Early intervention with oral mucosal barrier Protective agents in chronic oral graft-versus-host disease: a retrospective cohort study.

BACKGROUND: Preventing the progression of chronic oral graft-versus-host disease (cGVHD) is essential for maintaining oral health, improving quality of life, minimizing functional impairment, reducing systemic complications, and addressing treatment challenges. PURPOSE: To evaluate the effectiveness of early intervention with oral mucosal barrier protective agents in preventing the progression of cGVHD and its impact on oral health, quality of life, and treatment response. METHODS: This retrospective cohort study included 75 participants, with 34 in the non-oral mucosal barrier protective agent group and 41 in the oral mucosal barrier protective agent group. Baseline characteristics, oral mucosal health parameters, quality of life assessments, and curative effect data were collected and compared between the two study groups. RESULTS: The group receiving oral mucosal barrier protectants (n = 41) exhibited significantly lower severity of oral mucositis compared to the group without such protectants (n = 34) (2.12 ± 0.48 vs. 2.56 ± 0.63, P = 0.001) and the incidence of complications was significantly lower in the group receiving oral mucosal barrier protectants (P < 0.05). Additionally, the quality of life assessment showed marked improvements in somatization, emotional management, and social reintegration in the oral mucosal barrier protectant group compared to the group without these protectants (P < 0.05). Furthermore, the assessment of treatment efficacy revealed significantly higher rates of both complete and partial responses in the oral mucosal barrier protectant group, along with a notable reduction in disease progression compared to the group without these protectants (P < 0.001). CONCLUSION: Early intervention with oral mucosal barrier protective agents was associated with improved oral health parameters, enhanced quality of life, and a more favorable treatment response in the context of cGVHD.

Identification and pathogenicity of Fusarium spp. associated with tea wilt in Zhejiang Province, China.

BACKGROUND: Tea is one of the most widely consumed beverages in the world, with significant economic and cultural value. However, tea production faces many challenges due to various biotic and abiotic stresses, among which fungal diseases are particularly devastating. RESULTS: To understand the identity and pathogenicity of isolates recovered from tea plants with symptoms of wilt, phylogenetic analyses and pathogenicity assays were conducted. Isolates were characterized to the species level by sequencing the ITS, tef-1α, tub2 and rpb2 sequences and morphology. Four Fusarium species were identified: Fusarium fujikuroi, Fusarium solani, Fusarium oxysporum, and Fusarium concentricum. The pathogenicity of the Fusarium isolates was evaluated on 1-year-old tea plants, whereby F. fujikuroi OS3 and OS4 strains were found to be the most virulent on tea. CONCLUSIONS: To the best of our knowledge, this is the first report of tea rot caused by F. fujikuroi in the world. This provides the foundation for the identification and control of wilt disease in tea plants.

A comprehensive analysis and source apportionment of metals in riverine sediments of a rural-urban watershed.

Quantitative assessment of metal sources in sediments is essential for implementation of source control and remediation strategies. This study investigated metal contamination in sediments to assess potential ecological risks and quantify pollutant sources of metals (Cu, Zn, Pb, Cd, Cr, Co and Ni) in the Wen-Rui Tang River watershed. Total and fraction analysis indicated high pollution levels of metals. Zinc and Cd posed high ecological risk based on the risk assessment code, with the highest ecological risk found in the southwestern of the watershed. The positive matrix factorization (PMF) model was highly effective in predicting total metal concentrations and identified three contributing metal sources. An agricultural source (factor 1) contributed highly to Cu (74.1%) and Zn (42.5%), and was most prominent in the west and south-central portions of the watershed. Cd (93.5%) showed a high weighting with industrial sources (factor 2) with a hot spot in the southwest. Factor 3 was identified as a mixed natural and vehicle traffic source that showed large contribution to Cr (65.2%), Ni (63.9%) and Pb (50.7%). Spatial analysis indicated a consistent pattern between PMF-identified factors and suspected metal sources at the watershed scale demonstrating the efficacy of the PMF modeling approach for watershed analysis.

The identification of 'hotspots' of heavy metal pollution in soil-rice systems at a regional scale in eastern China.

Chinese agricultural soils and crops are suffering from increasing damage from heavy metals, which are introduced from various pollution sources including agriculture, traffic, mining and especially the flourishing private metal recycling industry. In this study, 219 pairs of rice grain and corresponding soil samples were collected from Wenling in Zhejiang Province to identify the spatial relationship and pollution hotspots of Cd, Cu, Ni and Zn in the soil-rice system. The mean soil concentrations of heavy metals were 0.316 mg kg(-1) for Cd, 47.3 mg kg(-1) for Cu, 31.7 mg kg(-1) for Ni and 131 mg kg(-1) for Zn, and the metal concentrations in rice grain were 0.132 mg kg(-1) for Cd, 2.46 mg kg(-1) for Cu, 0.223 mg kg(-1) for Ni and 17.4 mg kg(-1) for Zn. The coefficient of variability (CV) of soil Cd, Cu and rice Cd were 147%, 146% and 180%, respectively, indicating an extensive variability. While the CVs of other metals ranged from 23.4% to 84.3% with a moderate variability. Kriging interpolation procedure and the Local Moran's I index detected the locations of pollution hotspots of these four metals. Cd and Cu had a very similar spatial pattern, with contamination hotspots located simultaneously in the northwestern part of the study area, and there were obvious hotspots for soil Zn in the north area, while in the northeast for soil Ni. The existence of hotspots may be due to industrialization and other anthropogenic activities. An Enrichment Index (EI) was employed to measure the uptake of heavy metals by rice. The results indicated that the accumulation and availability of heavy metals in the soil-rice system may be influenced by both soil heavy metal concentrations and soil physico-chemical properties. Cross-correlograms quantitatively illustrated that EIs were significantly correlated with soil properties. Soil pH and organic matter were the most important factors controlling the uptake of heavy metals by rice. As results, positive measures should be taken into account to control soil pollution and to curtail metal contamination to the food chain in the areas of Wenling, which were the most polluted by toxic metals.

Human health risk assessment of heavy metals in soil-vegetable system: a multi-medium analysis.

Vegetable fields near villages in China are suffering increasing heavy metal damages from various pollution sources including agriculture, traffic, mining and Chinese typical local private family-sized industry. 268 vegetable samples which included rape, celery, cabbages, carrots, asparagus lettuces, cowpeas, tomatoes and cayenne pepper and their corresponding soils in three economically developed areas of Zhejiang Province, China were collected, and the concentrations of five heavy metals (Pb, Cd, Cr, Hg and As) in all the samples were determined. The health risk assessment methods developed by the United States Environmental Protection Agency (US EPA) were employed to explore the potential health hazards of heavy metals in soils growing vegetables. Results showed that heavy metal contaminations in investigated vegetables and corresponding soils were significant. Pollution levels varied with metals and vegetable types. The highest mean soil concentrations of heavy metals were 70.36 mg kg(-1) Pb, 47.49 mg kg(-1) Cr, 13.51 mg kg(-1) As, 0.73 mg kg(-1) for Cd and 0.67 mg kg(-1) Hg, respectively, while the metal concentrations in vegetables and corresponding soils were poorly correlated. The health risk assessment results indicated that diet dominated the exposure pathways, so heavy metals in soil samples might cause potential harm through food-chain transfer. The total non-cancer and cancer risk results indicated that the investigated arable fields near industrial and waste mining sites were unsuitable for growing leaf and root vegetables in view of the risk of elevated intakes of heavy metals adversely affecting food safety for local residents. Chromium and Pb were the primary heavy metals posing non-cancer risks while Cd caused the greatest cancer risk. It was concluded that more effective controls should be focused on Cd and Cr to reduce pollution in this study area.

Surface runoff and nitrogen (N) loss in a bamboo (Phyllostachys pubescens) forest under different fertilization regimes.

Nitrogen (N) losses from agricultural fields have been extensively studied. In contrast, surface runoff and N losses have rarely been considered for bamboo forests that are widespread in regions such as southern China. The thriving of bamboo industries has led to increasing fertilizer use in bamboo forests. In this study, we evaluated surface runoff and N losses in runoff following different fertilization treatments under field conditions in a bamboo (Phyllostachys pubescens) forest in the catchment of Lake Taihu in Jiangsu, China. Under three different fertilization regimes, i.e., control, site-specific nutrient management (SSNM), and farmer's fertilization practice (FFP), the water runoff rate amounted to 356, 361, and 342 m(3) ha(-1) and accounted for 1.91, 1.98, and 1.85% of the water input, respectively, from June 2009 to May 2010. The total N losses via surface runoff ranged from 1.2 to 1.8 kg ha(-1). Compared with FFP, the SSNM treatment reduced total nitrogen (TN) and dissolved nitrogen (DN) losses by 31 and 34%, respectively. The results also showed that variations in N losses depended mainly on runoff fluxes, not N concentrations. Runoff samples collected from all treatments throughout the year showed TN concentrations greater than 0.35 mg L(-1), with the mean TN concentration in the runoff from the FFP treatment reaching 8.97 mg L(-1). The loss of NO3(-)-N was greater than the loss of NH4(+)-N. The total loss of dissolved organic nitrogen (DON) reached 23-41% of the corresponding DN. Therefore, DON is likely the main N species in runoff from bamboo forests and should be emphasized in the assessment and management of N losses in bamboo forest.

The diagnostic value of Ki-67, P53 and P63 in distinguishing partial Hydatidiform mole from hydropic abortion.

BACKGROUND AND AIMS: The aim of the present study was to investigate the expression of Ki-67, P53 and P63 in hydropic abortion and partial mole and to explore possible role of these three parameters in distinguishing partial mole from hydropic. METHODS: The hydropic abortion (n = 13) and partial mole (n = 23) were retrieved from the files of 2002 to 2010 at the Department of Pathology, Peking University People's Hospital and Department of Pathology, Haidian Maternal and Child Health Hospita1. All cases had typical histological features and complete clinical information. All pathologic diagnoses were reviewed by two gynaecologic pathologists and had no conflict. All cases showed P57 negative, which can exclude the diagnosis of CHM. An immunochemical study of the expressions of Ki-67, P53 and P63 was performed. RESULTS: Microscopically, the pathologic characteristics of a HA include villous oedema with minimal to no cistern formation and mild trophoblastic hyperplasia. In contrast, the pathologic features of PHM were characterized by focal trophoblastic hyperplasia and a variable degree of hydropic swelling with central cistern formation. The Ki-67 expression was observed in the nuclear of cytotrophoblastic cell and intermediate trophoblasts population within placental tissue. The Ki-67 expression in HA is less than that in PHM. The p53 expression was observed in the nuclear of cytotrophoblastic cell and intermediate trophoblasts population within placental tissue. There was a significant difference between HA and PHM. Positive staining for P63 was localized in the nuclei of cytotrophoblastic cell population. No significant difference was observed in positive rate of p63 expression between HA and PHM. CONCLUSION: The high Ki-67 labeling index and over-expression of p53, detected by immunohistochemistry, could serve as useful adjuncts to conventional methods of diagnosis in distinguishing PHM from HA. Due to, however, the limited samples, it needs to expand the number of the cases to verify this conclusion.