A peptide selectively recognizes Gram-negative bacteria and forms a bacterial extracellular trap (BET) through interfacial self-assembly.

An innate immune system intricately leverages unique mechanisms to inhibit colonization of external invasive Bacteria, for example human defensin-6, through responsive encapsulation of bacteria. Infection and accompanying antibiotic resistance stemming from Gram-negative bacteria aggregation represent an emerging public health crisis, which calls for research into novel anti-bacterial therapeutics. Herein, inspired by naturally found host-defense peptides, we design a defensin-like peptide ligand, bacteria extracellular trap (BET) peptide, with modular design composed of targeting, assembly, and hydrophobic motifs with an aggregation-induced emission feature. The ligand specifically recognizes Gram-negative bacteria via targeting cell wall conserved lipopolysaccharides (LPS) and transforms from nanoparticles to nanofibrous networks in situ to trap bacteria and induce aggregation. Importantly, treatment of the BET peptide was found to have an antibacterial effect on the Pseudomonas aeruginosa strain, which is comparable to neomycin. Animal studies further demonstrate its ability to trigger aggregation of bacteria in vivo. This biomimetic self-assembling BET peptide provides a novel approach to fight against pathogenic Gram-negative bacteria.

Heterospecific eavesdropping on disturbance cues of a treefrog.

Alarm signals and cues are crucial to animal survival and vary greatly across species. Eavesdropping on heterospecific alarm signals and cues can provide eavesdroppers with information about potential threats. In addition to acoustic alarm signals, evidence has accumulated that chemical alarm cues and disturbance cues can also play a role in alerting conspecifics to potential danger in adult anurans (frogs and toads). However, there is very little known about whether disturbance cues are exploited by heterospecifics. In the present study, we conducted a binary choice experiment and a prey chemical discrimination experiment, respectively, to test the responses of a sympatric anuran species (red webbed treefrogs, Rhacophorus rhodopus) and a sympatric predator species (Chinese green tree vipers, Trimeresurus stejnegeri) to disturbance odors emitted by serrate-legged small treefrogs (Kurixalus odontotarsus). In the binary choice experiment, we found that the presence of disturbance odors did not significantly trigger the avoidance behavior of R. rhodopus. In the prey chemical discrimination experiment, compared with odors from undisturbed K. odontotarsus (control odors) and odorless control, T. stejnegeri showed a significantly higher tongue-flick rate in response to disturbance odors. This result implies that disturbance odor cues of K. odontotarsus can be exploited by eavesdropping predators to detect prey. Our study provides partial evidence for heterospecific eavesdropping on disturbance cues and has an important implication for understanding heterospecific eavesdropping on chemical cues of adult anurans.

Progress in research on gut microbiota in ethnic minorities in China and consideration of intervention strategies based on ethnic medicine: A review.

One of the variables affecting gut microbiota is ethnicity. There are 56 ethnic subgroups in China, and their intestinal flora differs. A wealth of medical resources has also been produced by the presence of numerous ethnic minorities. In this study, we reviewed the pertinent literature on the intestinal flora of ethnic minorities in China and abroad using the CiteSpace visualization software, and we used bibliometric techniques to find the most widely prescribed medications for preventing and treating endemic diseases in ethnic minorities. Based on the gut microbiology of minority populations, we suggest that by comprehensive development involving literature, experimental, and clinical research, the pharmacological action mechanisms for interventions in endemic diseases can be drawn from ethnic medicine. This point of view has not been discussed before and will offer a fresh perspective on the creation and application of ethnic medications as well as a fresh method for the management of prevalent diseases in ethnic communities.

Caridinastellata, a new species of atyid shrimp (Decapoda, Caridea, Atyidae) with the male description of Caridinacavernicola Liang & Zhou, 1993 from Guangxi, China.

Caridinastellata sp. nov. is described from streams in Guangxi, south-western China. The new species clearly belongs to "Caridinaserrata group" of the genus and shows a morphological similarity with C.cantonensis Yu, 1938, C.serrata Stimpson, 1860 and C.pacboDo et al. 2020. Caridinastellata is distinguished from congeners, based on differences in its male first pleopod and appendix masculina morphology, along with COI and 16S rRNA molecular evidence. The first pleopod endopod in male is rectangle, about 0.70 × length of exopod, about 3.7-3.9 × as long as proximally wide, inner margin concave, bearing nearly equal spine setae, outer margin bearing nearly equal long and dense spine setae; appendix interna well developed, arising from distal 1/5 of endopod, reaching to end of endopod, with cincinuli distally. The new species displays a unique and brightly coloured pattern and, therefore, can be easily recognised in the field. Liang & Zhou, 1993 described C.cavernicola from the Lenggu Cave, Du'an County, Guangxi. However, the description was based exclusively on two females. We have collected specimens of both sexes near the type locality and describe herein the previously unknown male and present morphological data on females. Data on the habitat, ecology and levels of threat of the two species are provided and suggest that they should be categorised as vulnerable (VU) under the current IUCN Criteria.

Observing time effect of SSRIs on suicide risk and suicide-related behaviour: a network meta-analysis protocol.

INTRODUCTION: Suicide is a serious problem worldwide and 90% cases are associated with pre-existing or underlying mental illness. As a common treatment for depressive symptoms that suicidal people may receive, selective serotonin reuptake inhibitors (SSRIs) have been linked to a possible increase in suicide rates. Studies focusing on SSRIs and suicide have produced inconsistent results, suggesting that use of SSRIs decreases, increases, has no effect on suicide rates, or that the effect of SSRIs on suicide is age-dependent. This protocol of network meta-analysis aims to precisely evaluate the time effects of SSRIs by observing weekly changes of suicidality in the first 2 months of the treatment, and consequently, to explore whether the effect of the SSRIs on suicide varies depending on the stages of the treatment; if so, we will identify the turning point. METHODS AND ANALYSIS: We will search in the following databases: PubMed, Web of science, China National Knowledge Infrastructure and Wanfang Data, from dates of inception to 9 July 2021, with language restricted to English and Chinese. Studies focusing on the time effect of SSRIs on suicide will be retrieved. Then, the study selection process will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline, and the quality assessment will be conducted with Cochrane Collaboration's tool. Two researchers will work independently on data extraction using a standardised data extraction spreadsheet. Any disagreement between two researchers will be discussed and determined by a third researcher. ETHICS AND DISSEMINATION: This work does not require ethics approval as it will be based on published studies. This review will be published in peer-reviewed journals. PROSPERO REGISTRATION NUMBER: CRD42021244779.

Effect of Ag alloying and trace precipitation on corrosion resistance of Ti-Ta-Ag ternary alloy.

This work systematically analysed the electrochemical and corrosion behaviour of Ti-Ta-Ag ternary alloy samples in Hank's solution. For the samples with 1.5% and 3% Ag content, the sintering temperature increased from 750 to 950°C, and the corresponding corrosion resistance increased by 100 times due to the increased alloying of Ag; meanwhile for the sample with 4.5% Ag content, the sintering temperature increased from 750 to 950°C, and the corresponding corrosion resistance decreased by six times due to the increased precipitation of Ag. These tests prove that the Ag alloying is beneficial to the enhancement of the corrosion resistance of Ti-Ta-Ag ternary alloy, but the Ag trace precipitation has the opposite effect. A series of electrochemical characterizations and density functional theory calculations explain the mechanism of the above phenomenon. Ag alloying can promote the formation of uniform, complete, dense, stable and thick passivation layer on the surface of Ti-Ta-Ag ternary alloy, which makes Ti-Ta-Ag ternary alloy uniformly corroded without pitting. In addition, Ag alloying can effectively reduce the contact resistance of the solid-liquid interface. However, the trace precipitation of Ag plays the opposite role to the above effect.

Integrative taxonomy uncovers a new stygobiotic Caridina species (Decapoda, Caridea, Atyidae) from Guizhou Province, China.

Collecting much-needed information on the taxonomy, distribution, and ecology of cave-dwelling shrimp is vital for addressing the urgent challenges in conservation biodiversity in fragile cave ecosystems. Caridina incolor sp. nov., a new atyid shrimp from an underground stream of Yaoshui Cave, Daqikong scenic area, Libo County, Guizhou Province, southwestern China is described based on morphology and DNA analysis (mitochondrial COI). Caridina incolor sp. nov. differs from epigean congeners by its smaller eyes which range from reduced to completely blind; colorless body and appendages; long stylocerite and sixth abdominal segment; and relatively large eggs. In comparison to other cave species, Caridina incolor sp. nov. presents a long rostrum and stylocerite; slender sixth abdominal segment; and unique shape of the appendix masculina. Data on the habitat, ecology, and levels of threat are provided and suggest that it should be categorized as Critically Endangered (CR) under the current IUCN criteria.

Study of Ag precipitation and mechanical properties of Ti-Ta-Ag ternary alloy.

Ti-25Ta-xAg alloy samples with different content of Ag were prepared by spark plasma sintering method. X-ray diffraction, microscopic metallographic, scanning electron microscopy, and transmission electron microscopy were used to analyze the phase structure and morphology of the alloy samples. Ti-Ta-Ag can form a stable ternary alloy system. Furthermore, with the increase of Ag content and sintering temperature, Ag will be precipitated at the grain boundary. In order to explore the precipitation mechanism of Ag in the alloy and its influence on the mechanical properties, the crystal structure, electronic structure, and elastic constant under different Ag solid solubility were calculated systematically by using first-principles calculations. The results show that the critical temperature of Ag in Ti-Ta-Ag ternary alloy is about 2200 K, and the high temperature is favorable for the aging precipitation of Ag. The lattice constants and mechanical properties of (Ti1-x Ag x )3Ta solid solution suddenly change when the Ag solid solubility x value is equal to 0.8, and their changes will follow different rules. The internal mechanism of this phenomenon is that the 4d10 electronic states of Ag have changed from obvious local electronic states to mixed local and non-local electronic states. These results provide theoretical guidance for the application of Ti-Ta-Ag ternary alloys in biomedicine.

Macrobrachium tenuipes, a new stygophile freshwater prawn specie (Crustacea: Caridea: Palaemonidae) from a karst cave of Guangxi, southwestern China.

Based on morphological, molecular, and ecological evidences, a fourth species of cave-dwelling shrimp Macrobrachium tenuipes sp. nov. is described from Guangxi Zhuang Autonomous Region, southwestern China. This new species with smooth carapace and the extremely slender pereiopods, can be separated from other congeners by the shape of rostrum; the segmental ratios, the arrangement of teeth on the cutting edge of the fingers of second pereiopod; the longer and narrower scaphocerite; and the longer uropodal diaeresis spine. The new taxon is genetically distinct from 18 other species of Macrobrachium for which COI and 18S rRNA sequences are available. The data observed on the habitat and ecology will contribute to the conservation for M. tenuipes sp. nov.

Two freshwater shrimp species of the genus Caridina (Decapoda, Caridea, Atyidae) from Dawanshan Island, Guangdong, China, with the description of a new species.

A faunistic and ecological survey was conducted to document the diversity of freshwater atyid shrimps of Dawanshan Island. Two species of Caridina that occur on this island were documented and discussed. One of these, Caridina tetrazona sp. nov. is described and illustrated as new to science. It can be easily distinguished from its congeners based on a combination of characters, which includes a short rostrum, the shape of the endopod of the male first pleopod, the segmental ratios of antennular peduncle and third maxilliped, the slender scaphocerite, and the absence of a median projection on the posterior margin. Live individuals of the new species display a unique coloration pattern with four dark blue transverse bands on the body, and can be easily recognized in the field. So far, despite considerable surveying efforts made on neighboring islands, this species has only been found from a small stream on Dawanshan Island, which suggests that it may have a very limited range, probably endemic to Dawanshan Island. Molecular characteristics of the mitochondrial cytochrome c oxidase subunit I (COI) demonstrate that this species shows sufficient interspecific divergence from its congeners, including C. serrata Stimpson, 1860, which was found in four streams on Dawanshan Island, and has been previously reported on the neighboring islands of Hong Kong, Dong'ao, Wailingding, and Guishan.

Mate choice decisions of female serrate-legged small treefrogs are affected by ambient light under natural, but not enhanced artificial nocturnal light conditions.

Artificial light at night (ALAN) is a widespread anthropogenic stimulus that can significantly alter nocturnal animals' behavior, from migration to foraging to vocal communication. In the present study, we tested the hypothesis that the mate choice decisions of female serrate-legged small treefrogs (Kurixalus odontotarsus) were influenced by ambient light intensity. Standard two-speaker phonotaxis tests were conducted in a sound attenuating chamber. We set four light treatments (I-IV, from low to high) based on a range of light intensities from the maximum natural light at night (i.e., full moon) to that of the actual calling sites, which had artificial light. Contrary to our prediction, female frogs showed a preference for calls on the bright side in treatment I when they were exposed to identical stimuli. However, females preferred longer calls on the dim side to shorter calls on the bright side in this treatment. In addition, there were no significant effects of choice side, light treatment or their interaction on leave time or choice time. Our results suggest that females are more attracted to mates in bright light under natural nocturnal light conditions, but the preference for longer calls is not altered in serrate-legged small treefrogs.

Minor Components Play an Important Role in Interspecific Recognition of Insects: A Basis to Pheromone Based Electronic Monitoring Tools for Rice Pests.

Several lepidopteran species share the same pheromone blend consisting of (Z)-11-hexadecenal (Z11-16:Ald) and (Z)-9-hexadecenal (Z9-16:Ald) at different ratios and active doses. In rice pest Chilo suppressalis, (Z)-11-hexadecenol, (Z11-16:OH) and octadecanal (18:Ald) were identified as minor components in the pheromone gland of female moths, and these components were previously not considered as part of the sex pheromone of C. suppressalis. Z11-16:Ald, Z9-16:Ald and (Z)-13-octadecenal (Z13-18:Ald) frequently trapped other lepidopteran species, such as rice pests Scirpophaga incertulas and Mythimna separate, corn and vegetable pests Helicoverpa armigera in the field, suggesting a lack of specificity in the pheromone blend. Our data showed that the minor component Z11-16:OH did not have a synergistic effect on the attractiveness of the blend to C. suppressalis; however, pheromone mixtures containing Z11-16:OH failed in trapping male H. armigera moths. We confirmed the identity and specificity of the C. suppressalis sex pheromone and demonstrated that Z11-16:OH plays a key role in the reproductive isolation of C. suppressalis, M. separata, and H. armigera moths, and a similar role of Z9-18:Ald in that of S. incertulas and C. suppressalis. This phenomenon could be more widely applicable to interspecific interactions in the pheromone communication between insects, which is crucial to developing the electronic automatic counting device for automatically monitoring the pest population by pheromone trapping based on its species specificity.

Caridean prawn (Crustacea, Decapoda) with description of a new species and an invasive crayfish from Yuelu mountain national park, Hunan, China.

Yuelu mountain national park (5A scenic area) is a rare urban mountain scenic area. The major impacts from human activity are growing, such as largely unplanned tourist activity, urbanization, and accelerated the others responsible for environmental changes. It is unavoidable to have great pressure and influence on the diversity of fauna on the scenic area. In order to better understand the diversity of the decapod fauna in the Yuelu mountain national park, an intensive field survey has been carried out. A total of five species was collected, three species of atyid shrimps, Neocaridina palmata (Shen, 1948), N. yueluensis, new species, and Paracaridina longispina (Guo He, 1992), one species of palaemonid prawn, Macrobrachium nipponense (De Haan,1849), and an invasive crayfish, Procambarus clarkii (Girard, 1852). N. yueluensis is distiguished from congeners by the shorter rostrum, the stout carpus of first pereiopod and the stout chela of second pereiopod, not sexual dimorphism of the third and fourth pereiopods, the long appendix interna and arising from the inner border of appendix masculina, and the narrower scaphocerite.

Caridean prawn (Crustacea, Decapoda) from Dong'ao Island, Guangdong, China.

The present study, based on a faunistic and ecological survey of caridean shrimps from Dong'ao Island, Guangdong Province, expands the knowledge of morphology, colouration, and distribution of three species, two of which belong to genus Caridina and one belong to genus Marcrobrachium. Caridina zhujiangensis, new species is distinguished from the closely related species C. typus H. Miline Edwars,1837 by shorter rostrum and with only one ventral margin teeth, the shape of the endopod of the first male pleopod and the appendix interna arising from distal 1/3 of endopod. Macrobrachium dongaoensis, new species, can be distinguished from its congeners M. inflatum Liang Yan, 1985 by a combination of characters which includes short rostrum, the subequal male second pereiopods, the non-inflated palm, and the longer merus. A diagnosis of three speciesmore and full description of two new species are presented.

Hydrogen Sulfide Regulating Myocardial Structure and Function by Targeting Cardiomyocyte Autophagy.

OBJECTIVE: Hydrogen sulfide (H2S), a gaseous signal molecule, plays a crucial role in many pathophysiologic processes in the cardiovascular system. Autophagy has been shown to participate in the occurrence of many cardiac diseases. Increasing evidences indicated that H2S regulates myocardial structure and function in association with the altered autophagy and plays a "switcher" role in the autophagy of myocardial diseases. The aim of this review was to summarize these insights and provide the experimental evidence that H2S targets cardiomyocyte autophagy to regulate cardiovascular function. DATA SOURCES: This review was based on data in articles published in the PubMed databases up to October 30, 2017, with the following keywords: "hydrogen sulfide," "autophagy," and "cardiovascular diseases." STUDY SELECTION: Original articles and critical reviews on H2S and autophagy were selected for this review. RESULTS: When autophagy plays an adaptive role in the pathogenesis of diseases, H2S restores autophagy; otherwise, when autophagy plays a detrimental role, H2S downregulates autophagy to exert a cardioprotective function. For example, H2S has beneficial effects by regulating autophagy in myocardial ischemia/reperfusion and plays a protective role by inhibiting autophagy during the operation of cardioplegia and cardiopulmonary bypass. H2S postpones cardiac aging associated with the upregulation of autophagy but improves the left ventricular function of smoking rats by lowering autophagy. CONCLUSIONS: H2S exerts cardiovascular protection by regulating autophagy. Cardiovascular autophagy would likely become a potential target of H2S therapy for cardiovascular diseases.

[Pollution Characteristics and Source Analysis of Polycyclic Aromatic Hydrocarbons in Agricultural Soils from Shandong].

Polycyclic aromatic hydrocarbons (PAHs) are ubiquitous environmental contaminants that originate mainly from anthropogenic sources. PAHs have elicited much concern because they exhibit strong toxic, carcinogenic, and mutagenic properties. Agricultural soil is at risk of PAH contamination mainly caused by atmospheric depositions, wastewater irrigation, or organic substances and biowaste applied as fertilizers. The surface agricultural soils were collected from Shandong in July 2015, and measured for 16 US EPA priority PAHs using high performance liquid chromatography with UV and fluorescence detector. The content and composition of PAHs were analyzed. The differences of PAHs between soils from the field for growing crops and from vegetable greenhouses, and between soils from point sources and from non-point sources were compared. The sources of PAHs were determined with methods of ratio between PAHs and positive matrix factorization (PMF), and the risks of PAHs were assessed. The results showed that the total content of 16 PAHs (∑16PAHs) ranged from 111.5 ng·g-1 to 2744.1 ng·g-1, with the mean of 556.3 ng·g-1. The content of 3-ring PAHs was relatively high, with the mean of 201.5 ng·g-1; while the contents of 2-ring and 6-ring PAHs were relatively low, with the mean of 39.3 ng·g-1 and 43.4 ng·g-1, respectively. According to the contamination classification in Poland, 71% of the samples in Shangdong were weakly contaminated. Compared with other areas in China, the content of PAHs in the agricultural soils in Shandong was in the middle range. Acenaphthene, fluorine, and fluoranthene were the major PAH compounds, accounting for more than 10% of the total PAHs; while the contribution of indeno (1,2,3-cd) pyrene was low. The content of ∑16PAHs and contribution of 7 carcinogenic PAHs were significantly higher in soils polluted by point sources than those in soils from non-point sources. Moreover, the contribution of PAHs with 2-3 rings was significantly higher in soils from non-point sources, while the contribution of PAHs with 4-6 rings was significantly higher in soils polluted by point sources. There was no significant difference in soils from vegetable greenhouses and from adjacent field soils, and the contribution of PAHs with 3-4 rings was high. The PAH isomer pair ratios of Ant/(Ant+Phe), Flu/(Flu+Pyr), BaA/(BaA+Chr), and InP/(InP+BP) were utilized as molecular indices to elucidate the possible PAH sources, and the results suggested that the PAHs in the soils were mainly from combustion. To quantitatively assess the contribution of various sources to PAH contamination, PMF was used to analyze the sources. The sources of PAHs were combustion of coal biomass, oil combustion from traffic, coking, and petroleum pollution, with contribution of 42.7%, 19.3%, 22.8% and 15.2%, respectively. Toxic equivalency factors were used to evaluate PAH contamination in the soils, and the carcinogenicity of other PAHs relative to BaP was quantified to estimate the BaP-equivalent concentration (TEQBaP). The TEQBaPof 16 PAHs (∑16TEQBap) in soils from non-point sources and vegetable greenhouses was 31.69 and 44.47 ng·g-1, respectively, which were below the safe value in Canadian soil quality guidelines. However, the ∑16TEQBap in some field soils from point sources exceeded the safe value, indicating that there were potential risks in the soils from point sources in Shandong.

Sulfur Dioxide Inhibits Extracellular Signal-regulated Kinase Signaling to Attenuate Vascular Smooth Muscle Cell Proliferation in Angiotensin II-induced Hypertensive Mice.

BACKGROUND: Clarifying the mechanisms underlying vascular smooth muscle cell (VSMC) proliferation is important for the prevention and treatment of vascular remodeling and the reverse of hyperplastic lesions. Previous research has shown that the gaseous signaling molecule sulfur dioxide (SO2) inhibits VSMC proliferation, but the mechanism for the inhibition of the angiotensin II (AngII)-induced VSMC proliferation by SO2has not been fully elucidated. This study was designed to investigate if SO2inhibited VSMC proliferation in mice with hypertension induced by AngII. METHODS: Thirty-six male C57 mice were randomly divided into control, AngII, and AngII + SO2groups. Mice in AngII group and AngII + SO2group received a capsule-type AngII pump implanted under the skin of the back at a slow-release dose of 1000 ng·kg-1·min-1. In addition, mice in AngII + SO2received intraperitoneal injections of SO2donor. Arterial blood pressure of tail artery was determined. The thickness of the aorta was measured by elastic fiber staining, and proliferating cell nuclear antigen (PCNA) and phosphorylated-extracellular signal-regulated kinase (P-ERK) were detected in aortic tissues. The concentration of SO2 in serum and aortic tissue homogenate supernatant was measured using high-performance liquid chromatography with fluorescence determination. In the in vitro study, VSMC of A7R5 cell lines was divided into six groups: control, AngII, AngII + SO2, PD98059 (an inhibitor of ERK phosphorylation), AngII + PD98059, and AngII + SO2 + PD98059. Expression of PCNA, ERK, and P-ERK was determined by Western blotting. RESULTS: In animal experiment, compared with the control group, AngII markedly increased blood pressure (P < 0.01) and thickened the aortic wall in mice (P < 0.05) with an increase in the expression of PCNA (P < 0.05). SO2, however, reduced the systemic hypertension and the wall thickness induced by AngII (P < 0.05). It inhibited the increased expression of PCNA and P-ERK induced by AngII (P < 0.05). In cell experiment, PD98059, an ERK phosphorylation inhibitor, blocked the inhibitory effect of SO2on VSMC proliferation (P < 0.05). CONCLUSIONS: ERK signaling is involved in the mechanisms by which SO2inhibits VSMC proliferation in AngII-induced hypertensive mice via ERK signaling.

[Relation between Chinese Medical Constitutions and Chemotherapy-induced Leucopenia in Breast Cancer Patients: a Clinical Study].

OBJECTIVE: To analyze the relationship between Chinese medical constitutions and chemotherapy-induced leucopenia (CIL) of primary breast cancer patients. METHODS: Totally 306 breast cancer patients undergoing adjunctive chemotherapy for the 1st time, and effective 291 breast cancer patients were recruited in this study.Nine Basic Constitutional Scale was used before first chemotherapy. Chinese medical constitutions were classified and quantitatively scored. The highest grading for any item of adverse reactions in each case during the whole chemotherapy course was recorded after chemotherapy. Data were statistically analyzed using SPSS16.0. RESULTS: There was no significant difference in CIL between different chemotherapy regimens and various Chinese medical constitutions of breast cancer patients (P > 0.05). Yang deficiency constitution is one risk factor for CIL. The higher the score of yang deficiency constitution, the more severe the CIL. CONCLUSIONS: Yang deficiency constitution was correlated with the degree of CIL. The higher the score of yang deficiency constitution, the greater the risk of III-IV grade CIL in breast cancer patients.

Improved performance in differentiating benign from malignant sinonasal tumors using diffusion-weighted combined with dynamic contrast-enhanced magnetic resonance imaging.

BACKGROUND: Differentiating benign from malignant sinonsal lesions is essential for treatment planning as well as determining the patient's prognosis, but the differentiation is often difficult in clinical practice. The study aimed to determine whether the combination of diffusion-weighted (DW) and dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) can improve the performance in differentiating benign from malignant sinonasal tumors. METHODS: This retrospective study included 197 consecutive patients with sinonasal tumors (116 malignant tumors and 81 benign tumors). All patients underwent both DW and DCE-MRI in a 3-T magnetic resonance scanner. Two different settings of b values (0,700 and 0,1000 s/mm 2 ) and two different strategies of region of interest (ROI) including whole slice (WS) and partial slice (PS) were used to calculate apparent diffusion coefficients (ADCs). A DW parameter with WS ADCs b0,1000 and two DCE-MRI parameters (time intensity curve [TIC] and time to peak enhancement [Tpeak]) were finally combined to use in differentiating the benign from the malignant tumors in this study. RESULTS: The mean ADCs of malignant sinonasal tumors (WS ADCs b0,1000 = 1.084 × 10-3 mm 2 /s) were significantly lower than those of benign tumors (WS ADCs b0,1000 = 1.617 × 10-3 mm 2 /s, P < 0.001). The accuracy using WS ADCs b0,1000 alone was 83.7% in differentiating the benign from the malignant tumors (85.3% sensitivity, 81.2% specificity, 86.4% positive predictive value [PPV], and 79.5% negative predictive value [NPV]). The accuracy using DCE with Tpeak and TIC alone was 72.1% (69.1% sensitivity, 74.1% specificity, 77.5% PPV, and 65.1% NPV). Using DW-MRI parameter was superior than using DCE parameters in differentiation between benign and malignant sinonasal tumors (P < 0.001). The accuracy was 87.3% (90.5% sensitivity, 82.7% specificity, 88.2% PPV, and 85.9% NPV) using DW-MRI combined with DCE-MRI, which was superior than that using DCE-MRI alone or using DW-MRI alone (both P < 0.001) in differentiating the benign from the malignant tumors. CONCLUSIONS: Diffusion-weighted combined with DCE-MRI can improve imaging performance in differentiating benign from malignant sinonasal tumors, which has the potential to improve diagnostic accuracy and to provide added value in the management for these tumors.

Validation of the fully automated Pangao PG-800B68 upper-arm device according to the European Society of Hypertension International Protocol revision 2010.

OBJECTIVE: This study aimed to validate the fully automated Pangao PG-800B68 upper-arm device according to the European Society of Hypertension International Protocol (ESH-IP) revision 2010. MATERIALS AND METHODS: Sequential measurements of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were obtained in 33 participants using the standard mercury sphygmomanometer and the test device. The ESH-IP revision 2010 was followed precisely and 99 pairings of test device and reference blood pressure measurements were obtained for analysis. RESULTS: The number of blood pressure differences within 5, 10, and 15 mmHg was 76, 95, and 98, respectively, for SBP and 79, 96, and 99, respectively, for DBP. The device achieved all the required criteria of the ESH-IP revision 2010 with a device-observer difference of -0.03±4.64 mmHg for SBP and -0.64±4.50 mmHg for DBP. CONCLUSION: According to the validation results on the basis of the ESH-IP revision 2010, the Pangao PG-800B68 can be recommended for clinical use and self-measurement in adults.