A Unique Seasonal Pattern in Phytoplankton Biomass in Low-Latitude Waters in the South China Sea

A distinctive seasonal pattern in phytoplankton biomass was observed at the South East Asian Time series Study (SEATS) station (18°N, 116°E) in the northern South China Sea (SCS). Surface chlorophyll-a, depth integrated chlorophyll-a and primary production were elevated to 0.3 mg/m3, ~35 mg/m2 and 300 mg-C/m2/d, respectively, in the winter but stayed low, at 0.1 mg/m3, ~15 mg/m2 and 110 mg-C/m2/d as commonly found in other low latitude waters, in the rest of the year. Concomitantly, soluble reactive phosphate and nitrate+nitrite in the mixed layer also became readily detectable in the winter. The elevation of phytoplankton biomass coincided approximately with the lowest sea surface temperature and the highest wind speed in the year. Only the combined effect of convective overturn by surface cooling and wind-induced mixing could have enhanced vertical mixing sufficiently to make the nutrients in the upper nutricline available for photosynthetic activities and accounted for the higher biomass in the winter

Accounting for Slow J/psi from B Decay

A slow J/psi excess exists in the inclusive B -> J/psi+X spectrum, and is indicative of some hadronic effect. From color octet nature of c cbar pair in b-> c cbar s decay, one such possibility would be B -> J/psi+ K_g decay, where K_g is a hybrid resonance with sbar g q constituents. We show that a K_g resonance of ~ 2 GeV mass and suitably broad width could be behind the excess.Comment: 4 pages, 2 figures. To appear in Phys. Rev.

Immunopathological Roles of Cytokines, Chemokines, Signaling Molecules, and Pattern-Recognition Receptors in Systemic Lupus Erythematosus

Systemic lupus erythematosus (SLE) is an autoimmune disease with unknown etiology affecting more than one million individuals each year. It is characterized by B- and T-cell hyperactivity and by defects in the clearance of apoptotic cells and immune complexes. Understanding the complex process involved and the interaction between various cytokines, chemokines, signaling molecules, and pattern-recognition receptors (PRRs) in the immune pathways will provide valuable information on the development of novel therapeutic targets for treating SLE. In this paper, we review the immunopathological roles of novel cytokines, chemokines, signaling molecules, PRRs, and their interactions in immunoregulatory networks and suggest how their disturbances may implicate pathological conditions in SLE

Misdiagnosis of pulmonary embolism and missed pulmonary embolism: A systematic review of the literature

Pulmonary embolism (PE) is a common and life-threatening condition. Misdiagnosis of PE is not uncommon as symptoms can overlap with other diagnoses and could cause potential harm. We conducted a systematic review to estimate rates of misdiagnosis and factors may be associated with misdiagnosis of PE. We searched MEDLINE and EMBASE for studies that evaluated the misdiagnosis of PE. The rate of misdiagnosis was pooled and results were narratively synthesized. A total of 18 studies were included which included 2,053 patients with a diagnosis of PE. Two different definitions were used for misdiagnosis of PE. The first refers to an initial diagnosis that is not PE and the patient is found to have PE. The second definition refers to patients who do not have a diagnosis of PE while they were alive and PE was subsequently found on autopsy. The pooled results across the studies suggest that in ED settings 27.5% of patients with PE are misdiagnosed initially and half of all patients in inpatient settings are misdiagnosed (53.6%). Among patients that die in intensive care who undergo autopsy 37.9% were found to have PE that was missed. The commonly diagnosed conditions instead of PE were respiratory infection, heart failure and acute coronary syndrome (ACS). Misdiagnosis in patients with an eventual diagnosis of PE is common. Clinicians should consider PE as differential diagnosis in patients who are initially suspected to have chest infection, heart failure or ACS who have negative diagnostic tests or poor response to treatment

Marital status and risk of cardiovascular diseases : A systematic review and meta-analysis

Acknowledgement We acknowledge the ASPIRE Summer Studentship programme at Keele University for the support of this work. Funding This work is supported by the ASPIRE Summer Studentship programme at Keele University.Peer reviewedPostprin

Uni-ControlNet: All-in-One Control to Text-to-Image Diffusion Models

Text-to-Image diffusion models have made tremendous progress over the past two years, enabling the generation of highly realistic images based on open-domain text descriptions. However, despite their success, text descriptions often struggle to adequately convey detailed controls, even when composed of long and complex texts. Moreover, recent studies have also shown that these models face challenges in understanding such complex texts and generating the corresponding images. Therefore, there is a growing need to enable more control modes beyond text description. In this paper, we introduce Uni-ControlNet, a unified framework that allows for the simultaneous utilization of different local controls (e.g., edge maps, depth map, segmentation masks) and global controls (e.g., CLIP image embeddings) in a flexible and composable manner within one single model. Unlike existing methods, Uni-ControlNet only requires the fine-tuning of two additional adapters upon frozen pre-trained text-to-image diffusion models, eliminating the huge cost of training from scratch. Moreover, thanks to some dedicated adapter designs, Uni-ControlNet only necessitates a constant number (i.e., 2) of adapters, regardless of the number of local or global controls used. This not only reduces the fine-tuning costs and model size, making it more suitable for real-world deployment, but also facilitate composability of different conditions. Through both quantitative and qualitative comparisons, Uni-ControlNet demonstrates its superiority over existing methods in terms of controllability, generation quality and composability. Code is available at \url{https://github.com/ShihaoZhaoZSH/Uni-ControlNet}.Comment: Camera Ready, Code is available at https://github.com/ShihaoZhaoZSH/Uni-ControlNe

Cytokine Response Patterns in Severe Pandemic 2009 H1N1 and Seasonal Influenza among Hospitalized Adults

BACKGROUND: Studying cytokine/chemokine responses in severe influenza infections caused by different virus subtypes may improve understanding on pathogenesis. METHODS: Adults hospitalized for laboratory-confirmed seasonal and pandemic 2009 A/H1N1 (pH1N1) influenza were studied. Plasma concentrations of 13 cytokines/chemokines were measured at presentation and then serially, using cytometric-bead-array with flow-cytometry and ELISA. PBMCs from influenza patients were studied for cytokine/chemokine expression using ex-vivo culture (Whole Blood Assay,±PHA/LPS stimulation). Clinical variables were prospectively recorded and analyzed. RESULTS: 63 pH1N1 and 53 seasonal influenza patients were studied. pH1N1 patients were younger (mean±S.D. 42.8±19.2 vs 70.5±16.7 years), and fewer had comorbidities. Respiratory/cardiovascular complications were common in both groups (71.4% vs 81.1%), although severe pneumonia with hypoxemia (54.0% vs 28.3%) and ICU admissions (25.4% vs 1.9%) were more frequent with pH1N1. Hyperactivation of the proinflammatory cytokines IL-6, CXCL8/IL-8, CCL2/MCP-1 and sTNFR-1 was found in pH1N1 pneumonia (2-15 times normal) and in complicated seasonal influenza, but not in milder pH1N1 infections. The adaptive-immunity (Th1/Th17)-related CXCL10/IP-10, CXCL9/MIG and IL-17A however, were markedly suppressed in severe pH1N1 pneumonia (2-27 times lower than seasonal influenza; P-values<0.01). This pattern was further confirmed with serial measurements. Hypercytokinemia tended to be sustained in pH1N1 pneumonia, associated with a slower viral clearance [PCR-negativity: day 3-4, 55% vs 85%; day 6-7, 67% vs 100%]. Elevated proinflammatory cytokines, particularly IL-6, predicted ICU admission (adjusted OR 12.6, 95%CI 2.6-61.5, per log(10)unit increase; P = 0.002), and correlated with fever, tachypnoea, deoxygenation, and length-of-stay (Spearman's rho, P-values<0.01) in influenza infections. PBMCs in seasonal influenza patients were activated and expressed cytokines ex vivo (e.g. IL-6, CXCL8/IL-8, CCL2/MCP-1, CXCL10/IP-10, CXCL9/MIG); their 'responsiveness' to stimuli was shown to change dynamically during the illness course. CONCLUSIONS: A hyperactivated proinflammatory, but suppressed adaptive-immunity (Th1/Th17)-related cytokine response pattern was found in severe pH1N1 pneumonia, different from seasonal influenza. Cytokine/immune-dysregulation may be important in its pathogenesis

A Chinese Chan-Based Mind-Body Intervention Improves Sleep on Patients with Depression: A Randomized Controlled Trial

Sleep disturbance is a common problem associated with depression, and cognitive-behavioral therapy (CBT) is a more common behavioral intervention for sleep problems. The present study compares the effect of a newly developed Chinese Chan-based intervention, namely Dejian mind-body intervention (DMBI), with the CBT on improving sleep problems of patients with depression. Seventy-five participants diagnosed with major depressive disorder were randomly assigned to receive 10 weekly sessions of CBT or DMBI, or placed on a waitlist. Measurements included ratings by psychiatrists who were blinded to the experimental design, and a standardized questionnaire on sleep quantity and quality was obtained before and after the 10-week intervention. Results indicated that both the CBT and DMBI groups demonstrated significantly reduced sleep onset latency and wake time after sleep onset (effect size range = 0.46–1.0, P ≤ 0.05) as compared to nonsignificant changes in the waitlist group (P > 0.1). Furthermore, the DMBI group, but not the CBT or waitlist groups, demonstrated significantly reduced psychiatrist ratings on overall sleep problems (effect size = 1.0, P = 0.00) and improved total sleep time (effect size = 0.8, P = 0.05) after treatment. The present findings suggest that a Chinese Chan-based mind-body intervention has positive effects on improving sleep in individuals with depression