MT1G induces lipid droplet accumulation through modulation of H3K14 trimethylation accelerating clear cell renal cell carcinoma progression.

BACKGROUND: Lipid droplet formation is a prominent histological feature in clear cell renal cell carcinoma (ccRCC), but the significance and mechanisms underlying lipid droplet accumulation remain unclear. METHODS: Expression and clinical significance of MT1G in ccRCC were analyzed by using TCGA data, GEO data and scRNASeq data. MT1G overexpression or knockdown ccRCC cell lines were constructed and in situ ccRCC model, lung metastasis assay, metabolomics and lipid droplets staining were performed to explore the role of MT1G on lipid droplet accumulation in ccRCC. RESULTS: Initially, we observed low MT1G expression in ccRCC tissues, whereas high MT1G expression correlated with advanced disease stage and poorer prognosis. Elevated MT1G expression promoted ccRCC growth and metastasis both in vitro and in vivo. Mechanistically, MT1G significantly suppressed acylcarnitine levels and downstream tricarboxylic acid (TCA) cycle activity, resulting in increased fatty acid and lipid accumulation without affecting cholesterol metabolism. Notably, MT1G inhibited H3K14 trimethylation (H3K14me3) modification. Under these conditions, MT1G-mediated H3K14me3 was recruited to the CPT1B promoter through direct interaction with specific promoter regions, leading to reduced CPT1B transcription and translation. CONCLUSIONS: Our study unveils a novel mechanism of lipid droplet accumulation in ccRCC, where MT1G inhibits CPT1B expression through modulation of H3K14 trimethylation, consequently enhancing lipid droplet accumulation and promoting ccRCC progression. Graphical abstract figure Schematic diagram illustrating MT1G/H3K14me3/CPT1B-mediated lipid droplet accumulation promoted ccRCC progression via FAO inhibition.

Root-to-shoot signaling positively mediates source-sink relation in late growth stages in diploid and tetraploid wheat.

Non-hydraulic root source signaling (nHRS) is a unique positive response to soil drying in the regulation of plant growth and development. However, it is unclear how the nHRS mediates the tradeoff between source and sink at the late growth stages and its adaptive mechanisms in primitive wheat. To address this issue, a root-splitting design was made by inserting solid partition in the middle of the pot culture to induce the occurrence of nHRS using four wheat cultivars (MO1 and MO4, diploid; DM22 and DM31, tetraploid) as materials. Three water treatments were designed as 1) both halves watered (CK), 2) holistic root system watered then droughted (FS), 3) one-half of the root system watered and half droughted (PS). FS and PS were designed to compare the role of the full root system and split root system to induce nHRS. Leaves samples were collected during booting and anthesis to compare the role of nHRS at both growth stages. The data indicated that under PS treatment, ABA concentration was significantly higher than FS and CK, demonstrating the induction of nHRS in split root design and nHRS decreased cytokinin (ZR) levels, particularly in the PS treatment. Soluble sugar and proline accumulation were higher in the anthesis stage as compared to the booting stage. POD activity was higher at anthesis, while CAT was higher at the booting stage. Increased ABA (nHRS) correlated with source-sink relationships and metabolic rate (i.e., leaf) connecting other stress signals. Biomass density showed superior resource acquisition and utilization capabilities in both FS and PS treatment as compared to CK in all plants. Our findings indicate that nHRS-induced alterations in phytohormones and their effect on source-sink relations were allied with the growth stages in primitive wheat.

Injectable hydrogel with doxorubicin-loaded ZIF-8 nanoparticles for tumor postoperative treatments and wound repair.

The need for tumor postoperative treatments aimed at recurrence prevention and tissue regeneration have raised wide considerations in the context of the design and functionalization of implants. Herein, an injectable hydrogel system encapsulated with anti-tumor, anti-oxidant dual functional nanoparticles has been developed in order to prevent tumor relapse after surgery and promote wound repair. The utilization of biocompatible gelatin methacryloyl (GelMA) was geared towards localized therapeutic intervention. Zeolitic imidazolate framework-8@ceric oxide (ZIF-8@CeO2, ZC) nanoparticles (NPs) were purposefully devised for their proficiency as reactive oxygen species (ROS) scavengers. Furthermore, injectable GelMA hydrogels loaded with ZC NPs carrying doxorubicin (ZC-DOX@GEL) were tailored as multifunctional postoperative implants, ensuring the efficacious eradication of residual tumor cells and alleviation of oxidative stress. In vitro and in vivo experiments were conducted to substantiate the efficacy in cancer cell elimination and the prevention of tumor recurrence through the synergistic chemotherapy approach employed with ZC-DOX@GEL. The acceleration of tissue regeneration and in vitro ROS scavenging attributes of ZC@GEL were corroborated using rat models of wound healing. The results underscore the potential of the multifaceted hydrogels presented herein for their promising application in tumor postoperative treatments.

Fabric tearing performance state perception and classification driven by multi-source data.

The tear strength of textiles is a crucial characteristic of product quality. However, during the laboratory testing of this indicator, factors such as equipment operation, human intervention, and test environment can significantly influence the results. Currently, there is a lack of traceable records for the influencing factors during the testing process, and effective classification of testing activities is not achieved. Therefore, this study proposes a state-awareness and classification approach for fabric tear performance testing based on multi-source data. A systematic design is employed for fabric tear performance testing activities, which can real-time monitor electrical parameters, operational environment, and operator behavior. The data are collected, preprocessed, and a Decision Tree Support Vector Machine (DTSVM) is utilized for classifying various working states, and introducing ten-fold cross-validation to enhance the performance of the classifier, forming a comprehensive awareness of the testing activities. Experimental results demonstrate that the system effectively perceives fabric tear performance testing processes, exhibiting high accuracy in the classification of different fabric testing states, surpassing 98.73%. The widespread application of this system contributes to continuous improvement in the workflow and traceability of fabric tear performance testing processes.

Atomic-Level Matching Metal-Ion Organic Hybrid Interface to Enhance Energy Storage of Polymer-Based Composite Dielectrics.

In this work, a distinctive "metal-ion organic hybrid interface" (MOHI) between polyimide (PI) and calcium niobate (CNO) nanosheets is designed. The metal ions in the MOHI can achieve atomic-level matching not only with the inorganic CNO, but also with the PI chains, forming uniform and strong chemical bonds. These results are demonstrated by experiment and theory calculations. Significantly, the MOHI reduces the free volume and introduces deep traps across the filler-matrix interfacial area, thus suppressing the electric field distortion in PI-based composite dielectrics. Consequently, PI-based dielectric containing the MOHI exhibits excellent energy storage performance. The energy storage densities (Ue) of the composite dielectric reach 9.42 J cm-3 and 4.75 J cm-3 with energy storage efficiency (η) of 90% at 25 °C and 150 °C respectively, which are 2.6 and 11.6 times higher than those of pure PI. This study provides new ideas for polymer-based composite dielectrics in high energy storage.

Serum electrolyte concentrations and risk of atrial fibrillation: an observational and mendelian randomization study.

BACKGROUND: Atrial fibrillation (AF) is a prevalent arrhythmic condition resulting in increased stroke risk and is associated with high mortality. Electrolyte imbalance can increase the risk of AF, where the relationship between AF and serum electrolytes remains unclear. METHODS: A total of 15,792 individuals were included in the observational study, with incident AF ascertainment in the Atherosclerosis Risk in Communities (ARIC) study. The Cox regression models were applied to calculate the hazard ratio (HR) and 95% confidence interval (CI) for AF based on different serum electrolyte levels. Mendelian randomization (MR) analyses were performed to examine the causal association. RESULTS: In observational study, after a median 19.7 years of follow-up, a total of 2551 developed AF. After full adjustment, participants with serum potassium below the 5th percentile had a higher risk of AF relative to participants in the middle quintile. Serum magnesium was also inversely associated with the risk of AF. An increased incidence of AF was identified in individuals with higher serum phosphate percentiles. Serum calcium levels were not related to AF risk. Moreover, MR analysis indicated that genetically predicted serum electrolyte levels were not causally associated with AF risk. The odds ratio for AF were 0.999 for potassium, 1.044 for magnesium, 0.728 for phosphate, and 0.979 for calcium, respectively. CONCLUSIONS: Serum electrolyte disorders such as hypokalemia, hypomagnesemia and hyperphosphatemia were associated with an increased risk of AF and may also serve to be prognostic factors. However, the present study did not support serum electrolytes as causal mediators for AF development.

First-and Second-Order Sliding Mode Control Design for Networked 2-D Systems Under Round-Robin Protocol.

This article investigates the sliding mode control (SMC) problem for a class of uncertain 2-D systems described by the Roesser models with a bounded disturbance. In order to reduce the communication usage between the controller and the actuators, it is supposed that only one actuator node can gain the access to the network at each sampling time along horizontal or vertical direction, where a proper 2-D round-robin protocol is designed to periodically regulate the access token and a set of zero-order holders (ZOHs) is employed to keep the other actuator nodes unchanged until the next renewed signal arrives. Based on a novel 2-D common sliding function, a token-dependent 2-D SMC scheme with first-order sliding mode is appropriately constructed to cope with the impacts from the periodic scheduling signal and the ZOHs. Furthermore, a novel super-twisting-like 2-D SMC scheme with second-order sliding mode is designed to improve the robustness against the bounded disturbance. By resorting to token-dependent Lyapunov-like function, sufficient conditions are obtained to guarantee the ultimate boundedness of the horizontal and vertical states as well as the 2-D common sliding function. For acquiring the optimized gain matrices, two searching algorithms are formulated to solve two optimization problems arising from finding optimized control performance. Finally, two comparative examples are exploited to demonstrate the effectiveness and the advantageous of the proposed first-and second-order 2-D SMC design schemes under round-robin scheduling mechanism.

Use of autologous iliac crest graft and free anterolateral femoral skin flap in diabetic foot ulcers: a case report.

BACKGROUND: Diabetic foot has a great impact on the life of patients. Its treatment involves a multi-disciplinary and multi-direction approach, which requires not only soft tissue repair, but also bone reconstruction and functional repair. CASE PRESENTATION: A 51-year-old Chinese man with a three-year history of diabetes was diagnosed with ulcers in his left foot. We performed a successful procedure, and the different strategies we adopted helped to avoid serious complications during treatment. The patient was treated with debridement, bone cement, iliac crest graft, and anterolateral femoral skin flap, and recovered well. CONCLUSION: There is a dearth of reports pertaining to treatment of diabetic foot in patients with midfoot bone and soft tissue loss. In this report, we present an effective method that we used to reconstruct the loss of midfoot in a patient with diabetic foot, illustrating a successful therapeutic strategy for saving limbs in this complex medical condition.

Distributed Proportional-Integral Fuzzy State Estimation Over Sensor Networks Under Energy-Constrained Denial-of-Service Attacks.

This article deals with the distributed proportional-integral state estimation problem for nonlinear systems over sensor networks (SNs), where a number of spatially distributed sensor nodes are utilized to collect the system information. The signal transmissions among different sensor nodes are realized via their individual channels subject to energy-constrained Denial-of-Service (EC-DoS) cyber-attacks launched by the adversaries whose aim is to block the nodewise communications. Such EC-DoS attacks are characterized by a sequence of attack starting time-instants and a sequence of attack durations. Based on the measurement outputs of each node, a novel distributed fuzzy proportional-integral estimator is proposed that reflects the topological information of the SNs. The estimation error dynamics is shown to be regulated by a switching system under certain assumptions on the frequency and the duration of the EC-DoS attacks. Then, by resorting to the average dwell-time method, a unified framework is established to analyze the dynamical behaviors of the resultant estimation error system, and sufficient conditions are obtained to guarantee the stability as well as the weighted H∞ performance of the estimation error dynamics. Finally, a numerical example is given to verify the effectiveness of the proposed estimation scheme.

Source-Storage-Load Coordinated Master-Slave Control Strategy for Islanded Microgrid Considering Load Disturbance and Communication Interruption.

When there is a sudden load disturbance in an islanded microgrid, the peer-to-peer control model requires the energy resource to maintain a margin of generation, resulting in a relatively limited regulation range, that is, voltage/frequency sometimes requires additional control to maintain stability. A "source-storage-load" coordinated master-slave control strategy is proposed in this study to address the aforementioned issues. The system voltage and frequency will be stable as long as the output frequency and voltage of the master resource are stable. Furthermore, it can fully utilize the power supply capacity of resources to support the supply-demand balance. The following tasks are included in the proposed strategy: 1) to improve the operational security in the face of load disruption, a source-storage-load coordinated control method based on the "ramping speed" ratio is proposed, which can quickly restore the balance of supply and demand; 2) to improve the communication reliability in the face of interruption, a channel planning method is proposed, which can address the communication interruption problem by constructing an internal network among source-storage-load; and 3) to improve the mode switching stability of resources subjected to external disturbance, the external disturbance suppression and stability analysis involved in the regulation process are completed using sliding-mode control and small signal model methods. Related case studies are carried out to verify the effectiveness of the proposed strategies.

Local Boundary Fuzzified Rough K-Means-Based Information Granulation Algorithm Under the Principle of Justifiable Granularity.

Information granularity and information granules are fundamental concepts that permeate the entire area of granular computing. With this regard, the principle of justifiable granularity was proposed by Pedrycz, and subsequently a general two-phase framework of designing information granules based on Fuzzy C-means clustering was successfully developed. This design process leads to information granules that are likely to intersect each other in substantially overlapping clusters, which inevitably leads to some ambiguity and misperception as well as loss of semantic clarity of information granules. This limitation is largely due to imprecise description of boundary-overlapping data in the existing algorithms. To address this issue, the rough k -means clustering is introduced in an innovative way into Pedrycz's two-phase information granulation framework, together with the proposed local boundary fuzzy metric. To further strengthen the characteristics of support and inhibition of boundary-overlapping data, an augmented parametric version of the principle is refined. On this basis, a local boundary fuzzified rough k -means-based information granulation algorithm is developed. In this manner, the generated granules are unique and representative whilst ensuring clearer boundaries. The validity and performance of this algorithm are demonstrated through the results of comparative experiments.

Output Formation Containment for Multiagent Systems Under Multipoint Multipattern FDI Attacks: A Resilient Impulsive Compensation Control Approach.

The increasing number of devices and frequent interactions of agents from networked multiagent systems (MASs) exacerbate the risks of potential cyber attacks, especially the different point attacks and multiple pattern attacks. This article considers the output formation-containment problem for MASs under multipoint multipattern false data injection (FDI) attacks. The multipoint describes the attacks simultaneously occurring on the sensors, actuators, and communication channels; the multipattern captures that sensor and actuator attack signals are both continuous deterministic variables, and the communication channel attack signals are intermittent random variables, obeying the Bernoulli distribution. For such compromised MASs, a novel hybrid protocol is proposed, which integrates a state observer, an attack estimator, an impulsive interactor and a compensation controller. Thereinto, the state observer and the attack estimator are constructed to recover the unmeasured system states and the unknown FDI attack signals, respectively; the impulsive interactor is designed to guarantee that the neighbor's signals are transmitted only at impulsive instants, and meanwhile the channel attacks are randomly launched; using the recovered signals, the compensation controller is devised to alleviate the effect of attacks. A sufficient condition is identified, under which the output formation containment is achieved with cooperative uniform ultimate boundedness (UUB). Finally, simulation results are carried out to validate the effectiveness and advantages of the proposed approach.

Constructing asymmetric gradient structures to enhance the energy storage performance of PEI-based composite dielectrics.

Enhancing the high electric field resistance and energy storage capacity of polymer dielectrics has been a long-standing challenge for the iterations of power equipment. Synergistic inhibition of carrier injection and transport is vital to energy storage performance improvement. Herein, promising polymer polyetherimide (PEI) was employed as a matrix and wider bandgap boron nitride nanosheets (BNNSs) were used as a reinforcing filler. Utilizing high-throughput stochastic breakdown simulations with the distribution characteristics of BNNSs as parameters, a series of topological gradient structures with the potential to enhance performance were obtained, thereby shortening the experimental cycle. Changing the BNNS distribution of symmetric/asymmetric and positive/inverse gradients, as well as the total and gradient contents of BNNSs, means that the position and condition of the surface barrier layer and central hinder layer change, which influences the energy storage performance of the polymer at room temperature and high temperature. Remarkably, the asymmetric gradient structure composite dielectrics exhibited excellent performances. Among them, the PEI-based composite dielectric with 2 vol% BNNS asymmetric inverse gradient distribution (gradient content of 1 vol%) achieved energy densities of 8.26 and 4.78 J cm-3 at room temperature and 150 °C, respectively. The asymmetric gradient structure design strategy holds great promise for optimizing the energy storage capacity of polymer dielectric capacitors.

Predefined Accuracy Adaptive Tracking Control for Nonlinear Multiagent Systems With Unmodeled Dynamics.

This article focuses on an adaptive dynamic surface tracking control issue of nonlinear multiagent systems (MASs) with unmodeled dynamics and input quantization under predefined accuracy. Radial basis function neural networks (RBFNNs) are employed to estimate unknown nonlinear items. A dynamic signal is established to handle the trouble introduced by the unmodeled dynamics. Moreover, the predefined precision control is realized with the aid of two key functions. Unlike the existing works on nonlinear MASs with unmodeled dynamics, to avoid the issue of "explosion of complexity", the dynamic surface control (DSC) method is applied with the nonlinear filter. By using the designed controller, the consensus errors can gather to a precision assigned a priori. Finally, the simulation results are given to demonstrate the effectiveness of the proposed strategy.

CT features of calcified micro-gastric gastrointestinal stromal tumors: a case series.

BACKGROUND: Due to the lack of corresponding clinical symptoms, small calcified gastric gastrointestinal stromal tumors (GISTs) are often overlooked in clinical practice. Therefore, there is an unmet need to define the imaging features of calcified micro-gastric GISTs to facilitate diagnosis. This study retrospectively analyzed the computed tomography (CT) features of pathologically confirmed calcified micro-gastric GISTs. METHODS: The medical records (gastroscopy, pre-treatment gastric CT imaging [pre- and post-contrast scans], pathology) of patients with calcified gastric GISTs < 1 cm in diameter confirmed pathologically after endoscopic submucosal dissection, endoscopic submucosal excavation, or endoscopic full-thickness resection were retrospectively reviewed. RESULTS: Seven patients had 8 calcified gastric GISTs < 1 cm in diameter. Six patients hadsingle lesions, and 1patients had multiple lesions. Six patients had lesions in the gastric fundus, 1 patient had a lesion in the body of the stomach. Lesions had a mean diameter of 5.2 mm (range, 1.3 mm ~ 7 mm). Unenhanced CT scans showed spots and high-density nodular calcifications in 3 submucosal lesions, 2 lesions in the muscularis propria, and 3 subserosal lesions that protruded outside the stomach. Among the 8 lesions, only two had solid soft tissue components surrounding the calcification, with one of these two showing post contrast enhancement of the solid soft tissue component. CONCLUSIONS: Novel CT features of gastric GISTs included: commonly found in the gastric antrum, small size (< 1 cm in diameter), calcification, few solid soft tissue components, and no abnormal enhancement in most cases.

Health system barriers to timely routine measles vaccinations in rural southwest China: a qualitative study on the perspectives of township vaccination professionals and village doctors.

OBJECTIVES: A well-functioning health system ensures timely routine measles vaccinations for age-appropriate children, minimising measles risk. However, there is limited knowledge about the impact of the performance of immunisation programmes in health systems on the timeliness of measles vaccination. This study aimed to identify health system barriers to timely routine measles vaccination in rural southwest China, integrating the perspectives of township vaccination professionals and village doctors. DESIGN, SETTING AND PARTICIPANTS: Qualitative study among township vaccination professionals and village doctors in rural Guangxi, southwest China. METHODS: 20 focus group discussions (FGDs) at township level and 120 in-depth interviews (IDIs) at village level, based on a four-theme framework. We used convenience sampling to recruit 60 township vaccination professionals and 120 village doctors in 2015. Instruments used were a semistructured questionnaire and interview outlines. We collected township and village-level data focusing on themes of health resources allocation, pattern of vaccination services, management and supervision of vaccination services, and perceptions of vaccination policy. The FGDs and IDIs were audio-recorded and transcribed. Braun and Clarke's thematic analysis approach was adopted to synthesise findings into meaningful subthemes, narrative text and illustrative quotations. RESULTS: The health system barriers to timely routine vaccinations were explored across four themes. Barriers in the health resources allocation theme comprised (1) inadequacy of vaccination-related human resources (eg, lack of township vaccination professionals and lack of young village doctors), and (2) incompatible and non-identical information system of vaccination services across regions. Barriers in the pattern of vaccination services theme included inflexible vaccination services models, for example, routine vaccination services being offered monthly on fixed vaccination days, limited numbers of vaccination days per month, vaccination days being set on non-local market days, vaccination days being clustered into a specific period and absence of formal vaccination appointments. Ineffective economic incentive mechanism was identified as a barrier in the management and supervision of vaccination services theme. Low-degree participation of village doctors in routine vaccination services was identified as a barrier in the perceptions of vaccination policy theme. CONCLUSIONS: We encourage policymakers and stakeholders to apply these findings to improve the timeliness of routine vaccination. Barriers to timely routine vaccination include inadequate allocation of vaccination-related resources and inflexible vaccination service delivery models. Financial and non-financial incentives should be used to retain and recruit vaccination professionals and village doctors. Strengthening information systems with unified data standards enables cross-regional data exchange. Optimising immunisation services and rationalising vaccination days could eliminate health system barriers and improve vaccination timeliness in rural China.

Technology and engineering test of filling goaf with coal gangue slurry.

Based on the greening and low interference disposal requirements of coal gangue in high-yield and high-efficiency mines in Inner Mongolia and Shaanxi, and by integrating the existing theories and technologies such as underground filling technology of coal gangue, mine yellow mud grouting technology, and the evolution law of mining overburden fractures, a technology of filling goaf with coal gangue slurry for green disposal of coal gangue is proposed. The principle and technical framework of the technology of filling goaf with coal gangue slurry are clarified. This paper expounds on the technological process of technology of filling goaf with coal gangue slurry, establishes three types of slurry filling systems, such as centralized ground layout, ground and underground coordinated layout, and centralized underground layout, and constructs three slurry filling methods, including low-level grouting, adjacent level grouting, and high-level grouting, forming seven kinds of technology models of filling goaf with coal gangue slurry, including ground centralized pulping + high-level grouting, ground centralized pulping + adjacent grouting, ground centralized pulping + low level grouting, ground and underground coordinated pulping + adjacent grouting, ground and underground coordinated pulping + low level grouting, underground centralized pulping + adjacent grouting, and underground centralized pulping + low level grouting, and gives the selection process of technology models of filling goaf with coal gangue slurry. Based on the different conditions and requirements of Haidaze Coal Mine and Huangling No. 2 Coal Mine, engineering tests were carried out on two different technology modes, namely, ground and underground coordinated pulping + low level grouting and ground and underground coordinated pulping + adjacent grouting, based on simulation tests of low level grouting and adjacent grouting. The tests prove the feasibility of filling goaf with coal gangue slurry and explore the way for the theoretical research of the technology of filling goaf with coal gangue slurry and greening and low interference disposal of coal gangue.

Serum uric acid and triglycerides in clear cell renal cell carcinoma: A restrospective cross-sectional study.

The available evidence on the relationship between serum uric acid and triglycerides in clear cell renal cell carcinoma (ccRCC) is limited. The objective of this study is to investigate whether there is an independent association between serum uric acid and triglycerides in ccRCC, while adjusting for other variables. This cross-sectional study involved 1018 participants with ccRCC, who were admitted to a hospital in China from December 1st, 2013 to January 1st, 2023. The main independent variable investigated was serum uric acid, which was measured at baseline. The dependent variable was triglycerides. Covariates considered in this study included age, sex, body mass index, smoking status, hypertension, diabetes, coronary disease, High-density lipoprotein cholesterol, Low-density lipoprotein cholesterol, Total cholesterol, Blood urea nitrogen, and Creatinine. The study included 1018 participants with an average age of 56.92 ±â€…10.88 years old, and approximately 68% of them were male. The fully-adjusted linear regression analysis indicated a positive association between serum uric acid levels (100µmol/L) and triglyceride levels (mmol/L) after adjusting for confounding factors (ß = 0.13, 95% CI [0.07, 0.18]). Furthermore, a smooth curve was constructed between serum uric acid and triglycerides based on the fully-adjusted model. In patients with ccRCC, there was a positive association between serum uric acid and triglycerides.

Self-reported critical gaps in the essential knowledge and capacity of spatial epidemiology between the current university education and competency-oriented professional demands in preparing for a future pandemic among public health postgraduates in China: a nationwide cross-sectional survey.

BACKGROUND: Spatial epidemiology plays an important role in public health. Yet, it is unclear whether the current university education in spatial epidemiology in China could meet the competency-oriented professional demands. This study aimed to understand the current situation of education and training, practical application, and potential demands in spatial epidemiology among public health postgraduates in China, and to assess the critical gaps in a future emerging infectious diseases (EID) pandemic preparedness and response. METHODS: This study was divided into three parts. The first part was a comparative study on spatial epidemiology education in international public health postgraduate training. The second part was a cross-sectional survey conducted among public health professionals. The third part was a nationwide cross-sectional survey conducted among public health postgraduates at Chinese universities from October 2020 to February 2021. Data was collected by the WeChat-based questionnaire star survey system and analyzed using the SPSS software. RESULTS: International education institutions had required public health postgraduates to master the essential knowledge and capacity of spatial epidemiology. A total of 198 public health professionals were surveyed, and they had a median of 4.00 (IQR 3.13-4.53) in demand degree of spatial epidemiology. A total of 1354 public health postgraduates were surveyed from 51 universities. Only 29.41% (15/51) of universities offered spatial epidemiology course. Around 8.05% (109/1354) of postgraduates had learned spatial epidemiology, and had a median of 1.05 (IQR 1.00-1.29) in learning degree and a median of 1.91 (IQR 1.05-2.78) in practical application degree of spatial epidemiology. To enhance professional capacity, 65.95% (893/1354) of postgraduates hoped that universities would deliver a credit-course of spatial epidemiology. CONCLUSIONS: A huge unmet education and training demand in spatial epidemiology existed in the current education system of public health postgraduates in China. To enhance the competency-oriented professional capacity in preparedness and response to a future pandemic, it is urgent to incorporate the teaching and training of spatial epidemiology into the compulsory curriculum system of public health postgraduates in China.

Security Event-Trigger-Based Distributed Energy Management Of Cyber-Physical Isolated Power System With Considering Nonsmooth Effects.

Due to cyber-physical fusion and nonsmooth characteristics of energy management, this article proposes a security event-trigger-based distributed approach to address these issues with developed smoothing technique. To tackle with nonconvex and nondifferentiable issue, a randomized gradient-free-based successive convex approximation is developed to smooth economic objective function. Due to resilience ability against security issue, a security event-triggered mechanism-based distributed energy management is proposed to optimize social welfare, which coordinately controls both power generators and load demand. The security event-triggered mechanism is designed to reduce power system security risks, and relieve communication burden caused by smoothing calculation, the convergence of proposed distributed algorithm is also properly proved. According to those obtained results on both IEEE 9-bus and IEEE 39-bus systems, it reveals that the proposed approach can achieve good convergence performance and have less security risks than other alternatives, which also proves that the proposed approach can be a viable and promising way for tackling with energy management issue of cyber-physical isolated power system.