The impact of COVID-19 on the cascade of care of HCV in the US and China

COVID-19 pandemic; Direct-acting antivirals; TelemedicinePandemia de COVID-19; Antivirales de acción directa; TelemedicinaPandèmia del Covid-19; Antivirals d'acció directa; TelemedicinaAbstract Background and objectives: The COVID-19 pandemic imperiled the global health system. We aimed to determine the impact of COVID-19 on the care continuum of HCV-infected patients. Material and Methods: Two hundred and fifty-six patients who were prescribed a course of DAA therapy at three tertiary medical centers in the US and China between January 1, 2019 to June 30, 2020 were included. We assessed the proportions of patients who completed DAA therapy and had HCV RNA testing during and after the end of therapy. We also assessed the impact of utilization of telemedicine. Results: The proportion of patients undergoing HCV RNA testing during DAA treatment decreased from >81.7% before pandemic to 67.8% during the pandemic (P=0.006), with a more prominent decrease in the US. There were significant decreases in HCV RNA testing >12 (P20 weeks (P<0.001) post-treatment during COVID-19 era. Compared to pre-COVID period, post-treatment clinic encounters during COVID-19 era decreased significantly in China (Xi'an: 13.6% to 7.4%; Nanjing: 16.7% to 12.5%) but increased in the US (12.5% to 16.7%), mainly due to the use of telemedicine. There was a 4-fold increase in utilization of telemedicine in the US. Conclusions: COVID-19 pandemic carried profound impact on care for HCV patients in both the US and China. HCV cure rate assessment decreased by half during COVID era but the proportion of patients finishing DAA therapy was not significantly affected. Increased utilization of telemedicine led to increased compliance with DAA therapy but did not encourage patients to have their laboratory assessment for HCV cure.None

Effects of Xiao Chengqi Formula on Slow Transit Constipation by Assessing Gut Microbiota and Metabolomics Analysis in vitro and in vivo

The Xiao Chengqi (XCQ) formula is a newly constituted traditional Chinese medicine prescription in the treatment of intestinal motility deficiency and is effective in patients with slow transit constipation (STC). XCQ formula was reconstructed based on a “Chengqi” decoction. Astragali Radix, Angelicae Sinensis Radix, and cooked ground Salviae Miltiorrhizae Radix et Rhizoma were added to the prescription to enhance. An STC rat model was constructed and treated with the formula to understand the detailed mechanism by which XCQ promotes intestinal peristalsis. The effects of the XCQ formula on intestinal microflora and metabolic levels and the possible molecular mechanism of its regulation were explored using 16S rDNA sequencing, metabolomics sequencing, and tissue RNA sequencing. The results showed a significant decrease in the abundance of Roseburia spp. in the feces of STC rats, a significant decrease in the content of butyl aminobenzene (BAB) in feces, and an increase in the number of interstitial cells of Cajal (ICC) in the colon of STC rats. Furthermore, in vitro and in vivo experiments revealed that BAB could activate IL-21R on the ICC surface, upregulate the phosphorylation of the downstream molecules STAT3 and ERK, and inhibit loperamide-induced ICC apoptosis. Therefore, the XCQ formula can improve the defecation status of patients with STC by protecting ICC activity, promoting the colonization of Roseburia spp. to promote peristalsis, and increasing the BAB content after metabolism

Machine Learning Based Crop Drought Mapping System by UAV Remote Sensing RGB Imagery

Water stress has adverse effects on crop growth and yield, where its monitoring plays a vital role in precision crop management. This paper aims at initially exploiting the potentials of UAV aerial RGB image in crop water stress assessment by developing a simple but effective supervised learning system. Various techniques are seamlessly integrated into the system including vegetation segmentation, feature engineering, Bayesian optimization and Support Vector Machine (SVM) classifier. In particular, wheat pixels are first segmented from soil background by using the classical vegetation index thresholding. Rather than performing pixel-wise classification, pixel squares of appropriate dimension are defined as samples, from which various features for pure vegetation pixels are extracted including spectral and color index (CI) features. SVM with Bayesian optimization is adopted as the classifier. To validate the developed system, a Unmanned Aerial Vehicle (UAV) survey is performed to collect high-resolution atop canopy RGB imageries by using DJI S1000 for the experimental wheat fields of Gucheng town, Heibei Province, China. Two levels of soil moisture were designed after seedling establishment for wheat plots by using intelligent irrigation and rain shelter, where field measurements were to obtain ground soil water ratio for each wheat plot. Comparative experiments by three-fold cross-validation demonstrate that pixel-wise classification, with a high computation load, can only achieve an accuracy of 82.8% with poor F1 score of 71.7%; however, the developed system can achieve an accuracy of 89.9% with F1 score of 87.7% by using only spectral intensities, and the accuracy can be further improved to 92.8% with F1 score of 91.5% by fusing both spectral intensities and CI features. Future work is focused on incorporating more spectral information and advanced feature extraction algorithms to further improve the performance

HNCDB: An Integrated Gene and Drug Database for Head and Neck Cancer

Head and neck cancer (HNC) is the sixth most common cancer worldwide. Over the last decade, an enormous amount of well-annotated gene and drug data has accumulated for HNC. However, a comprehensive repository is not yet available. Here, we constructed the Head and Neck Cancer Database (HNCDB: http://hncdb.cancerbio.info) using text mining followed by manual curation of the literature to collect reliable information on the HNC-related genes and drugs. The high-throughput gene expression data for HNC were also integrated into HNCDB. HNCDB includes the following three separate but closely related components: “HNC GENE,” “Connectivity Map,” and “ANALYSIS.” The “HNC GENE” component contains comprehensive information for the 1,173 HNC-related genes manually curated from 2,564 publications. The “Connectivity Map” includes information on the potential connections between the 176 drugs manually curated from 2,032 publications and the 1,173 HNC-related genes. The “ANALYSIS” component allows users to conduct correlation, differential expression, and survival analyses in the 2,403 samples from 78 HNC gene expression datasets. Taken together, we believe that HNCDB will be of significant benefit for the HNC community and promote further advances for precision medicine research on HNC

Expression of the phosphorylated MEK5 protein is associated with TNM staging of colorectal cancer

<p>Abstract</p> <p>Background</p> <p>Activation of MEK5 in many cancers is associated with carcinogenesis through aberrant cell proliferation. In this study, we determined the level of phosphorylated MEK5 (pMEK5) expression in human colorectal cancer (CRC) tissues and correlated it with clinicopathologic data.</p> <p>Methods</p> <p>pMEK5 expression was examined by immunohistochemistry in a tissue microarray (TMA) containing 335 clinicopathologic characterized CRC cases and 80 cases of nontumor colorectal tissues. pMEK5 expression of 19 cases of primary CRC lesions and paired with normal mucosa was examined by Western blotting. The relationship between pMEK5 expression in CRC and clinicopathologic parameters, and the association of pMEK5 expression with CRC survival were analyzed respectively.</p> <p>Results</p> <p>pMEK5 expression was significantly higher in CRC tissues (185 out of 335, 55.2%) than in normal tissues (6 out of 80, 7.5%; <it>P </it>< 0.001). Western blotting demonstrated that pMEK5 expression was upregulated in 12 of 19 CRC tissues (62.1%) compared to the corresponding adjacent nontumor colorectal tissues. Overexpression of pMEK5 in CRC tissues was significantly correlated to the depth of invasion (<it>P </it>= 0.001), lymph node metastasis (<it>P </it>< 0.001), distant metastasis (<it>P </it>< 0.001) and high preoperative CEA level (<it>P </it>< 0.001). Consistently, the pMEK5 level in CRC tissues was increased following stage progression of the disease (<it>P </it>< 0.001). Analysis of the survival curves showed a significantly worse 5-year disease-free (<it>P </it>= 0.002) and 5-year overall survival rate (<it>P </it>< 0.001) for patients whose tumors overexpressed pMEK5. However, in multivariate analysis, pMEK5 was not an independent prognostic factor for CRC (DFS: <it>P </it>= 0.139; OS: <it>P </it>= 0.071).</p> <p>Conclusions</p> <p>pMEK5 expression is correlated with the staging of CRC and its expression might be helpful to the TNM staging system of CRC.</p

Influences of Ultrafine Slag Slurry Prepared by Wet Ball Milling on the Properties of Concrete

The application of ultrafine ground-granulated blast-furnace slag (GGBFS) in concrete becomes widely used for high performance and environmental sustainability. The form of ultrafine slag (UFS) used in concrete is powder for convenience of transport and store. Drying-grinding-drying processes are needed before the application for wet emission. This paper aims at exploring the performances of concrete blended with GGBFS in form of slurry. The ultrafine slag slurry (UFSS) was obtained by the process of grinding the original slag in a wet ball mill, which was mixed in concrete directly. The durations of grinding were 20 min, 40 min, and 60 min which were used to replace Portland cement with different percentages, namely, 20, 35, and 50, and were designed to compare cement with original slag concrete. The workability was investigated in terms of fluidity. Microstructure and pore structure were evaluated by X-ray diffraction (XRD), scanning electron microscopy (SEM), and mercury intrusion porosimetry (MIP). The fluidity of concrete mixed with UFSS is deteriorated slightly. The microstructure and early strength were obviously improved with the grind duration extended

Preparation of waste glass powder by different grinding methods and its utilization in cement-based materials

Waste glass, as a hard-to-grind material, was often grinded into powder by ball-mill in order to be used as a supplementary cementitious material in concrete. In this study, three different glass powders (GP) referred to as GPd, GPw and GPe were fabricated by different methods (i.e. dry condition, water condition and ethyl alcohol condition), and the effect of GP on the properties of cement-based materials was sys-tematically evaluated. The results showed that the milling efficiency of GP was significantly affected by grinding condition. Ultrafine GP can be obtained as additional water or ethyl alcohol was added during the grinding process. GP showed low pozzolanic reactivity in the early age, even when the particle size was decreased to about 300 nm. GPd with large particle size and non-absorbent feature could increase effective water-to-cement ratio and thus improved the workability and early strength of specimens con-taining GPd, while the later strength was lower than that of reference ones due to low pozzolanic reac-tivity of GPd. In contrast, specimens containing GPw and GPe exhibited higher early mechanical strength than reference specimen due to the filling and acceleration effects of GP. An encouraging result indicated that GPe presented high pozzolanic reactivity at 28 d, which was seldom reported in the literature.Web of Science338art. no. 10369

Hydration and compressive strength of supersulfated cement with low-activity high alumina ferronickel slag

This research aims to explore the feasibility of using low-activity high alumina ferronickel slag (FS), carbide slag and hemihydrate phosphogypsum (HG) as main ingredients to fabricate supersulfated cement (SSC). The effect of HG dosage and FS fineness on hydration and compressive strength of SSC-FS was systematically investigated. Experimental results indicated that high mechanical strength can be achieved at ambient temperature by adjusting HG dosage and FS fineness. Increase in HG dosage postpones the initial formation of hydrates to some extent, but the amount of the final hydration products is promoted to generate higher mechanical strength. FS with smaller particle size has higher reaction activity that significantly accelerates the hydration process of SSC, leading to higher compressive strength and smaller volume expansion of SSC, and more ettringite crystals with smallish morphology formed in the pastes. If the particle size of FS is too small, however, ettringite crystals tend to precipitate at the surface of FS particles, which is unfavorable for the development of microstructure and will restrict the generation of C-S-H, thus resulting in a decrease in compressive strength and an increase in volume expansion.Web of Science136art. no. 10489

Preparation and characterizations of hydroxyapatite microcapsule phase change materials for potential building materials

This paper aims to develop a novel thermal storage cement-based material (TSCM) with good service performances using rigid phase-change microcapsules. Microcapsules were made of hollow HAP incorporated with capric acid (CA). The fabricated composite phase change material (CA/HAP) was characterized by using various techniques, such as scanning electron microscopy (SEM), X-ray diffraction (XRD), Fourier Transform infrared spectroscopy (FTIR), thermogravimetry (TGA) and differential scanning calorimeter (DSC). The basic properties of TSCM mortars with varying amount of CA/HAP including workability, hydration heat, compressive strength and thermal regulating ability were also assessed. The test results showed that CA/HAP is small and regular in spherical shape and exhibits high absorption ratio and good physicochemical stability. The incorporation of CA/HAP in cement-based materials leads to a decrease of workability, acceleration of hydration process and significant improvement of thermal regulation property. The compressive strength of mixtures containing CA/HAP is noted to be increased when incorporating 10% of CA/HAP by volume.Web of Science297art. no. 12357