Comparison of efficacy and safety profiles of epidural analgesia and opioid analgesia in Chinese patients with thoracic trauma: A preliminary report

Purpose: To compare the efficacy and safety profiles of epidural analgesia (EA) and opioid analgesia (OA) in Chinese patients with thoracic trauma (TT). Methods: Patients with confirmed diagnosis of thoracic trauma were given either EA (via a catheter) or slow-release OA. The following efficacy variables were assessed in the two treatment groups: pain score, and changes in cytokine and catecholamine levels from baseline after treatment. Moreover, respiratory parameters were determined before and after treatment. The safety associated with each anesthesia was also evaluated. Quantitative data were analyzed either with Student’s t-test or MannWhitney test, while  categorical data were analyzed using Fisher exact or Chi-square test, based on data size. Results: A total of 200 patients completed the study (100 patients in each group). Pain, as assessed by verbal rating scale (VRS), was slightly lower in patients after treatment with EA, when compared to the patients treated with OA. However, the difference was not statistically significant (p < 0.05). Maximum inspiratory force (cmH2O) and tidal volume (liters) were slightly improved in patients  treated with EA, when compared to OA-treated patients, although the difference was not statistically significant (p < 0.05). Moreover,  the two treatments produced comparable levels of cytokines and catecholamines. Conclusion: The efficacy and safety data for EA and OA in Chinese non-obese patients with TT indicate numerically favorable outcome for EA, when compared to OA. Keywords: Epidural analgesia, Opioid analgesia, Chinese patients, Thoracic traum

From cropland to cropped field: A robust algorithm for national-scale mapping by fusing time series of Sentinel-1 and Sentinel-2

Detailed and updated maps of actively cropped fields on a national scale are vital for global food security. Unfortunately, this information is not provided in existing land cover datasets, especially lacking in smallholder farmer systems. Mapping national-scale cropped fields remains challenging due to the spectral confusion with abandoned vegetated land, and their high heterogeneity over large areas. This study proposed a large-area mapping framework for automatically identifying actively cropped fields by fusing Vegetation-Soil-Pigment indices and Synthetic-aperture radar (SAR) time-series images (VSPS). Three temporal indicators were proposed and highlighted cropped fields by consistently higher values due to cropping activities. The proposed VSPS algorithm was exploited for national-scale mapping in China without regional adjustments using Sentinel-2 and Sentinel-1 images. Agriculture in China illustrated great heterogeneity and has experienced tremendous changes such as non-grain orientation and cropland abandonment. Yet, little is known about the locations and extents of cropped fields cultivated with field crops on a national scale. Here, we produced the first national-scale 20 m updated map of cropped and fallow/abandoned land in China and found that 77 % of national cropland (151.23 million hectares) was actively cropped in 2020. We found that fallow/abandoned cropland in mountainous and hilly regions were far more than we expected, which was significantly underestimated by the commonly applied VImax-based approach based on the MODIS images. The VSPS method illustrates robust generalization capabilities, which obtained an overall accuracy of 94 % based on 4,934 widely spread reference sites. The proposed mapping framework is capable of detecting cropped fields with a full consideration of a high diversity of cropping systems and complexity of fallow/abandoned cropland. The processing codes on Google Earth Engine were provided and hoped to stimulate operational agricultural mapping on cropped fields with finer resolution from the national to the global scale

The Exopolysaccharide Matrix Modulates the Interaction between 3D Architecture and Virulence of a Mixed-Species Oral Biofilm

Virulent biofilms are responsible for a range of infections, including oral diseases. All biofilms harbor a microbial-derived extracellular-matrix. The exopolysaccharides (EPS) formed on tooth-pellicle and bacterial surfaces provide binding sites for microorganisms; eventually the accumulated EPS enmeshes microbial cells. The metabolic activity of the bacteria within this matrix leads to acidification of the milieu. We explored the mechanisms through which the Streptococcus mutans-produced EPS-matrix modulates the three-dimensional (3D) architecture and the population shifts during morphogenesis of biofilms on a saliva-coated-apatitic surface using a mixed-bacterial species system. Concomitantly, we examined whether the matrix influences the development of pH-microenvironments within intact-biofilms using a novel 3D in situ pH-mapping technique. Data reveal that the production of the EPS-matrix helps to create spatial heterogeneities by forming an intricate network of exopolysaccharide-enmeshed bacterial-islets (microcolonies) through localized cell-to-matrix interactions. This complex 3D architecture creates compartmentalized acidic and EPS-rich microenvironments throughout the biofilm, which triggers the dominance of pathogenic S. mutans within a mixed-species system. The establishment of a 3D-matrix and EPS-enmeshed microcolonies were largely mediated by the S. mutans gtfB/gtfC genes, expression of which was enhanced in the presence of Actinomyces naeslundii and Streptococcus oralis. Acidic pockets were found only in the interiors of bacterial-islets that are protected by EPS, which impedes rapid neutralization by buffer (pH 7.0). As a result, regions of low pH (<5.5) were detected at specific locations along the surface of attachment. Resistance to chlorhexidine was enhanced in cells within EPS-microcolony complexes compared to those outside such structures within the biofilm. Our results illustrate the critical interaction between matrix architecture and pH heterogeneity in the 3D environment. The formation of structured acidic-microenvironments in close proximity to the apatite-surface is an essential factor associated with virulence in cariogenic-biofilms. These observations may have relevance beyond the mouth, as matrix is inherent to all biofilms

Research on Longitudinal Collapse Mode and Control of the Continuous Bridge under Strong Seismic Excitations

Bridge collapse events are common in major earthquakes around the world, among which continuous girder bridges are the most involved. In order to explore the collapse mechanism of a continuous girder bridge in an earthquake, the collapse mode of a two-span continuous girder bridge specimen which had been studied by the shaking table test was analyzed. Then, on the basis of the conventional plate rubber bearing system, the collapse control strategies which were high damping rubber bearing, fluid viscous damper, lock-up clutch control methods were discussed. It is found that high damping rubber bearing can delay the collapse time but the collapse mode remains the same; lock-up clutch has the best displacement control effect for the superstructure, but its energy consumption performance is not as good as that of a fluid viscous damper; high damping rubber bearing is quite suitable for protecting the substructure under short-period ground motion to avoid the bridge collapse caused by the failure of piers; fluid viscous damper and lock-up clutch are suitable for protecting the superstructure under long ground seismic motion to avoid the bridge non-use resulted from girder lowering; three collapse control methods can improve the anti-collapse ability of the bridge specimen, although no matter which control method is used, the bridge specimen may still collapse under strong earthquakes, but the target of postponing collapse time can be realized by means of various effective control methods

Structure and fabrication details of an integrated modularized microfluidic system

This article contains schemes, original experimental data and figures for an integrated modularized microfluidic system described in “An integrated microfluidic system for bovine DNA purification and digital PCR detection [1]”. In this data article, we described the structure and fabrication of the integrated modularized microfluidic system. This microfluidic system was applied to isolate DNA from ovine tissue lysate and detect the bovine DNA with digital PCR (dPCR). The DNA extraction efficiency of the microdevice was compared with the efficiency of benchtop protocol

Streptococcus mutans protein synthesis during mixed-species biofilm development by high-throughput quantitative proteomics.

Biofilms formed on tooth surfaces are comprised of mixed microbiota enmeshed in an extracellular matrix. Oral biofilms are constantly exposed to environmental changes, which influence the microbial composition, matrix formation and expression of virulence. Streptococcus mutans and sucrose are key modulators associated with the evolution of virulent-cariogenic biofilms. In this study, we used a high-throughput quantitative proteomics approach to examine how S. mutans produces relevant proteins that facilitate its establishment and optimal survival during mixed-species biofilms development induced by sucrose. Biofilms of S. mutans, alone or mixed with Actinomyces naeslundii and Streptococcus oralis, were initially formed onto saliva-coated hydroxyapatite surface under carbohydrate-limiting condition. Sucrose (1%, w/v) was then introduced to cause environmental changes, and to induce biofilm accumulation. Multidimensional protein identification technology (MudPIT) approach detected up to 60% of proteins encoded by S. mutans within biofilms. Specific proteins associated with exopolysaccharide matrix assembly, metabolic and stress adaptation processes were highly abundant as the biofilm transit from earlier to later developmental stages following sucrose introduction. Our results indicate that S. mutans within a mixed-species biofilm community increases the expression of specific genes associated with glucan synthesis and remodeling (gtfBC, dexA) and glucan-binding (gbpB) during this transition (P<0.05). Furthermore, S. mutans up-regulates specific adaptation mechanisms to cope with acidic environments (F1F0-ATPase system, fatty acid biosynthesis, branched chain amino acids metabolism), and molecular chaperones (GroEL). Interestingly, the protein levels and gene expression are in general augmented when S. mutans form mixed-species biofilms (vs. single-species biofilms) demonstrating fundamental differences in the matrix assembly, survival and biofilm maintenance in the presence of other organisms. Our data provide insights about how S. mutans optimizes its metabolism and adapts/survives within the mixed-species community in response to a dynamically changing environment. This reflects the intricate physiological processes linked to expression of virulence by this bacterium within complex biofilms