Cultivation of Paeoniae radix rubra in the wild-like environment and the evaluation of quality for transplanted products

Aim: The study aims to guide the actual cultivation of Paeonia lactiflora Pall. By establishing indoor and outdoor imitation wild environment, meanwhile, it used the quality inspection of cultivated production to judge the rationality of the scheme. Method: The seeds and rhizomes of Paeonia lactiflora P. were collected in the autumn of 2014, and the seed germination rate was tested under indoor wild-like conditions. In the outdoor wild-like environment, the buds were transplanted, then the roots were harvested in 2016, 2017, and 2018, respectively. Quantitative determination of paeoniflorin was determined by HPLC. Furthermore, the data on trait determination and component content were compared and analyzed.Results: In the specific indoor environment, the seeds were normally germinated, and their functions consisted of seed in wild regions. Moreover, the content of paeoniflorin in both two sources of Paeonia lactiflora P. roots, and the traits of cultivated products are increasing year by year.Conclusion: The simulated wild environment established the method in this study, which is suitable for the artificial production of wild Paeonia lactiflora P

Circulating tumor DNA clearance predicts prognosis across treatment regimen in a large real-world longitudinally monitored advanced non-small cell lung cancer cohort

Background: Although growth advantage of certain clones would ultimately translate into a clinically visible disease progression, radiological imaging does not reflect clonal evolution at molecular level. Circulating tumor DNA (ctDNA), validated as a tool for mutation detection in lung cancer, could reflect dynamic molecular changes. We evaluated the utility of ctDNA as a predictive and a prognostic marker in disease monitoring of advanced non-small cell lung cancer (NSCLC) patients.Methods: This is a multicenter prospective cohort study. We performed capture-based ultra-deep sequencing on longitudinal plasma samples utilizing a panel consisting of 168 NSCLC-related genes on 949 advanced NSCLC patients with driver mutations to monitor treatment responses and disease progression. The correlations between ctDNA and progression-free survival (PFS)/overall survival (OS) were performed on 248 patients undergoing various treatments with the minimum of 2 ctDNA tests.Results: The results of this study revealed that higher ctDNA abundance (P=0.012) and mutation count (P=8.5x10(-4)) at baseline are associated with shorter OS. We also found that patients with ctDNA clearance, not just driver mutation clearance, at any point during the course of treatment were associated with longer PFS (P=2.2x10(-1)6, HR 0.28) and OS (P=4.5x10(-6), HR 0.19) regardless of type of treatment and evaluation schedule.Conclusions: This prospective real-world study shows that ctDNA clearance during treatment may serve as predictive and prognostic marker across a wide spectrum of treatment regimens

EFFECTS OF MINERAL ADMIXTURE ON THE CARBONIC ACID LEACHING RESISTANCE OF CEMENT-BASED MATERIALS

In order to reveal the degradation process and deterioration mechanism of cement-based materials, this paper analyzes the effects of carbonic acid leaching on the mechanical strength of mortars, as well as relative mass loss, microstructure, and composition of various cement pastes. The results indicate that cement pastes containing less than 20 % fly ash have higher carbonic acid leaching resistance than cement pastes without fly ash. However, after carbonic acid leaching, the compressive strength of the samples with fly ash is lower than that of the cement pastes without fly ash. The leaching resistance is good for samples cured at an early age before leaching. Carbonic acid leaching proceeds from the paste surface to the interior. The incorporation of an appropriate amount of slag powder helps to increase the density of the paste. Due to the pozzolanic activity of fly ash at late-stage leaching, a mixture of fly ash (≤ 20 %) and slag powder (≤ 20 %) effectively improves carbonic acid leaching resistance. The products of early-stage leaching were mainly CaCO₃ and small amounts of SiO₂ and Fe₂O₃. The C-S-H phase at the paste surface suffered serious damage after long periods of leaching, and the main products of leaching were SiO₂ and Fe₂O₃

Experimental and Numerical Investigation of One-Dimensional Electroosmotic Consolidation Based on Segment Inheritance Strategy

The attenuation of effective potential is a significant factor leading to the low postdrainage efficiency in the electroosmotic consolidation and drainage methods. In this study, the influence of the attenuation of effective potential on the electroosmotic consolidation process and the problem of solving the governing equations were investigated. A 102.5-hr one-dimensional electroosmotic consolidation test was performed to monitor the changes in the properties of the soil interior and the soil–electrode interface, and the variation curve of the effective potential in the test model was measured. The time-dependent nature of the potential distribution due to the attenuation of effective potential contradicts the assumption of introducing intermediate variables. To address this key issue, the variation curve of the effective potential was linearly segmented, ensuring the validity of introducing intermediate variables within each local state segment. Based on the continuity between state segments, the initial conditions of the governing equations in different state segments were updated, thereby extending the differential iteration within local state segments to the entire electroosmotic time domain. A finite-difference program for this method was developed using the Python language. Calculations and analyses based on the measured potential data were performed, revealing that a decrease in potential leads to a reduction in the effectiveness of electroosmotic drainage and consolidation in terms of the instantaneous distribution of pore pressure and the overall average degree of consolidation. This method can reflect the influence of the attenuation of effective potential on the pore water pressure during the electroosmotic consolidation process. The research findings of this paper can provide theoretical and numerical support for the improvement and engineering application of the electroosmotic consolidation and drainage method

Self-Management Behaviors Among Patients With Liver Cirrhosis in Shanghai, China: A Cross-Sectional Study.

Effective self-management of liver cirrhosis requires medication adherence and lifestyle modifications. The purpose of this study was to investigate the self-management behaviors of liver cirrhosis patients and how their knowledge of cirrhosis, psychological status, and self-efficacy contributes to self-management practices in Shanghai, China. Subjects were recruited from the hepatology units in an infectious hospital in Shanghai, China. Self-administered questionnaires were collected and medical charts were reviewed by the research staff. A total of 134 subjects were enrolled from November 2016 to March 2017. The results indicate that the self-management behaviors mean score was 2.51 out of 4 and that depression, severity of cirrhosis, and self-efficacy significantly affected self-management behaviors and explained 22.9% of the total variance. The findings also indicate that psychological stress, disease severity, and self-efficacy affected self-management behaviors in liver cirrhosis patients. Interventions focusing on decreasing depression and enhancing self-efficacy according to disease severity should improve self-management behaviors in this population

Unmet needs of symptom management and associated factors among the HIV-positive population in Shanghai, China: A cross-sectional study.

BackgroundPeople living with HIV/AIDS (PLWHA) are a vulnerable group who experience multiple physiological and psychological symptoms. A better understanding of unmet symptom management needs will allow researchers to design interventions that are more reflective of deficits in care and more effective at improving patient care. Few studies have focused on unmet needs for symptom management in PLWHA particularly in China. Factors influencing Chinese PLWHA symptom management needs are rarely discussed.AimThe purpose of this study was to investigate the unmet needs for symptom management of PLWHA and how their symptom burden, HIV perceived stigma, and self-management capacity contributes to HIV-related self-management practices in Shanghai, China.DesignStudy participants were recruited from the outpatient and inpatient HIV/AIDS wards in an infectious hospital in Shanghai, China. Self-administered questionnaires were implemented and medical charts were reviewed.ResultsA total of 367 participants was recruited from April to September 2017. The results show that 53.1% (195 of 367) of participants presented at least one unmet symptom management need and that symptom burden, as well as perceived stigma, reduced self-management capacity, and no employment significantly affected unmet symptom management needs.ConclusionThe findings indicate that there is room for improvement in symptom management for Chinese PLWHA. Culturally appropriate interventions focusing on improving symptom burden, decreasing HIV perceived stigma, and enhancing self-management capacity can enhance symptom management in this population

Unmet needs of symptom management and associated factors among the HIV-positive population in Shanghai, China: A cross-sectional study.

BackgroundPeople living with HIV/AIDS (PLWHA) are a vulnerable group who experience multiple physiological and psychological symptoms. A better understanding of unmet symptom management needs will allow researchers to design interventions that are more reflective of deficits in care and more effective at improving patient care. Few studies have focused on unmet needs for symptom management in PLWHA particularly in China. Factors influencing Chinese PLWHA symptom management needs are rarely discussed.AimThe purpose of this study was to investigate the unmet needs for symptom management of PLWHA and how their symptom burden, HIV perceived stigma, and self-management capacity contributes to HIV-related self-management practices in Shanghai, China.DesignStudy participants were recruited from the outpatient and inpatient HIV/AIDS wards in an infectious hospital in Shanghai, China. Self-administered questionnaires were implemented and medical charts were reviewed.ResultsA total of 367 participants was recruited from April to September 2017. The results show that 53.1% (195 of 367) of participants presented at least one unmet symptom management need and that symptom burden, as well as perceived stigma, reduced self-management capacity, and no employment significantly affected unmet symptom management needs.ConclusionThe findings indicate that there is room for improvement in symptom management for Chinese PLWHA. Culturally appropriate interventions focusing on improving symptom burden, decreasing HIV perceived stigma, and enhancing self-management capacity can enhance symptom management in this population

Immune Characteristic Genes and Neutrophil Immune Transformation Studies in Severe COVID-19

As a disease causing a global pandemic, the progression of symptoms to severe disease in patients with COVID-19 often has adverse outcomes, but research on the immunopathology of COVID-19 severe disease remains limited. In this study, we used mRNA-seq data from the peripheral blood of COVID-19 patients to identify six COVID-19 severe immune characteristic genes (FPR1, FCGR2A, TLR4, S100A12, CXCL1, and L TF), and found neutrophils to be the critical immune cells in COVID-19 severe disease. Subsequently, using scRNA-seq data from bronchoalveolar lavage fluid from COVID-19 patients, neutrophil subtypes highly expressing the S100A family were found to be located at the end of cellular differentiation and tended to release neutrophil extracellular traps. Finally, it was also found that alveolar macrophages, macrophages, and monocytes with a high expression of COVID-19 severe disease immune characteristic genes may influence neutrophils through intercellular ligand–receptor pairs to promote neutrophil extracellular trap release. This study provides immune characteristic genes, critical immune pathways, and immune cells in COVID-19 severe disease, explores intracellular immune transitions of critical immune cells and pit-induced intercellular communication of immune transitions, and provides new biomarkers and potential drug targets for the treatment of patients with COVID-19 severe disease