A trial of patient-oriented problem-solving system for immunology teaching in China: a comparison with dialectic lectures

BACKGROUND: The most common teaching method used in China is lecturing, but recently, efforts have been widely undertaken to promote the transition from teacher-centered to student-centered education. The patient-oriented problem-solving (POPS) system is an innovative teaching-learning method that permits students to work in small groups to solve clinical problems, promotes self-learning, encourages clinical reasoning and develops long-lasting memory. To our best knowledge, however, POPS has never been applied in teaching immunology in China. The aim of this study was to develop POPS in teaching immunology and assess students’ and teachers’ perception to POPS. METHODS: 321 second-year medical students were divided into two groups: I and II. Group I, comprising 110 students, was taught by POPS, and 16 immunology teachers witnessed the whole teaching process. Group II including the remaining 211 students was taught through traditional lectures. The results of the pre- and post-test of both groups were compared. Group I students and teachers then completed a self-structured feedback questionnaire for analysis before a discussion meeting attended only by the teachers was held. RESULTS: Significant improvement in the mean difference between the pre- and post-test scores of those in Groups I and II was seen, demonstrating the effectiveness of POPS teaching. Most students responded that POPS facilitates self-learning, helps them to understand topics and creates interest, and 88.12% of students favored POPS over simple lectures. Moreover, while they responded that POPS facilitated student learning better than lectures, teachers pointed out that limited teaching resources would make it difficult for wide POPS application in China. CONCLUSIONS: While POPS can break up the monotony of dialectic lectures and serve as a better teaching method, it may not be feasible for the current educational environment in China. The main reason for this is the relative shortage of teaching resources such as space, library facilities and well-trained teachers

A Synergistic Therapeutic Scheme for Hyperglycemia and Nephrotic Disorders in Diabetes

We previously demonstrated that the utilization of an electrospun scaffold could boost functional outputs of transplanted islets. In this study, we aim to develop a drug-eluting scaffold with a payload of pioglitazone to simultaneously rein in hyperglycemia and recoup lost renal functions in diabetic mice that underwent islet transplantation. The in vivo proliferation of islets was measured by a non-invasive bio-imaging technology whereas the blood insulin, blood glucose and renal proteins were assayed. The local stimulation of transplanted islets by pioglitazone saw an accelerated in vivo proliferation without apoptosis caused by the drug-eluting scaffold. In addition, pioglitazone contributed to an increased secretion of insulin and C-peptide 2, giving rise to an accelerated rein-in of hyperglycemia and enhanced tolerance of sudden oral glucose challenge. Moreover, the accelerated decrease of blood creatinine, urine creatinine and blood urea nitrogen suggested that pioglitazone contributed to the recovery of renal functions compromised by diabetes. Our bioengineering strategy effectively ameliorated hyperglycemia and associated nephrotic disorders, and shed a new light on an engineering approach to combat diabetes

Early-Life Intervention Using Exogenous Fecal Microbiota Alleviates Gut Injury and Reduce Inflammation Caused by Weaning Stress in Piglets

Fecal microbiota transplantation (FMT) could shape the structure of intestinal microbiota in animals. This study was conducted to explore the changes that happen in the structure and function of microbiota caused by weaning stress, and whether early-life FMT could alleviate weaning stress through modifying intestinal microbiota in weaned piglets. Diarrheal (D) and healthy (H) weaned piglets were observed, and in the same farm, a total of nine litters newborn piglets were randomly allocated to three groups: sucking normally (S), weaned at 21 d (W), and early-life FMT + weaned at 21 d (FW). The results demonstrated that differences of fecal microbiota existed in group D and H. Early-life FMT significantly decreased diarrhea incidence of weaned piglets. Intestinal morphology and integrity were improved in the FW group. Both ZO-1 and occludin (tight junction proteins) of jejunum were greatly enhanced, while the zonulin expression was significantly down-regulated through early-life FMT. The expression of IL-6 and TNF-α (intestinal mucosal inflammatory cytokines) were down-regulated, while IL-10 (anti-inflammatory cytokines) was up-regulated by early-life FMT. In addition, early-life FMT increased the variety of the intestinal microbial population and the relative amounts of some beneficial bacteria such as Spirochaetes, Akkermansia, and Alistipes. Functional alteration of the intestinal microbiota revealed that lipid biosynthesis and aminoacyl-tRNA biosynthesis were enriched in the FW group. These findings suggested that alteration of the microbiota network caused by weaning stress induced diarrhea, and early-life FMT alleviated weaning stress in piglets, which was characterized by decreased diarrhea incidence, improved intestinal morphology, reduced intestinal inflammation, and modified intestinal bacterial composition and function

A New Construction of <inline-formula><math display="inline"><semantics><mrow><msup><mn>4</mn><mi>q</mi></msup></mrow></semantics></math></inline-formula>-QAM Golay Complementary Sequences

Quadrature amplitude modulation (QAM) constellation and Golay complementary sequences (GCSs) are usually applied in orthogonal frequency division multiplexing (OFDM) systems to obtain a higher data rate and a lower peak-to-mean envelope power ratio (PMEPR). In this paper, after a sufficient search of the literature, it was found that increasing the family size is an effective way to improve the data rate, and the family size is mainly determined by the number of offsets in the general structure of QAM GCSs. Under the guidance of this idea, we propose a new construction for 4q-QAM GCSs through generalized Boolean functions (GBFs) based on a new description of a 4q-QAM constellation, which aims to enlarge the family size of GCSs and obtain a low PMEPR. Furthermore, a previous construction of 4q-QAM GCSs presented by Li has been proved to be a special case of the new one, and the family size of new sequences is much larger than those previously mentioned, which means that there was a great improvement in the data rate. On the other hand, a previous construction of 16-QAM GCSs presented by Zeng is also a special case of the new one in this paper, when q=2. In the meantime, the proposed sequences have the same PMEPR upper bound as the previously mentioned sequences presented by Li when applied in OFDM systems, which increase the data rate without degrading the PMEPR performance. The theoretical analysis and simulation results show that the proposed new sequences can achieve a higher data rate and a low PMEPR

Co-Cultures of <i>Lactobacillus acidophilus</i> and <i>Bacillus subtilis</i> Enhance Mucosal Barrier by Modulating Gut Microbiota-Derived Short-Chain Fatty Acids

Weaning stress induces intestinal barrier dysfunction and immune dysregulation in mammals. Various interventions based on the modulation of intestinal microbiota have been proposed. Our study aims to explore the effects of co-cultures from Lactobacillus acidophilus and Bacillus subtilis (FAM®) on intestinal mucosal barrier from the perspective of metabolic function of gut microbiota. A total of 180 piglets were allocated to three groups, i.e., a control group (C, basal diet), a FAM group (F, basal diet supplemented with 0.1% FAM), and an antibiotic group (A, basal diet supplemented with antibiotic mixtures). Here, we showed FAM supplementation significantly increased body weight and reduced diarrhea incidence, accompanied by attenuated mucosal damage, increased levels of tight junction proteins, serum diamine oxidase (DAO) and antimicrobial peptides. In addition, 16S rRNA sequencing and metabolomic analysis revealed an increase in relative abundance of Clostridiales, Ruminococcaceae, Firmicutes and Muribaculaceae and a significant increase in the total short-chain fatty acids (SCFAs) and butyric acid in FAM-treated piglets. FAM also increased CD4+ T cells and SIgA+ cells in intestinal mucosa and SIgA production in colon contents. Furthermore, FAM upregulated the expression of IL-22, short-chain fatty acid receptors GPR43 and GPR41, aryl hydrocarbon receptor (AhR), and hypoxia-inducible factor 1α (HIF-1α). FAM shows great application prospect in gut health and provides a reference for infant weaning

The Therapeutic Role of Monocyte Chemoattractant Protein-1 in a Renal Tissue Engineering Strategy for Diabetic Patients

In this study we aim to boost the functional output of the intra-kidney islet transplantation for diabetic patients using a tissue engineered polymeric scaffold. This highly porous electrospun scaffold featured randomly distributed fibers composed of polycaprolactone (PCL) and poliglecaprone (PGC). It successfully sustained murine islets in vitro for up to 4 weeks without detected cytotoxicity. The in vivo study showed that the islet population proliferated by 89% within 12 weeks when they were delivered by the scaffold but only 18% if freely injected. Correspondingly, the islet population delivered by the scaffold unleashed a greater capability to produce insulin that in turn further drove down the blood glucose within 12 weeks after the surgery. Islets delivered by the scaffold most effectively prevented diabetic deterioration of kidney as evidenced by the lack of a kidney or glomerular enlargement and physiological levels of creatinine, urea nitrogen and albumin through week 12 after the surgery. Unlike traditional wisdom in diabetic research, the mechanistic study suggested that monocytes chemoattractant protein-1 (MCP-1) was responsible for the improved preservation of renal functions. This study revealed a therapeutic role of MCP-1 in rescuing kidneys in diabetic patients, which can be integrated into a tissue engineered scaffold to simultaneously preserved renal functions and islet transplantation efficacy. Also, this study affords a simple yet effective solution to improve the clinical output of islet transplantation.</p

Resource Allocation for Intelligent Reflecting Surfaces Assisted Federated Learning System with Imperfect CSI

Due to its ability to significantly improve the wireless communication efficiency, the intelligent reflective surface (IRS) has aroused widespread research interest. However, it is a challenge to obtain perfect channel state information (CSI) for IRS-related channels due to the lack of the ability to send, receive, and process signals at IRS. Since most of the existing channel estimation methods are developed to obtain cascaded base station (BS)-IRS-user devices (UDs) channel, this paper studies the problem of computation and communication resource allocation of the IRS-assisted federated learning (FL) system based on the imperfect CSI. Specifically, we take the statistical CSI error model into consideration and formulate the training time minimization problem subject to the rate outage probability constraints. In order to solve this issue, the semi-definite relaxation (SDR) and the constrained concave convex procedure (CCCP) are invoked to transform it into a convex problem. Subsequently, a low-complexity algorithm is proposed to minimize the delay of the FL system. Numerical results show that the proposed algorithm effectively reduces the training time of the FL system base on imperfect CSI

Power Stabilization Strategy of Random Access Loads in Electric Vehicles Wireless Charging System at Traffic Lights

An opportunity wireless charging system for electric vehicles when they stop and wait at traffic lights is proposed in this paper. In order to solve the serious power fluctuation caused by random access loads, this study presents a power stabilization strategy based on counting the number of electric vehicles in a designated area, including counting method, power source voltage adjustment strategy and choice of counting points. Firstly, the circuit model of a wireless power system with multi-loads is built and the equation of each load is obtained. Secondly, after the counting method of electric vehicles is stated, the voltage adjustment strategy, based on the number of electric vehicles when the system is at a steady state, is set out. Then, the counting points are chosen according to power curves when the voltage adjustment strategy is adopted. Finally, an experimental prototype is implemented to verify the power stabilization strategy. The experimental results show that, with the application of this strategy, the charging power is stabilized with the fluctuation of no more than 5% when loads access randomly

An Optical Spectroscopic Study of Air-Degradation of van der Waals Magnetic Semiconductor Cr₂Ge₂Te₆

Two-dimensional (2D) magnetic semiconductors exhibit unique combination of electronic and magnetic properties, holding great promise in potential applications such as spintronics and magneto-optics. However, many of them are air-sensitive, and their properties can be significantly altered upon exposure to air. Here, we showed an optical spectroscopic investigation of the effects of air-degradation on few-layered van der Waals (vdW) magnetic semiconductor Cr2Ge2Te6. It was found that although the partially degraded few-layered Cr2Ge2Te6 showed a significant Raman redshift and a split of Eg peak at room temperature, the magneto-optic Kerr hysteresis loop can remain largely unchanged below the Curie temperature. Temperature-dependent Raman measurements further revealed characteristic blueshifts of phonon energy, which were associated with the ferromagnetic phase transition in partially degraded Cr2Ge2Te6, in agreement with Kerr measurements. Our results provide an optical spectroscopic insight into the air-instability of 2D magnetic semiconductors, and contribute to a better understanding of the relationship between phonon modes and long-range spin order at the presence of defects in ultra-thin vdW magnetic semiconductors