Albumin-to-Globulin Ratio Combined with Neutrophil-to-Lymphocyte Ratio as a Prognostic Predictor in Multiple Myeloma with Renal Impairment.

Background: The albumin-to-globulin ratio (AGR) and neutrophil-to-lymphocyte ratio (NLR) have been recently regarded as promising prognostic factors in various malignancies. The present study investigated the prognostic value of combining the AGR and NLR (ANS) for risk assessments in multiple myeloma (MM) with renal impairment (RI). Methods: From 2011 to 2018, 79 patients with MM and RI were enrolled in this study. Receiver operating curves (ROCs) were constructed to determine optimal AGR and NLR thresholds for predicting overall survival (OS) and progression-free survival (PFS) during follow up. The prognostic values of AGR, NLR, and ANS were evaluated with Cox regression and Kaplan-Meier methods. We also created a predictive nomogram for prognostic evaluations of OS and PFS, and the predictive accuracy was assessed with a concordance index (c-index). Results: The ROC curves analyses showed that the optimal cut-off levels were 2.27 for NLR and 1.57 for AGR. A high NLR and a high ANS were significantly associated with worse OS and PFS. However, a high NLR combined with a low AGR was associated with worse OS. Multivariate analyses demonstrated that both the NLR and ANS were independent predictors for both OS and PFS and that a low AGR was an independent predictor of a reduced OS. The nomogram accurately predicted OS (c-index: 0.785) and PFS (c-index: 0.786) in patients with MM and RI. Conclusion: ANS may serve as a potential prognostic biomarker in patients with MM and RI. The proposed nomograms may facilitate prognostic predictions for patients with MM and RI.

Long-Short-Term-Memory-Based Deep Stacked Sequence-to-Sequence Autoencoder for Health Prediction of Industrial Workers in Closed Environments Based on Wearable Devices.

To reduce the risks and challenges faced by frontline workers in confined workspaces, accurate real-time health monitoring of their vital signs is essential for improving safety and productivity and preventing accidents. Machine-learning-based data-driven methods have shown promise in extracting valuable information from complex monitoring data. However, practical industrial settings still struggle with the data collection difficulties and low prediction accuracy of machine learning models due to the complex work environment. To tackle these challenges, a novel approach called a long short-term memory (LSTM)-based deep stacked sequence-to-sequence autoencoder is proposed for predicting the health status of workers in confined spaces. The first step involves implementing a wireless data acquisition system using edge-cloud platforms. Smart wearable devices are used to collect data from multiple sources, like temperature, heart rate, and pressure. These comprehensive data provide insights into the workers' health status within the closed space of a manufacturing factory. Next, a hybrid model combining deep learning and support vector machine (SVM) is constructed for anomaly detection. The LSTM-based deep stacked sequence-to-sequence autoencoder is specifically designed to learn deep discriminative features from the time-series data by reconstructing the input data and thus generating fused deep features. These features are then fed into a one-class SVM, enabling accurate recognition of workers' health status. The effectiveness and superiority of the proposed approach are demonstrated through comparisons with other existing approaches.

A Multi-Source Weighted Deep Transfer Network for Open-Set Fault Diagnosis of Rotary Machinery.

In real industries, there often exist application scenarios where the target domain holds fault categories never observed in the source domain, which is an open-set domain adaptation (DA) diagnosis issue. Existing DA diagnosis methods under the assumption of sharing identical label space across domains fail to work. What is more, labeled samples can be collected from different sources, where multisource information fusion is rarely considered. To handle this issue, a multisource open-set DA diagnosis approach is developed. Specifically, multisource domain data of different operation conditions sharing partial classes are adopted to take advantage of fault information. Then, an open-set DA network is constructed to mitigate the domain gap across domains. Finally, a weighting learning strategy is introduced to adaptively weigh the importance on feature distribution alignment between known class and unknown class samples. Extensive experiments suggest that the proposed approach can substantially boost the performance of open-set diagnosis issues and outperform existing diagnosis approaches.

Auction-Based Secondary Relay Selection on Overlay Spectrum Sharing in Hybrid Satellite-Terrestrial Sensor Networks.

In this paper, we investigate the auction-based secondary relay selection on overlay spectrum sharing in hybrid satellite-terrestrial sensor networks (HSTSNs), where both the decode-and-forward (DF) and amplify-and-forward (AF) relay protocols are analyzed based on time division multiple access (TDMA). As both the primary and secondary networks are rational, honest but with incomplete network information, they prefer to obtain maximum possibility payoffs by the cooperation between the primary and secondary networks, and the competition among secondary networks. Hence, Vickery auction is introduced to achieve the effective and efficient secondary relay selection by distinct sub-time slot allocation for one shot in terms of a distributed manner. Finally, numerical simulations are provided to validate the effectiveness of the auction mechanism on cooperative spectrum sharing in HSTSNs for secondary relay selection. Besides, the effect of key factors on the performance of the auction mechanism are analyzed in details.

Leonurine ameliorates adriamycin-induced podocyte injury via suppression of oxidative stress.

Leonurine, a major bioactive component from Herba Leonuri, shows therapeutic potential in several diseases, including diabetes, cardiovascular disease, bovine mastitis and depression. In kidney, it was reported that leonurine was performing a protective effect in both acute kidney injury and renal fibrosis mice models. The aim of this study is to investigate the effect of leonurine in podocyte injury. In the mice model of adriamycin (ADR) -induced nephropathy, the application of leonurine significantly prevented early kidney damage, macrophage infiltration and proteinuria. Meanwhile, leonurine suppressed ADR-induced podocyte injury and reactive oxygen species (ROS) production. Consistent to in vivo results, leonurine prevented ADR-induced podocyte injury and ROS production in cultured human podocytes. All these results suggested that leonurine might suppress ADR-induced podocyte injury via inhibiting oxidative stress. Leonurine might be a novel therapeutic drug for prevention of glomerular diseases.

Trypanosoma brucei rhodesiense infection in a Chinese traveler returning from the Serengeti National Park in Tanzania.

BACKGROUND: Human African trypanosomiasis (HAT) is one of the most complex parasitic diseases known to humankind. It usually occurs in endemic areas in Africa, but is occasionally detected in returning travelers and migrants in non-endemic countries. CASE PRESENTATION: In August 2017, a case of HAT was diagnosed in China in a traveler returning from the Masai Mara area in Kenya and the Serengeti area in Tanzania. The traveler visited Africa from 23 July to 5 August, 2017. Upon return to China, she developed a fever (on 8 August), and Trypanosoma brucei rhodesiense infection was confirmed by laboratory tests (on 14 August) including observation of parasites in blood films and by polymerase chain reaction. She was treated with pentamidine followed by suramin, and recovered 1 month later. CONCLUSIONS: This is the first imported rhodesiense HAT case reported in China. This case alerts clinical and public health workers to be aware of HAT in travelers, and expatriates and migrants who have visited at-risk areas in Africa.

Hyperoside alleviates adriamycin-induced podocyte injury via inhibiting mitochondrial fission.

Podocyte injury underlies many forms of glomerular diseases. Our previous study showed that hyperoside, a naturally occurring flavonoid, could decrease albuminuria at the early stage of diabetic nephropathy by ameliorating renal damage and podocyte injury. However, its protective mechanism against podocyte injury is unknown. A previous study demonstrated that hyperoside might inhibit amyloid ß-protein-induced neurotoxicity by suppressing mitochondrial dysfunction. Both mitochondrial dysfunction and its upstream determinant mitochondrial fission were closely related to podocyte injury. Thus, in the current study, we tested the effect of hyperoside on mitochondrial dysfunction and mitochondrial fission in adriamycin (ADR)-induced podocyte injury. In the mice model of ADR-induced nephropathy, hyperoside treatment inhibited ADR-induced albuminuria and podocyte injury. Meanwhile, hyperoside also blocked ADR-induced mitochondrial dysfunction and mitochondrial fission. Consistently, in cultured human podocytes, hyperoside suppressed ADR-induced podocyte injury, mitochondrial dysfunction and mitochondrial fission. All these results indicated that hyperoside might inhibit ADR-induced mitochondrial dysfunction and podocyte injury through suppressing mitochondrial fission both in vivo and in vitro. The underlying mechanisms which we revealed support the therapeutic effects of hyperoside for a broad range of glomerular diseases.

Drp1-dependent mitophagy protects against cisplatin-induced apoptosis of renal tubular epithelial cells by improving mitochondrial function.

Cisplatin chemotherapy often causes acute kidney injury (AKI) in cancer patients. There is increasing evidence that mitochondrial dysfunction plays an important role in cisplatin-induced nephrotoxicity. Degradation of damaged mitochondria is carried out by mitophagy. Although mitophagy is considered of particular importance in protecting against AKI, little is known of the precise role of mitophagy and its molecular mechanisms during cisplatin-induced nephrotoxicity. Also, evidence that activation of mitophagy improved mitochondrial function is lacking. Furthermore, several evidences have shown that mitochondrial fission coordinates with mitophagy. The aim of this study was to investigate whether activation of mitophagy protects against mitochondrial dysfunction and renal proximal tubular cells injury during cisplatin treatment. The effect of mitochondrial fission on mitophagy was also investigated. In cultured human renal proximal tubular cells, we observed that 3-methyladenine, a pharmacological inhibitor of autophagy, blocked mitophagy and exacerbated cisplatin-induced mitochondrial dysfunction and cells injury. In contrast, autophagy activator rapamycin enhanced mitophagy and protected against the harmful effects of cisplatin on mitochondrial function and cells viability. Suppression of mitochondrial fission by knockdown of its main regulator dynamin-related protein-1 (Drp1) decreased cisplatin-induced mitophagy. Meanwhile, Drp1 suppression protected against cisplatin-induced cells injury by inhibiting mitochondrial dysfunction. Our results provide evidence that Drp1-depedent mitophagy has potential as renoprotective targets for the treatment of cisplatin-induced AKI.

Pink1/Parkin-mediated mitophagy play a protective role in cisplatin induced renal tubular epithelial cells injury.

Cisplatin often causes acute kidney injury (AKI) in the treatment of a wide variety of malignancies. Mitochondrial dysfunction is one of the main reasons for cisplatin nephrotoxicity. Previous study showed that Pink1 and Parkin play central roles in regulating the mitophagy, which is a key protective mechanism by specifically eliminating dysfunctional or damaged mitochondria. However, the mechanisms that modulate mitophagy in cisplatin induced nephrotoxicity remain to be elucidated. The purpose of this study was to investigate the effects of Pink1/Parkin pathway in mitophagy, mitochondrial dysfunction and renal proximal tubular cells injury during cisplatin treatment. In cultured human renal proximal tubular cells, we found that knockdown of Pink1/Parkin induced the aggravation of mitochondrial function, leading to the increase of cell injury through inhibition of mitophagy. Additionally, the overexpression of Pink1/Parkin protected against cisplatin-induced mitochondrial dysfunction and cell injury by promoting mitophagy. Our results provide clear evidence that Pink1/Parkin-dependent mitophagy has identified potential targets for the treatment of cisplatin-induced AKI.

[Data Integration and Information Sharing of Parasite Resources in Fujian Province].

Objective: To establish parasite library and database in Fujian Province by integrating information on human-animal coinfecting parasites, vectors and　intermediates, in the aim of resource sharing. Methods: According to the Standards and Technical Regulation for Preservation of Parasitic Germplasm Resources set by the Resource Sharing Platform for Parasitic and Tropical Diseases(referred to as Germplasm Resource Sharing Platform), the preserved and newly discovered parasitic germplasm resources in Fujian Center for Disease Control and Prevention were categorized, information described, preserved and displayed, and the information sharing was made through the Germplasm Resource Sharing Platform. Results: The library and database on parasites, medical vectors, and hosts were established. The library was comprised of 1 020 parasite specimens, vectors and hosts, including 100 （9.8%） adult worm specimens, 120（11.7%） eggs and larvae, and 800（78.4%） vectors and hosts. Information digitalization was achieved for 61 resources, including 9 species of nematodes, 16 species of trematodes, 7 species of tapeworms, 16 different medical mollusks, and 13 different medical arthropods, resulting in 3 150 pieces of information and 6 300 images. The database was integrated into the Germplasm Resource Sharing Platform for resource sharing. Conclusion: The library and database on parasite gemplasm resources in Fujian Province has been established. Information sharing is made available through the Germplasm Resource Sharing Platform.

Surveillance and response strategy in the malaria post-elimination stage: case study of Fujian province.

Malaria used to be a serious health problem in Fujian province in the past, but no local malaria transmission has been found since 2000. In order to eliminate the potential residual cases and prevent re-introduction of malaria so as to achieve the final goal of malaria elimination in Fujian province, various strategy and intervention approaches were tailored to the local settings. For instance, the monitoring of febrile patients by blood smear examinations and vector surveillance and control were strengthened in addition to the routine intervention in the mountainous area of Fujian province, where malaria was highly endemic and the mosquito Anopheles anthropophagus distributed with a high vectorial capacity. There were two local cases who got infected due to imported cases found in the building site of an expressway in 2004 and 2005, respective. All other imported malaria cases were detected during post-elimination stage through surveillance system. Based on results from post-transmission surveillance, malaria transmission has been interrupted in Fujian province for 13 years. Therefore, post-transmission surveillance and response is an important intervention to maintain the malaria elimination achievements in Fujian province.

[Prevalence of Angiostrongylus cantonensis infection in snails for sale in Fuzhou and Xiamen].

OBJECTIVE: To investigate the prevalence of Angiostrongylus cantonensis infection in snails for sale from Fuzhou and Xiamen of Fujian Province. METHODS: During 2009-2012, two markets and five restaurants from each city were selected as surveillance sites. A. cantonensis infection rate in Pomacea canaliculata, Bellamya aeruginosa and Cipangopaludina cathayensis was examined two times per month. More than 50 P. canaliculata or C. cathayensis, and about 500 g B. aeruginosa were collected in each site. A. cantonensis larvae infection was determined by lung-microscopy in P. canaliculata, and by tissue homogenate method in C. cathayensis and B. aeruginosa, respectively. RESULTS: In markets, a total of 5,744 P. canaliculata were collected, and the infection rate of A. cantonensis larvae was 13.8% (753/5 744) with the lowest prevalence in 2009 (8.4%, 28/334) and the highest one in 2011 (16.7%, 361/2,160). The overall infection rate of A. cantonensis showed an increasing trend over the past years (P < 0.05). In restaurants, 879 P. canaliculata snails were examined in Xiamen City, and the infection rate was 12.8% (877/6 879). No significant difference was found among years (P > 0.05). A. cantonensis larvae were found from P. canaliculata for sale in different seasons with no statistical difference (P > 0.05). 19,843 B. aeruginosa snails were collected in markets from the two cities, and the infection rate was 0.2% (31/19 843). The infection rate was highest in 2011 (0.3%, 16/5,953) and lowest in 2010 (0.04%, 2/4,706). All the 361 C. cathayensis snails were negative. CONCLUSION: A. cantonensis larvae are found in P. canaliculata and B. aeruginosa from markets and restaurants of Fuzhou and Xiamen in different seasons during the years.

[Analysis on essential hypertension risk factors of the high incidence in traffic officers].

OBJECTIVE: To study on essential hypertension risk factors of the high incidence in traffic officers. In order to provide evidence for prevention and control of hypertension. METHODS: 139 out of all male marshals who had been serving more than 3 years in a certain railway were studied as occupational crowds of high prevalence rate in essential hypertension (Prevalence rate was 41.7%); 306 male train crew who had similar conditions in seniority and age with the marshals from two sections of this railway were studied by cluster random sampling as occupational crowds of low prevalence rate (Prevalence rate was 21.9%). They were surveyed the common risk factors for hypertension, occupational factors, occupational stress and type A behavior by the health questionnaire designed uniformly. Their lipids and blood glucose were detected. The cause for hypertension were compared in the differences and characteristics. RESULTS: (1) The risk factors and exposure of essential hypertension in the high incidence in the marshals were more higher than those in the low incidence in crew, and the exposure rate of the risk factors grew faster in the marshals than in the crew with working age. (2) By the same exposure rate of the risk factors in the marshal were more higher risk than those of the crew. (3) The risk factors and the danger lever were different in these two groups. The occupational stress, BMI, drinking habits and working age were the main risky factors, their ROR followed by 3.65, 3.33, 2.56 and 2.64, in the marshals. Hyperlipemia, elevated triglyceride, elevated cholesterol, ages and family history of hypertension were the main risk factors, their RR followed by 4.59, 3.38, 3.33, 2.96 and 2.25, in the crew. CONCLUSION: The essential hypertension among people worked on the train mainly result from the change and increase of professional social psychic factors and behavial factors as well as the increased sensitivity and responsibility of blood vessel formed in a long-time high exposure to the risk factors.