Evaluating Treatment Outcomes and Tuberculosis Infection Risks: A Comparative Study of Centralized Hospitalization vs. Home-Based Treatment.

Background: Guizhou Province in Southwest China has experimented with a centralized hospitalization (CH) treatment for active and severe cases of pulmonary tuberculosis (PTB). The objective of this study was to compare treatment outcomes of patients with tuberculosis (TB) receiving care in a CH setting with those receiving home-based (HB) care. In addition, this study aimed to assess the probability of their household contacts contracting tuberculosis infection. Method: A retrospective review of medical records was undertaken for patients with TB who completed their treatment in four counties in Guizhou, China, spanning from January 2022 to August 2023. In addition, a cross-sectional survey was conducted on the tuberculin skin test (TST) among household contacts of new patients with TB who had completed their treatment. Results: In the retrospective study, 94.8% had successful CH treatment, and 93.1% had successful HB treatment (p value = 0.70). In the prospective study, 559 and 448 household contacts of patients receiving CH treatment had 16 positive and 89 negative TST results, whereas those with HB treatment showed 26 positive and 74 negative TST results. Regarding a logistic regression analysis, the CH group was nearly two times more likely to test negative on the TST, 1.95 (95% CI: 0.98, 3.92). After adjusting for confounding variables, the odds ratio increased significantly to 4.42 (95% CI: 1.22, 16.04). Conclusions: CH for treatment of TB did not show superior success rates, but it may reduce the risk of transmitting tuberculosis infection to household contacts compared to home treatment.

INHBA gene silencing inhibits proliferation, migration, and invasion of osteosarcoma cells by repressing TGF-ß signaling pathway activation.

BACKGROUND: Osteosarcoma (OS) is a refractory malignancy. This study aimed to explore the roles and mechanisms of Inhibin subunit beta A (INHBA) in OS. METHODS: INHBA expression levels in OS tissues and cells were assessed using RT-qPCR and western blotting. The impact of INHBA silencing on OS development was then explored by transfecting the OS cell lines U2OS and MG63 with INHBA-small interfering RNA (siRNA). The influence of INHBA silencing on U2OS and MG63 cell proliferation, migration, and invasion was examined using MTT and Transwell assays. Epithelial-mesenchymal transition (EMT) markers (E-cadherin and N-cadherin) were analyzed by RT-qPCR. The expression of genes involved in cell proliferation, migration, invasion, and the TGF-ß signaling pathway was evaluated by western blotting and RT-qPCR. RESULTS: INHBA levels were elevated in the OS tissues and cells. Furthermore, the transforming growth factor-ß (TGF-ß) signaling pathway of OS cells was suppressed in response to INHBA-siRNA, whereas proliferation, migration, and invasion of OS cells were inhibited. Besides, INHBA-siRNA significantly inhibited OS cell EMT, evidenced by enhanced E-cadherin mRNA expression and reduced N-cadherin mRNA expression. Further mechanistic studies revealed that the TGF-ß1 agonist SRI-011381 hydrochloride increased OS cell proliferation, migration, and invasion after INHBA downregulation. CONCLUSION: We found that INHBA silencing could play a vital role in OS via TGF-ß1-regulated proliferation, migration, and invasion.

[Identifying Driving Factors and Their Interacting Effects on Sources of Heavy Metal in Farmland Soils with Geodetector and Multi-source Data].

The identification of heavy metal sources in farmland soils is essential for the rational health condition management and sustainable development of soil. Using source resolution results(source component spectrum and source contribution)of a positive matrix factorization(PMF)model, historical survey data, and time-series remote sensing data, integrating a geodetector(GD), an optimal parameters-based geographical detector(OPGD), a spatial association detector(SPADE), and an interactive detector for spatial associations(IDSA)model, this study explored the modifiable areal unit problem(MAUP) of spatial heterogeneity of soil heavy metal sources and identified the driving factors and their interacting effects on the spatial heterogeneity of soil heavy metal sources in categorical and continuous variables, respectively. The results showed that the spatial heterogeneity of soil heavy metal sources at small and medium scales was affected by the spatial scale, and the optional spatial unit was 0.08 km2 for detecting spatial heterogeneity of soil heavy metal sources in the study region. Considering spatial correlation and discretization level, the combination of the quantile method and discretization parameters with an interruption number of 10 could be implied to reduce the partitioning effects on continuous variables in the detection of spatial heterogeneity of soil heavy metal sources. Within categorical variables, strata(PD 0.12-0.48) controlled the spatial heterogeneity of soil heavy metal sources, the interaction between strata and watersheds explained 27.28%-60.61% of each source, and the high-risk areas of each source were distributed in the lower sinian system, upper cretaceous in strata, mining land in land use, and haplic acrisols in soil types. Within continuous variables, population (PSD 0.40-0.82) controlled the spatial variation in soil heavy metal sources, and the explanatory power of spatial combinations of continuous variables for each source ranged from 61.77% to 78.46%. The high-risk areas of each source were distributed in evapotranspiration (41.2-43 kg·m-2), distance from the river (315-398 m), enhanced vegetation index (0.796-0.995), and distance from the river (499-605 m). The results of this study provide a reference for the research of the drivers of heavy metal sources and their interactions in arable soils and provide an important scientific basis for the management of arable soil and its sustainable development in karst areas.

Application of multimodal identification technology in the innovative management operation department.

Background: The optimization of surgical procedures and the management of surgical quality and safety have become the focus of attention of hospital managers. The application of multimodal identification technology in the innovative management mode of hospital operating department has made remarkable progress. Methods: To investigate the effect of the upgraded multimodal identification technology on the innovative management of the operating department, 2,280 cases of laparoscopic surgery using traditional surgical management procedures from January to December 2019 before the management upgrade were set as the control group, and 2,350 laparoscopic surgeries with the upgraded multimodal identification management process from January to December 2020 were selected as the experimental group. The operating efficiency, material management efficiency, and patient experience and satisfaction of the two groups were investigated and compared. Results: Compared with traditional procedures, the upgraded multimodal surgical management system significantly improves the efficiency of laparoscopic surgery and reduces surgical consumption and costs. In addition, the multimodal surgical information identification system significantly improves the surgical experience for patients undergoing laparoscopic surgery. Conclusion: Application of multimodal identification technology improves the innovative management of operation department compared with traditional surgery management procedure.