The feasibility of family-centred early intervention for children with disabilities in mainland China: Practitioners' perceptions.

BACKGROUND: Family-centred practice (FCP) has become a recommended practice for early intervention services for children with disabilities in many countries. However, its feasibility in Chinese context has been unclear. This study is the first to explore the perceptions of early intervention service practitioners about the implementation of FCP in mainland China. METHODS: Focus groups were employed to collect data from 37 early intervention practitioners who attended a workshop about FCP in Wuhan, China and two officers from the provincial disabled persons' federation. The data were analysed thematically. RESULTS: Four themes were identified: (a) family-centred early intervention is possible, (b) traditional concepts are not friendly towards FCP, (c) parents do not collaborate and (d) financing and personal resources are not sufficient to implement FCP. Chinese practitioners agreed with the philosophies of FCP; however, there was concern that widespread implementation may meet conceptual and practical challenges. CONCLUSIONS: The results highlighted practitioners were optimistic and keen for FCP implementation in the Chinese context, but to do so across China may still be some way in the future.

A Bibliometric Analysis Using CiteSpace of Publications from 1999 to 2018 on Patient Rehabilitation After Total Knee Arthroplasty.

BACKGROUND Following total knee arthroplasty (TKA), postoperative patient rehabilitation is important to achieve the optimal level of knee function and mobility. Clinical research in this field is growing, and bibliometric analysis of publication may provide direction for research clinicians and raise awareness of research trends, journal selection, and key topics. Therefore, this bibliometric study aimed to analyze the current status and trends during the past two decades, between 1999 and 2018, of publications on rehabilitation after total knee arthroplasty (TKA) and used CiteSpace. MATERIAL AND METHODS The global literature was searched between 2018 to 2019 for publications related to rehabilitation after TKA. Publication data were identified using relevant search terms and the Web of Science Core Collection database. CiteSpace (5.3.R11) software was used to analyze the journals, authors, institutions, countries, cited references, and keywords using standard bibliometric indicators. RESULTS A total of 1,292 publications were retrieved between 1999 to 2018, and the most active journals, countries, authors, and institutions in the field of TKA rehabilitation were identified. Key areas of research included postoperative analgesia, muscle inhibition, range of motion, inhibitors, knee flexion, pain control, self-reporting, spectral analysis, in vivo forces, and rotator cuff repair. The emerging research topics included epidural analgesia, physiotherapy, postoperative analgesia, recovery, and the use of ropivacaine local analgesia. CONCLUSIONS The findings from this bibliometric study provided insight into trends in clinical research publications in the field of rehabilitation following TKA for the past 20 years, including global trends in emerging areas of research.

Hip abductor strength-based exercise therapy in treating women with moderate-to-severe knee osteoarthritis: a randomized controlled trial.

OBJECTIVE: To investigate whether hip abductor strength-based exercise therapy could result in further function improvement and more pain relief in women with knee osteoarthritis. DESIGN: Randomized controlled trial. SETTINGS: Rehabilitation department of Affiliated Hospital of Southwest Medical University from years 2016 to 2018. SUBJECTS: In total, 82 women aged 50-70 years, with knee osteoarthritis grade II-IV on the Kellgren-Lawrence scale. INTERVENTION: The experimental group engaged in hip abductor strength-based exercises under the supervision of physical therapists (once a day for six weeks), while the control group engaged in quadriceps femoris strength-based exercises. MAIN MEASURES: Osteoarthritis severity measured by the Western Ontario and McMaster Universities Osteoarthritis Index, pain on a visual analogue scale and three objective functional tests were assessed at the sixth and 12th week. Repeated measures analysis of variance and multivariable analysis were applied. RESULTS: Finally, 72 participants completed the study: 35 in the experimental group and 37 in the control group. The self-reported functional difficulties score in the experimental group was significantly lower than that in the control group both at the sixth week and at the 12th week (P < 0.001). There were significant differences between groups in the stair ascent/descent task and Figure of 8 Walk test, but not in the Five Times Sit-to-Stand Test. The pain in the experimental group decreased compared with that in the control group at the sixth week (P < 0.05), but not at the 12th week (P > 0.05). CONCLUSION: Hip abductor strength-based exercises could result in better performance and higher self-reported function in women with symptomatic knee osteoarthritis.

[Genome-wide identification and expression analysis of CSLA gene family of Dendrobium catenatum].

Glucomannan is the key active ingredient of Dendrobium catenatum, and CSLA family is responsible for glucomannan biosynthesis. In order to systematically evaluate the CSLA family members of D. catenatum, the bioinformatics methods were performed for genome-wide identification of DcCSLA gene family members through the genomic data of D. catenatum downloaded from the NCBI database, and further analyses of their phylogenetic relationship, gene structure, protein conserved domains and motifs, promoter cis-elements and gene expression profiles in response to stresses. The results showed that D. catenatum contains 13 CSLA members, all of which contain 9-10 exons. In the evolutionary relationship, CSLA genes were clustered into 5 groups, DcCSLA genes were distributed in all branches. Among which the ancestral genes of groupI existed before the monocot-dicot divergence, and groupⅡ-Ⅴ only existed in the monocot plants, indicating that group Ⅰ represents the earliest origin group. CSLA proteins are characteristic of the signature CESA_CaSu_A2 domain. Their promoter regions contain cis elements related to stresses and hormones. Under different stress treatments, low temperature induces the expression of DcCSLA5 and inhibits the expression of DcCSLA3. Infection of Sclerotium delphinii inhibits DcCSLA3/4/6/8/9/10 expression. Under the treatment of jasmonic acid, DcCSLA11 expression was significantly up-regulated, and DcCSLA2/5/7/12/13 were significantly down-regulated. These results laid a foundation for further study on the function of DcCSLA genes in glucomannan biosynthesis and accumulation.

The efficacy and safety of sodium nitroprusside in the treatment of schizophrenia: Protocol for an updated systematic review and meta-analysis.

BACKGROUND: Schizophrenia is a chronic persistent disease with high recurrence rate and high disability rate in the field of psychiatry. Sodium nitroprusside is a nitric oxide (NO) donor and considered a promising new compound for the treatment of schizophrenia. New high-quality clinical trials of sodium nitroprusside in the treatment of schizophrenia have been published in recent years. It is necessary to re-conduct the meta-analysis after the inclusion of these new clinical trials. Our study will conduct a systematic review and meta-analysis of the relevant literature in this field, so as to lay an evidence-based medicine foundation for the efficacy of sodium nitroprusside in the treatment of schizophrenia. METHODS AND ANALYSIS: Randomized controlled trials (RCTs) of sodium nitroprusside in the treatment of schizophrenia were searched through English databases (PubMed, Web of Science, Embase, and Cochrane Library) and Chinese databases (China Biology Medicine disc, VIP, WanFang Data, and CNKI). The extracted data will be inputted into Review Manager 5.3 for Meta-analysis. The included literature will be assessed for bias risk according to the bias risk assessment tools in the Cochrane Handbook for Systematic Reviews of Interventions. Funnel plots will be used to assess possible publication bias. Heterogeneity is tested by I2 and χ2 tests, and the existence of heterogeneity is defined as I2 ≥50% and P ≤0.1. If heterogeneity exists, the random-effect model will be used, and sensitivity analysis or subgroup analysis will be performed to further determine the source of heterogeneity. PROSPERO REGISTRATION NUMBER: CRD42022341681.

The efficacy and safety of sodium nitroprusside in the treatment of schizophrenia: a meta-analysis.

Objective: Schizophrenia is a serious mental disease that brings not only serious burdens to patients and their families but also serious challenges to society. More research is needed to find better drugs to treat schizophrenia. This meta-analysis investigated the efficacy and safety of sodium nitroprusside in the treatment of schizophrenia. Methods: Randomized controlled trials comparing the efficacy and safety of sodium nitroprusside in the treatment of schizophrenia were searched via English and Chinese databases. The outcomes, including the Positive and Negative Syndrome Scale (PANSS) and Brief Psychiatric Rating Scale (BPRS), were recorded. RevMan 5.3 was used for the meta-analysis. Results: A total of six randomized controlled trials (174 patients) were included. The overall quality of the included studies was good. No statistically significant benefit of sodium nitroprusside over placebo was found when combined PANSS total and BPRS-18 (95% CI: -1.40, 0.02). Except for PANSS positive (95% CI: -1.86, -0.01), there was no significant difference in the scale score after sodium nitroprusside treatment compared with the control group in PANSS total (95% CI: -4.93, 0.23), PANSS general (95% CI: -2.53, 1.33), and PANSS negative (95% CI: -4.44, 0.89). The results of the sensitivity analysis excluding the study with clinical heterogeneity showed that sodium nitroprusside had no statistical benefit for the score of PANSS positive (95% CI: -2.19, 0.46). Moreover, there was also no significant difference in the BPRS-18 (95% CI: -3.23, -0.43). Conclusion: We conservatively believe that sodium nitroprusside does not alleviate the symptoms of schizophrenia compared with placebo. The subjects tolerated sodium nitroprusside well. Our findings provide a new idea for researchers to explore and solve the drug treatment of schizophrenia.

A three-dimensional phenolic-based carbon anode for microbial electrochemical system with customized macroscopic pore structure to promote interior bacteria colonization.

Microbial electrochemical system (MES) is an emerging wastewater treatment technology that compensates the energy demands of containments removal by in situ converting the chemical energy of organic pollutants. As the structure for exoelectrogens and the reaction site of extracellular electron transfer (EET), the anode is essential for MES. The future commercial application of MES requires efficiency and large-scale fabrication available anode. In this study, a 3D anode with millimeter-scale pores (3D-MPA) was successfully constructed by sacrificial template method, with low-cost phenolic resin as carbon precursor and polymethyl methacrylate (PMMA) pellets as template. With customized and ordered pore of 1 mm, the 3D-MPAs allowed the microorganisms to colonize inside, improving anodic space utilization efficiency. Different carbonization temperature in tested range from 700 °C to 1000 °C regulated the micrometer-scale convex structures and surface roughness of 3D-MPAs, causing electrochemical performance changes. The 3D-MPA-900 obtained the largest electroactive surface area (102 ± 4.1 cm2) and smallest ohmic resistance (1.8 ± 0.09 Ω). Equipped with MES, 3D-MPA-900 reached the highest power density and current density (2590 ± 25 mW m-2 and 5.20 ± 0.07 A m-2). Among tested 3D-MPA, the excellent performance of 3D-MPA-900 might be attributed by its convex structures with suitable size and surface coverage. The surface roughness of 3D-MPA-900 enhanced the microorganism adherence, which then promoted EET on anode surface. Generally, phenolic-based 3D-MPA made of sacrificial-template method had controllable porous structure, large-scale fabrication availability, high chemical stability and excellent mechanical property, which could be promising for the commercial application of MES.

Lignocellulose reconstituted shape-controllable self-supporting carbonaceous capacitance-anodes with high electron transfer rates for high-performance microbial electrochemical system.

Natural biomass is a promising candidate for manufacturing an efficient anode in the microbial electrochemical system (MES) for its abundance and low cost. However, the structure and performance of the electrode highly depend on the biomass species. A simple and sustainable method for creating a self-supporting electrode is proposed by freeze-drying and carbonizing a blend of cellulose, lignin, and hemicellulose. This strategy leads to a cork-like structure and improved mechanical strength of the lignocellulose carbon. A power density of 4780 ± 260 mW m-2 (CLX-800) was achieved, which was the highest record for unmodified lignocellulose-based anodes in the microbial fuel cells. The morphological as lamellar multilayer and rich in hydrophilic functional groups could facilitate the formation of thick electroactive biofilms and enrich Geobacter with the highest abundance of 92.3%. The CLX material is expected to be the ideal electrode for high performance and functionally controllability.

The restricted mass transfer inside the anode pore channel affects the electroactive biofilms formation, community composition and the power production in microbial electrochemical systems.

Porous anodes improve system performance in microbial electrochemical systems by increasing the specific surface area for electroactive bacteria. In this study, multilayer anodes with different pore diameters were constructed to assess the impact of pore size and depth on anode performance. This layered structure makes detecting electroactive biofilms more accessible layer by layer, which is the first study to examine electroactive biofilms' molecular biology and electrochemical properties at different depths in pores with varied pore sizes. The millimeter-scale pores inside the bioanode have a limited effect in increasing power. The larger the pore diameter, the higher the maximum power density (Pmax) obtained. The Pmax of anodes with 4 mm pore (1.91 ± 0.15 W m-2) was 1.4 times higher than that of the non-perforated (1.37 ± 0.07 W m-2) and 0.5 mm pore anodes (1.39 ± 0.04 W m-2). Electricigens can colonize into pore channels for at least 10 mm with a pore diameter ≥3 mm and current densities >0.05 A m-2. However, in the pores channel with 0.5 mm diameter, electricigens can only colonize to a depth of 2 mm. The biofilm thickness, electricity output, metabolic activity, and biocommunity changed with pore depth and were restricted by the limited mass transfer. The Geobacter sp. was the dominant species in inter-pore biofilms, with 43.8 %-78.6 % in abundance and decreased in quantity as pore depth increased. The inter-pore biofilms on the outer layer contributed a current density of 0.17 ± 0.003 A m-2, while that of the inner layer was only 0.02 ± 0.01 A m-2. Further studies found that the pore edge mass transfer effect can contribute up to 75 % of the current. The mass transfer process at the pore edge region could be a multidirectional mass transfer rather than a pore channel mass transfer.

Seasonal variations of soil bacterial and fungal communities in a subtropical Eucalyptus plantation and their responses to throughfall reduction.

Climatic change causes obvious seasonal meteorological drought in southern China, yet there is a lack of comprehensive in situ studies on the effects of drought in Eucalyptus plantations. Here, a 50% throughfall reduction (TR) experiment was conducted to investigate the seasonal variations of soil bacterial and fungal communities and functions in a subtropical Eucalyptus plantation and their responses to TR treatment. Soil samples were collected from control (CK) and TR plots in the dry and rainy seasons and were subjected to high-throughput sequencing analysis. Results showed that TR treatment significantly reduced soil water content (SWC) in the rainy season. In CK and TR treatments, fungal alpha-diversity decreased in the rainy season while bacterial alpha-diversity did not change significantly between dry and rainy seasons. Moreover, bacterial networks were more affected by seasonal variations compared with fungal networks. Redundancy analysis showed that alkali hydrolyzed nitrogen and SWC contributed the most to the bacterial and fungal communities, respectively. Functional prediction indicated that the expression of soil bacterial metabolic functions and symbiotic fungi decreased in the rainy season. In conclusion, seasonal variations have a stronger effect on soil microbial community composition, diversity, and function compared with TR treatment. These findings could be used to develop management practices for subtropical Eucalyptus plantations and help maintain soil microbial diversity to sustain long-term ecosystem function and services in response to future changes in precipitation patterns.

Effect of Pinus massoniana Lamb. bark extract on lytic cycle of Epstein-Barr virus.

Pinus massoniana bark extract (PMBE) at a concentration of 60 microg/mL or more inhibits the expression of Epstein-Barr virus (EBV) lytic proteins, such as Rta, Zta, and EA-D. EBV lytic cycle was blocked by inhibiting the transcription of immediate-early genes. The results suggest that the PMBE has anti-EBV activity. Thus, the extract is potentially useful in preventing the lytic development of EBV in vitro.

Bibliometric Analysis of 100 Most-Cited Articles in Delirium.

Delirium is a cognitive disorder with complex etiology, which brings a great burden to social health care. Articles with high citation frequency can provide important information about the current research situation in a certain field. Web of Science was used to search the 100 most-cited articles and we extracted key information, such as the authors, countries/regions, institutions, journals, and study types of these articles. CiteSpace was used to visually analyze the keywords. Our bibliometric analysis shows that the attention in this field continues to rise. Authors from the United States published the most articles and Inouye SK is the most influential author in the field. The journals that published these articles have high impact factors. Cohort studies are the main cited articles in this field, and there are a large number of systematic reviews or meta-analyses of cohort studies. Risk factors for delirium, psychometric evaluation, hospital care, and various clinical study design are still the focus of research. In short, we summarized the 100 most-cited articles in the field of delirium to identify the current status and global trends. These results enable researchers to understand the quality and trend of research in the field of delirium and make better use of the classical literature.

Double Z-scheme Co3O4/Bi4O7/Bi2O3 composite activated peroxymonosulfate to efficiently degrade tetracycline under visible light.

Co3O4/Bi4O7/Bi2O3 (CBB) composites were prepared, in which Co3O4 was synthesized from Co-MOF as precursor. The peroxymonosulfate (PMS) activated by CBB catalyst under visible light was used to degrade tetracycline (TC). Owing to the synergistic effect of photocatalysis and PMS activation, 98.4% of TC was removed within 60 min. The optimal loading of Co3O4 was determined, and the influence of PMS dosage, initial pH, and disturbing anions on the degradation effect were investigated. The "CBB + Vis + PMS" system showed good reusability, and the degradation was only reduced by 1.7% after 5 cycles. This system also had a good degradation of other five pollutants. The quenching experiment showed that holes (h+), superoxide radicals (·O2-), and singlet oxygen (1O2) were the main active species. The degradation products of TC were determined by liquid chromatography-mass spectrometry, and the degradation pathway was proposed. Finally, a double Z-scheme degradation mechanism was proposed in the "CBB + Vis + PMS" system. The peroxymonosulfate activated by CBB under visible light to degrade organic pollutants has widespread application prospects in environmental remediation.

Bibliometric analysis of research on Alzheimer's disease and non-coding RNAs: Opportunities and challenges.

Background: Non-coding RNAs (ncRNA) are a kind of RNA that does not encode protein, which play an important role in Alzheimer's disease (AD). However, there is a lack of bibliometric analysis and visualization analysis of the research related to AD and ncRNAs. Materials and methods: Literature related to AD and ncRNAs in the last decade were searched through the Web of Science Core Collection (WOSCC). The relevant information from all the searched articles was collected. The bibliometric visualization website, CiteSpace, and VOSviewer were used for visualization analysis of countries/regions, institutions, authors, and keywords. Results: In total, 1,613 kinds of literature were published in the field. Literature in this field were published in 494 journals. The Journal of Alzheimer's Disease was the most popular journal. China, Louisiana State University System, and Lukiw WJ were the countries/regions, institutions, and authors with the highest scientific productivity, respectively. The research hotspots in this field focused on the role and mechanism of ncRNAs, especially microRNAs, in AD. The level of research was mainly based on basic research, focusing on animal and cellular levels, and related to proteomics. "Circular RNAs," "regulation of neuroinflammation," and "tau protein" were the future research directions. Conclusion: Taken together, the field of AD and ncRNAs is developing well. The research hotspots and frontiers in this field can provide a reference for researchers to choose their research direction.

Effects of tactile vibration feedback system on balance function and walking ability of a unilateral transtibial amputee with a prosthesis: A case report.

RATIONALE: There is still a lack of case reports about tactile vibration feedback devices for the treatment of transtibial amputees so far. This case report aims to introduce a tactile vibration feedback device designed to improve the balance and walking function of the transtibial amputee. PATIENT CONCERNS: The amputee was a 20-year-old man with right transtibial amputation in a car accident four years ago. DIAGNOSE: The clinical diagnosis of him was "Right transtibial amputation," and the rehabilitation diagnosis was "Motor dysfunction (Balance function abnormality and Gait abnormality)." INTERVENTIONS: The patient was reminded to adjust their posture in time via the tactile vibration feedback device. OUTCOMES: The balance and walking function of the volunteer transtibial amputee was improved. CONCLUSION: The tactile vibration feedback device has the potential to improve the balance and walking function of the transtibial amputee after installation. Potential fields that can be recommended for future research include intelligent prosthetics, feedback training, motor function, prosthetic acceptance, compliance, social communication, and the quality of life.

A novel chitosan-vanadium-titanium-magnetite composite as a superior adsorbent for organic dyes in wastewater.

In this research, a novel chitosan (CS)-vanadium-titanium-magnetite (VTM) composite was designed and synthesized. The interaction between CS-VTM and Congo red (CR) dye conformed to a pseudo-second-order model to support the potent involvement of chemisorption. The effects of adsorbent dosage, reaction temperature, and initial solution pH on adsorption of CR were investigated. Approximately 99.1% of CR (100 mg/L) was adsorbed at a CS-VTM dose of 2.0 g/L or above, while such a reaction was favored at temperatures of 65 °C and pH of 6.0. Thermodynamically, the adsorption of CR proceeded spontaneously (ΔG < 0) above 35 °C. According to scanning electron microscopy, X-ray photoelectron spectroscopy, Fourier transform infrared spectrometer, and zeta potential analysis, its adsorption on CS-VTM can be attributed to electrostatic attraction and hydrogen bonds. The prepared CS-VTM exhibited superior adsorption performance on removal of CR as evidenced by significantly large partition coefficient of 108.3 mg g-1 µM-1 (equilibrium adsorption capacity of 62.2 mg/g at CR dose of 100 mg/L). Overall, the CS-VTM proved to be a promising and environmentally friendly adsorbent for the highly efficient and effective removal of organic dyes among the comparable sorbents studied to date.

Low-intensity pulsed ultrasound repair in mandibular condylar cartilage injury rabbit model.

OBJECTIVES: Beneficial effects of low-intensity pulsed ultrasound(US) have been reported for knee articular cartilage injury. It is unclear whether the same effect could be observed on mandibular condylar cartilage. This study was designed to explore the efficacy of ultrasound cartilage repair via autophagy regulation. METHODS: A total of 18 adult rabbits were divided into a sham operation group (exposure to condylar articular surface only), operation without US group (only cartilage surgery), and operation with US group (received ultrasonic therapy daily on day 4 after cartilage surgery). The rabbits were then sacrificed to construct a temporomandibular joint (TMJ) cartilage injury model and HE staining was conducted to observe pathological changes of cartilage in each group. Expression of FGF18, FGFR4, beclin1, ATG3 and ATG7 in rabbit TMJ cartilage were detected using RT-PCR and western blotting. Finally, protein-protein interaction (PPI) analysis was used to observe the interaction among the network of important biomarkers in this injury model. RESULTS: Compared to the operation without US group, the severity of cartilage injury was decreased in the operation with US group according to HE staining. The expression of autophagy biomarkers, beclin1, ATG3, ATG7, FGF18 and FGFR4, in operation with US group were up-regulated compared with those in sham operation group and operation without US group p < 0.05). In PPI analysis, ATG3, ATG7, PIK3C3, PIK3R4, BECN1 were identified as hub nodes connecting with most proteins network. CONCLUSIONS: Our results suggest US has therapeutic potential for the treatment of mandibular condylar cartilage injury, and may affect chondrocyte autophagy.

Bivalent vaccine platform based on ca influenza virus vaccine elicits protective immunity against human adenoviruses.

Human adenoviruses (HAdVs) are prevalent in pediatric and adult patients with severe acute respiratory disease (ARD). To date, there have been no widely used HAdV vaccines available. In this report, we developed a cold-adapted attenuated influenza virus, termed rg HAdV-Flu ca, carrying epitopes from HAdV hexon protein in the backbone of the ca influenza vaccine neuraminidase (NA) gene using reverse genetics. Rg HAdV-Flu ca virus exhibited a cold-adapted (ca) phenotype, and its morphological characteristics were observed using electron microscopy. Moreover, BALB/c mice were immunized intranasally (i.n.) with 105, 106 or 107 TCID50 rg HAdV-Flu ca. Results showed a specific, robust antibody response against influenza and HAdV in a dose-dependent manner. More importantly, potent humoral, mucosal and cellular immune responses protected against subsequent wild-type HAdV-3 or HAdV-7 challenges, as determined by a significant decrease in viral titers and a noticeable alleviation of histopathological alterations in the lung tissue of challenged mice. These findings demonstrate that rg HAdV-Flu ca warrants attention as a potential vaccine candidate against HAdV infection.