Self-pollination by sliding pollen in Caulokaempferia coenobialis (Zingiberaceae)

Caulokaempferia coenobialis (Zingiberaceae) forms dense populations on steep cliffs in shady, humid monsoon forests in south China. It produces few consecutively opening bright yellow flowers that are 3 cm long and oriented parallel to the ground. Upon anther dehiscence at about 0600 hours, each pollen sac releases a drop of pollen onto the horizontally oriented style, and the two drops then merge to form an oily film that slowly flows toward the stigma, carrying out self-pollination between about 1500 and 0730 hours the next day. The distance covered by the pollen film is ca. 3 mm. There is no significant difference in fruit set between experimentally cross- and self-pollinated flowers or between naturally pollinated and bagged flowers. The low pollen/ovule ratio of 664 probably relates to the pollen grains being held together by pollen-connecting threads. The latter ensure that pollen grains always arrive as multiples, and this is the first report of such threads in the Zingiberaceae. During 35 h of observation at several locations and during three flowering periods, only three individual bees, five flies, and two butterflies visited single flowers. It remained unclear whether they affected pollination because no return visits were observed. The automatic selfing by pollen that reaches the stigma ca. 9 h after the onset of anthesis apparently constitutes a case of delayed selfing, providing reproductive reassurance in situations of low pollinator visitation

Study on Disposal and Destruction of Abandoned Chemical Weapons by the Japanese Army in China

AbstractAbandoned chemical weapons (ACW) by the Japanese Army in China belong to old chemical weapons, which were produced in World WarII, buried underground or underwater. There are significant differences between old chemical weapons and chemical weapons in stock. The aim of the paper is the investigation and study on the disposal and destruction of ACW. We present the methods how to recognize and identify ACW, how to distinguish what kind of chemical warfare agents inside it. Its destruction principle and basic program of ACW, the operation technological processes for destruction of yellow munitions, red munitions, irregular munitions, contaminated solid material and water, other wastewater are specially emphasized

The Prognostic Significance of Apoptosis-Related Biological Markers in Chinese Gastric Cancer Patients

BACKGROUND AND OBJECTIVE: The prognosis varied among the patients with the same stage, therefore there was a need for new prognostic and predictive factors. The aim of this study was to evaluate the relationship of apoptosis-related biological markers such as p53, bcl-2, bax, and c-myc, and clinicopathological features and their prognostic value. METHODS: From 1996 to 2007, 4426 patients had undergone curative D2 gastrectomy for gastric cancer at Fudan University Shanghai Cancer Center. Among 501 patients, the expression levels of p53, bcl-2, bax, and c-myc were examined by immunohistochemistry. The prognostic value of biological markers and the correlation between biological markers and other clinicopathological factors were investigated. RESULTS: There were 339 males and 162 females with a mean age of 57. The percentages of positive expression of p53, bcl-2, bax, and c-myc were 65%, 22%, 43%, and 58%, respectively. There was a strong correlation between p53, bax, and c-myc expression (P=0.00). There was significant association between bcl-2, and bax expression (P<0.05). p53 expression correlated with histological grade (P=0.01); bcl-2 expression with pathological stage (P=0.00); bax expression with male (P=0.02), histological grade (P=0.01), Borrmann type (P=0.01), tumor location (P=0.00), lymph node metastasis (P=0.03), and pathological stage (P=0.03); c-myc expression with Borrmann type (P=0.00). bcl-2 expression was related with good survival in univariate analysis (P=0.01). Multivariate analysis showed that bcl-2 expression and pathological stage were defined as independent prognostic factors. There were significant differences of overall 5-year survival rates according to bcl-2 expression or not in stage IIB (P=0.03). CONCLUSION: The expression of bcl-2 was an independent prognostic factor for patients with gastric cancer; it might be a candidate for the gastric cancer staging system

ABSent: Cross-Lingual Sentence Representation Mapping with Bidirectional GANs

A number of cross-lingual transfer learning approaches based on neural networks have been proposed for the case when large amounts of parallel text are at our disposal. However, in many real-world settings, the size of parallel annotated training data is restricted. Additionally, prior cross-lingual mapping research has mainly focused on the word level. This raises the question of whether such techniques can also be applied to effortlessly obtain cross-lingually aligned sentence representations. To this end, we propose an Adversarial Bi-directional Sentence Embedding Mapping (ABSent) framework, which learns mappings of cross-lingual sentence representations from limited quantities of parallel data

Counterfactual Collaborative Reasoning

Causal reasoning and logical reasoning are two important types of reasoning abilities for human intelligence. However, their relationship has not been extensively explored under machine intelligence context. In this paper, we explore how the two reasoning abilities can be jointly modeled to enhance both accuracy and explainability of machine learning models. More specifically, by integrating two important types of reasoning ability -- counterfactual reasoning and (neural) logical reasoning -- we propose Counterfactual Collaborative Reasoning (CCR), which conducts counterfactual logic reasoning to improve the performance. In particular, we use recommender system as an example to show how CCR alleviate data scarcity, improve accuracy and enhance transparency. Technically, we leverage counterfactual reasoning to generate "difficult" counterfactual training examples for data augmentation, which -- together with the original training examples -- can enhance the model performance. Since the augmented data is model irrelevant, they can be used to enhance any model, enabling the wide applicability of the technique. Besides, most of the existing data augmentation methods focus on "implicit data augmentation" over users' implicit feedback, while our framework conducts "explicit data augmentation" over users explicit feedback based on counterfactual logic reasoning. Experiments on three real-world datasets show that CCR achieves better performance than non-augmented models and implicitly augmented models, and also improves model transparency by generating counterfactual explanations

Case report: Unveiling the unforeseen: a catastrophic encounter of giant aortic aneurysm rupture during re-sternotomy in a patient with bicuspid aortic valve and previous surgical aortic valve replacement

Due to structural abnormalities in the leaflets, patients with bicuspid aortic valve (BAV) may develop isolated aortic valve disease, such as aortic regurgitation, aortic stenosis, or a combination of both. In addition to valvular pathology, numerous studies have indicated that approximately 40% of BAV patients exhibit aortic pathologies characterized by aortic dilatation. According to guidelines for valvular diseases, patients with BAV who require surgical aortic valve replacement (SAVR) and have a diameter of the aortic sinuses or ascending aorta ≥4.5 cm are recommended to undergo concomitant replacement of the aortic sinuses or ascending aorta. However, we encountered a case in 2020 involving a patient with severe aortic regurgitation due to BAV and an ascending aortic diameter of 4.2 cm. This patient underwent SAVR and ascending aortoplasty surgery at our center. Remarkably, three years postoperatively, the patient's aortic diameter rapidly expanded by nearly threefold, which also suggests the risk of encountering a giant aortic root aneurysm during reoperation. Unfortunately, a fatal rupture of a giant aortic root aneurysm was encountered during re-sternotomy. Fortunately, with adequate preoperative planning, we successfully managed to avert this perilous situation. The patient recovered without complications and was discharged on the 8th day. Individualized surgical plans were formulated based on a comprehensive evaluation of the perioperative conditions

An n-of-1 Trial Service in Clinical Practice: Testing the Effectiveness of Liuwei Dihuang Decoction for Kidney-Yin Deficiency Syndrome

Objective. To describe the clinical use of n-of-1 RCTs for kidney-Yin deficiency syndrome that is a traditional Chinese medicine syndrome in publicly clinical practice in China. Methods. Our study included patients with kidney-Yin deficiency syndrome, using a within-patient, randomized, double-blind, crossover comparison of Liuwei Dihuang decoction versus placebo. Outcome Measures. Primary outcome measures included number of individual completion rates, response rate, and post-n-of-1 RCTs decisions. Secondary measures were the whole group score of individual Likert scale, SF-36 questionnaire. Results. Fifty patients were recruited and 3 were not completed. Forty-seven patients completed 3 pairs of periods, 3 (6.38%) were responders, 28 (59.57%) were nonresponders, and 16 (34.05%) were possible responders. Doctors and patients used the trial results to making decision. Three responders stayed on the medication management, 28 nonresponders ceased the LDD, 7 patients of the 16 possible responders could not give clear decision, and the others kept the same medication station. Among the whole group, neither the individual Likert score nor the SF-36 showed any statistical differences between LDD and placebo. Discussion. More attention should be paid to choose experienced TCM doctor as investigator and keep the simulant same with test medication in n-of-1 RCTs of TCM and sufficiently biological half-life period of Chinese medicine compound

Qishen Yiqi dripping pills for chronic ischaemic heart failure:results of the CACT-IHF randomized clinical trial

10.1002/ehf2.12980ESC Heart Failure763881-389

Study on the evaluation of the clinical effects of traditional chinese medicine in heart failure by complex intervention: protocol of SECETCM-HF

<p>Abstract</p> <p>Background</p> <p>Experts in Traditional Chinese Medicine (TCM) have studied the TCM subject of the pathogenesis of heart failure (HF) for several decades. As a result, the general idea is <it>ben </it>deficiency and <it>biao </it>excess. However, the clinical evaluation system which combined the TCM and western medicine in HF has not been developed yet. The objective is to establish the evaluation index system for the integration of TCM and western medicine. The evaluation indexes which include TCM items will specify the research design and methods.</p> <p>Methods</p> <p>Nine medical centers in different cities in China will participate in the trial. A population of 340 patients with HF will be enrolled through a central randomized system for different test groups. Group A will be treated with only western medicine, while group B with western and Chinese medicine together. The study will last for 12 months from the date of enrollment. The cardiovascular death will be the primary outcome.</p> <p>Discussion</p> <p>By putting the protocol into practice, the clinical effects of TCM for HF will be identified scientifically, objectively as well as rationally. The proper index system which built in the study will be helpful for the clinical effect expression of HF by integrated medicine in future.</p> <p>Trial Registration</p> <p>ChiCTR-TRC-00000059</p

Dipeptidyl peptidase-4 inhibitors and risk of heart failure in type 2 diabetes : systematic review and meta-analysis of randomised and observational studies

Objectives To examine the association between dipeptidyl peptidase-4 (DPP-4) inhibitors and the risk of heart failure or hospital admission for heart failure in patients with type 2 diabetes. Design Systematic review and meta-analysis of randomised and observational studies. Data sources Medline, Embase, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov searched up to 25 June 2015, and communication with experts. Eligibility criteria Randomised controlled trials, non-randomised controlled trials, cohort studies, and case-control studies that compared DPP-4 inhibitors against placebo, lifestyle modification, or active antidiabetic drugs in adults with type 2 diabetes, and explicitly reported the outcome of heart failure or hospital admission for heart failure. Data collection and analysis Teams of paired reviewers independently screened for eligible studies, assessed risk of bias, and extracted data using standardised, pilot tested forms. Data from trials and observational studies were pooled separately; quality of evidence was assessed by the GRADE approach. Results Eligible studies included 43 trials (n=68 775) and 12 observational studies (nine cohort studies, three nested case-control studies; n=1 777 358). Pooling of 38 trials reporting heart failure provided low quality evidence for a possible similar risk of heart failure between DPP-4 inhibitor use versus control (42/15 701 v 33/12 591; odds ratio 0.97 (95% confidence interval 0.61 to 1.56); risk difference 2 fewer (19 fewer to 28 more) events per 1000 patients with type 2 diabetes over five years). The observational studies provided effect estimates generally consistent with trial findings, but with very low quality evidence. Pooling of the five trials reporting admission for heart failure provided moderate quality evidence for an increased risk in patients treated with DPP-4 inhibitors versus control (622/18 554 v 552/18 474; 1.13 (1.00 to 1.26); 8 more (0 more to 16 more)). The pooling of adjusted estimates from observational studies similarly suggested (with very low quality evidence) a possible increased risk of admission for heart failure (adjusted odds ratio 1.41, 95% confidence interval 0.95 to 2.09) in patients treated with DPP-4 inhibitors (exclusively sitagliptin) versus no use. Conclusions The relative effect of DPP-4 inhibitors on the risk of heart failure in patients with type 2 diabetes is uncertain, given the relatively short follow-up and low quality of evidence. Both randomised controlled trials and observational studies, however, suggest that these drugs may increase the risk of hospital admission for heart failure in those patients with existing cardiovascular diseases or multiple risk factors for vascular diseases, compared with no use