Prevalence of metabolic syndrome among patients with hepatocellular carcinoma of different etiologies: a retrospective study.

AIMS: This study compared the prevalences of metabolic syndrome and of cardiac or kidney comorbidities among patients with hepatocellular carcinoma (HCC) associated with metabolic dysfunction-related fatty liver disease (MAFLD), chronic infection with hepatitis B or C virus (HBV or HCV), or the combination of MAFLD and chronic HBV infection. METHODS: Medical records were retrospectively analyzed for patients with HCC who underwent hepatectomy between March 2013 and March 2023. Patients with HCC of different etiologies were compared in terms of their clinicodemographic characteristics and laboratory data before surgery. RESULTS: Of the 2422 patients, 1,822 (75.2%) were chronically infected with HBV without MAFLD and HCV, 415 (17.2%) had concurrent MAFLD and chronic HBV infection but no HCV infection, 121 (5.0%) had MAFLD without hepatitis virus infection, and 64 (2.6%) were chronically infected with HCV in the presence or absence of MAFLD and HBV infection. Compared to patients chronically infected with HBV without MAFLD and HCV, those with MAFLD but no hepatitis virus infection showed significantly lower prevalence of cirrhosis, ascites, portal hypertension, alpha-fetoprotein concentration ≥ 400 ng/mL, tumor size > 5 cm, multinodular tumors and microvascular invasion. Conversely, they showed significantly higher prevalence of metabolic syndrome, hypertension, type 2 diabetes, abdominal obesity, history of cardiovascular disease, T-wave alterations, hypertriglyceridemia and hyperuricemia, as well as higher risk of arteriosclerotic cardiovascular disease. Compared to patients with MAFLD but no hepatitis virus infection, those with concurrent MAFLD and chronic infection with HBV showed significantly higher prevalence of cirrhosis, ascites and portal hypertension, but significantly lower prevalence of hypertension and history of cardiovascular disease. Compared to patients with other etiologies, those chronically infected with HCV in the presence or absence of MAFLD and HBV infection, showed significantly higher prevalence of cirrhosis, portal hypertension, ascites, and esophagogastric varices. CONCLUSION: Patients with HCC associated with MAFLD tend to have a background of less severe liver disease than those with HCC of other etiologies, but they may be more likely to suffer metabolic syndrome or comorbidities affecting the heart or kidneys.

Evaluation of supercritical fluid chromatography coupled to tandem mass spectrometry for the analysis of pesticide residues in grain.

A supercritical fluid chromatography-tandem mass spectrometry (SFC-MS/MS) technique was developed for the rapid and simultaneous detection of nine pesticides (carbendazim, isoprocarb, paclobutrazol, isoprothiolane, flusilazole, quinalphos, piperonylbutoxide, propargite, and bioresmethrin) in rice, wheat, and maize. The cereal samples were extracted with a solution of 0.5% acetic acid in acetonitrile and purified using quick, easy, cheap, effective, rugged, and safe method. The samples were characterized using multi-reaction monitoring and quantified with the external standard method. Excellent linearities (R2  > 0.9991) and limits of quantification (0.4-40.0 µg/kg) were established for all nine pesticides. Satisfactory pesticide recovery rates (62.2%-107.4%) were obtained at three standard concentrations (50, 100, and 200 µg/kg), with relative standard deviations in the range of 2.1%-14.3%. The results confirmed that the proposed method was suitable for the routine detection of these pesticides in grain samples. Compared with high-performance liquid chromatography-MS/MS, the overall test run time and the amount of solvent required were reduced by 66% and 90%, respectively, when SFC-MS/MS was applied. Therefore, the use of SFC-MS/MS permits a shorter run time and affords greater analytical efficiency, such that it is both economical and environmentally sustainable.

Jiawei guomin decoction regulates the degranulation of mast cells in atopic dermatitis mice via the HIS/PAR-2 pathway.

ETHNOPHARMACOLOGICAL RELEVANCE: Guomin decoction (GMD) is a traditional Chinese medicine commonly used in clinical practice. It has traditionally been used to treat all allergic diseases. Currently, Jiawei Guomin Decoction (JWGMD) is used to treat sensitive skin after initial therapy. Although it has a significant clinical therapeutic effect, the exact role of mast cell degranulation in treating atopic dermatitis (AD) is still unclear. AIM OF THE STUDY: GMD and JWGMD can both treat allergic diseases, while JWGMD focuses on skin allergies. This study aims to explore the potential effect of JWGMD on the degranulation of mast cells in an AD mouse model induced by 2,4-dinitrofluorobenzene (DNFB) and investigate the effectiveness of JWGMD in alleviating disease progression to further provide specific therapeutic targets for treating AD. MATERIALS AND METHODS: The scratching times and skin lesions of model mice induced by DNFB were observed, and skin tissues were collected for subsequent measurement. Histopathological changes in the back skin of mice were observed by haematoxylin eosin (H&E) staining, Toluidine blue staining was used to detect the degranulation of mouse skin mast cells, and the relationship between the expression of histamine (HIS), mast cell tryptase (MCT) and mast cell degranulation was analysed by enzyme-linked immunosorbent assay (ELISA). The expression of protease-activated receptor-2 (PAR-2), histamine 1 receptor (H1R), H2R, H4R and MCT proteins in AD mice was detected by Western blot (WB). Immunofluorescence assay (IFA) further confirmed the localization of PAR-2, H1R, H2R, H4R, and MCT proteins in the skin. Quantitative real-time PCR (qPCR) was used to determine PAR-2, H1R, H2R and H4R mRNA levels in skin lesions to further clarify the mechanism by which JWGMD amplifies mast cell degranulation in AD. In addition, a reliable ultrahigh-performance liquid chromatography-quadrupole electrostatic field orbitrap mass spectrometry (UPLC-QE-MS) nontargeted metabolomics analysis was performed to analyse the differences in metabolite abundance between GMD and JWGMD, and these results were used to identify the active components in JWGMD that may have antipruritic and anti-inflammatory properties and inhibit mast cell degranulation. RESULTS: After intermittent stimulation with DNFB, the skin lesions showed extensive desquamation, dryness, scabbing, skin thickening, and slight bleeding. Both treatments alleviated this phenomenon and reduced the number of scratches, with JWGMD being the most effective. JWGMD can significantly reduce inflammatory cell infiltration, oedema, and some capillary neogenesis in mice and reduce the degranulation of mast cells. The ELISA results showed that JWGMD can increase the levels of MCT and HIS proteins. The WB and IFA results demonstrated that JWGMD reduced the expression levels of PAR-2, H1R, H4R, and MCT proteins in skin lesions, with protein localization mainly in the epidermal layer, while H2R protein levels were increased and mainly localized in the dermis. In addition, JWGMD downregulates the mRNA expression of PAR-2, H1R, H2R, and H4R. Interestingly, through UPLC-QE-MS nontargeted metabolomic analysis, we detected the anti-inflammatory and antiallergy active substances in JWGMD, such as methyl eugenol, dictamnine and sinapine. CONCLUSIONS: JWGMD may alleviate itching through methyl syringol, dictamnine, sinapine and other substances, and its mechanism may be related to inhibiting the HIS/PAR-2 pathway in AD model mice and further regulating the self-amplification of mast cell degranulation. JWGMD is a potential drug for treating AD. Therefore, it deserves continuous attention and research.

Fate of Cl and chlorination mechanism during municipal solid waste incineration fly ash reutilization using thermal treatment: a review.

Safe and sustainable treatment of municipal solid waste incineration fly ash (MSWI FA) is urgently needed worldwide because of its high heavy metals, dioxin, and chlorine (Cl) contents. Thermal treatment is widely considered as a promising method for treating MSWI FA owing to its high toxic content removal efficiency and resource recovery; however, residual Cl is a concurrent critical problem faced during reutilisation of thermal treatment products. This review summarises the innovative thermal treatment methods of MSWI FA, such as those employed in production of cement, lightweight aggregates, glass slag, and metal alloys. The characteristics of Cl in MSWI FA, removal rate, transformation of water-soluble Cl into water-insoluble Cl, and the effect of different influencing factors such as temperature, composition, superheated steam, and mechanical pressure were analysed. The volatilization and decomposition of NaCl, KCl and CaClOH dominates Cl removal; however, the degradation of organic Cl and heavy metal chlorination volatilization process that generate HCl and heavy metal chlorides, respectively, also contributed to Cl removal. To promote the reutilisation of MSWI FA-based products, the leaching behaviour of residual Cl in products obtained by different thermal treatments was investigated.

Development of a loose powder sintering method for the preparation of porous ceramic from municipal solid waste incineration fly ash.

Loose powder sintering was used to prepare porous ceramic from municipal solid waste incineration fly ash (MSWI FA) and waste glass (WG). Sintering experiments at various temperatures, holding times, Al2O3 and SiC were conducted to investigate their effect on the ceramic properties and volatile heavy metal removal efficiency. The results show that increasing temperature from 1100 °C to 1250 °C promoted the transition of the mixtures from loose powder to a densified sintered matrix, with a bulk density increase of 31.10% and an open porosity decrease of 70.41%. The bulk density of the ceramic increased to 2.44 g/cm3 with 3% Al2O3 addition. The removal rates of Pb, Zn, Cu and Cd were higher than 90% at 1200 °C for 90 min, and promoted by the increasing temperature and holding time. Notably, 3% Al2O3 addition inhibited the volatilisation of Zn, Cu and Cd, particularly for Zn, the removal rate of which reduced to 61.66% at 1200 °C. The bulk density of the ceramic decreased to a minimum value of 1.48 g/cm3 with 4% SiC. The ratio of MSWI FA:WG:Al2O3:borax of 28.3:56.7:10:5 was proposed to obtain ceramic with a bulk density of 1.54 g/cm3 and a water absorption rate of 8.59% at 1150 °C. The leaching concentration of the porous ceramic met the Chinese regulatory standard (GB 8978-1996). Preparation of MSWI FA-based porous ceramics using the powder sintering method is a promising route for the harmless utilisation of MSWI FA. The porous ceramic is potentially applicable as a thermal-insulation building material.

Efficacy and safety of KL-A167 in previously treated recurrent or metastatic nasopharyngeal carcinoma: a multicenter, single-arm, phase 2 study.

Background: KL-A167 is a fully humanized monoclonal antibody targeting programmed cell death-ligand 1. This phase 2 study aimed to evaluate the efficacy and safety of KL-A167 in Chinese patients with previously treated recurrent or metastatic (R/M) nasopharyngeal carcinoma (NPC). Methods: This was a multicentre, single-arm, phase 2 study of KL-A167 in R/M NPC (KL167-2-05-CTP) (NCT03848286), conducted at 42 hospitals across the People's Republic of China. Eligible patients had histologically confirmed non-keratinising R/M NPC, and had failed at least two lines of chemotherapy. Patients received KL-A167 900mg intravenously once every 2 weeks until confirmed disease progression, intolerable toxicity, or withdrawal of informed consent. The primary endpoint was objective response rate (ORR) assessed by the independent review committee (IRC) according to RECIST v1.1. Findings: Between Feb 26th, 2019 and Jan 13th, 2021, 153 patients were treated. Totally, 132 patients entered full analysis set (FAS) and were evaluated for the efficacy. As of data cutoff date on Jul 13th, 2021, the median follow-up time was 21.7 months (95%CI 19.8-22.5). For FAS population, the IRC-assessed ORR was 26.5% (95%CI 19.2-34.9%), and disease control rate (DCR) was 56.8% (95%CI 47.9-65.4%). Median progression-free survival (PFS) was 2.8 months (95%CI 1.5-4.1) . Median duration of response was 12.4 months (95%CI 6.8-16.5), and median overall survival (OS) was 16.2 months (95%CI 13.4-21.3). When using the cutoff of 1000 copies/ml, 5000 copies/ml and 10,000 copies/ml for plasma EBV DNA titer, baseline low plasma EBV DNA was consistently related with better DCR, PFS and OS. Dynamic change of plasma EBV DNA was significantly associated with ORR and PFS. Among 153 patients, treatment related-adverse events (TRAEs) occurred in 73.2% of patients, and grade ≥3 TRAEs were in 15.0% of patients. No TRAE leading to death was reported. Conclusion: In this study, KL-A167 showed promising efficacy and an acceptable safety profile in patients with previously treated R/M NPC. Baseline plasma EBV DNA copy number might be a potentially useful prognostic biomarker for KL-A167 treatment, and post-treatment EBV DNA decrease might be correlated with better response to KL-A167. Funding: Sichuan Kelun-Biotech Biopharmaceutical Co., Ltd., China National Major Project for New Drug Innovation (2017ZX09304015).

A VR-Based Motor Imagery Training System With EMG-Based Real-Time Feedback for Post-Stroke Rehabilitation.

Rehabilitation is essential for post-stroke body function recovery. Supported by the mirror neuron theory, motor imagery (MI) has been proposed as a potential stroke therapy capable of facilitating the rehabilitation. However, it is often quite difficult to estimate the degree of the participation of patients during traditional MI training as well as difficult to evaluate the efficacy of MI based rehabilitation methods. The goal of this paper is to develop a virtual reality (VR) based MI training system combining electromyography (EMG) based real-time feedback for poststroke rehabilitation, with the immersive scenario of the VR system providing a shooting basketball training for bilateral upper limbs. Through acquiring electroencephalography (EEG) signal, the brain activity in alpha and beta frequency bands was mapped and the correlation analysis could be achieved. Furthermore, EMG data of each patient was collected and calculated as threshold with root-mean-square algorithm for feedback of the performance score of the shooting basketball training in virtual environment. To investigate the feasibility of this newly-built rehabilitation training system, four experiments namely initial assessment experiment, motor imagery (MI), action observation (AO), and combined motor imagery and action observation (MI+AO) were carried out on stroke patients at different recovery stages. The result shows that MI+AO can generate more pronounced event-related desynchronization (ERD) in alpha band compared to other cases and induce relatively obvious ERD in beta band compared to AO, which demonstrates that VR-based observation has ability to facilitate MI training. Furthermore, it has been found that the muscle strength from MI+AO is the highest through the EMG analysis. This proves that the feedback of EMG can be used to quantify patient's training engagement and promote MI training at a certain extent. Hence, by incorporating such an EMG feedback, a VR-based MI training system has the potential to achieve higher efficacy for post-stroke rehabilitation.

[Surface-enhanced Raman detection of deoxynivalenol allenol in agricultural products].

Fungal toxins are secondary metabolites of fungi. Food is highly susceptible to contamination by various fungal species that produce fungal toxins during production and storage. Fungal toxins can cause either acute or chronic poisoning from long-term, low-dose ingestion. Therefore, fungal toxins have become a topic of international interest as a food safety issue. Deoxynivalenol (DON) is a single-terminal sporam toxin produced predominantly by Fusarium graminae and Fusarium pinkosa. DON is globally one of the most common fungal toxins contaminating grain, food, and feed. Various methods have been applied for screening and detecting DON; however, these methods utilize expensive instruments and entail complex operations, poor repeatability, and low sensitivity. Therefore, the development of a simpler, more rapid, and sensitive sensing technology for DON detection is important for applications within the agriculture and food industry. Recently, surface-enhanced Raman scattering (SERS) has become a rapidly developing spectral analysis technology with unique advantages, including high sensitivity, high throughput, and rapid response rates. Therefore, attempts have been made to apply the SERS technique to detecting DON. However, due to the limitations concerning SERS substrates, the currently established SERS method exhibits serious problems, including low sensitivity and weak anti-interference ability, and cannot meet the requirements of sample detection. Recently, our group has prepared aggregated silver nanoparticles (a-AgNPs/CDs) with high SERS activity by using single-layer carbon-based dots (CDs) as a capping agent. Moreover, the obtained materials (a-AgNPs/CDs) were combined with hydrogel technology to prepare novel hydrogel SERS chips. The obtained SERS chips exhibited several advantages over traditional SERS substrates, such as high sensitivity, long-term stability, improved uniformity, and strong anti-interference capabilities. Herein, a novel SERS method for rapid screening and detection of DON in grains was established using a portable Raman spectrometer based on the developed hydrogel SERS chips. The main experimental conditions were optimized before the SERS detection of DON; this included the optimization of the hydrogel SERS chip soaking temperature and time in the DON solution. It was found that the optimal soaking temperature and time were 40 ℃ and 5 min, respectively. Under the optimal SERS detection conditions, the linear response range of DON was 1-10000 µg/kg (correlation coefficient (R2)=0.9967), and the limit of detection (LOD) was 0.14 µg/kg. Due to the unique pore size structure of the hydrogel, common sugar, protein, oil, pigment, and other interfering substances in the sample matrix were blocked outside the hydrogel. Therefore, only simple extraction was required while detecting complex samples. This method was applied to detecting DON in wheat flour, yielding recoveries of 97.3%-103% with relative standard deviations of 4.2%-5.0%. The established SERS method for DON detection exhibits a broader response range, high sensitivity, good repeatability, rapid response, simple operation, and strong anti-interference capability. This shows that the laboratory-constructed hydrogel SERS chip has excellent potential for rapid screening and detection of biotoxins in food.

A novel porous granular scaffold for the promotion of trabecular bone repair by time-dependent alteration of morphology.

Granular scaffolds have been extensively used in the clinic to repair irregular maxillofacial defects. There remain some challenges for the repair of trabecular structures in cancellous bone due to the reticular lamella-like morphology. In this study, we fabricated a novel granular scaffold by rational design of components with different degradation rates so that the morphology of the novel scaffold can evolve to match the growth period of bone cells. Here, polycaprolactone (PCL) was used to fabricate porous microspheres as a skeleton with slow degradation. The macropores were filled with quick degraded gelatin to form complete microspheres. Asynchronous degradation of the two components altered the morphology of the evolutive scaffold from compact to porous, gradually exposing the ridge-like skeletons. This scaffold reversed the decline of cellular adhesion to simple porous skeletons during the initial adhesion. Furthermore, the cells were able to grow into the pores and adhere onto the skeletons with an elongated cellular morphology, facilitating osteogenic differentiation. This novel scaffold was experimentally proven to promote the regeneration of alveolar bone along with a good percentage of bone volume and the formation of trabecular structures. We believe this morphology-evolved scaffold is highly promising for regenerative applications in the clinic.

Hybridizing aggregated gold nanoparticles with a hydrogel to prepare a flexible SERS chip for detecting organophosphorus pesticides.

Surface enhanced Raman scattering (SERS) is an ultrasensitive analytic technique. However, the application of SERS in quantitative analysis usually suffers from poor reliability due to the limitations of currently developed SERS substrates. In the present work, aggregated gold nanoparticles (a-AuNPs) fabricated by Ca2+-mediated assembly are dispersed in polyvinyl alcohol solution to prepare a novel hydrogel SERS chip through a physical crosslinking method. Taking advantage of the uniform distribution of SERS active a-AuNPs in the three-dimension hydrogel and the excellent barrier effect of hydrogel towards oxygen and macromolecules, the obtained hydrogel SERS chips show many outstanding advantages including high sensitivity, good repeatability, long-term stability, and a robust anti-interference ability. These advantages enable hydrogel SERS chips to be used to quantitatively analyse some complex samples without complex sample preprocessing. As a model, the hydrogel SERS chips are used for the detection of triazophos and phosmet in orange samples. The good recoveries suggest good applicability of the hydrogel SERS chips in food safety detection. This work provides a reliable and convenient platform for the quick detection and on-site monitoring of chemical contaminants and would promote greatly the performance of SERS techniques in quantitative analysis.

Recent Advances in Dual PI3K/mTOR Inhibitors for Tumour Treatment.

The PI3K-Akt-mTOR pathway is a viable target for cancer treatment and can be used to treat various malignant tumours, including follicular lymphoma and breast cancer. Both enzymes, PI3K and mTOR, are critical in this pathway. Hence, in recent years, an array of inhibitors targeting these two targets have been studied, showing dual PI3K/mTOR inhibition compared with single targeting small molecule inhibitors. Inhibitors not only inhibit cell proliferation but also promote cell apoptosis. These inhibitors show high potency and little drug resistance even at low doses, suggesting that PI3K/mTOR inhibitors are promising cancer drugs. Herein, we summarised the recent research of PI3K/mTOR dual inhibitors-for example, structure-activity relationship, pharmacokinetics, and clinical practice, and briefly commented on them. Clinical Trial Registration: https://clinicaltrials.gov.

Hybridizing Silver Nanoparticles in Hydrogel for High-Performance Flexible SERS Chips.

An ideal surface-enhanced Raman scattering (SERS) substrate should have high sensitivity, long-term stability, excellent repeatability, and strong anti-interference. In the present work, single-layer carbon-based dot (CD)-capped Ag nanoparticle aggregates (a-AgNPs/CDs) with high SERS activity are synthesized and hybridized with a hydrogel to prepare novel hydrogel SERS chips. Benefiting from the unique properties of a-AgNPs/CDs and the hydrogel, the constructed hydrogel SERS chips show excellent performances. Taking crystal violet detection as an example, the hydrogel SERS chips show a detection limit of around 1 × 10-16 mol/L (high sensitivity), maintain above 96.40% of SERS activity even after 14 weeks of storage (long-term stability), and display point-to-point relative standard deviation (RSD) in one chip as low as 1.43% (outstanding repeatability) and RSD in different chips as low as 2.75% (excellent reproducibility). Furthermore, the self-extraction effect of the hydrogel enables the flexible hydrogel SERS chips to be used for analyzing various real samples including soybean milk, juices, and fruits without any complex pretreatment. For instance, the hydrogel SERS chips are able to detect trace thiram and 2-(4-thiazolyl)benzimidazole with the detection limits of 1 and 5 ppb in liquid samples, respectively, and of 1 and 2.5 ng/cm2 on the peel of fruits, respectively. The self-extraction functional flexible SERS chips offer a reliable and convenient platform for the quick detection and on-site monitoring of chemical contaminants.

Recent progress on FAK inhibitors with dual targeting capabilities for cancer treatment.

Focal adhesion kinase (FAK, also known as PTK2) is a tyrosine kinase that regulates integrin and growth factor signaling pathways and is involved in the migration, proliferation and survival of cancer cells. FAK is a promising target for cancer treatment. Many small molecule FAK inhibitors have been identified and proven in both preclinical and clinical studies to be effective inhibitors of tumor growth and metastasis. There are many signaling pathways, such as those involving FAK, Src, AKT, MAPK, PI3K, and EGFR/HER-2, that provide survival signals in cancer cells. Dual inhibitors that simultaneously block FAK and another factor can significantly improve efficacy and overcome some of the shortcomings of single-target inhibitors, including drug resistance. In this review, the antitumor mechanisms and research status of dual inhibitors of FAK and other targets, such as Pyk2, IGF-IR, ALK, VEGFR-3, JAK2, EGFR, S6K1, and HDAC2, are summarized, providing new ideas for the development of effective FAK dual-target preparations.

Treatments of Hepatocellular Carcinoma with Portal Vein Tumor Thrombus: Current Status and Controversy.

The proportions of patients with hepatocellular carcinoma (HCC) involving portal vein tumor thrombus (PVTT) varies greatly in different countries or regions, ranging from 13% to 45%. The treatment regimens for PVTT recommended by HCC guidelines in different countries or regions also vary greatly. In recent years, with the progress and development of surgical concepts, radiotherapy techniques, systematic therapies (for example, VEGF inhibitors, tyrosine kinase inhibitors and immune checkpoint inhibitors), patients with HCC involving PVTT have more treatment options and their prognoses have been significantly improved. To achieve the maximum benefit, both clinicians and patients need to think rationally about the indications of treatment modalities, the occurrence of severe adverse events, and the optimal fit for the population. In this review, we provide an update on the treatment modalities available for patients with HCC involving PVTT. Trials with large sample size for patients with advanced or unresectable HCC are also reviewed.

Study on personalized microbial formulation during high-temperature aerobic fermentation of different types of food wastes.

The rapidly growing generation of food wastes has attracted extensive attention. In this context, biochemical processors, using high-temperature aerobic fermentation, has become a beneficial method to treat food waste in situ. However, existing microbial agents do not vary the proportion of strains according to the different food wastes, with this approach affecting the degradation efficiency. In this study, high-temperature resistant strains, with high degradation efficiency, were isolated and screened, before establishing a novel method for preparing personalized microbial formulations. Using the degradation efficiency of wastes after three days as the evaluation standard, 12 groups of Plackett-Burman experiments were used to determine the main effect strains for different types of food waste. Fifteen groups of Box-Behnken experiments were then used to determine their best proportions at which the maximum degradation efficiency occurred. Finally, simulated fermentation experiments were used to check for improvement of the fermentation process by mixing strains according to the personalized proportions. Results of molecular identification and physiological assessments indicated that all the seven strains were Bacillus spp., with no antagonistic effects between them. Based on the Plackett-Burman and Box-Behnken tests, three personalized bacterial agents were obtained for different types of food waste. The fermentation results further showed that, compared with the use of equal proportions of strains, a maximum increase of 15.43% in organic matter degradation was achieved after adding personalized proportions. This study provides both theoretical and practical references for the use of personalized microbial agent formulations for high-temperature aerobic fermentation of food wastes, thus providing these microbial agents with good prospects and economic value.

Investigation of the aerobic biochemical treatment of food waste: A case study in Zhejiang and Jiangsu provinces in China.

Food waste production is increasing rapidly and becoming a global concern. In areas with small production volumes and scattered production sources, the use of biochemical processors can be a beneficial supplement to the centralized treatment method for the in-situ treatment of wastes to effectively improve the efficiency of resource utilization. China is an important case study for this global issue; however, the implementation and outcomes of this process are not clear in China. In this study, field investigation and laboratory analysis were carried out on 14 biochemical processors in four representative regions of the Jiangsu and Zhejiang Provinces. The results showed that biochemical processors mostly used high-temperature aerobic fermentation, accounting for more than 80% of the commonly used procedures. The fermentation period was relatively short and ranged from 48 h to 10 days. Only 21.4% of devices were equipped with relatively complete secondary pollution-control units, which introduced the risk of secondary pollution during operation. The fermentation products exhibited common characteristics of acidity, high salt levels, and low maturity, rendering them unsuitable for agricultural use directly prior to an additional secondary fermentation process. Therefore, it is necessary to unify the design standards of biochemical processors and develop acid-resistant thermophilic microbial inoculants to increase fermentation efficiency. Thus, this study has significant implications in regulating food waste and serves as a theoretical and practical reference point to promote its in-situ treatment.

Efficacy and safety of Chinese herbal medicine in the treatment of chronic pruritus: A systematic review and meta-analysis of randomized controlled trials.

Background: Chronic pruritus (CP) is a common and aggravating symptom associated with skin and systemic diseases. Although clinical reports suggest that Chinese herbal medicine (CHM) is safe and effective in Chronic pruritus treatment, evidence to prove it is lacking. Therefore, in this review, we evaluated the therapeutic effects and safety of Chinese herbal medicine for the treatment of Chronic pruritus. Methods: Nine databases were searched for relevant randomized controlled trials (RCTs) from the inception of the database to 20 April 2022. The randomized controlled trials that compared the treatment of Chinese herbal medicine or a combination of Chinese herbal medicine and conventional western medicine treatment (WM) with western medicine treatment intervention for patients with Chronic pruritus were selected. We evaluated the effects of treatment with Chinese herbal medicine on the degree of pruritus, the Dermatology Life Quality Index (DLQI) score, response rate, recurrence rate, and incidence of adverse events in patients with Chronic pruritus. The risk of bias in each trial was evaluated using the Cochrane Collaboration tool. The RevMan software (version 5.3) was used for performing meta-analyses to determine the comparative effects. Results: Twenty-four randomized controlled trials were included, compared with placebo, moderate-quality evidence from one study showed that Chinese herbal medicine was associated with reduced visual analogue scale (VAS) (MD: -2.08; 95% CI = -2.34 to -1.82). Compared with western medicine treatment, low-to moderate-quality evidence from 8 studies indicated that Chinese herbal medicine was associated with reduced visual analogue scale, 4 studies indicated that Chinese herbal medicine was associated with reduced Dermatology Life Quality Index (MD = -1.80, 95% CI = -2.98 to -.62), and 7 studies indicated that Chinese herbal medicine was associated with improved Effective rate (RR: 1.26; 95% CI = 1.19-1.34). Compared with combination of Chinese herbal medicine and western medicine treatment, 16 studies indicated that Chinese herbal medicine was associated with reduced visual analogue scale, 4 studies indicated that Chinese herbal medicine was associated with reduced Dermatology Life Quality Index (MD = -2.37, 95% CI = -2.61 to -2.13), and 13 studies indicated that Chinese herbal medicine was associated with improved Effective rate (RR: 1.28; 95% CI = 1.21-1.36). No significant difference in the occurrence of adverse events in using Chinese herbal medicine or western medicine treatment was reported. Conclusion: The efficacy of Chinese herbal medicine used with or without western medicine treatment was better than western medicine treatment in treating chronic pruritus. However, only a few good studies are available regarding Chronic pruritus, and thus, high-quality studies are necessary to validate the conclusions of this study.

An Immersive Motor Imagery Training System for Post-Stroke Rehabilitation Combining VR and EMG-based Real-Time Feedback.

Motor imagery combining virtual reality (VR) technique has recently been reported to have an increasingly positive impact on post-stroke rehabilitation. However, there is a common problem that the engagement of patients cannot be confirmed during motor imagery training due to a lack of effective feedback control. This paper proposes a VR-based motor imagery training system for post-stroke rehabilitation, using surface electromyographic (EMG)-based real-time feedback to enable the personalized training and quantitative assessment of participation degree. Three different experiments including assessment experiment, action observation (AO), combined motor imagery and action observation (MI+AO) experiment were performed on 4 post-stroke patients to verify the system. The immersive scenario of the VR system provides a shooting basketball training for bilateral upper limbs. The EMG data of assessment of each participant was collected to calculate the thresholds, which was utilized in the subsequent experiments based on real-time feedback of EMG. The result reveals significant differences of the muscle strength between AO and MI+AO experiments. This demonstrates that the EMG-based feedback is effective to be of use in assessment of participation degree. The primary application shows that VR-assisted motor imagery system has potential to provide personalized and more engaged training for post-stroke rehabilitation.

Immune Checkpoint Inhibitors in Hepatocellular Carcinoma: Current Progresses and Challenges.

Hepatocellular carcinoma (HCC) is one of the most common malignant tumor in the world and its incidence is increasing in many countries. In recent years, with the deepening understanding of the immune and pathological mechanisms of HCC, immunotherapy based on the regulation of tumor immune microenvironment has become a new treatment choice for patients with HCC. Immune checkpoint inhibitors (ICIs) targeting programmed death protein-1, programmed death protein-ligand-1, or cytotoxic T-lymphocyte-associated antigen 4 are the most widely used. Instead of general immune-enhancing therapies, ICIs can reactivate anti-tumor immune responses by disrupting co-inhibitory T cell signaling. In this review, the research progress and existing problems of ICIs in the treatment of HCC in recent years are reviewed.

Multi-Pharmaceutical Activities of Chinese Herbal Polysaccharides in the Treatment of Pulmonary Fibrosis: Concept and Future Prospects.

Pulmonary fibrosis is a fatal chronic progressive respiratory disease, characterized by continuous scarring of the lung parenchyma, leading to respiratory failure and death. The incidence of PF has increased over time. There are drugs, yet, there are some limitations. Hence, it is of importance to find new therapies and new drugs to replace the treatment of pulmonary fibrosis. In recent years, there have been a great number of research reports on the treatment of traditional Chinese medicine polysaccharides in various system fields. Among them, the treatment of PF has also gained extensive attention. This review summarized the source of polysaccharides, the drug activity of traditional Chinese medicine, and the protective effects on targets of Pulmonary fibrosis. We hope it can inspire researchers to design and develop polysaccharides, serving as a reference for potential clinical therapeutic drugs.