Identifying factors affecting willingness to participate in floating population health volunteer services by Chinese volunteers based on the theory of the planned behavior expansion model.

China has the world's largest internal migrant population, called the floating population. Compared to local residents, the floating population utilizes different health services and relies heavily on health volunteer services for supplementary services. In this study, the theory of planned behavior model was used to study the willingness of volunteers to participate in floating population health volunteer services. We examined the effects of several factors on willingness to participate and found that attitude and subjective norm, but not perceived behavioral control, have significant predictive effects on willingness to participate in health volunteer services. Furthermore, altruistic values, social incentives, and personality traits not only have significant predictive effects on volunteer participation but also indirectly affect willingness through attitude and subjective norms. These findings help us understand what factors affect volunteers' willingness to provide health services to the floating population and have important implications for mobilizing volunteers for floating population health services.

Authorship Weightage Algorithm for Academic Publications: A New Calculation and ACES Webserver for Determining Expertise.

Despite the public availability, finding experts in any field when relying on academic publications can be challenging, especially with the use of jargons. Even after overcoming these issues, the discernment of expertise by authorship positions is often also absent in the many publication-based search platforms. Given that it is common in many academic fields for the research group lead or lab head to take the position of the last author, some of the existing authorship scoring systems that assign a decreasing weightage from the first author would not reflect the last author correctly. To address these problems, we incorporated natural language processing (Common Crawl using fastText) to retrieve related keywords when using jargons as well as a modified authorship positional scoring that allows the assignment of greater weightage to the last author. The resulting output is a ranked scoring system of researchers upon every search that we implemented as a webserver for internal use called the APD lab Capability & Expertise Search (ACES).

Health literacy and health outcomes in China's floating population: mediating effects of health service.

BACKGROUND: The floating population in China consists primarily of internal immigrants and represents a typical health vulnerable group. Poor health literacy has recently become an obstacle in the accessibility and utilization of health services for the vulnerable population, leading to adverse health outcomes. This study aimed to examine whether health literacy affected health outcomes in China's floating population and whether health service utilization had a mediating effect between health literacy and health outcomes. METHOD: The current study utilized a cross-sectional stratified, multistage, proportional to scale (PPS) study in Zhejiang Province, China, in November and December 2019. In total, 657 valid self-reported questionnaires were recovered and used for data collection. Questionnaires included questions regarding sociodemographic characteristics, health literacy, health outcomes, and health service utilization. Confirmatory factor analysis was used to test questionnaire validity; descriptive statistics were used to understand the demographic characteristics of the floating population; and structural equation modeling was used to determine whether health service utilization mediated health literacy and health outcomes. RESULTS: We report positive correlations between health literacy, health service utilization, and health outcomes. Mediation analysis demonstrated that health service utilization had partial mediating effects between health literacy and health outcomes. In the relationship between health literacy and health outcomes, the indirect effects of health service utilization accounted for 6.6-8.7% of the total effects. CONCLUSION: Complete health literacy, through health care literacy and health promotion literacy, affects the mobile population's initiative to use health services, which, in turn, affects health outcomes. Thus, improving the health literacy of the floating population will help to improve health outcomes. Furthermore, health service providers should enhance the diversity of health service supply to ensure that the floating population has the external resources to improve personal health literacy.

Augmented reality in scientific visualization and communications: a new dawn of looking at antibody interactions.

The use of augmented reality (AR) in providing three-dimensional (3D) visual support and image depth have been applied in education, tourism, historical studies, and medical training. In research and development, there has been a slow but growing use of AR tools in chemical and drug discovery, but little has been implemented for whole 3D antibody structures (IgE, IgM, IgA, IgG, and IgD) and in communicating their interactions with the antigens or receptors in publications. Given that antibody interactions can vary significantly between different monoclonal antibodies, a convenient and easy to use 3D visualization can convey structural mechanisms clearer to readers, especially in how residues may interact with one another. While this was previously constrained to the use of stereo images on printed material or molecular visualization software on the computer, the revolution of smartphone and phablets now allows visualization of whole molecular structures on-the-go, allowing rotations, zooming in and out, and even animations without complex devices or the training of visual prowess. While not yet as versatile as molecular visualization software on the computer, such technology is an improvement from stereo-images and bridges the gap with molecular visualization tools. In this report, we discuss the use of AR and how they can be employed in the holistic view of antibodies and the future of the technology for better scientific communication.

[Health Benefit Evaluation for Air Pollution Prevention and Control Action Plan in China].

To quantitatively assess the health benefits brought by the implementation of the Action Plan of Air Pollution Prevention and Control, we firstly analyzed the spatial and temporal changes of PM2.5 population-weighted concentrations over China from 2013 to 2017. The BenMAP model was used to analyze the differences in premature death between the PM2.5 baseline scenario in 2013 and the control scenario in 2017 in 338 prefecture-level cities nationwide, so as to quantitatively analyze the number of premature deaths in 31 provinces. The results show that compared with other provinces, the largest reduction in premature deaths due to the significant decrease of PM2.5 concentration occurred in the Beijing-Tianjin-Hebei region and its surrounding regions, and the environmental health benefits from air quality have been greatly improved. The results show that from 2013 to 2017 the population weighted PM2.5 concentration was decreasing year by year due to the significant decrease in PM2.5 concentration; Beijing, Tianjin, Hebei, and the surrounding areas witnessed the largest reduction in premature deaths. In 2017, the number of avoided premature deaths in 280 prefecture-level cities nationwide increased, but declined in 58 cities. Taking the target value of the first phase of the WHO transition period (an annual average PM2.5 concentration of 35 µg·m-3) as the control scenario, it is estimated that the number of premature deaths in 2013 was approximately 101293, and in 2017 was approximately 41080. The implementation of the Action Plan helped to avoid approximately 60213 premature deaths. According to the method of 'willingness to pay', the monetary benefits are estimated to be approximately 54.97 billion yuan.

[Regional Transport Matrix Study of PM2.5 in Jingjinji Region, 2015].

By coupling particle source apportionment technology (PSAT) with a comprehensive air quality model with extensions (CAMx), the regional transport matrix of PM2.5 was built for 13 cities in the Jingjinji Region in 2015. Results showed that the major contributor to PM2.5 was local source emissions, contributing 21.49%-68.74%, The internal transport from in-region sources contributed 13.31%-54.62% and the external transport from out-region sources contributing 13.32%-45.02% were also significant. The spatio-temporal distribution of the PM2.5 transport matrix was characterized by geographical, meteorological, and source patterns. Local emissions exerted the most significant impact on the central part of Jingjinji in winter, while regional transport contributed more to the southern region in other seasons. By assessing the input/output and activity of PM2.5 transport, Langfang, Hengshui, Chengde, Qinhuangdao, and Xingtai were receptors; Tianjin, Cangzhou, Tangshan, Beijing, Shijiazhuang, and Handan were sources, and Zhangjiakou and Baoding had a balanced transportation mode. The seasonal matrix of PM2.5 showed significant transport between Beijing and Langfang, Baoding, Chengde, Tianjin, Cangzhou, while the city list for Tianjin and Shijiazhuang differed slightly.

[Application of Satellite Remote Sensing in NOx Emission Control].

Tropospheric NO2 vertical column densities (VCDs) from ozone monitoring instrument(OMI) were analyzed to evaluate the decrease in NOx emissions during two special events, 70th anniversary of the end of World War Ⅱ in 2015 and the G20 summit in 2016. Results showed a positive correlation between NO2 VCDs and near ground NOx emissions and verified that the NOx emission control policy during "12th five-year plan" were remarkably effective, with a 24.98% drop in VCDs in five years. At the early stage of "13th five-year plan", in 2016, NO2 VCDs decreased by 3.18% year-on-year, showing a consistent drop in NOx.

Inactivation of Escherichia coli planktonic cells by multi-walled carbon nanotubes in suspensions: Effect of surface functionalization coupled with medium nutrition level.

While earlier studies have identified the antibacterial activity of carbon nanotubes (CNTs) and proposed that cell membrane damage by direct contact with CNTs is likely the main toxicity mechanism, the relative importance of chemical versus physical properties of CNTs in controlling their bacterial cytotoxicity is understudied. Given that CNT is commonly modified via acid treatment to enhance its dispersivity and surface chemistry, in this study commercially available multi-walled carbon nanotubes (MWCNTs) with high purity were processed carefully by acid reflux, resulting in differences in surface charge of MWCNTs without altering their physical properties. The surface condition of MWCNTs was also modified by adsorption of organic matter to compare bacterial toxicity of functionalized and non-functionalized MWCNTs in suspensions. Results show that although overall electrostatic repulsion and steric obstruction resulted from surface modifications led to elevated dispersivity of MWCNTs and mitigated toxicity on planktonic Escherichia coli cultures, no correlation between the dispersivity and bacterial toxicity of MWCNTs was observed, suggesting that dispersity alone may not be a proper index to estimate the CNT antibacterial effect on planktonic cells in the aqueous phase. In addition, viability recovery of MWCNT-treated cells was observed to be nutrition level-dependent, implying that availability of proper nutrients may be another important factor to be considered when assessing the ecotoxicity of CNTs in the aquatic system.

[Predictive factors of testicular sperm extraction in men with non-obstructive azoospermia].

Men with non-obstructive azoospermia (NOA) can achieve fertility by testicular sperm extraction (TESE) coupled with intracytoplasmic sperm injection (ICSI), the key to which is the successful retrieval of sperm from the testis. Although improved testicular sperm extraction techniques have increased the chances of sperm retrieval, to predict preoperatively the success of sperm retrieval from NOA patients remains challenging. A non-invasive diagnostic technique predicting the presence of sperm in the testis would be useful for avoiding possible surgical intervention. At present, some preoperative variables, such as serum FSH, inhibin B level, testis volume, genetic analysis, histopathology on diagnostic biopsy, Raman Spectroscopy, and molecular and protein markers, have provided new insights into the chances of successful sperm retrieval in NOA males. This review aims to evaluate the preoperative factors currently available for predicting the outcomes of sperm retrieval from NOA patients.

[Satellite retrieval of a heavy pollution process in January 2013 in China].

By simulating vertical stratification data of PM2.5 with the third-generation air quality model CMAQ and high resolution relative humidity data with mesoscale meteorological model WRF, MODIS AOD data were revised by vertical and humidity correcting method, respectively. A linear regression model between revised AOD and PM2.5 was built, and the linear correlation coefficient was r = 0.77 (n = 57, P < 0.01). Based on this model, the average monthly concentrations of PM2.5 in 10 km resolution in January 2013 were firstly retrieved in the country, and the population exposure level was analyzed. The results showed that the areas where average monthly concentrations of PM2.5 was greater than 100 µg x m(-3) and 200 µg x m(-3) in January 2013 were 10.99% and 1.34% of the national terrestrial area, respectively, and the ratios of exposed population were as high as 45.01% and 6.31%, respectively.

Comparison of warm and cold contrast media for hysterosalpingography: a prospective, randomized study.

OBJECTIVE: To compare the use of warm medium and cold medium for alleviating pain and side effects during hysterosalpingography (HSG). DESIGN: Prospective randomized study. SETTING: University hospital. PATIENT(S): Two hundred infertile women who needed HSG were recruited from January 2010 to June 2011. The exclusion criteria were acute low reproductive duct infection, known hypersensitivity to iodine, genital bleeding, or malignancy. INTERVENTION(S): Subjects were randomized to undergo HSG using a medium prewarmed to 37°C or a medium at room temperature. MAIN OUTCOME MEASURE(S): Incidence of vasovagal episodes and visual analog scale (VAS) pain scores during HSG. RESULT(S): Patients' VAS pain scores during HSG were significantly lower in the warm media group initially but showed no statistical difference at 30 minutes after injection. Medium temperature showed a linear association with VAS score. The total number of vasovagal episodes was higher in the cold medium group. CONCLUSION(S): Warm contrast medium alleviates the pain associated with HSG and decreases the incidence of vasovagal episodes during HSG. CLINICAL TRIALS REGISTRATION NUMBER: NCT01339338.

Does hepatitis B virus prenatal transmission result in postnatal immunoprophylaxis failure?

The objective of this work was to evaluate whether postnatal hepatitis B immunization failure in children is caused by prenatal infections. A prospective study was conducted from October 2006 to September 2008. Fetal samples from HBsAg-positive mothers were retrieved by either amniocentesis or cordocentesis (percutaneous umbilical blood sampling [PUBS]). Hepatitis B virus (HBV) serologic markers (HBVM) and quantitative HBV DNA assays were performed to assess prenatal infection. All neonates were given combined HBV immunoprophylaxis after delivery. The newborns were followed up with HBV serologic testing at 1 year old. For the 252 pregnant women recruited, 16 fetuses were found to be HBV DNA positive, with all HBV DNA levels under 10(4) copies/ml. HBsAg and HBV DNA detected in the uterus were uncommon and were expressed at low levels. In contract to the case with prenatal statuses, neonatal serologies were more similar to their mothers'. The response rate of vaccination was 95%. Six children for whom immunoprophylaxis failed were born to HBeAg-positive mothers with high HBV DNA levels (>10(8) copies/ml), but only one of them was found to be positive for intrauterine HBV DNA (8.5 × 10(2) copies/ml). The presence of intrauterine hepatitis B antigen and DNA does not indicate postnatal HBV infection and vaccination failure.

[Changes in inflammatory cytokines released by pulmonary intravascular macrophages after stimulation with lipopolysaccharide].

OBJECTIVE: To investigate the roles of pulmonary intravascular macrophages (PIMs) in the pathogenesis of infective acute lung injury (ALI). METHODS: Porcine pulmonary blood vessels were flushed by modified Morton's method, PIMs were isolated with adhesion method and incubated in RPMI 1640 medium. They were stimulated with lipopolysaccharide (LPS, 10 mg/L). The contents of interleukin-6 (IL-6), IL-8 and tumor necrosis factor-alpha (TNF-alpha) in the culture supernatants were respectively measured by enzyme linked immunoadsorbent assay (EILSA). RESULTS: The release of TNF-alpha, IL-6 and IL-8 by PIMs was increased significantly as compared with the levels before stimulation by LPS, peaking at 1, 4, and 6 hours after LPS stimulation, respectively. The differences were significant (all P<0.01). CONCLUSION: Among the cytokines released by PIMs after LPS challenge, the increase in TNF-alpha content occurs earlier in comparison with that of IL-6 and IL-8, suggesting that the former may play an important role at the early stage of ALI. On the other hand, the increase in IL-6 and IL-8 contents is later than that of TNF-alpha and lasts for a longer time, suggesting that they may be associated with the development of ALI. The results also suggest that interaction of these cytokines is more important in the pathogenesis of ALI.

[Retrospective analysis on clinical features of 35 patients with severe acute respiratory syndrome].

OBJECTIVE: To analyze the clinical features of severe acute respiratory syndrome (SARS). METHODS: The clinical features of 35 patients with SARS in the past five months were retrospectively studied, and compared with 35 patients with community-acquired pneumonia. Consecutive blood samples from 13 patients with SARS and 10 healthy volunteers were collected. The CD+4 and CD+8 in T cell in peripheral blood were detected by flow cytometry. RESULTS: The most common symptoms included fever (in 100.0 percent of the patients), cough (74.3 percent), headache (45.7 percent), myalgia (45.7 percent) and lymphopenia (20/33). Serial chest radiographs showed progressive multi-infiltration in the lung fields. The CD+4 and CD+8 in T cell in 13 patients with SARS significantly decreased [CD+4: (16.10+/-4.31) percent vs. (38.30+/-8.52) percent, t=8.174,P<0.01; CD+8: (19.90+/-5.40) percent vs. (28.38+/-4.33) percent, t=4.055, P<0.01]. The time of bringing down the fever and the time of absorption of pathological changes in SARS patients were prolonged than those of the pneumonia patients [the time of bringing down the fever (13.92+/-8.35) days vs. (3.86+/-1.42)days, t=16.490,P=0.000;the time of absorption of pathological changes: (11.97+/-4.41) days vs. (9.21+/-4.42) days, t=3.082,P=0.003]. CONCLUSION: SARS is a serious respiratory illness, the most common symptoms are fever, cough, headache and myalgia, other common findings are lymphopenia, the CD+4 and CD+8 in T cell in peripheral blood decrease and multi-infiltrate through out the lung fields.

LPS induces pulmonary intravascular macrophages producing inflammatory mediators via activating NF-kappaB.

Pulmonary intravascular macrophages (PIMs) are often responsible for the clearance of blood-borne pathogens, including endotoxin, lipopolysaccharide of Gram-negative bacteria. It is well accepted that PIMs play a pivotal role in the pathogenesis of endotoxin-induced acute lung injury. However, the mechanisms by which PIMs are involved in the lipopolysaccharide-induced inflammatory responses remain unclear. Through the present study the following results were found: (1) When challenged with lipopolysaccharide (10 micrograms/ml), PIMs underwent marked cellular enlargement, intercellular adhesion plaques became longer, and some particulates were enwrapped in the pseudopods. (2) Lipopolysaccharide could up-regulate the expression of some inflammatory mediators in PIMs, including TNF-alpha, IL-1beta, IL-6, IL-8, and COX-2, and these up-regulated expression of inflammatory mediators correlated with NF-kappaB activation. (3) Dexamethasone as well as acetylsalicylic acid reduced the expression of TNF-alpha in lipopolysaccharide-challenged PIMs, and the decreased expression of TNF-alpha was also consistent with decreased NF-kappaB activation. Our results suggest that NF-kappaB activation in PIMs followed by phagocytizing lipopolysaccharide resulted in the up-regulation of TNF-alpha, IL-1beta, IL-6, IL-8, and COX-2, which could be alleviated by dexamethasone.

[Changes in interleukin-1beta in serum and bronchoalveolar lavage fluid in the patient with acute respiratory distress syndrome].

OBJECTIVE: To study the role of interleukin-1beta (IL-1beta) in the pathogenesis of acute respiratory distress syndrome (ARDS). METHODS: The bronchoalveolar lavage fluid (BALF) and serum in 13 patients with ARDS and 9 healthy controls were collected. The contents of IL-1beta were measured by enzyme-linked immunoadsorbent assay(ELISA). RESULTS: The levels of IL-1beta in BALF [(144.67+/-80.79)ng/L] and serum [(45.71+/-7.09)ng/L] in patients with ARDS were significantly higher than those in the control groups [(20.39+/-1.87)ng/L, P=0.000; (35.06+/-5.46)ng/L, P=0.001, respectively], and the levels of IL-1beta in BALF were also significantly higher than those of the serum in the patients with ARDS (P=0.000). CONCLUSION: The results indicate that IL-1beta is involved in the pathogenesis of ARDS. Early determination of IL-1beta level in BALF may be more valuable in the evaluation of disease process of ARDS.

Adsorption of sulfate and copper(II) on goethite in relation to the changes of zeta potentials.

The amount of adsorption of sulfate and Cu(II) from single- and binary-adsorbate systems on goethite were measured. All experiments were carried out with and without supporting electrolyte (0.01 M NaNO(3)) as a function of equilibrium pH (2 - 7), adsorbate concentration (0.21 - 1.57 mM), and temperature (15 - 35 degrees C). At a given equilibrium pH, it was shown that the adsorption isotherms of single sulfate, rather than Cu(II), could be well described by the Langmuir equation. The isosteric enthalpy of sulfate adsorption was also evaluated. In contrast to a single-adsorbate system, the adsorption of Cu(II) was enhanced and that of sulfate was inhibited in binary adsorbate systems under the conditions studied. Finally, the changes in zeta potentials of the goethite suspensions with solution pH before and after adsorption were measured, which could be macroscopically related to the amount of sulfate adsorption even in binary-adsorbate systems.