45 research outputs found

    Analysis of the Factors Associated with Negative Conversion of Severe Acute Respiratory Syndrome Coronavirus 2 RNA of Coronavirus Disease 2019

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    AIM: To understand the factors associated with negative conversion of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA, targeted surveillance and control measures can be taken to provide scientific basis for the treatment of the disease and to improve the prognosis of the disease. METHODS: Using the method of retrospective cohort study, we collected the data of Coronavirus Disease 2019 (COVID-19) patients in Tongji Hospital of Wuhan, China from 10 January to 25 March, 2020. Among the data of 282 cases, 271 patients, according to whether the negative conversion happened, were divided into negative conversion group and control group. We made the quantitative variables into classification; Chi-square test single-factor and Cox regression were used in univariate analysis and extracted 30 meaningful variables, then through the collinearity diagnosis, excluded the existence of collinear variables. Finally, 22 variables were included in Cox regression analysis. RESULTS: The gender distribution was statistically significant between two groups (p < 0.05). While in the negative conversion group, the patients of non-severe group occupied a large proportion (p < 0.001). The median time for the negative conversion group was 17 days, and at the end of the observation period, the virus duration in control group was 24 days (p < 0.05). A total of 55 variables were included in univariate analysis, among which 30 variables were statistically different between the two groups. After screening variables through collinearity diagnosis, 22 variables were included in the Cox regression analysis. Last, lactate dehydrogenase (LDH), age, fibrinogen (FIB), and disease severity were associated with negative conversion of SARS-CoV-2 RNA. CONCLUSION: Our results suggest that in the treatment of COVID-19, focus on the age of more than 65 years old, severe, high level of LDH, FIB patients, and take some targeted treatment, such as controlling of inflammation, reducing organ damage, so as to provide good conditions for virus clearance in the body

    Development and validation of a novel necroptosis-related gene signature for predicting prognosis and therapeutic response in Ewing sarcoma

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    Ewing sarcoma (ES) is the second most common malignant bone tumor in children and has a poor prognosis due to early metastasis and easy recurrence. Necroptosis is a newly discovered cell death method, and its critical role in tumor immunity and therapy has attracted widespread attention. Thus, the emergence of necroptosis may provide bright prospects for the treatment of ES and deserves our further study. Here, based on the random forest algorithm, we identified 6 key necroptosis-related genes (NRGs) and used them to construct an NRG signature with excellent predictive performance. Subsequent analysis showed that NRGs were closely associated with ES tumor immunity, and the signature was also good at predicting immunotherapy and chemotherapy response. Next, a comprehensive analysis of key genes showed that RIPK1, JAK1, and CHMP7 were potential therapeutic targets. The Cancer Dependency Map (DepMap) results showed that CHMP7 is associated with ES cell growth, and the Gene Set Cancer Analysis (GSCALite) results revealed that the JAK1 mutation frequency was the highest. The expression of 3 genes was all negatively correlated with methylation and positively with copy number variation (CNV). Finally, an accurate nomogram was constructed with this signature and clinical traits. In short, this study constructed an accurate prognostic signature and identified 3 novel therapeutic targets against ES

    Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

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    Background: In an era of shifting global agendas and expanded emphasis on non-communicable diseases and injuries along with communicable diseases, sound evidence on trends by cause at the national level is essential. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic scientific assessment of published, publicly available, and contributed data on incidence, prevalence, and mortality for a mutually exclusive and collectively exhaustive list of diseases and injuries. Methods: GBD estimates incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) due to 369 diseases and injuries, for two sexes, and for 204 countries and territories. Input data were extracted from censuses, household surveys, civil registration and vital statistics, disease registries, health service use, air pollution monitors, satellite imaging, disease notifications, and other sources. Cause-specific death rates and cause fractions were calculated using the Cause of Death Ensemble model and spatiotemporal Gaussian process regression. Cause-specific deaths were adjusted to match the total all-cause deaths calculated as part of the GBD population, fertility, and mortality estimates. Deaths were multiplied by standard life expectancy at each age to calculate YLLs. A Bayesian meta-regression modelling tool, DisMod-MR 2.1, was used to ensure consistency between incidence, prevalence, remission, excess mortality, and cause-specific mortality for most causes. Prevalence estimates were multiplied by disability weights for mutually exclusive sequelae of diseases and injuries to calculate YLDs. We considered results in the context of the Socio-demographic Index (SDI), a composite indicator of income per capita, years of schooling, and fertility rate in females younger than 25 years. Uncertainty intervals (UIs) were generated for every metric using the 25th and 975th ordered 1000 draw values of the posterior distribution. Findings: Global health has steadily improved over the past 30 years as measured by age-standardised DALY rates. After taking into account population growth and ageing, the absolute number of DALYs has remained stable. Since 2010, the pace of decline in global age-standardised DALY rates has accelerated in age groups younger than 50 years compared with the 1990–2010 time period, with the greatest annualised rate of decline occurring in the 0–9-year age group. Six infectious diseases were among the top ten causes of DALYs in children younger than 10 years in 2019: lower respiratory infections (ranked second), diarrhoeal diseases (third), malaria (fifth), meningitis (sixth), whooping cough (ninth), and sexually transmitted infections (which, in this age group, is fully accounted for by congenital syphilis; ranked tenth). In adolescents aged 10–24 years, three injury causes were among the top causes of DALYs: road injuries (ranked first), self-harm (third), and interpersonal violence (fifth). Five of the causes that were in the top ten for ages 10–24 years were also in the top ten in the 25–49-year age group: road injuries (ranked first), HIV/AIDS (second), low back pain (fourth), headache disorders (fifth), and depressive disorders (sixth). In 2019, ischaemic heart disease and stroke were the top-ranked causes of DALYs in both the 50–74-year and 75-years-and-older age groups. Since 1990, there has been a marked shift towards a greater proportion of burden due to YLDs from non-communicable diseases and injuries. In 2019, there were 11 countries where non-communicable disease and injury YLDs constituted more than half of all disease burden. Decreases in age-standardised DALY rates have accelerated over the past decade in countries at the lower end of the SDI range, while improvements have started to stagnate or even reverse in countries with higher SDI. Interpretation: As disability becomes an increasingly large component of disease burden and a larger component of health expenditure, greater research and developm nt investment is needed to identify new, more effective intervention strategies. With a rapidly ageing global population, the demands on health services to deal with disabling outcomes, which increase with age, will require policy makers to anticipate these changes. The mix of universal and more geographically specific influences on health reinforces the need for regular reporting on population health in detail and by underlying cause to help decision makers to identify success stories of disease control to emulate, as well as opportunities to improve. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licens

    Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950-2019 : a comprehensive demographic analysis for the Global Burden of Disease Study 2019

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    Background: Accurate and up-to-date assessment of demographic metrics is crucial for understanding a wide range of social, economic, and public health issues that affect populations worldwide. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 produced updated and comprehensive demographic assessments of the key indicators of fertility, mortality, migration, and population for 204 countries and territories and selected subnational locations from 1950 to 2019. Methods: 8078 country-years of vital registration and sample registration data, 938 surveys, 349 censuses, and 238 other sources were identified and used to estimate age-specific fertility. Spatiotemporal Gaussian process regression (ST-GPR) was used to generate age-specific fertility rates for 5-year age groups between ages 15 and 49 years. With extensions to age groups 10–14 and 50–54 years, the total fertility rate (TFR) was then aggregated using the estimated age-specific fertility between ages 10 and 54 years. 7417 sources were used for under-5 mortality estimation and 7355 for adult mortality. ST-GPR was used to synthesise data sources after correction for known biases. Adult mortality was measured as the probability of death between ages 15 and 60 years based on vital registration, sample registration, and sibling histories, and was also estimated using ST-GPR. HIV-free life tables were then estimated using estimates of under-5 and adult mortality rates using a relational model life table system created for GBD, which closely tracks observed age-specific mortality rates from complete vital registration when available. Independent estimates of HIV-specific mortality generated by an epidemiological analysis of HIV prevalence surveys and antenatal clinic serosurveillance and other sources were incorporated into the estimates in countries with large epidemics. Annual and single-year age estimates of net migration and population for each country and territory were generated using a Bayesian hierarchical cohort component model that analysed estimated age-specific fertility and mortality rates along with 1250 censuses and 747 population registry years. We classified location-years into seven categories on the basis of the natural rate of increase in population (calculated by subtracting the crude death rate from the crude birth rate) and the net migration rate. We computed healthy life expectancy (HALE) using years lived with disability (YLDs) per capita, life tables, and standard demographic methods. Uncertainty was propagated throughout the demographic estimation process, including fertility, mortality, and population, with 1000 draw-level estimates produced for each metric. Findings: The global TFR decreased from 2·72 (95% uncertainty interval [UI] 2·66–2·79) in 2000 to 2·31 (2·17–2·46) in 2019. Global annual livebirths increased from 134·5 million (131·5–137·8) in 2000 to a peak of 139·6 million (133·0–146·9) in 2016. Global livebirths then declined to 135·3 million (127·2–144·1) in 2019. Of the 204 countries and territories included in this study, in 2019, 102 had a TFR lower than 2·1, which is considered a good approximation of replacement-level fertility. All countries in sub-Saharan Africa had TFRs above replacement level in 2019 and accounted for 27·1% (95% UI 26·4–27·8) of global livebirths. Global life expectancy at birth increased from 67·2 years (95% UI 66·8–67·6) in 2000 to 73·5 years (72·8–74·3) in 2019. The total number of deaths increased from 50·7 million (49·5–51·9) in 2000 to 56·5 million (53·7–59·2) in 2019. Under-5 deaths declined from 9·6 million (9·1–10·3) in 2000 to 5·0 million (4·3–6·0) in 2019. Global population increased by 25·7%, from 6·2 billion (6·0–6·3) in 2000 to 7·7 billion (7·5–8·0) in 2019. In 2019, 34 countries had negative natural rates of increase; in 17 of these, the population declined because immigration was not sufficient to counteract the negative rate of decline. Globally, HALE increased from 58·6 years (56·1–60·8) in 2000 to 63·5 years (60·8–66·1) in 2019. HALE increased in 202 of 204 countries and territories between 2000 and 2019

    DNA-Guided Plasmonic Helix with Switchable Chirality

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    © 2018 American Chemical Society. The ability to dynamically tune the self-assembled structures of nanoparticles is of significant interest in the fields of chemistry and material studies. However, it continues to be challenging to dynamically tune the chiral superstructures of nanoparticles and actively switch the chiral optical properties thereof. Here, we dynamically controlled a gold nanorod 3D chiral plasmonic superstructure (a stair helix with a pinwheel end view) templated by a DNA origami supramolecular polymer, using DNA-toehold-mediated conformational change in the DNA template. The gold nanorod chiral plasmonic helix was controllably reconfigured between a tightly folded state (with a small inter-rod angle) and an extended state (with a wide inter-rod angle) of the same handedness, or between two mirror-image-like structures of opposite handedness. As a result, the chiral plasmonic properties of the gold nanorod helix superstructures, in terms of the circular dichroism amplitude, peak response frequency, and signature of chirality, were actively switched upon the DNA-guided structural reconfiguration. We envision that the strategy demonstrated here will boost the advancement of reconfigurable chiral materials with increased complexity for active light control applications through rational molecular design and predictable self-assembly procedures

    Uncertainly Analysis of Prior Distribution in Accelerated Degradation Testing Bayesian Evaluation Method Based on Deviance Information Criterion

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    The accelerated degradation testing (ADT) Bayesian evaluation method comprehensively utilizes product degradation data under accelerated stress levels collected over a short period of time and multiple sources of prior information, such as historical information, similar product information, simulation information, etc., to conduct life and reliability evaluation. Through the prior distribution, prior information affects the ADT Bayesian evaluation results ultimately. However, different evaluators may obtain different prior distributions based on the same prior information due to varying experiences or rules, which may lead to differences in the ADT Bayesian evaluation results. Therefore, it is necessary to analyze and study the impact of prior distribution uncertainty on the ADT Bayesian evaluation results while also finding criteria to judge the quality of prior distributions. This paper focuses on the ADT Bayesian evaluation method based on the Wiener process and the Arrhenius relation, studying the influence of different prior distributions on the robustness of ADT Bayesian evaluation results. Additionally, based on the deviance information criterion (DIC), a criterion for selecting prior distributions in the ADT Bayesian evaluation method is proposed. Through carrying out uncertainty analysis of prior distribution in the ADT Bayesian evaluation method, a theoretical system and framework for analyzing prior uncertainty in ADT Bayesian evaluation based on DIC are established, providing a better foundation for the practical application of the ADT Bayesian evaluation method in engineering

    Biochemical Analysis and Toxicity Assessment of Utilization of Argon Oxygen Decarbonization Slag as a Mineral Fertilizer for Tall Fescue (<i>Festuca arundinacea</i> Schreb) Planting

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    Argon oxygen decarbonization (AOD) slag refers to a byproduct of stainless steel (SS) production, which has caused considerable environmental stress. Finding an effective approach for recycling AOD slag is essential to environmental safety. In this work, batch leaching tests were carried out to explore the leaching behavior of AOD slag and soil. Pot experiments was conducted to analyze the fertilization effect of AOD slag for tall fescue (Festuca arundinacea Schreb) planting. The plant height, biomass, total root length (TRL), root surface area (RSA), root tips (RT), root hairs (RH)), chlorophyll content, malondialdehyde (MDA) content, and antioxidant enzyme activities of the tall fescue seedlings were measured. As indicated from the results, adding AOD slag into soil increased soil pH. The leaching concentration of Ca, Si, Al, Cr of the AOD slag was higher than the original soil, while that of Mg, Mn, and Fe was lower. Low addition rate (≤1%) of AOD slag fertilization was good for plant height, biomass, root growth, and chlorophyll synthesis, whereas high addition rate (≥2%) exerted an opposite effect. Elevating the rate of AOD slag fertilization increased the Cr accumulation in the tall fescue seedling that aggravated damage of reactive oxygen species (ROS). When the AOD slag fertilization was at a low rate (≤1%), ROS scavenging was attributed to the synergistic effects of superoxide dismutase (SOD), peroxidase (POD), and catalase (CAT) defense systems, while at a high rate (≥2%) of AOD slag fertilization, scavenging of excessive ROS could be mainly due to the CAT defense system

    Nonlinear Landau-Zener tunneling in Majorana’s stellar representation

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    By representing the evolution of a quantum state with the trajectories of the stars on a Bloch sphere, the Majorana’s stellar representation provides an intuitive way to understand quantum motion in a high dimensional projective Hilbert space. In this work we show that the Majorana’s representation offers a very interesting and intuitive way to understand the nonlinear Landau-Zener tunneling. In particular, the breakdown of adiabaticity in this tunneling phenomenon can be understood as some of the stars never reaching the south pole. We also establish a connection between the Majorana stars in the second quantized model and the single star in the mean field model by using the reduced density matrix
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