Different MRI-based radiomics models for differentiating misdiagnosed or ambiguous pleomorphic adenoma and Warthin tumor of the parotid gland: a multicenter study

PurposeTo evaluate the effectiveness of MRI-based radiomics models in distinguishing between Warthin tumors (WT) and misdiagnosed or ambiguous pleomorphic adenoma (PA).MethodsData of patients with PA and WT from two centers were collected. MR images were used to extract radiomic features. The optimal radiomics model was found by running nine machine learning algorithms after feature reduction and selection. To create a clinical model, univariate logistic regression (LR) analysis and multivariate LR were used. The independent clinical predictors and radiomics were combined to create a nomogram. Two integrated models were constructed by the ensemble and stacking algorithms respectively based on the clinical model and the optimal radiomics model. The models’ performance was evaluated using the area under the curve (AUC).ResultsThere were 149 patients included in all. Gender, age, and smoking of patients were independent clinical predictors. With the greatest average AUC (0.896) and accuracy (0.839) in validation groups, the LR model was the optimal radiomics model. In the average validation group, the radiomics model based on LR did not have a higher AUC (0.795) than the clinical model (AUC = 0.909). The nomogram (AUC = 0.953) outperformed the radiomics model in terms of discrimination performance. The nomogram in the average validation group had a highest AUC than the stacking model (0.914) or ensemble model (0.798).ConclusionMisdiagnosed or ambiguous PA and WT can be non-invasively distinguished using MRI-based radiomics models. The nomogram exhibited excellent and stable diagnostic performance. In daily work, it is necessary to combine with clinical parameters for distinguishing between PA and WT

A NOVEL NON-TOXIC XYLENE SUBSTITUTE (SBO) FOR HISTOLOGY

Xylene has been generally used as a clearing and deparaffinizing agent in histology. Because of the potential toxic and flammable nature of xylene, its substitutes have been introduced into some laboratories. In this study, we introduced a novel, non-toxic xylene substitute (SBO), which was generated through a mixture of 86% of white oil No.2 and 14% of N-heptane. SBO had a high boiling point (188°C) and flash point (144°C) coupled with a scentless and decreased volatility. To compare the effectiveness of SBO and xylene in histology, a wide range of tissue samples from rats and human beings were processed in parallel in SBO and xylene, subjected to various staining procedures. Similar to the xylene-processed paraffin blocks, the SBO-processed counterparts were easy to section without any evidence of cell shrinkage. Assessment of the SBO-treated sections stained with hematoxylin-eosin revealed a good maintenance of cell morphology and structure, and a clear definition of the cytoplasm and the nucleus. Moreover, comparable good results were achieved between the SBO- and xylene-processed tissues in other histochemical and immunohistochemical stainings. Six-month clinical applications at one department of pathology supported the potentials of SBO as a xylene substitute. In conclusion, we suggest that SBO is a safe and efficient substitute of xylene and may probably replace xylene without losing valuable diagnostic information

Two-stage robust planning method for distribution network energy storage based on load forecasting

A two-stage robust planning method for energy storage in distribution networks based on load prediction is proposed to address the uncertainty of active load in energy storage planning. First, considering the uncertainty of active load, a short-term load forecasting model combining the mutual information method and BiLSTM is established based on k-means++ clustering. Second, based on the results of load forecasting, a comprehensive norm-constrained uncertainty set is constructed, and a two-stage robust model for distribution network energy storage planning is established. The first stage aims to minimize the annual investment cost of the energy storage system, while the second stage aims to minimize the daily operating cost of the distribution network. At the same time, a second-order cone relaxation transformation model with non-convex constraints is introduced to ultimately achieve the optimal economy of the distribution network in energy storage planning. Finally, the effectiveness of the proposed method and model is validated on the IEEE 33-node distribution network model using the MATLAB platform

A study on the treatment effects of Crataegus pinnatifida polysaccharide on non-alcoholic fatty liver in mice by modulating gut microbiota

The objective of this study was to investigate the protective effect of Crataegus pinnatifida polysaccharide (CPP) on non-alcoholic fatty liver disease (NAFLD) induced by a high-fat diet (HFD) in mice. The findings demonstrated that CPP improved free fatty acid (FFA)-induced lipid accumulation in HepG2 cells and effectively reduced liver steatosis and epididymal fat weight in NAFLD mice, as well as decreased serum levels of TG, TC, AST, ALT, and LDL-C. Furthermore, CPP exhibited inhibitory effects on the expression of fatty acid synthesis genes FASN and ACC while activating the expression of fatty acid oxidation genes CPT1A and PPARα. Additionally, CPP reversed disturbances in intestinal microbiota composition caused by HFD consumption. CPP decreased the firmicutes/Bacteroidetes ratio, increased Akkermansia abundance, and elevated levels of total short-chain fatty acid (SCFA) content specifically butyric acid and acetic acid. Our results concluded that CPP may intervene in the development of NAFLD by regulating of intes-tinal microbiota imbalance and SCFAs production. Our study highlights that CPP has a potential to modulate lipid-related pathways via alterations to gut microbiome composition thereby ex-erting inhibitory effects on obesity and NAFLD development

Study of Xuanhuang Pill in protecting against alcohol liver disease using ultra-performance liquid chromatography/time-of-flight mass spectrometry and network pharmacology

IntroductionXuanhuang Pill (XHP) is a traditional Chinese medicine oral formula composed of 10 herbs. This study aims to verify the hepatoprotective activity of XHP and explain its possible mechanism.MethodsThe hepatoprotective activity of XHP was evaluated by constructing a mouse model of alcoholic liver disease, and the mechanism of XHP was preliminarily explained by utilizing ultra-performance liquid chromatography/time-of-flight mass spectrometry (UPLC-QTOF/MS), proteomics and network pharmacology.ResultsThe current study demonstrated that treatment with XHP ameliorated acute alcohol-induced liver injury in mice by significantly reducing alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels and triglycerides (TGs) and malondialdehyde (MDA) content. Remarkably, treatment also increased superoxide dismutase (SOD) activity and glutathione (GSH) content. UPLC-QTOF/MS, 199 compounds were identified as within the make-up of the XHP. Network pharmacology analysis showed that 103 targets regulated by 163 chemical components may play an important role in the protective liver effect mediated by XHP. Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis suggest that the HIF-1, FoxO, PI3K-Akt, insulin, and thyroid hormone signaling pathways are key modulators of XHP’s effects. Finally, eight key targets including Mapk1, Mapk3, Akt1, Map2k1, Pik3ca, Pik3cg, Raf1, and Prkca were verified by molecular docking and proteomics analysis, which provide insight into the hepatoprotective effect observed with XHP treatment.ConclusionIn summary, these results improved upon knowledge of the chemical composition and the potential mechanisms of hepatoprotective action of oral XHP treatment, providing foundational support for this formulation as a viable therapeutic option for alcoholic liver disease

A correlation analysis of HHV infection and its predictive factors in an HIV-seropositive population in Yunnan, China

Human herpesviruses (HHVs) have a particularly high prevalence in certain high-risk populations and cause increased morbidity and mortality in patients with acquired immunodeficiency syndrome (AIDS). Screening and treating subclinical HHV infections reduce human immunodeficiency virus (HIV) infection incidence, disease progression, and transmission. However, there are few studies on HHVs, HIV coinfection rates, and their related risk factors. We aimed to clarify the prevalence of all eight HHVs in peripheral blood samples collected from HIV-positive patients, and explore the association of HHV infection in HIV-positive patients in an HIV-seropositive population in Yunnan. We recruited 121 HIV-positive patients with highly active antiretroviral therapy (HAART) and 45 healthy individuals. All the eight HHVs were detected using polymerase chain reaction and their epidemiological information and clinical data were collected and statistically analyzed. A high prevalence of HHVs (89.3%) was observed in individuals with HIV infections and with herpes simplex virus (HSV)-2 (65.3%), and HSV-1 (59.5%) being the most common. Coinfection with more than two different HHVs was more common in patients with HIV infections receiving HAART (72.7%) than in healthy controls. Older age, being married, higher HIV-1 plasma viral loads, and use of antiviral protease inhibitors were independently correlated with an increased frequency of HHVs, but we found no association with CD4 count, WHO HIV clinical stage, and HIV infection duration. Our findings are of great significance for the prevention of HHV opportunistic infection in patients with AIDS and their clinical treatment

Proteomics and network pharmacology of Ganshu Nuodan capsules in the prevention of alcoholic liver disease

IntroductionGanshu Nuodan is a liver-protecting dietary supplement composed of Ganoderma lucidum (G. lucidum) spore powder, Pueraria montana (Lour.) Merr. (P. montana), Salvia miltiorrhiza Bunge (S. miltiorrhiza) and Astragalus membranaceus (Fisch.) Bunge. (A. membranaceus). However, its pharmacodynamic material basis and mechanism of action remain unknown.MethodsA mouse model of acute alcohol liver disease (ALD) induced by intragastric administration of 50% alcohol was used to evaluate the hepatoprotective effect of Ganshu Nuodan. The chemical constituents of Ganshu Nuodan were comprehensively identified by UPLC-QTOF/MS, and then its pharmacodynamic material basis and potential mechanism of action were explored by proteomics and network pharmacology.ResultsGanshu Nuodan could ameliorate acute ALD, which is mainly manifested in the significant reduction of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) in serum and malondialdehyde (MDA) content in liver and the remarkably increase of glutathione (GSH) content and superoxide dismutase (SOD) activity in liver. Totally 76 chemical constituents were identified from Ganshu Nuodan by UPLC-QTOF/MS, including 21 quinones, 18 flavonoids, 11 organic acids, 7 terpenoids, 5 ketones, 4 sterols, 3 coumarins and 7 others. Three key signaling pathways were identified via proteomics studies, namely Arachidonic acid metabolism, Retinol metabolism, and HIF-1 signaling pathway respectively. Combined with network pharmacology and molecular docking, six key targets were subsequently obtained, including Ephx2, Lta4h, Map2k1, Stat3, Mtor and Dgat1. Finally, these six key targets and their related components were verified by molecular docking, which could explain the material basis of the hepatoprotective effect of Ganshu Nuodan.ConclusionGanshu Nuodan can protect acute alcohol-induced liver injury in mice by inhibiting oxidative stress, lipid accumulation and apoptosis. Our study provides a scientific basis for the hepatoprotective effect of Ganshu Nuodan in acute ALD mice and supports its traditional application

Stable H-O Isotopic Composition and Water Quality Assessment of Surface Water and Groundwater: A Case Study in the Dabie Mountains, Central China

In order to understand the water cycle and assess the water quality for irrigation purposes in the Upper Pi River Basin (UPRB), which is the northern slope of the Dabie Mountains, 68 surface water and groundwater samples were collected and analyzed for H-O isotopes and hydrochemistry during the high-flow season in 2017 and 2018. The results show that ranges of hydrogen and oxygen isotopic composition (δ2H: −68.8‰ to −40.8‰, δ18O: −10.05‰ to −5.05‰) are controlled by the medium latitude and high altitude of the UPRB. Among different types of water, the δ2H and δ18O values can be ordered as follows: reservoir water < spring water ≈ river water < pond water. The water of the upstream medium and small reservoir is enriched with lighter isotopes that is likely related to more exchange with rainwater and less residence time; however, large reservoirs are similar to the upstream river and spring in terms of the H-O isotopic composition. Hydro-chemical facies are dominated by the Ca-HCO3 type in the UPRB, which reflects fresh recharged water from rainfall, and few samples are of the Ca-Cl type that is caused by intensive evaporation. The water quality for irrigation purposes was also evaluated. According to the Wilcox diagram, United States Salinity Laboratory (USSL) diagram, magnesium hazard, and Kelly’s ratio, all water samples have been considered suitable for irrigation water

Spatial-Temporal Distribution, Morphological Transformation, and Potential Risk of Dissolved Inorganic Nitrogen in the Contaminated Unconfined Aquifer from a Retired Nitrogenous Fertilizer Plant

The accumulation of nitrogen in groundwater in the industrial plots, especially the high ammonium, can result in a serious threat to the groundwater system in the urban area. This study monitored the dissolved inorganic nitrogen (DIN) of the polluted groundwater four times in one year in a retired nitrogenous fertilizer plant site with a production history of nearly 40 years, to analyze the spatial-temporal characteristics of DIN species (NH4+-N, NO3−-N, and NO2−-N) and the effects of groundwater environment on their transfer and transformation. The results showed that NH4+-N (<0.025 to 1310 mg/L) was the main DIN species (61.38–76.80%) with low mobility, whereas the concentration of NO3−-N and NO2−-N was 0.15–146 mg/L and <0.001–12.4 mg/L, accounting for 22.34–36.07% and 0.53–2.83% of total DIN, respectively. The concentration and proportion of NO3−-N and NO2−-N showed an upward trend with time, posing a threat to the safety of surrounding groundwater, and their high spatial-temporal variation was related to the morphological transformation and the transport. In the wet season, the pH and redox condition benefited the nitrification, and NO3−-N easily migrated from the deep soil solution to groundwater, hence the NO3−-N can be accumulated. Therefore, the analysis of species and behaviors of DIN in shallow groundwater is indispensable for environmental risk assessment

Distribution, fractionation and sources of rare earth elements in suspended particulate matter in a tropical agricultural catchment, northeast Thailand

Forty-eight suspended particulate matter (SPM) samples were collected from the Mun River, northeast Thailand and its junction with the Mekong River, to investigate the relationship between the distribution of rare earth elements (REE) in SPM and the soils in the watershed. The total REE contents (∑REE) in SPM in the Mun River ranged from 78.5 to 377.8 mg/kg with the average of 189.3 mg/kg, which was lower than ∑REE of 222.3 mg/kg at the Mekong River (one sample at junction). The Post Archean Australia Shale (PAAS)-normalized ratios of light REE (LREE), middle REE (MREE) and heavy REE (HREE) were averaged to 1.0, 1.3 and 1.0, which showed a clear enrichment in MREE. In short, along the Mun River, the REE contents in SPM were decreasing, and the PAAS-normalized patterns of REE showed gradually flat. The REE content in SPM and soils are highest in the upper catchment, indicating that soil/bedrock is the most important source of REE in SPM. Additionally, the positive Eu anomaly was enhanced by the higher Ca content in SPM (R = 0.45), which may be caused by more feldspars or carbonates with Ca and Eu substituting Ca. The results present the REE behaviors of SPM in the Mun River and relationship between REE in SPM and soil/bedrock, the findings may support the other studies in catchment weathering