Analysis of the Willingness and Factors Influencing the Residents to Choose Between Chinese Medicine and Western Medicine under the New Coronavirus Pandemic: A Study in Zhejiang Province Community Health Service Center

Objective: To understand the willingness of Chinese residents to choose between Chinese and Western medicine in the face of sudden outbreak, this study aims to investigate and analyze the willingness and factors influencing Chinese residents (taking Zhejiang Province as an example) to choose between Chinese and Western medicine under the new coronavirus pandemic. Methods: The present study performed a large-scale cross-sectional online survey among 666 random residents in Zhejiang Province. We used questionnaires to investigate the feedback form from residents seeking medical care. In addition, a multivariate logistic regression model was used to analyze the influence of gender, education, medical reimbursement, and age on the choice of Chinese and Western medicine. Results: Among the patients with mild disease, 55.9% patients chose traditional Chinese medicine, while 44.1% chose Western medicine. Moreover, the proportion of patients with severe diseases who chose traditional Chinese medicine was 7.0%, while the rate of Western medicine was 93.0%. Among the patients suffering from mild diseases, the proportion of men who chose traditional Chinese medicine (46.2%) was lower than that of women (53.8%). The usage of Chinese medicine was preferred among residents of all ages, income levels, and educational backgrounds. A total of 93.0% of patients who chose Western medicine for treatment were severely ill, and the residents with severe diseases preferred Western medicine to Chinese medicine. People with high education and young were more inclined toward Western medicine for treatment compared with Chinese medicine. It was noted that people paid most attention to the medical insurance reimbursement ratio, followed by the distance between the medical institution and the place of residence. Conclusion: The acceptance of Chinese medicine among patients has generally increased; however, gender, educational background, and income still exert a great influence on the choice between Chinese and Western medicine

The effects of a mixed approach toward management earnings forecasts: evidence from China

Chinese regulators mandate management earnings forecasts when managers’ earnings expectations meet bright-line thresholds and allow voluntary forecasts in other circumstances. We examine the effects of this mixed approach. We find that Chinese mandatory forecasts have significant information content. Moreover, we observe a learning effect: mandatory forecasts appear to stimulate voluntary forecasts in subsequent periods as managers become familiar with the forecasting and disclosing procedures through forced experience. We find one negative consequence of the mixed approach, however: managers appear to manipulate earnings to avoid the forecast threshold of large earnings decreases. Overall, we document the pros and cons of a mixed approach toward management earnings forecasts in a major emerging market

A γ-secretase inhibitor, but not a γ-secretase modulator, induced defects in BDNF axonal trafficking and signaling: evidence for a role for APP.

Clues to Alzheimer disease (AD) pathogenesis come from a variety of different sources including studies of clinical and neuropathological features, biomarkers, genomics and animal and cellular models. An important role for amyloid precursor protein (APP) and its processing has emerged and considerable interest has been directed at the hypothesis that Aβ peptides induce changes central to pathogenesis. Accordingly, molecules that reduce the levels of Aβ peptides have been discovered such as γ-secretase inhibitors (GSIs) and modulators (GSMs). GSIs and GSMs reduce Aβ levels through very different mechanisms. However, GSIs, but not GSMs, markedly increase the levels of APP CTFs that are increasingly viewed as disrupting neuronal function. Here, we evaluated the effects of GSIs and GSMs on a number of neuronal phenotypes possibly relevant to their use in treatment of AD. We report that GSI disrupted retrograde axonal trafficking of brain-derived neurotrophic factor (BDNF), suppressed BDNF-induced downstream signaling pathways and induced changes in the distribution within neuronal processes of mitochondria and synaptic vesicles. In contrast, treatment with a novel class of GSMs had no significant effect on these measures. Since knockdown of APP by specific siRNA prevented GSI-induced changes in BDNF axonal trafficking and signaling, we concluded that GSI effects on APP processing were responsible, at least in part, for BDNF trafficking and signaling deficits. Our findings argue that with respect to anti-amyloid treatments, even an APP-specific GSI may have deleterious effects and GSMs may serve as a better alternative

Aberrant GlyRS-HDAC6 interaction linked to axonal transport deficits in Charcot-Marie-Tooth neuropathy.

Dominant mutations in glycyl-tRNA synthetase (GlyRS) cause a subtype of Charcot-Marie-Tooth neuropathy (CMT2D). Although previous studies have shown that GlyRS mutants aberrantly interact with Nrp1, giving insight into the disease\u27s specific effects on motor neurons, these cannot explain length-dependent axonal degeneration. Here, we report that GlyRS mutants interact aberrantly with HDAC6 and stimulate its deacetylase activity on α-tubulin. A decrease in α-tubulin acetylation and deficits in axonal transport are observed in mice peripheral nerves prior to disease onset. An HDAC6 inhibitor used to restore α-tubulin acetylation rescues axonal transport deficits and improves motor functions of CMT2D mice. These results link the aberrant GlyRS-HDAC6 interaction to CMT2D pathology and suggest HDAC6 as an effective therapeutic target. Moreover, the HDAC6 interaction differs from Nrp1 interaction among GlyRS mutants and correlates with divergent clinical presentations, indicating the existence of multiple and different mechanisms in CMT2D. Nat Commun 2018 Mar 8; 9(1):1007

Low-noise-figure and high-purity 10 vortex modes amplifier based on configurable pump modes

We have explored an orbital angular momentum (OAM) amplifier of 10 vortex modes under different-order OAM pump modes, i.e. OAM0, OAM1, and OAM2. The all-fiber amplification system consists of an active few-mode erbium-doped fiber (FM-EDF), a mode selective pump (MSP), and a mode selective signal (MSS). These mode selective components are based on fused-taper mode selective couplers (MSC) under different wavelengths fabricated by a passive ring-core fiber (RCF). Under different-order mode pumps, the OAM amplifier experimentally exhibits mode gains (MGs) above 15 dB for 10 vortex modes with the mode purities only 89%, essentially in line with the simulation results. Especially when the signal-mode profiles are better matched to the pump-mode profiles, i.e. the OAM pumps with the same order as signals, the obtained MGs are all over 20.2 dB and the amplified OAM mode purity is up to 97%; the acquired noise figures (NFs) are <4.9 dB and even the minimum NF is 3.2 dB. The results reveal that the OAM amplifier shows low-NF and high-purity characteristics under configurable pump modes in C-band. The amplified high-order OAM mode could be promising for uses in the long-distance mode division multiplexing (MDM) and in mitigation of the upcoming capacity crunch in optical fiber communication

Excess Deaths of Gastrointestinal, Liver, and Pancreatic Diseases During the COVID-19 Pandemic in the United States

Objectives: To evaluate excess deaths of gastrointestinal, liver, and pancreatic diseases in the United States during the COVID-19 pandemic.Methods: We retrieved weekly death counts from National Vital Statistics System and fitted them with a quasi-Poisson regression model. Cause-specific excess deaths were calculated by the difference between observed and expected deaths with adjustment for temporal trend and seasonality. Demographic disparities and temporal-spatial patterns were evaluated for different diseases.Results: From March 2020 to September 2022, the increased mortality (measured by excess risks) for Clostridium difficile colitis, gastrointestinal hemorrhage, and acute pancreatitis were 35.9%; 24.8%; and 20.6% higher than the expected. For alcoholic liver disease, fibrosis/cirrhosis, and hepatic failure, the excess risks were 1.4–2.8 times higher among younger inhabitants than older inhabitants. The excess deaths of selected diseases were persistently observed across multiple epidemic waves with fluctuating trends for gastrointestinal hemorrhage and fibrosis/cirrhosis and an increasing trend for C. difficile colitis.Conclusion: The persistently observed excess deaths of digestive diseases highlights the importance for healthcare authorities to develop sustainable strategies in response to the long-term circulating of SARS-CoV-2 in the community

Prediction of RNA Polymerase II recruitment, elongation and stalling from histone modification data

<p>Abstract</p> <p>Background</p> <p>Initiation and elongation of RNA polymerase II (RNAPII) transcription is regulated by both DNA sequence and chromatin signals. Recent breakthroughs make it possible to measure the chromatin state and activity of core promoters genome-wide, but dedicated computational strategies are needed to progress from descriptive annotation of data to quantitative, predictive models.</p> <p>Results</p> <p>Here, we describe a computational framework which with high accuracy can predict the locations of core promoters, the amount of recruited RNAPII at the promoter, the amount of elongating RNAPII in the gene body, the mRNA production originating from the promoter and finally also the stalling characteristics of RNAPII by considering both quantitative and spatial features of histone modifications around the transcription start site (TSS).</p> <p>As the model framework can also pinpoint the signals that are the most influential for prediction, it can be used to infer underlying regulatory biology. For example, we show that the H3K4 di- and tri- methylation signals are strongly predictive for promoter location while the acetylation marks H3K9 and H3K27 are highly important in estimating the promoter usage. All of these four marks are found to be necessary for recruitment of RNAPII but not sufficient for the elongation. We also show that the spatial distributions of histone marks are almost as predictive as the signal strength and that a set of histone marks immediately downstream of the TSS is highly predictive of RNAPII stalling.</p> <p>Conclusions</p> <p>In this study we introduce a general framework to accurately predict the level of RNAPII recruitment, elongation, stalling and mRNA expression from chromatin signals. The versatility of the method also makes it ideally suited to investigate other genomic data.</p

Adaptive Topology Reconfiguration from an Actor Failure in Wireless Sensor-Actor Networks

Wireless Sensor-Actor Network (WSAN) usually consists of numerous sensor nodes and fewer actors, and the connectivity of interactors is critical to the whole network. Due to the hash deployed environments and limited energy supply, actor nodes may fail and impact the performance of the whole network. Since the failure of a cut-vertex will disrupt connectivity and divide the topology into disjoint segments, most of the previous researches have already considered this scenario. However, the impact of an abruptly actor's failure to the network will be far more than that. This paper focuses on the problem of an actor's failure and gives a more comprehensive view of the faulty actor, that is, not only restricts to the cut-vertex. Length-Aware Topology Reconfiguration Algorithm (LTRA) is proposed on the basis of two vital definitions named as length impact index (LII) and vertex cut set (VCS). LTRA is a hybrid method which selects a best candidate for each actor (if it has) and then initiates in a distributed manner. Main idea of this approach is that candidate will move to replace the faulty one once the failure occurs. In addition, the candidate is selected from one-hop neighbors of each actor. Finally, performance of LTRA is validated by extensive simulation experiments

Speed Tracking and Synchronization of a Dual-Motor System via Second Order Sliding Mode Control

Dual-motor systems have been widely used in industrial applications, and speed synchronization of the motors can always be deteriorated by system parameter uncertainties and load torque perturbations. In this paper, a new robust control strategy for the dual-motor systems is developed by incorporating second order sliding mode control (2-SMC) techniques. The strategy is to design chatting-free control laws to stabilize speed tracking of each motor while synchronizing their velocity. In the proposed scheme, firstly, speed controller for a single motor is designed to eliminate the effects of system parameter variations and load torque perturbations. Secondly, a cross-coupled architecture based synchronous controller is designed to reduce speed error of the motors caused by characteristic inconsistency and unbalanced load torque. Stability of the closed loop system is analyzed by Lyapunov theory; it is proven that both speed tracking errors and synchronous error can converge to zero. Finally, experiments are performed to examine the effectiveness of the developed controllers. Experimental results will show the good performance of the proposed control scheme