland grid cells has resulted in 1,300–1,500 km² (0.3–0.4%) net wetland loss. Compared to moist southern regions, the dry northern and western regions show a much higher sensitivity of wetland reduction to tree planting. With most protected wetlands in China located in the drier northern and western basins, continuing tree planting scenarios are projected to lead to a > 10% wetland loss relative to 2000 across 4–8 out of 38 national wetland nature reserves. Our work shows how spatial optimization can help the balance of tree planting and wetland conservation targets.

Afforestation and reforestation programs aimed at enhancing carbon sequestration may have unintended effects on non-forest ecosystems and biodiversity. Here the authors use remote sensing and land surface modelling to quantify trade-offs between tree planting and wetland conservation in China

[Primary ovarian squamous cell carcinoma: clinicopathological features and prognostic analysis of fifteen cases]

Objective: To assess the clinical features and treatment outcomes in patients with primary ovarian squamous cell carcinoma (POSCC). Methods: Fifteen patients with primary ovarian squamous cell carcinoma diagnosed from January 2009 to December 2018 in Cancer Hospital of the University of Chinese Academy of Sciences were collected. The expression of p16, hMLH1, hMSH2, hMSH6 and PMS2 in POSCC was detected by immunohistochemistry, and the status of high-risk human papillomavirus (HPV) by RNAscope test. Results: Squamous cell carcinoma with different degrees of differentiation was found in 15 cases, including three cases with high differentiation and 12 cases with medium to low differentiation. There were four cases with in situ squamous cell carcinoma, four cases with teratoma, one case with endometrial carcinoma/atypical hyperplasia, and one case with endometriosis. p16 was expressed in five cases (5/15), indicating coexisting high-risk HPV infection. There was no high-risk HPV infection in the remaining 10 cases, and p16 staining was negative. There was no deficient mismatch repair protein in all cases. The overall survival time (P=0.038) and progression free survival (P=0.045) of patients with high-risk HPV infection were longer than those without HPV infection. Conclusions: POSCC is more commonly noted in postmenopausal women and often occurs unilaterally. Elevated serological indexes CA125 and SCC are the most common finding. Morphologically, the tumors show variable degrees of differentiation, but the current data suggest that the degree of differentiation cannot be used as an independent prognostic index. High-risk HPV infection may be associated with the occurrence of POSCC, and that the prognosis of POSCC patients with HPV infection is better than that of patients without infection.

[Meta analysis on acceptance rate of HIV pre-exposure prophylaxis among men who have sex with men in China]

Objective: To systematically evaluate the acceptance of pre-exposure prophylaxis (PrEP)among men who have sex with men (MSM) in China, so as to provide reference for the promotion of preventive drug use before human immunodeficiency virus exposure in China. Methods: By searching the databases of China national knowledge infrastructure, VIP database, Wanfan knowledge service platform, PubMed, Web of Science, Embase and The Cochrane Library with key words of "men who have sex with men" "pre-exposure prophylaxis" "PrEP" and "MSM". The literature on the willingness of Chinese MSM population to accept PrEP was systematically collected, and the data of the literature meeting the inclusion criteria were extracted for Meta analysis. Results: A total of 12 articles were selected in this study, including 6 articles in English and 6 in Chinese. The score of bias risk assessment of eligible articles was 14-18, which was more than 70% of the total score. The total number of samples was 11 269. The overall acceptance rate of PrEP was 0.77(95%CI:0.71-0.82). In subgroup analysis, the acceptance rates of different nationalities, marriage, household registration, age, education background, income, sexual orientation, sexual behavior and awareness of PrEP were statistically significant. Conclusion: In general, the acceptance rate of PrEP in MSM population is higher, but the awareness rate is low. There are differences in the acceptance rate among different groups.

Stimulation of ambient energy generated electric field on crop plant growth

Eco-friendly technologies are of great significance to agricultural sustainability due to the environmental damage caused by agricultural activities. Here, we report a wind and rain energy-driven electrical stimulation system for enhancing crop production. The system is based on an all-weather triboelectric nanogenerator (AW-TENG), which is composed of a bearing-and-hair structured triboelectric nanogenerator (TENG) and a raindrop-driven TENG. Treated by the self-generated high-voltage electric field, the system can increase pea seeds germination speed by ~26.3% and pea yield by ~17.9%. By harvesting environmental wind and raindrop energy, the AW-TENG can be used to drive various agricultural sensors for optimizing plant growth. This work provides a fresh direction for self-powered systems in safe, efficient and eco-friendly agricultural production improvement and may profoundly contribute to the construction of a sustainable economy.

Enhanced electrochemical performance in an aluminium doped δ-MnO2 supercapacitor cathode: experimental and theoretical investigations

One of the biggest challenges faced by the layered manganese oxide MnO₂ used as a supercapacitor cathode is the capacity fading caused by chemo-mechanical degradation and/or structural transformation occurring in the discharging/charging process. Here, based on systematical experimental measurements and theoretical calculations, we show that both the stability and rate performance of the δ-MnO₂ supercapacitor cathode can be significantly enhanced by Al doping. Compared with pure δ-MnO₂, Al doping (δ-Al_0.06MnO₂) clearly improves the specific capacitance (7% enhancement at 0.1 mA cm^-2) and cycling stability (12% enhancement after 5000 cycles) simultaneously. These improvements can be attributed to the enhanced electronic transport and formation of more active sites, which are introduced by Al doping. Additionally, our calculations demonstrate that the doped systems (Al atoms located at Mn or O sites) show smaller surface energies than that of pure δ-MnO₂, which hinders side reactions or structure transformations and leads to a better cycling lifetime. Our work gives a comprehensive understanding of the impacts on the performance of δ-MnO₂ introduced by Al doping, and provides a feasible scheme to study the electrochemical mechanism of metal-doped δ-MnO₂.

Transcriptome analysis of oviduct in laying ducks under different stocking densities

1. High stocking densities can lead to animal stress responses and lead to changes in bird behaviour, egg production and the fertility of laying birds. The oviduct plays a crucial role during the process of laying eggs. Therefore, it is essential to know how high stocking density affects oviduct function.2. In this study, a total of 2,115 differentially expressed genes (DEGs) were identified in duck oviduct tissues between different stocking density groups. These genes are mainly enriched in membrane components, calcium ion binding, cytokine-cytokine receptor interaction and focal adhesion. These pathways were closely related to the formation of eggs. This indicated that secretion and material transport functions of the oviduct are affected under high-density stocking. Further analysis showed that a total of 408 genes related to the transportation process were expressed in the oviduct, of which 96 genes were differentially expressed (LogFC≥1, P < 0.05). Forty-two of these DEGs belonged to the solute carrier family. The data showed that the expression of 31 transcripts was different between the two density groups. Expression of KCNJ15, SLC26A8, and TRPM5 was only seen in the high-density group (8/m²), while ATP13A3 and KCNIP2 were only expressed in the low-density group (4/m²).3. Consequently, high stocking density may affect the expression and splicing of genes related to molecular transport in the oviduct.

Zn induced NiCo composites modified by carbon materials as a battery-type electrode material for high-performance supercapacitors

The development of simple preparation and excellent capacity performance electrode materials is the key to energy conversion and storage for supercapacitors. Based on the growth mechanism of crystal, Zn induced NiCo nanosheets and nanoneedles composite structure deposed on Ni foam (ZNC) are successfully attained by a facile one-step method, the growth mechanism of the composite structure is further discussed. Because of its unique composites structure and additional modification of carbon, the carbon modified ZNC (ZNC@C) delivers better energy storage ability (2280 mC cm^-2at 2 mA cm^-2) compare to ZNC. An asymmetric supercapacitor (ASC) is assembled by ZNC@C as the positive electrode and carbonized popcorn as the negative electrode. The ASC exhibits good energy storage performance. Zn also positively affects the adsorption energy to enhance the capacitance property based on Density Functional theory calculation. The simple method for the composite structure by tuning the kinetics behaver of the crystal can provide a new strategy in synthesizing the materials, and the material with a unique structure and high performance will have potential applications in the field of energy storage.

MRI Evaluation of the Normal and Abnormal Endolymphatic Duct in the Pediatric Population: A Comparison with High-Resolution CT

BACKGROUND AND PURPOSE

An enlarged vestibular aqueduct is the most commonly reported imaging abnormality in children with sensorineural hearing loss. MR imaging is often used to evaluate pediatric sensorineural hearing loss; however, there are no well-established size criteria on MR imaging to diagnose an enlarged endolymphatic duct. The first purpose of the study was to determine a range of normal endolymphatic duct sizes on MR imaging and compare it with that in high-resolution CT. The second purpose was to assess the sensitivity and specificity of MR imaging in diagnosing an enlarged endolymphatic duct in patients with an enlarged vestibular aqueduct on CT.

MATERIALS AND METHODS

Endolymphatic duct midaperture measurements were analyzed in 52 patients with no history of sensorineural hearing loss. Comparison of CT and MR imaging was made in a second cohort of 41 patients with a normal midaperture width on CT. The sensitivity and specificity of MR imaging were then evaluated in a third cohort of 24 patients with a documented enlarged vestibular aqueduct on CT.

RESULTS

In 94 ears, normal endolymphatic duct midaperture measurements ranged from 0 to 0.9 mm on MR imaging. A significant correlation (P <.001) and moderate agreement were found between CT and MR imaging in 81 ears with a normal vestibular aqueduct on CT. Twenty-four patients had bilateral (n = 14) or unilateral (n = 10) enlarged vestibular aqueducts on CT, and the sensitivity and specificity of MR imaging were 97% and 100%, respectively, for a diagnosis of an enlarged endolymphatic duct.

CONCLUSIONS

MR imaging measurements of the normal endolymphatic duct are similar to those established for CT. MR imaging is a useful tool for the diagnosis of enlarged vestibular aqueduct.

Protective effect of dexmedetomidine on neuronal hypoxic injury through inhibition of miR-134

OBJECTIVE

To explore the mechanism of dexmedetomidine (DEX)-mediated miR-134 inhibition in hypoxia-induced damage in PC12 cells.

METHODS

Hydrogen peroxide (H₂O₂)-stimulated PC12 cells were divided into control, H₂O₂, DEX + H₂O₂, miR-NC/inhibitor + H₂O₂, and miR-NC/ mimic + DEX + H₂O₂ groups. Cell viability and apoptosis were assessed by the 3-(4,5-dimethylthiazol(-2-y1)-2,5-diphenytetrazolium bromide (MTT) assay and Annexin V-FITC/PI staining, while gene and protein expression levels were detected by qRT-PCR and western blotting. Reactive oxygen species (ROS) levels were tested by 2',7'-dichlorodihydrofluorescein diacetate (DCFH-DA) staining, and malondialdehyde (MDA) content was determined with a detection kit.

RESULTS

DEX treatment decreased H₂O₂-elevated miR-134 expression. H₂O₂-induced PC12 cell damage was improved by DEX and miR-134 inhibitor; additionally, cell viability was increased, while cell apoptosis was reduced. In addition, both DEX and miR-134 inhibitor reduced the upregulated expression of cleaved caspase-3 and increased the downregulated expression of Bcl-2 in H₂O₂-induced PC12 cells. However, compared to that in the DEX + H₂O₂ group, cell viability in the mimic + DEX + H₂O₂ group was decreased, and the apoptotic rate was elevated with increased cleaved caspase-3 and decreased Bcl-2 expression. Inflammation and oxidative stress were increased in H₂O₂-induced PC12 cells but improved with DEX or miR-134 inhibitor treatment. However, this improvement of H₂O₂-induced inflammation and oxidative stress induced by DEX in PC12 cells could be reversed by the miR-134 mimic.

CONCLUSION

DEX exerts protective effects to promote viability and reduce cell apoptosis, inflammation, and oxidative stress in H₂O₂-induced PC12 cells by inhibiting the expression of miR-134.

Dental Services and Health Outcomes in the New York State Medicaid Program

Previous reports suggest that periodontal treatment is associated with improved health care outcomes and reduced costs. Using data from the New York State Medicaid program, rates of emergency department (ED) use and inpatient admissions (IPs), as well as costs for ED, IPs, pharmacy, and total health care, were studied to determine the association of preventive dental care to health care outcomes. Utilization of dental services in the first 2 y (July 2012-June 2014) was compared to health care outcomes in the final year (July 2014-June 2015). Costs and utilization for members who did not receive dental services (No Dental) were compared to those who received any dental care (Any Dental), any preventive dental care (PDC), PDC without an extraction and/or endodontic treatment (PDC without Ext/Endo), PDC with an Ext/Endo (PDC with Ext/Endo), or Ext/Endo without PDC (Ext/Endo without PDC). Propensity scores were used to adjust for potential confounders. After adjustment, ED rate ratios were significantly lower for PDC and PDC without Ext/Endo but higher for the Any Dental and Ext/Endo without PDC. IP ratios were lower for all treatment groups except Ext/Endo without PDC. ED costs differed little compared to the No Dental group except for Ext/Endo without PDC. For IPs, costs per member were significantly lower for all groups (-$262.91 [95% confidence interval (CI), -325.40 to -200.42] to -$379.82 [95% CI, -451.27 to -308.37]) except for Ext/Endo without PDC. For total health care costs, Ext/Endo without PDC had a significantly greater total health care cost ($530.50 [95% CI, 156.99-904.01]). Each additional PDC visit was associated with a 3% reduction in the relative risk for ED and 9% reduction for IPs. Costs also decreased for total health care (-$235.64 [95% CI, -299.95 to -171.33]) and IP (-$181.39 [95% CI, -208.73 to -154.05]). In conclusion, an association between PDC and improved health care outcomes was observed, with the opposite association for Ext/Endo without PDC.

Metabolomic evaluation of serum metabolites of geese reared at different stocking densities

1. Stocking density is an issue for poultry production. High stocking density can impact biochemical parameters, production, and reproductive performance; however, information regarding the effects of stocking density on serum metabolites in geese is limited.2. Twenty-day-old, Sanhua male geese (n = 240) were allocated to one of two experimental groups for 50 days. One group was housed under a low stocking density (LSD; two birds per m²) and one under a high stocking density (HSD; five birds per m²). Body weight and feed intake were recorded every 10 d. Eight serum samples per group were used for metabonomic analysis by liquid chromatography-mass spectrometry.3. Stocking density did not affect the spleen, liver, thymus, or bursa of Fabricius weights after 50 d. Feed intake and body weight was significantly lower in geese from the HSD group versus the LSD group (P < 0.05). Thirty-six differential serum metabolites were identified (P < 0.05), indicating altered amino acid, carbohydrate, lipid and vitamin cofactor metabolism.4. The results demonstrated that high-density stocking impacts geese, and provides insights into the mechanisms underlying the adverse health effects associated with HSD.

High performance of filter capacitor based on nitrogen-doped carbon nanotube supercapacitor

The high-performance filter capacitor is a hot research topic in the field of filter circuits for flexible and wearable devices, whereas traditional aluminum electrolytic capacitors still experience widespread problems in terms of large error factors and poor stability. To avoid these disadvantages, in this work, we have developed a liquid dual-layer supercapacitor (SC). When it is employed as the filter capacitor in a filter circuit, any waveform signal can be transformed into a linear signal. The maximum fluctuation of the output signal is less than 16 mV; the SC also demonstrates excellent filtering stability in a frequency range of 1 ∼ 100 000 Hz, as well as an amplitude window of 0 ∼ 10 V. In this framework, our filter SC demonstrates unparalleled processing properties, and can greatly improve the stability and extend the lifetime of the entire electronic circuit. The fact that the requirements of high-end electronic products can be fulfilled due to the contribution of this filter SC are particularly significant.

Prevalence and Incidence of Microhemorrhages in Adolescent Football Players

BACKGROUND AND PURPOSE

SWI is an advanced imaging modality that is especially useful in cerebral microhemorrhage detection. Such microhemorrhages have been identified in adult contact sport athletes, and the sequelae of these focal bleeds are thought to contribute to neurodegeneration. The purpose of this study was to utilize SWI to determine whether the prevalence and incidence of microhemorrhages in adolescent football players are significantly greater than those of adolescent noncontact athletes.

MATERIALS AND METHODS

Preseason and postseason SWI was performed and evaluated on 78 adolescent football players. SWI was also performed on 27 adolescent athletes who reported no contact sport history. Two separate one-tailed Fisher exact tests were performed to determine whether the prevalence and incidence of microhemorrhages in adolescent football players are greater than those of noncontact athlete controls.

RESULTS

Microhemorrhages were observed in 12 football players. No microhemorrhages were observed in any controls. Adolescent football players demonstrated a significantly greater prevalence of microhemorrhages than adolescent noncontact controls (P = .02). Although 2 football players developed new microhemorrhages during the season, microhemorrhage incidence during 1 football season was not statistically greater in the football population than in noncontact control athletes (P = .55).

CONCLUSIONS

Adolescent football players have a greater prevalence of microhemorrhages compared with adolescent athletes who have never engaged in contact sports. While microhemorrhage incidence during 1 season is not significantly greater in adolescent football players compared to adolescent controls, there is a temporal association between playing football and the appearance of new microhemorrhages.

Flexible piezoelectric nanogenerators based on a CdS nanowall for self-powered sensors

Wurtzite-structured CdS material is widely used in information sensing and energy harvesting. Based on the piezoelectric property of CdS, we present a flexible piezoelectric nanogenerator (PENG) with three-dimensional-structured CdS nanowall arrays. Under index finger oscillations at a slow rate, the maximal open-circuit voltage and short-circuit current are 1.2 V and 6 nA respectively. Meanwhile, the working mechanism of this PENG was successfully studied with piezoelectric potential distribution and energy band theory respectively. All of the results show that an increase in the bending degree and bending frequency will affect the output of the PENG, suggesting that it can be used as a flexible sensor. In addition, the fabricated PENG can be used as a self-powered pressure sensor relying on the linear relationship between the output voltage and the vertical pressure. This work may provide a new approach to fabricating piezoelectric nanogenerators based on three-dimensional materials as an energy harvester, which may also facilitate the development of flexible and wearable electric sensing technology.

Carbon Dot-Based Composite Films for Simultaneously Harvesting Raindrop Energy and Boosting Solar Energy Conversion Efficiency in Hybrid Cells

Energy harvesting has drawn worldwide attention as a sustainable technology, while combining several approaches in a single device to maximize the overall energy output holds great promise to offer valuable technologies able to alleviate the energy crisis. Here, we present a hybrid cell composed of a silicon solar cell and a water-droplet-harvesting triboelectric nanogenerator (WH-TENG) with the capacity of harvesting both solar and raindrop energies. A transparent and solution processable carbon dot-based composite film is introduced as a dual-functional layer, acting as the transmittance enhancement layer of the solar cell as well as an ionic conductor of the WH-TENG. At an optimal loading of carbon dots in the composite, the significant enhancement of transmittance in visible spectral range increases the short-circuit current density of the solar cell, which results in an increase of its power conversion efficiency from 13.6% to 14.6%. In addition, the transparent WH-TENG consisting of fluorinated ethylene propylene as a triboelectrification layer can generate a maximum power of 13.9 μW by collecting raindrop energy. This study provides a promising strategy to boost the energy conversion through multiple sources with the aid of a dual-functional layer for enhancing solar cell performance as well as harvesting raindrop energy.

Metabolomic profiling of goslings with visceral gout reveals a distinct metabolic signature

1.The objective of the experiment was to analyse serum profiles of goslings with visceral gout and compare them with those of healthy individuals to identify differentially-abundant metabolites as potential biomarkers. 2.Untargeted gas chromatography and time-of-flight mass spectrometry (GC-TOF-MS) metabolomic profiling was used to compare the serum metabolome of 15 goslings (Anser cygnoides) with gout and 15 healthy goslings (control). 3.Goslings with gout had a metabolic profile distinct from that of the controls, with 45 metabolite levels differing significantly (VIP > 1; P < 0.05) between both groups. Nine metabolites (hydrocortisone, glucose, trans-4-hydroxy-L-proline, galactose, 2-deoxy-D-galactose, beta-mannosylglycerate, d-glucoheptose, zymosterol, and hypoxanthine) were selected through receiver operating characteristics (ROC) analysis (area under curve (AUC) score ≥0.85) as potential biomarkers. Pathway analysis revealed that metabolites with differing levels were mainly involved in galactose, arginine and proline and purine metabolisms. 4.These results provided new insights into the pathogenesis of gout. Increased xanthine and hypoxanthine with decreased hydrocortisone provide promising biomarkers for gosling gout diagnosis. The findings suggested that hepatic metabolic disorders frequently occur in the development of avian gout.

Clinical trial for conventional medicine integrated with traditional Chinese medicine (TCM) in the treatment of patients with chronic kidney disease

BACKGROUND

The prevalence of chronic kidney disease (CKD) has been rapidly increasing and has become one of the most concerned global health problems. It is of good importance to improve therapeutic efficiency of CKD and delay disease progression to end stage renal disease (ESRD). Traditional Chinese Medicine (TCM) is a widely used complementary therapy for patients with CKD. The aim of this study is to evaluate whether basic treatment combined with Chinese herbs mixture Qi Gui Yi Shen decoction could achieve better therapeutic effect on CKD patients.

METHODS

To determine whether traditional Chinese medicine Qi Gui Yi Shen decoction could achieve better therapeutic effect, we will conduct a randomized controlled trial. A total of 100 CKD patients that meet the inclusion criteria will be enrolled and divided into 2 groups: Qi Gui Yi Shen group (QGYS group) and placebo group. Each group will receive 6-monthly basic treatment in combination with TCM or placebo 3 times per day. Efficacy of Qi Gui Yi Shen decoction is evaluated by analyzing renal function and TCM symptoms, other efficacy assessments include serum level of PAI-I, expression of transforming growth factor beta1 (TGF-beta1). Routine blood count, plasma albumin (ALB), and alanine transaminase (ALT) are evaluated as side effect and safety profile.

DISCUSSION

The results from the clinical trial will provide evidence for the effectiveness and safety of Qi Gui Yi Shen Decoction as a treatment for CKD patients. Furthermore, this will propose a new theory and method for CKD treatment.

TRIAL REGISTRATION

Registered with Chinese Clinical Trials Registry at www.chictr.org. (Registration number: ChiCTR1900021622) on 1 March 2019.

Switched-capacitor-convertors based on fractal design for output power management of triboelectric nanogenerator

Owing to the advantages of integration and being magnet-free and light-weight, the switched-capacitor-convertor plays an increasing role compared to traditional transformer in some specific power supply systems. However, the high output impedance and switching loss largely reduces its power efficiency, due to imperfect topology and transistors. Herein, we propose a fractal-design based switched-capacitor-convertors with characteristics including high conversion efficiency, minimum output impedance, and electrostatic voltage applicability. As a double-function output power management system for triboelectric nanogenerators, it delivers over 67 times charge boosting and 954 W m-2 power density in pulse mode, and achieves over 94% total energy transfer efficiency in constant mode. The establishment of the fractal-design switched-capacitor-convertors provides significant guidance for the development of power management toward multi-functional output for numerous applications. The successful demonstration in triboelectric nanogenerators also declares its great potential in electric vehicles, DC micro-grids etc.

Quantifying contact status and the air-breakdown model of charge-excitation triboelectric nanogenerators to maximize charge density

Surface charge density is the key factor for developing high performance triboelectric nanogenerators (TENG). The previously invented charge excitation TENG provides a most efficient way to achieve maximum charge output of a TENG device. Herein, criteria to quantitatively evaluate the contact efficiency and air breakdown model on charge excitation TENG are established to enhance and evaluate charge density. The theoretical results are further verified by systematic experiments. A high average charge density up to 2.38 mC m-2 is achieved using the 4 μm PEI film and homemade carbon/silicone gel electrode in ambient atmosphere with 5% relative humidity. This work also reveals the actual charge density (over 4.0 mC m-2) in a TENG electrode based on quantified surface micro-contact efficiency and provides a prospective technical approach to improve the charge density, which could push the output performance of TENG to a new horizon.

Polydirectional Microvibration Energy Collection for Self-Powered Multifunctional Systems Based on Hybridized Nanogenerators

Vibrations in the environment are usually distributed over a wide frequency spectrum in multiple directions and a weaker amplitude, which makes most of the current vibrational energy collectors limited in practical environmental applications. Herein, a triboelectric-electromagnetic hybridized nanogenerator (TEHG) for low-frequency random microvibrational energy harvesting in all directions and a wide working bandwidth is fabricated. The output peak power of a triboelectric nanogenerator (TENG) up to 3.65 mW is realized (θ = 0.4 rad, f = 1 Hz). In addition, a real self-powered seawater splitting system and electrochemical cathodic protection system are fabricated, directly converting blue energy to hydrogen energy, and the ships can achieve self-protection against corrosion. Furthermore, relying on the linear relationship between the number of peaks and the amplitude of vibration, a highly sensitive self-powered vibration amplitude sensor system based on LabVIEW software is achieved, which can be used as an amplitude detection of bridges and earthquake monitoring, etc. This work is an important development for harvesting low-frequency random multiple direction microvibrational energy over a wide working bandwidth and the bright future of blue energy. In addition, it has been successfully applied to the power supply of portable electronic equipment, environmental monitors, and self-powered systems.

Ag-modified Fe2O3 nanoparticles on a carbon cloth as an anode material for high-performance supercapacitors

By exploiting the storage performance of supercapacitors, iron has the potential to be used as a new anode material. However, this potential is limited by unsatisfactory electrical conductivity and poor cycling stability which impact the energy and power density. Consequently a foundation for improving the electrical conductivity and cycling stability of iron materials to obtain good storage performance is needed. In this work, Ag-modified Fe₂O₃ nanoparticles on carbon cloth were synthesized as an anode material for supercapacitors. The specific capacitance of the composite material reaches 10.39 F cm^-2 (2734.2 F g^-1) at a current density of 1 mA cm^-2 and remains at 83% of this value after 12 000 cycles. The energy density is 379.8 Wh kg^-1 at a power density of 131.6 W kg^-1 and remains at 123.9 Wh kg^-1 at a power density of 2631.6 W kg^-1. The electrical conductivity and interfacial effect created between Ag@Fe₂O₃ is confirmed with density functional theory calculations. The packaged asymmetric supercapacitor devices have flexibility and can light ten LEDs for 2 min 30 s, with an energy density of 60.3 Wh kg^-1 that can be reached at a power density of 1063.8 W kg^-1 and remain at 16 Wh kg^-1 even at a power density of 4255.3 W kg^-1.

Effect of imatinib on DOCA-induced myocardial fibrosis in rats through P38 MAPK signaling pathway

OBJECTIVE

To explore the role of imatinib in desoxycorticosterone acetate (DOCA)-induced myocardial fibrosis in rats by the p38 mitogen-activated protein kinase (MAPK) signaling pathway.

MATERIALS AND METHODS

Normal group (n=20), DOCA induction group (n=20), and imatinib treatment group (treatment group, n=20) were set up. Then, the cardiac function was examined via magnetic resonance imaging (MRI) and echocardiography (ECG) on the 21st d after modeling. Alkaline phosphatase (ALP) and myocardial function index creatine kinase-MB (CK-MB) were detected. The enzyme-linked immunosorbent assay (ELISA) was performed to measure tumor necrosis factor-gamma (TNF-γ) and interleukin-6 (IL-6). Hematoxylin-eosin (HE) staining assay was carried out to observe the pathological changes in myocardial tissues. Quantitative Polymerase Chain Reaction (qPCR) and Western blotting were employed to measure the expression levels of important myocardial fibrosis-related genes [checkpoint kinase 1 (Chek1) and alpha-smooth muscle actin (α-SMA)], as well as genes and proteins of the p38 MAPK signaling pathway.

RESULTS

In comparison with the normal group, DOCA induction group had significantly lowered fractional shortening (FS, %) and ejection fraction (EF, %), but overtly increased left ventricular end-diastolic dimension (LVEDd) and left ventricular end-systolic dimension (LVESd), as well as levels of serum ALP, alanine aminotransferase (ALT), and CK-MB. Besides, the levels of TNF-γ, IL-6, and IL-1β were notably raised in the DOCA induction group. HE staining results showed that myocardial injury was more severe in DOCA induction group. The results of the gene detection revealed that the expression levels of Chek1, α-SMA, p38 MAPK, and JNK were evidently higher in DOCA induction group than those in the imatinib treatment group (p<0.05), and the expression of p38 MAPK protein in the rat myocardial tissues was remarkably lower in the treatment group than that in the DOCA induction group (p<0.05).

CONCLUSIONS

Imatinib can regulate the repair of myocardial injury caused by DOCA-induced myocardial fibrosis in rats by repressing the p38 MAPK signaling pathway.

[Clinical assessment and related intervention of neonatal upper airway obstruction]

Objective:To discuss the diagnosis and evaluation of upper airway obstruction in neonates, classify the possible causes of neonatal upper airway obstruction, establish a standardized diagnosis and treatment procedure to improve the of treatment efficacy. Method:Clinical data of 71 cases with upper airway obstruction history were retrospective analyzed, 38 cases were treated by combined medical and surgical treatment, 17 cases underwent medical treatment, 16 cases abandonment the treatment. The effectiveness of fibrolaryngoscope, CT, neck ultrasound, MRI and other results was evaluated, and to analyze the prognosis of the treatment, the outcomes and risk factors were also analysed, to evaluate risk factors associated with upper airway obstruction. Result:Fifty-five cases were cured or improved. The mortality rate of 16 children who gave up treatment and left hospital automatically was 81.25%（13/16）. The accuracy rate of flexible laryngoscope in detecting the level of upper airway obstruction was 100%, the coincidence rate of B-ultrasound for upper airway cystic occupation was 100%. Etiological order from high to low was congenital space-occupying lesions, congenital upper airway malformation, vocal cord paralysis, Pierre-Robin syndrome. The site of obstruction has a significant influence on the severity of upper airway obstruction（P<0.05）. The cure rate of the non-endotracheal intubation group was higher than that of the endotracheal intubation group（P<0.05）. Conclusion:The obstruction site of upper airway significantly affects the outcome and the severity of the disease. Upper airway space occupying lesions are the primary causes of upper airway obstruction in neonates. Early assessment and timely treatment can improve the cure rate and improve the prognosis. Internal medicine combined with surgical treatment is effective in relieving upper airway obstruction.

Evaluation of giant cell tumors by diffusion weighted imaging-fractional ADC analysis

BACKGROUND

A single ADC value is used in clinical practice on multi b-value acquisitions. Low b-value acquisitions are affected by intravoxel incoherent motion, which is dependent on perfusion. Giant cell tumors (GCTs) are known to exhibit early arterial enhancement and low ADC values. Mean, minimum and fractional ADC characteristics of osseous and tenosynovial GCTs are systematically evaluated.

METHODS

Tenosynovial and osseous GCTs were included. Each lesion was evaluated on conventional MRI and DWI by two musculoskeletal radiologists. ADC was measured by placing an ROI on the most confluent enhancing portion of the lesion. Fractional and best fit ADC calculations were performed using MATLAB software.

RESULTS

No statistically significant difference was found between tenosynovial and osseous lesions' ADC values. Mean ADC for all lesions was 1.0 × 10^-3 mm²/s (SD = 0.2 × 10^-3 mm²/s) and minimum ADC was 0.5 × 10^-3 mm²/s (SD = 0.3 × 10^-3 mm²/s). Average mean ADC value obtained from B50-B400 slope was 1.1 × 10^-3 mm²/s (SD = 0.2 × 10^-3 mm²/s), and the average mean ADC value obtained from B400-B800 slope was 0.8 × 10^-3 mm²/s (SD = 0.1 × 10^-3 mm²/s) [p-value <0.01].

CONCLUSION

Tenosynovial and osseous GCTs demonstrate similar and low ADC values, which become even lower when using high b-value pairs. Our study also supports the theory of intravoxel incoherent motion that becomes apparent at low b values as related to giant cell tumors, which are known to be hyperperfused.

Temperature sensitivity of soil respiration across multiple time scales in a temperate plantation forest

Soil respiration (Rs) is the largest carbon (C) flux from terrestrial ecosystems to the atmosphere. Predictions of Rs and associated feedback to climate change remain largely uncertain, in part due to the high temporal heterogeneity of temperature sensitivity (apparent Q₁₀) of Rs under a changing climate. Therefore, it is of critical importance to provide better insight into how Q₁₀ varies across multiple temporal scales. We investigated the diurnal, seasonal, and annual variabilities in the Q₁₀ of Rs using continuous Rs measurements (at hourly intervals) over six growing seasons in a mature temperate larch plantation in North China. We found that night-time values of Q₁₀ were slightly lower than daytime values. Large seasonal and annual fluctuations of Q₁₀ were observed, as illustrated by high coefficients of variation of 15.0% and 21.8%, respectively. The higher Q₁₀ in spring and autumn were primarily regulated by fine root growth and higher soil moisture after snow melt in spring, and leaf senescence in autumn. Lower Q₁₀ in summer may have been caused by limitations in substrate availability and microbial activity resulting from drought, which also caused a decoupling of Rs from soil temperature in summer. Furthermore, a bivariate nonlinear model incorporating both soil temperature and soil moisture best explained Q₁₀ variability. Generally, lower soil temperature and higher soil moisture lead to higher values of Q₁₀, indicating that climate warming could exert a negative effect on Q₁₀, partially offsetting the warming-induced increase in soil C loss. We provide long-term field experimental evidence that it would be inappropriate to estimate Rs on a multiyear scale using a fixed Q₁₀ value or a value obtained from one season and/or one year. Thus, we emphasize the importance of incorporating the seasonal and annual heterogeneities of Q₁₀ into C cycle model simulations under future climate change scenarios.