Based on knowledge capital value for disease cost accounting of diagnosis related groups

BackgroundThe National Health Commission and the other relevant departments in China have initiated testing of the Diagnosis Related Groups (DRGs) system in 30 pilot locations since 2019. In the process of DRG payment reform, accounting for the costs of diseases has become a highly challenging issue. The traditional method of disease accounting method overlooks the compensation for the knowledge capital value of medical personnel.ObjectiveThe primary objective of this study is to analyze the cost accounting scheme of China’s Diagnosis Related Groups (C-DRG), focusing on the value of knowledge capital.MethodsThe study initially proposes a measurement index system for the value of knowledge-based capital, including the difficulty of disease treatment, labor intensity of disease treatment, risk of disease treatment, and operation/treatment time for diseases. The Analytic Hierarchy Process (AHP) is then utilized to weigh the features of medical workers’ knowledge capital value. First, pairwise comparisons are conducted in this stage to develop a two-pair judgment matrix of the primary indicators. Second, the eigenvectors corresponding to the maximum eigenvalues of the matrix are calculated to generate the weight coefficient of each feature. The consistency test is carried out after this stage. An empirical analysis is conducted by collecting data, including the full costs of treating three types of diseases—hip replacement, acute simple appendicitis, and heart bypass surgery—from one public medical institution.ResultsThe empirical analysis examines whether this DRG costing accounting can address the issue of neglecting the value of medical workers’ knowledge capital. The methods reconfigure the positive incentive mechanism, stimulate the endogenous motivation of the medical service system, foster independent changes in medical behavior, and achieve the goals of reasonable cost control.ConclusionIn the cost accounting system of C-DRG, the value of medical workers’ knowledge capital is acknowledged. This acknowledgment not only boosts the enthusiasm and creativity of medical workers in optimizing and standardizing the diagnosis and treatment process but also improves the transparency and authenticity of DRG pricing. This is particularly evident in the optimization and standardization of the diagnosis and treatment processes within medical institutions and in monitoring inadequate medical practices within these institutions

Minute-Cadence Observations of the LAMOST Fields with the TMTS V. Machine Learning Classification of TMTS Catalogues of Periodic Variable Stars

Periodic variables are always of great scientific interest in astrophysics. Thanks to the rapid advancement of modern large-scale time-domain surveys, the number of reported variable stars has experienced substantial growth for several decades, which significantly deepened our comprehension of stellar structure and binary evolution. The Tsinghua University-Ma Huateng Telescopes for Survey (TMTS) has started to monitor the LAMOST sky areas since 2020, with a cadence of 1 minute. During the period from 2020 to 2022, this survey has resulted in densely sampled light curves for ~ 30,000 variables of the maximum powers in the Lomb-Scargle periodogram above the 5sigma threshold. In this paper, we classified 11,638 variable stars into 6 main types using XGBoost and Random Forest classifiers with accuracies of 98.83% and 98.73%, respectively. Among them, 5301 (45.55%) variables are newly discovered, primarily consisting of Delta Scuti stars, demonstrating the capability of TMTS in searching for short-period variables. We cross-matched the catalogue with Gaia's second Data Release (DR2) and LAMOST's seventh Data Release (DR7) to obtain important physical parameters of the variables. We identified 5504 Delta Scuti stars (including 4876 typical Delta Scuti stars and 628 high-amplitude Delta Scuti stars), 5899 eclipsing binaries (including EA-, EB- and EW-type) and 226 candidates of RS Canum Venaticorum. Leveraging the metal abundance data provided by LAMOST and the Galactic latitude, we discovered 8 candidates of SX Phe stars within the class of "Delta Scuti stars". Moreover, with the help of Gaia color-magnitude diagram, we identified 9 ZZ ceti stars.Comment: 20 pages, 14 figures, accepted to MNRA

Minute-cadence Observations of the LAMOST Fields with the TMTS: III. Statistic Study of the Flare Stars from the First Two Years

Tsinghua University-Ma Huateng Telescopes for Survey (TMTS) aims to detect fast-evolving transients in the Universe, which has led to the discovery of thousands of short-period variables and eclipsing binaries since 2020. In this paper, we present the observed properties of 125 flare stars identified by the TMTS within the first two years, with an attempt to constrain their eruption physics. As expected, most of these flares were recorded in late-type red stars with $G_{\rm BP}-G_{\rm RP}$ > 2.0 mag, however, the flares associated with bluer stars tend to be on average more energetic and have broader profiles. The peak flux (F_peak) of the flare is found to depend strongly on the equivalent duration (ED) of the energy release, i.e., $F_{{\rm peak}} \propto {\rm ED}^{0.72\pm0.04}$, which is consistent with results derived from the Kepler and Evryscope samples. This relation is likely related to the magnetic loop emission, while -- for the more popular non-thermal electron heating model -- a specific time evolution may be required to generate this relation. We notice that flares produced by hotter stars have a flatter $F_{{\rm peak}} \propto {\rm ED}$ relation compared to that from cooler stars. This is related to the statistical discrepancy in light-curve shape of flare events with different colors. In spectra from LAMOST, we find that flare stars have apparently stronger H alpha emission than inactive stars, especially at the low temperature end, suggesting that chromospheric activity plays an important role in producing flares. On the other hand, the subclass having frequent flares are found to show H alpha emission of similar strength in their spectra to that recorded with only a single flare but similar effective temperature, implying that the chromospheric activity may not be the only trigger for eruptions.Comment: 17 pages, 15 figures, 2 tables, refereed version. For associated data files, see https://cdsarc.cds.unistra.fr/viz-bin/cat/J/MNRAS/523/219

Variable white dwarfs in TMTS: Asteroseismological analysis of a ZZ Ceti star, TMTS J17184064+2524314

The Tsinghua University-Ma Huateng Telescope for Survey (TMTS) has been constantly monitoring the northern sky since 2020 in search of rapidly variable stars. To find variable white dwarfs (WDs), the TMTS catalog is cross-matched with the WD catalog of Gaia EDR3, resulting in over 3000 light curves of WD candidates. The WD TMTS J17184064+2524314 (hereafter J1718) is the second ZZ~Ceti star discovered among these common sources. Based on the light curves from TMTS, follow-up photometric observations, and TESS, 10 periods and 3 combination periods are detected. A rotation period of $25.12\pm0.18$ hr is derived, according to the identified rotational splitting. Our spectroscopic observation indicates that this WD belongs to DA type with $T_{\rm eff}=11,670\pm604$ K, log $g=8.16\pm0.36$, $M = 0.70\pm0.23$ M$_{\odot}$, and age=$0.51\pm0.34$ Gyr. Based on core-parameterized asteroseismological model grids ($\geqslant$ 14 million), we derive a best-fit solution of $T_{\rm eff}=11,640\pm20$ K, log $g=8.267\pm0.008$, and $M = 0.750\pm0.005$ M$_{\odot}$ for J1718, consistent with the spectral fitting results. For this WD, the corresponding carbon and oxygen abundances in the core are 0.43 and 0.57, respectively. The distance derived from the intrinsic luminosity given by asteroseismology is $64\pm15$ pc, in accord with the distance of $70.1\pm0.2$ pc from Gaia DR3 within the uncertainties.Comment: 11 pages, 8 figures, Accepted for publication in MNRAS. arXiv admin note: text overlap with arXiv:2305.1158

Properties and Asteroseismological analysis of a new ZZ ceti discovered by TMTS

Tsinghua university-Ma Huateng Telescope for Survey (TMTS) aims to discover rapidly evolving transients by monitoring the northern sky. The TMTS catalog is cross-matched with the white dwarf (WD) catalog of Gaia EDR3, and light curves of more than a thousand WD candidates are obtained so far. Among them, the WD TMTS J23450729+5813146 (hereafter J2345) is one interesting common source. Based on the light curves from the TMTS and follow-up photometric observations, periods of 967.113 s, 973.734 s, 881.525 s, 843.458 s, 806.916 s and 678.273 s are identified. In addition, the TESS observations suggest a 3.39 h period but this can be attributed to the rotation of a comoving M dwarf located within 3". The spectroscopic observation indicates that this WD is DA type with Teff = 11778+/-617K,log g = 8.38+/-0.31,mass=0.84+/-0.20Msun and age=0.704+/-0.377 Gyrs. Asteroseismological analysis reveals a global best-fit solution of Teff =12110+/-10K and mass=0.760+/-0.005Msun,consistent with the spectral fitting results, and Oxygen and Carbon abundances in the core center are 0.73 and 0.27, respectively. The distance derived from the intrinsic luminosity given by asteroseismology is 93 parsec, which is in agreement with the distance of 98 parsec from Gaia DR3. Additionally, kinematic study shows that this WD is likely a thick disk star. The mass of its zero-age main-sequence mass is estimated to be 3.08 Msun and has a main-sequence plus cooling age of roughly 900 Myrs.Comment: 10 pages, 10 figures, accepted for publication in MNRA

An 18.9-minute Blue Large-Amplitude Pulsator Crossing the 'Hertzsprung Gap' of Hot Subdwarfs

Blue large-amplitude pulsators (BLAPs) represent a new and rare class of hot pulsating stars with unusually large amplitudes and short periods. Up to now, only 24 confirmed BLAPs have been identified from more than one billion monitored stars, including a group with pulsation period longer than $\sim 20$ min (classical BLAPs, hereafter) and the other group with pulsation period below $\sim 8$ min. The evolutionary path that could give rise to such kinds of stellar configurations is unclear. Here we report on a comprehensive study of the peculiar BLAP discovered by the Tsinghua University - Ma Huateng Telescopes for Survey (TMTS), TMTS J035143.63+584504.2 (TMTS-BLAP-1). This new BLAP has an 18.9 min pulsation period and is similar to the BLAPs with a low surface gravity and an extended helium-enriched envelope, suggesting that it is a low-gravity BLAP at the shortest-period end. In particular, the long-term monitoring data reveal that this pulsating star has an unusually large rate of period change, P_dot/P=2.2e-6/yr. Such a significant and positive value challenges its origins from both helium-core pre-white-dwarfs and core helium-burning subdwarfs, but is consistent with that derived from shell helium-burning subdwarfs. The particular pulsation period and unusual rate of period change indicate that TMTS-BLAP-1 is at a short-lived (~10^6 yr) phase of shell-helium ignition before the stable shell-helium burning; in other words, TMTS-BLAP-1 is going through a "Hertzsprung gap" of hot subdwarfs.Comment: 26 pages, 12 figures, 4 tables, published on Nature Astronomy, URL: https://www.nature.com/articles/s41550-022-01783-

A spectral data release for 104 Type II Supernovae from the Tsinghua Supernova Group

We present 206 unpublished optical spectra of 104 type II supernovae obtained by the Xinglong 2.16m telescope and Lijiang 2.4m telescope during the period from 2011 to 2018, spanning the phases from about 1 to 200 days after the SN explosion. The spectral line identifications, evolution of line velocities and pseudo equivalent widths, as well as correlations between some important spectral parameters are presented. Our sample displays a large range in expansion velocities. For instance, the Fe~{\sc ii} $5169$ velocities measured from spectra at $t\sim 50$ days after the explosion vary from ${\rm 2000\ km\ s^{-1}}$to${\rm 5500\ km\ s^{-1}}$, with an average value of${\rm 3872 \pm 949\ km\ s^{-1}}$. Power-law functions can be used to fit the velocity evolution, with the power-law exponent quantifying the velocity decline rate. We found an anticorrelation existing between H$\beta$velocity at mid-plateau phase and its velocity decay exponent, SNe II with higher velocities tending to have smaller velocity decay rate. Moreover, we noticed that the velocity decay rate inferred from the Balmer lines (i.e., H$\alpha$and H$\beta$) have moderate correlations with the ratio of absorption to emission for H$\alpha$ (a/e). In our sample, two objects show possibly flash-ionized features at early phases. Besides, we noticed that multiple high-velocity components may exist on the blue side of hydrogen lines of SN 2013ab, possibly suggesting that these features arise from complex line forming region. All our spectra can be found in WISeREP and Zenodo

Increased Varietal Aroma Diversity of Marselan Wine by Mixed Fermentation with Indigenous Non-Saccharomyces Yeasts

The common use of commercial yeasts usually leads to dull wine with similar aromas and tastes. Therefore, screening for novel indigenous yeasts to practice is a promising method. In this research, aroma discrepancies among six wine groups fermentated with indigenous yeasts were analyzed. Three Saccharomyces yeasts (FS36, HL12, YT28) and three matched non-Saccharomyces yeasts (FS31, HL9, YT2) were selected from typical Chinese vineyards. The basic oenological parameters, aroma compounds, and sensory evaluation were analyzed. The results showed that each indigenous Saccharomyces yeast had excellent fermentation capacity, and mixed-strain fermentation groups produced more glycerol, contributing to sweeter and rounder taste. The results from GC-MS, principal components analysis (PCA), and sensory evaluation highlighted that the HL mixed group kept the most content of Marselan varietal flavors such as calamenene and β-damascone hereby ameliorated the whole aroma quality. Our study also implied that the indigenous yeast from the same region as the grape variety seems more conducive to preserve the natural variety characteristics of grapes

The Biphasic Effect of Flavonoids on Oxidative Stress and Cell Proliferation in Breast Cancer Cells

Flavonoids have been reported to play an essential role in modulating processes of cellular redox homeostasis such as scavenging ROS. Meanwhile, they also induce oxidative stress that exerts potent antitumor bioactivity. However, the contradiction between these two aspects still remains unclear. In this study, four typical flavonoids were selected and studied. The results showed that low-dose flavonoids slightly promoted the proliferation of breast cancer cells under normal growth via gradually reducing accumulated oxidative products and demonstrated a synergistic effect with reductants NAC or VC. Besides, low-dose flavonoids significantly reduced the content of ROS and MDA induced by LPS or Rosup but restored the activity of SOD. However, high-dose flavonoids markedly triggered the cell death via oxidative stress as evidenced by upregulated ROS, MDA and downregulated SOD activity that could be partly rescued by NAC pretreatment, which was also confirmed by antioxidative gene expression levels. The underlying mechanism of such induced cell death was pinpointed as apoptosis, cell cycle arrest, accumulated mitochondrial superoxide, impaired mitochondrial function and decreased ATP synthesis. Transcriptomic analysis of apigenin and quercetin uncovered that high-dose flavonoids activated TNF-α signaling, as verified through detecting inflammatory gene levels in breast cancer cells and RAW 264.7 macrophages. Moreover, we identified that BRCA1 overexpression effectively attenuated such oxidative stress, inflammation and inhibited ATP synthesis induced by LPS or high dose of flavonoids possibly through repairing DNA damage, revealing an indispensable biological function of BRCA1 in resisting oxidative damage and inflammatory stimulation caused by exogenous factors

Harnessing the Potential of Quinoa: Nutritional Profiling, Bioactive Components, and Implications for Health Promotion

Quinoa, a globally cultivated “golden grain” belonging to Chenopodium in the Amaranthaceae family, is recognized for being gluten-free, with a balanced amino acid profile and multiple bioactive components, including peptides, polysaccharides, polyphenols, and saponins. The bioactive compounds extracted from quinoa offer multifaceted health benefits, including antioxidative, anti-inflammatory, antimicrobial, cardiovascular disease (CVD) improvement, gut microbiota regulation, and anti-cancer effects. This review aims to intricately outline quinoa’s nutritional value, functional components, and physiological benefits. Importantly, we comprehensively provide conclusions on the effects and mechanisms of these quinoa-derived bioactive components on multiple cancer types, revealing the potential of quinoa seeds as promising and effective anti-cancer agents. Furthermore, the health-promoting role of quinoa in modulating gut microbiota, maintaining gut homeostasis, and protecting intestinal integrity was specifically emphasized. Finally, we provided a forward-looking description of the opportunities and challenges for the future exploration of quinoa. However, in-depth studies of molecular targets and clinical trials are warranted to fully understand the bioavailability and therapeutic application of quinoa-derived compounds, especially in cancer treatment and gut microbiota regulation. This review sheds light on the prospect of developing dietary quinoa into functional foods or drugs to prevent and manage human diseases