In vitro modeling of recurrent Dermatofibrosarcoma Protuberans: Assessment of 5-aminolevulinic acid photodynamic therapy efficacy.

BACKGROUND: Dermatofibrosarcoma Protuberans (DFSP) is a rare, low-grade malignant tumor of the dermis with a high recurrence rate post-surgery. Current treatments, including surgery, radiotherapy, and targeted therapy, have limitations. Photodynamic therapy (PDT) with 5-aminolevulinic acid (5-ALA) is a promising non-invasive approach, but its efficacy in DFSP treatment remains underexplored. METHODS: This study aimed to evaluate the anti-tumor efficacy of 5-ALA PDT using an in vitro model derived from a recurrent DFSP patient. The cells were treated with varying concentrations of 5-ALA and exposed to red light, followed by assessments of cell viability, proliferation, apoptosis, migration, invasion, angiogenesis, and expression of DFSP-related genes and proteins. RESULTS: 5-ALA PDT significantly reduced DFSP cell viability in a dose-dependent manner and induced apoptosis. It also effectively inhibited cell proliferation, migration, and invasion, as well as suppressed angiogenic activity in conditioned media. Furthermore, 5-ALA PDT downregulated the expression of COL1A1 and PDGFRB, key genes in DFSP pathogenesis. CONCLUSIONS: The findings provide the first evidence of 5-ALA PDT's in vitro anti-tumor efficacy against DFSP, suggesting its potential as a novel therapeutic approach for DFSP. Further studies are warranted to explore the clinical utility of 5-ALA PDT in preventing DFSP recurrence.

Advances in the assessment of cosmetic outcomes, sensory alteration in surgical areas, and health-related quality of life of endoscopic thyroidectomy.

BACKGROUND: Endoscopic thyroidectomy has been preliminarily proven effective and safe for thyroid diseases. The cosmetic outcomes and life quality are critical contents of postoperative assessment. This review will primarily focus on the assessment methods and results related to cosmetic outcomes, sensory alteration of surgical area, and quality of life following endoscopic thyroidectomy. METHODS: A comprehensive search of published articles within the last decade was conducted using the terms "endoscopic/robotic thyroidectomy," "patient satisfaction scores," "questionnaire," "quality of life," and "cosmetic" in PubMed. RESULTS: Assessment methods for postoperative cosmetic satisfaction and sensory alterations encompassed verbal/visual analog scales, scar evaluations, Semmes-Weinstein monofilament tests, and more. The evaluation of postoperative quality of life in endoscopic thyroidectomy involved tools such as SF-36, SF-12, thyroid-specific questionnaires, thyroid cancer-specific quality of life questionnaires (THYCA-QOL), as well as assessments related to voice and swallow function. The cosmetic results of endoscopic thyroidectomy generally surpassed those of open thyroidectomy, while the quality of life in endoscopic procedures was either superior or equivalent to that in open thyroidectomy, especially with respect to general health, role emotion, and vitality. CONCLUSIONS: Assessments of cosmetic outcomes and sensory alterations following endoscopic thyroidectomy predominantly relied on patients' subjective feelings. The objective and subjective perspectives of scar assessments remain underutilized. In addition, postoperative laryngoscopy and voice function assessments in endoscopic thyroidectomy procedures require more attention.

The Influence of Media Diversification Model and Entrepreneurship on Enterprise Financial Performance Under the Environment of Sustainable Development.

Market competition is intensifying. The necessity and path of adopting the diversified management model in the media industry are explored to delve into the influence of the media diversification model and entrepreneurship on enterprise financial performance. Besides, the relevant theories such as the media diversification model and entrepreneurial spirit are expounded. Furthermore, Time Publishing & Media is taken as the representative of the media diversification model. Finally, the influence of entrepreneurship on financial performance is discussed regarding entrepreneurship in the Yangtze River Delta as the research object. The profitability, solvency, and operation ability of Time Publishing & Media are analyzed. It is found that there are problems in the profitability and operation ability of Time Publishing & Media. The solvency is good, and the risk of debt repayment is low. As a result, a diversified management model may not have a positive impact on enterprise performance. In addition, the entrepreneurial spirit of the Yangtze River Delta is studied, and the results reveal that the F values from 2017 to 2019 are about 66.24, 10.78, and 60.39, respectively, with a significance of 0.00. It implies that the stronger the entrepreneur's ability to take risks, the better the financial performance of the enterprise, but the risk should be appropriate. Therefore, the research on the influence of the media diversification model and entrepreneurship on the financial performance of enterprises in the environment of sustainable development has guided significance for enterprises to improve their business performance and market competitiveness.

Quality assessment and prediction of municipal drinking water using water quality index and artificial neural network: A case study of Wuhan, central China, from 2013 to 2019.

The sanitary security of drinking water is closely related to human health, but its quality assessment mainly focused on limited types of indicators and relatively restricted time span. The current study was aimed to evaluate the long-term spatial-temporal distribution of municipal drinking water quality and explore the origin of water contamination based on multiple water indicators of 137 finished water samples and 863 tap water samples from Wuhan city, China. Water quality indexes (WQIs) were calculated to integrate the measured indicators. WQIs of the finished water samples ranged from 0.24 to 0.92, with the qualification rate and excellent rate of 100 % and 96.4 %, respectively, while those of the tap water samples ranged from 0.09 to 3.20, with the qualification rate of 99.9 %, and excellent rate of 95.5 %. Artificial neural network model was constructed based on the time series of WQIs from 2013 to 2019 to predict the water quality thereafter. The predicted WQIs of finished and tap water in 2020 and 2021 qualified on the whole, with the excellent rate of 87.5 % and 92.9 %, respectively. Except for three samples exceeding the limits of free chlorine residual, chloroform and fluoride, respectively, the majority of indicators reached the threshold values for drinking. Our study suggested that municipal drinking water quality in Wuhan was generally stable and in line with the national hygiene standards. Moreover, principal component analysis illustrated that the main potential sources of drinking water contamination were inorganic salts and organic matters, followed by pollution from distribution systems, the use of aluminum-containing coagulants and turbidity involved in water treatment, which need more attention.

Demonstration of DFT-spread 256QAM-OFDM signal transmission with cost-effective directly modulated laser.

We experimentally demonstrated a 256-ary quadrature amplitude modulation (256QAM) direct-detection optical orthogonal frequency division multiplexing (DDO-OFDM) transmission system utilizing a cost-effective directly modulated laser (DML). Intra-symbol frequency-domain averaging (ISFA) is applied to suppress in-band noise while the channel response estimation and Discrete Fourier Transform-spread (DFT-spread) is used to reduce the peak-to-average power ratio (PAPR) of the transmitted OFDM signal. The bit-error ratio (BER) of 15-Gbit/s 256QAM-OFDM signal has been measured after 20-km SSMF transmission that is less than 7% forward-error-correction (FEC) threshold of 3.8 × 10(-3) as the launch power into fiber is set at 6dBm. For 11.85-Gbit/s 256QAM-OFDM signal, with the aid of ISFA-based channel estimation and PAPR reduction enabled by DFT-spread, the BER after 20-km SSMF transmission can be improved from 6.4 × 10(-3) to 6.8 × 10(-4) when the received optical power is -6dBm.

Left too early: the effects of age at separation from parents on Chinese rural children's symptoms of anxiety and depression.

OBJECTIVES: We examined the effect of age at separation from parents on symptoms of anxiety and depression among children in rural communities in China whose parents migrated to cities in search of employment opportunities during the country's rapid economic development. METHODS: Students in 3 rural areas, Anhui, Chongqing, and Guizhou (N = 592; age = 10-17 years), completed questionnaires that asked about symptoms of state and trait anxiety, as well as depression and age at separation from parents. RESULTS: Children who were separated from parents at a younger age had more symptoms of anxiety and depression. This effect was especially pronounced for children who were separated from their mothers or from both parents. CONCLUSIONS: China's explosive economic growth appears to exact a significant toll on left-behind children's mental health, particularly on children whose parents left early in their lives. The unintended consequences of the economic boom on child development need to be further examined in prospective studies.