Assessing the functional vulnerability of woody plant communities within a large scale tropical rainforest dynamics plot.

Introduction: Tropical forests are characterized by intricate mosaics of species-rich and structurally complex forest communities. Evaluating the functional vulnerability of distinct community patches is of significant importance in establishing conservation priorities within tropical forests. However, previous assessments of functional vulnerability in tropical forests have often focused solely on isolated factors or individual disturbance events, with limited consideration for a broad spectrum of disturbances and the responses of diverse species. Methods: We assessed the functional vulnerability of woody plant communities in a 60-ha dynamic plot within a tropical montane rainforest by conducting in silico simulations of a wide range disturbances. These simulations combined plant functional traits and community properties, including the distribution of functional redundancy across the entire trait space, the distribution of abundance across species, and the relationship between species trait distinctiveness and species abundance. We also investigated the spatial distribution patterns of functional vulnerability and their scale effects, and employed a spatial autoregressive model to examine the relationships between both biotic and abiotic factors and functional vulnerability at different scales. Results: The functional vulnerability of tropical montane rainforest woody plant communities was generally high (the functional vulnerability of observed communities was very close to that of the most vulnerable virtual community, with a value of 72.41% on average at the 20m×20m quadrat scale), and they exhibited significant spatial heterogeneity. Functional vulnerability decreased with increasing spatial scale and the influence of both biotic and abiotic factors on functional vulnerability was regulated by spatial scale, with soil properties playing a dominant role. Discussion: Our study provides new specific insights into the comprehensive assessment of functional vulnerability in the tropical rainforest. We highlighted that functional vulnerabilities of woody plant communities and their sensitivity to environmental factors varied significantly within and across spatial scales in the tropical rainforest landscape. Preserving and maintaining the functionality of tropical ecosystems should take into consideration the variations in functional vulnerability among different plant communities and their sensitivity to environmental factors.

External validation and updating of the Rossi nomogram for predicting cesarean delivery following induction: is the Bishop score valuable?

OBJECTIVE: This study sought to validate the Rossi nomogram in a Chinese population and then to include the Bishop score to see if it has an effect on the accuracy of the nomogram. MATERIALS AND METHODS: The Rossi predictive model was applied and externally validated in a retrospective cohort from August 2017 and July 2023 in a Chinese tertiary-level medical center. For the revision and updating of the models, the regression coefficients of all the predictors (except race) were re-estimated and then the cervical Bishop score at the time of induction was added. Each model's performance was measured using the receiver-operating characteristic and calibration plots. Decision curve analysis determined the range of the probability threshold for each prediction model that would be of clinical value. RESULTS: A total of 721 women met the inclusion criteria, of whom 183 (25.4%) underwent a cesarean delivery. The calibration demonstrated the underestimation of the original model, with an area under the curve (AUC) of 0.789 (95% confidence interval [CI] 0.753-0.825, p < 0.001). After recalibrating the original model, the discriminative performance was improved from 0.789 to 0.803. Moreover, the discriminatory power of the updated model was further improved when the Bishop score at the time of induction was added to the recalibrated multivariable model. Indeed, the updated model demonstrated good calibration and discriminatory power, with an AUC of 0.811. The decision curve analysis indicated that all the models (original, recalibrated, and updated) provided higher net benefits of between 0 and 60% of the probability threshold, which indicates the benefits of using the models to make decisions concerning patients who fall within the identified range of the probability threshold. The net benefits of the updated model were higher than those of the original model and the recalibrated model. CONCLUSION: The nomogram used to predict cesarean delivery following induction developed by Rossi et al. has been validated in a Chinese population in this study. More specifically, adaptation to a Chinese population by excluding ethnicity and including the Bishop score prior to induction gave rise to better performance. The three models (original, recalibrated, and updated) offer higher net benefits when the probability threshold is between 0 and 60%.

Recent trends in the transfer of graphene films.

Recent years have witnessed advances in chemical vapor deposition growth of graphene films on metal foils with fine scalability and thickness controllability. However, challenges for obtaining wrinkle-free, defect-free and large-area uniformity remain to be tackled. In addition, the real commercial applications of graphene films still require industrially compatible transfer techniques with reliable performance of transferred graphene, excellent production capacity, and suitable cost. Transferred graphene films, particularly with a large area, still suffer from the presence of transfer-related cracks, wrinkles and contaminants, which would strongly deteriorate the quality and uniformity of transferred graphene films. Potential applications of graphene films include moisture barrier films, transparent conductive films, electromagnetic shielding films, and optical communications; such applications call different requirements for the performance of transferred graphene, which, in turn, determine the suitable transfer techniques. Besides the reliable transfer process, automatic machines should be well developed for the future batch transfer of graphene films, ensuring the repeatability and scalability. This mini-review provides a summary of recent advances in the transfer of graphene films and offers a perspective for future directions of transfer techniques that are compatible for industrial batch transfer.

Compositional changes at neighborhood and stand scales during recovery of a tropical lowland rainforest after shifting cultivation on Hainan Island, China.

Understanding compositional changes during secondary forest recovery is crucial for effective restoration efforts. While previous research has predominantly focused on shifts in species composition at the stand scale, this study delves into the recovery dynamics in three compositional aspects of location (neighbor distances), size (tree diameters), and species (tree species) at both stand and neighborhood scale. The investigation spans nine chronosequence plots within a tropical lowland rainforest ecosystem after shifting cultivation, including three each for young-secondary forests (18-30 years), old-secondary forests (60 years), and old-growth forests (without obvious human interference). The quantification of location, size, and species composition involved categorized neighbor distances (Near, Moderate, Far-distance), tree diameters (Small, Medium, Large-tree), and tree species (Pioneer, Intermediate, Climax-species) into three groups, respectively. Compositional changes at the stand scale (plot) were directly based on these groups, while at the neighborhood scale, assessment involved combination types of these groups within a neighborhood (comprising three adjacent trees). At the stand scale, neighbor distances shifted from Near to Moderate and Far, tree diameters transitioned from Small to Medium and Large, and tree species of Pioneer gave way to Climax. Meanwhile, at the neighborhood scale, there was a notable decline in the aggregations of Near-distance (N), Small-tree (S), and Pioneer-species (P), while the mixtures of Far and Moderate-distance (F-M), Large and Small-tree (L-S), and Climax and Intermediate-species (C-I) experienced a marked increase. The compositional change exhibited a recovery pattern, with the fastest recovery in neighbor distances, followed by tree diameters and tree species. Moreover, compositional recovery in tree diameters and tree species at the neighborhood scale generally lagged behind that at the stand scale. The study suggests that rapid restoration of secondary forest can be achieved by different targeted cutting according to the recovery stages, aimed at reduce the Pioneer-species, Small-tree and Near-distance in neighborhood. Our findings underscore that analyzing the compositional changes in three aspects at two scales not only provides a profound understanding of secondary forest recovery dynamics, but also offers valuable insights for guiding practices in the restoration of degraded forest ecosystems.

Tunable Adhesion for All-Dry Transfer of 2D Materials Enabled by the Freezing of Transfer Medium.

The real applications of chemical vapor deposition (CVD)-grown graphene films require the reliable techniques for transferring graphene from growth substrates onto application-specific substrates. The transfer approaches that avoid the use of organic solvents, etchants, and strong bases are compatible with industrial batch processing, in which graphene transfer should be conducted by dry exfoliation and lamination. However, all-dry transfer of graphene remains unachievable owing to the difficulty in precisely controlling interfacial adhesion to enable the crack- and contamination-free transfer. Herein, through controllable crosslinking of transfer medium polymer, the adhesion is successfully tuned between the polymer and graphene for all-dry transfer of graphene wafers. Stronger adhesion enables crack-free peeling of the graphene from growth substrates, while reduced adhesion facilitates the exfoliation of polymer from graphene surface leaving an ultraclean surface. This work provides an industrially compatible approach for transferring 2D materials, key for their future applications, and offers a route for tuning the interfacial adhesion that would allow for the transfer-enabled fabrication of van der Waals heterostructures.

Effects of different soil and water conservation measures on plant diversity and productivity in Loess Plateau.

Many soil and water conservation measures (SWCM) have been implemented in the Loess Plateau of China, and they have an impact on ecosystems all levels and involve complicated mechanisms. Previously, studies typically focused on a single factor's effect on diversity or productivity. With this background, the current investigation embarked on an extensive study, with vegetation survey conducted in the no measure plots (NM), vegetation measure plots (VM) and engineering measure plots (EM) in the Loess Plateau of China. We used structural equation models (SEM) to explain the mechanism by which SWCM affects plant productivity and diversity. VM have direct effects on plant diversity, and EM have direct effects on soil properties and community structure. The two measures also had indirect effects on plant functional traits and community structure. The results show that the changes in plant functional traits and community structure by SWCM decreased plant diversity, whereas the increase of productivity was primarily dominated by improvements in community structure, and we conclude that variability in plant diversity and productivity across different measures on the Loess Plateau was primarily due to the responses of different plants to variable soil properties and the community responses. It was also emphasized that vegetation measures were beneficial to the increase of biomass per plant, while engineering measures were more beneficial to the growth of dominant species. These findings provide a theoretical foundation for vegetation management and restoration after the application of different SWCM.

Impact of Bariatric Surgery on Cardiac Function and Structure in Chinese Patients with Obesity.

Introduction: Obesity contributes to cardiac dysfunction and has an impact on atherosclerotic cardiovascular disease. Bariatric surgery (BS) is being considered a therapeutic option for patients with obesity and also can improve cardiac function. Very few studies considered the Chinese population. This study aimed to examine the effect of BS on cardiac function and structure in Chinese subjects with obesity. Methods: A single-center retrospective analysis of 143 patients with obesity was included. To observe and analyze the short-term, midterm, and long-term effects of BS on cardiovascular function and structure, the study population was divided into three groups according to the time of review. Fifty-two patients in group T1 (re-examination within 12 months); 53 patients in group T2 (re-examination within 12 to 24 months); and 38 patients in group T3 (re-examination over 24 months). The effects of BS on the cardiac function and structure were evaluated by analyzing the echocardiographic parameters. Results: After BS, body mass index (BMI) decreased from 39.7 ± 8.0 to 28.4 ± 6.4 kg/m2 (P < 0.001). Blood pressure decreased significantly. Left ventricular mass index (LVMI) decreased (43.7 ± 16.4 to 37.8 ± 13.4 g/m2.7, P < 0.001). The change in LVMI was correlated with the change in BMI (R2 = 0.14, P < 0.001). In subgroup analyses at different follow-ups, echocardiographic parameters showed varying degrees of change compared with the baseline. Conclusions: Significant weight loss by BS was associated with improved left ventricular structure and function in Chinese patients with obesity, suggesting potential favorable effects of BS on the cardiac function and structure.

Effect of excessive gestational weight gain before and after 28 weeks on trial of labor after cesarean stratified by pre-pregnancy body mass index: a retrospective cohort study.

This study aimed to assess the effect of excessive gestational weight gain (GWG) before and after 28 weeks on the mode of delivery in women who attempted a trial of labor after cesarean (TOLAC), stratified by pre-pregnancy BMI. A retrospective analysis of the outcomes of eligible women who attempted trial of labor after cesarean (TOLAC) in a Chinese hospital from January 2016 to October 2022 was performed. GWG before and after 28 weeks was categorized as 'excessive' or 'non-excessive' based on the guideline of Institute of Medicine (IOM). Multivariable logistic regression analyses were used to estimate the effect of excessive GWG before and after 28 weeks on mode of delivery in women who underwent TOLAC, stratified by pre-pregnancy BMI. Of the 512 women who underwent term trial of labor, 71.1% achieved a vaginal birth. No correlation was found between excessive GWG before 28 weeks and the rate of vaginal birth after cesarean (VBAC). Among women with or without excessive GWG before 28 weeks, excessive GWG after 28 weeks was significantly associated with a reduced rate of VBAC. When stratified by pre-pregnancy BMI, women who had excessive gestational weight gain after 28 weeks gestation had lower rates of VBAC than those who did not, regardless of being underweight, normal or overweight (aOR 0.23, 95% CI 0.06-0.88; aOR 0.42, 95% CI 0.25, 0.70; and aOR 0.12, 95% CI 0.04-0.36; respectively). Excessive weight gain after 28 weeks of pregnancy was related to decreased rates of VBAC, irrespective of pre-pregnancy weight status and weight gain before 28 weeks.

Mid-trimester cervical length and prediction of vaginal birth after cesarean delivery in Chinese parturients: A retrospective study.

BACKGROUND: A successful trial of labor after cesarean (TOLAC) is linked with the best maternal/neonatal outcomes and is more cost-effective than elective repeat cesarean section (ERCS). Predictive models of vaginal birth after cesarean (VBAC) have been established worldwide to improve the success rate of TOLAC. OBJECTIVE: To validate a VBAC prediction model (the updated Grobman's predictive model without ethnicity) and identify whether mid-trimester cervical lengths (MCL) improve the prediction of VBAC among Chinese women undergoing a TOLAC. METHODS: In this retrospective cohort study, the inclusion criteria were a previous history of cesarean delivery (CD) as well as a singleton gestation in the vertex position with routine CL measurements between 20 and 24 weeks and the experience of a TOLAC. MCL as well as identifiable characteristics in early prenatal care that have been used in updated Grobman's predictive model (maternal age, height, pre-pregnancy weight, vaginal delivery history, VBAC history, arrest disorder in previous CD, and treated chronic hypertension) were obtained from the medical records. Associations of maternal characteristics and MCL with VBAC were evaluated using multivariate logistic regression. Two multivariable regression models with and without MCL as one of the risk factors were established and their predictive accuracy for VBAC was critically compared based on receiver-operating characteristic (ROC) curves. RESULTS: This study involved 409 women, among which, 347 (84.8%) achieved a VBAC. The mean MCL was significantly shorter in women who had a successful VBAC than in those who required an intrapartum CD (4.16±0.49 cm vs. 4.35±0.46 cm, P=0.007). Multivariable logistic regression revealed that a longer MCL (cm) was significantly related to a lower success rate of TOLAC [adjusted odds ratio (aOR), 0.48; 95% confidence interval (CI), 0.26-0.88]. The areas under the ROCs of Grobman's model with and without MCL as one of the risk factors were 0.785 (95% CI, 0.725-0.844) and 0.774 (95% CI, 0.710-0.837), respectively, but not significantly different (Z = -0.968, P = 0.333). CONCLUSIONS: We first evaluated the efficiency of the updated Grobman's model (without race and ethnicity) in the Chinese population. The area under the curve is relatively high, indicating that the model can be used efficiently in China. The shorter MCL was associated with a greater chance of VBAC and MCL was the independent factor from the factors of Grobman's model. However, the predictive capacity of the modified model by adding MCL as one of the risk factors did not improve significantly.

High Moisture-Barrier Performance of Double-Layer Graphene Enabled by Conformal and Clean Transfer.

Graphene films that can theoretically block almost all molecules have emerged as promising candidate materials for moisture barrier films in the applications of organic photonic devices and gas storage. However, the current barrier performance of graphene films does not reach the ideal value. Here, we reveal that the interlayer distance of the large-area stacked multilayer graphene is the key factor that suppresses water permeation. We show that by minimizing the gap between the two monolayers, the water vapor transmission rate of double-layer graphene can be as low as 5 × 10-3 g/(m2 d) over an A4-sized region. The high barrier performance was achieved by the absence of interfacial contamination and conformal contact between graphene layers during layer-by-layer transfer. Our work reveals the moisture permeation mechanism through graphene layers, and with this approach, we can tailor the interlayer coupling of manually stacked two-dimensional materials for new physics and applications.

Assessing the recovery in species, size and location diversities of a lowland tropical rainforest after shifting cultivation by multiple indices at stand and neighborhood scales.

Tropical forests are rapidly being converted for agricultural use, but abandoned agricultural lands can recover naturally through secondary succession. However, comprehensive knowledges of how species composition, size structure and spatial patterning (represented by species, size and location diversities) change during recovery at multiple scales are still lacking. Our aim was to explore these change patterns to understand the underlying mechanisms of forest recovery and propose corresponding solutions for restoring regrowing secondary forests. Here, twelve 1ha forest dynamics plots (4 plots each in young-secondary forests (YS), old-secondary forests (OS) and old-growth forests (OG) from a chronosequence of tropical lowland rainforest after shifting cultivation) were used to assessed the recovery in species, size and location diversity of trees at stand (plot) and neighborhood (focal tree and its neighbors) scale by using 8 indices. The relative recoveries of YS and OS were quantified by dividing each of the indices in YS and OS to those in OG. Results showed that species and size diversity increased while location diversity decreased with the recovery process. The relative recovery of location diversity was higher than those of species and size diversity in both YS and OS, while species diversity was only higher than size diversity in YS. The relative recovery of species diversity at neighborhood scale was higher than that at stand scale in OS, while there were no differences between scales in size and location diversity. Additionally, using only the Shannon index and Gini coefficient at two scales can provide consistent insights into the recovery patterns of diversity as indicated by the 8 indices. Our study demonstrated that recovery rates of secondary forests relative to old-growth counterparts could be comprehensively quantified using multiple diversity indices in three types at two scales. This quantitative assessment on the relative recovery of disturbed forests could be helpful in applying appropriate management activities and selecting rational approaches to speed up restoration process of degraded forest ecosystems.

Trace elements in surface sediments from Xinyanggang River of Jiangsu Province, China: Spatial distribution, risk assessment and source appointment.

The Xinyanggang River in Yancheng City, one of the essential rivers entering the Yellow sea, has imported abundant pollutants to the coast of Jiangsu Province. Trace elements (Cr, Ni, Cu, Zn, As, Rb, Sr, Mo, Pb, Th, U, Sc, Ga, Se, Zr, Nb, and Sn) in surface sediments in the Xinyanggang River were measured to analyze the spatial distribution, risk assessment, and source appointment. The results showed that the parts of 17 trace elements presented high average values in river sediments, such as Zr (309.19 mg/kg), Sr (182.72 mg/kg), Zn (77.67 mg/kg), and Cr (70.63 mg/kg). Compared with some coastal rivers, the Xinyanggang River was polluted by certain trace elements, such as Cr, Zn, and As. Based on the analysis of the enrichment factor (EF), the contamination factor (CF), the pollution load index (PLI), and the geoaccumulation index (Igeo), trace elements in sediments showed unpolluted to moderate contamination and mild to moderate enrichment. Among them, Zn, Pb, and Sn were highly polluted. The multivariate analysis, the principal component analysis-multiple linear regression (APCS-MLR) model, and the Unmix model identified four contributing trace element sources. Cr, Th, U, Se, Zr, and Nb originated from manufacturing industries and hydrodynamic transport erosion. Ni, Rb, Sc, and Ga were attributed to natural source. Cu, Zn, Mo, Pb, and Sn were contributed from mixed sources including industrial wastewater and transportation emissions. As and Sr were associated mainly with mixed sources of agriculture and combustion. These four sources of metals accounted for 22.5 %, 5.7 %, 15.3 %, and 11.1 % by using the APCS-MLR model, whereas 22.9 %, 39.7 %, 17.5 %, and 19.9 % by using the Unmix model, respectively.

Distribution and source of black carbon in coastal river sediments around Haizhou Bay, Eastern China: implications for anthropogenic inputs.

It is crucial to investigate the distribution and origin of black carbon (BC) in the environment for evaluating human inputs and developing pollution control strategies. This study analyzed BC in coastal river sediments from Haizhou Bay, Eastern China. The concentrations (dry weight) of the BC, char, soot, and total organic carbon (TOC) in coastal river sediments flowing into Haizhou Bay were 0.11-4.68, 0.06-4.24, 0.04-0.70, and 0.15-2.29 mg/g, respectively. Char and soot accounted for 38.54-90.70% and 9.30-61.46% of BC, with an average of 68.95% and 31.05%, respectively. The results show that the spatial variation of char was markedly presented in river sediment (108.27%), followed by that of BC (89.25%), TOC (58.69%), and soot (55.85%). The BC was mainly distributed in the Shawang River and the Shiliang River, soot was distributed primarily in the Shawang River, and char was mainly distributed in the Shiliang River. This finding supports the presence of anthropogenic activity sources in coastal rivers. The grey correlation analysis results show that industrial and agricultural activities greatly influenced BC emissions, as the influence degree of four socio-economic variables on BC contamination decreased as follows: regional total production value, population density, total agricultural production value, and total industrial production value. The char/soot ratio, an index to discriminate the source of BC contamination in sediments, was found to range from 0.63 to 9.75 with an average of 2.75. The result indicates that BC in Haizhou Bay was contributed from mixed sources including transportation emissions, fossil fuel combustion, and biomass combustion. The study demonstrates that BC could be an effective indicator for the degree and spatial distribution of organic pollutants in coastal river sediments.

Reference intervals for erythrocyte parameters and hemoglobin electrophoresis parameters for young children in Guangxi.

BACKGROUND: Erythrocyte parameter analysis is the important means for diagnosis and treatment of hematological diseases, which are essential for screening of thalassemia in southern China combined with hemoglobin electrophoresis analysis. But little is known regarding the reference intervals (RIs) in healthy pediatrics in these two areas. METHODS: 95% RIs of erythrocyte parameters were calculated from 853 healthy preschoolers, aged from 1 days to <6 years, according to the C28-A3C guidelines of the Institute of Clinical and Laboratory Standards. To express the magnitude of sex and age variation, standard deviation ratio (SDR) was calculated using ANOVA. Concurrently, we selected 3814 thalassemia carriers as carriers group and drew receiver operating characteristic (ROC) curves to establish the optimal cut-off values of hemoglobin electrophoresis parameters, which were used as the upper/lower limits of RIs to efficiently screen thalassemia. RESULTS: All parameters except red blood cell (RBC) required age partitioning, confirmed by SDRage above .4. There was no need for sex partitioning on all parameters, confirmed by SDRsex below .4. The optimal cut-off value of Hemoglobin A2 (Hb A2) in the four subgroups was <7.8% (Hb A), 2.3%-3.2%, 2.5%-3.6% and 2.6%-3.6%, respectively. CONCLUSION: In this study, the establishment of RIs improved the diagnostic efficiency of hematological disease (especially thalassaemia) for children in Guangxi. It provides reliable hematological references for the identification and diagnosis, treatment monitoring, and health screening of children's clinical diseases.

Clinical and genetic analysis of combined oxidative phosphorylation defificiency-10 caused by MTO1 mutation.

The mitochondrial translation optimization factor 1(MTO1) gene mutations had been reported to be linked to combined oxidative phosphorylation defificiency-10 (COXPD10). In this study, we presented the detailed clinical features and genetic analysis of the patient with two variants in MTO1, and reviewed 42 different cases available in publications. Whole exome sequencing and bioinformatics analysis were employed to detect the genetic variants of a 6-month-old boy with metabolic disorder and multiple organ failure; Sanger sequencing was performed to confirm the origin of variants; and clinical data of the patients was retrospectively collected and analyzed. Variant classification was followed to ACMG guidline. The proband was diagnosed with multiple organ failure, severe pneumonia, sepsis, hyperlactatemia, metabolic acidosis, and moderate anemia. Compound heterozygous mutations in the coding region of MTO1 gene (c.1291C > T/p.Arg431Trp and c.1390C > T/p.Arg464Cys) were identified, and the results of family verification experiment showed that the mutations were inherited from the parents, respectively. Combined with clinical symptoms, the patient was diagnosed as COXPD10. In summary, hallmark features of MTO1 mutations were lactic acidosis and hypertrophic cardiomyopathy. Of note, patients with the same genetic mutation may not have the same clinical presentation. Additional MTO1 defificiency cases will help to make genotype-phenotype correlations clearer.

Molecular Characterization of α- and ß-Thalassaemia Among Children From 1 to 10 Years of Age in Guangxi, A Multi-Ethnic Region in Southern China.

Background: Thalassemia is one of the most common genetic diseases in southern China. Howerver, population in different regions or different population has their own spectrums of thalassemia. To investigate the prevalence and spectrum features of thalassemia among children in Guangxi. Hematology and genetic analysis were performed on 71,459 children aged 1-10 years in various regions of Guangxi. Results: A total of 11,821 children were diagnoses with thalassemia including 7,615 (10.66%) subjects of α-thalassemia, 3,507 (4.90%) subjects of ß-thalassemia, and 699 (0.98%) cases with both α- and ß-thalassemia. Nine α-thalassemia mutations and 30 genotypes were identified among the α-thalassemia children. The - -SEA and - -SEA/αα were the most frequent mutation and genotype, respectively. One α-thalassemia fusion gene and a rare 2.4 kb deletion both causing α+-thalassemia were identified, respectively. Thirteen ß-thalassemia mutations and 31 genotypes were characterized among the ß-thalassemia children, with the most common mutation CD41-42 (-CTTT) accounting for 46.05% of the ß-mutations. Two rare mutations IVS-II-5 (G>C), and IVS-I-2 (T>C) were firstly identified. Furthermore, 92 genotypes were identified among 699 children with both α- and ß-thalassemia. Conclusions: Our findings highlight the great heterogeneity and the extensive spectrum of thalassemia among children in Guangxi, which provide an available reference for prevention of thalassemia in this area.

Land subsidence and its relation with groundwater aquifers in Beijing Plain of China.

Beijing is a major metropolis with significant land subsidence because of long-term overexploitation of groundwater. While the South-to-North Water Diversion Project (SWDP) has provided new water sources Beijing; it has changed the pattern of land subsidence evolution in Beijing since 2015. Here we address how land subsidence evolution before and after SWDP, and we quantify also the impact of groundwater level changes in different aquifers on land subsidence at spatial scale. Subsidence evolution before and after SWDP were compared by adopting Persistent Scatterer Inteferomotry (PSI) with Radarsat-2 and Sentinel-1 data. Spatial correlation between Interferometric Synthetic Aperture Radar (InSAR) derived subsidence and groundwater levels in four aquifers was investigated using the Random Forest (RF) machine learning algorithm and Geographical Detectors (GD) technique. Extensometer deformation data and corresponding variation in groundwater level observations at three monitoring stations were used for validations. The study reveals that: firstly, both InSAR-derived subsidence area and maximum annual deformation rate decreased from 79.2% and 141 mm/yr before SWDP, to 60.1% and 135 mm/yr after SWDP. A reduction of time series deformation at four subsidence centers started about two years after the commence of SWDP in 2015. Secondly, the variation of groundwater level in the second confined aquifer has the strongest spatial correlation with subsidence in all the aquifers, but its impact on this aquifer has decreased after SWDP. These findings have an important scientific significance for the rational allocation of water resources and management strategy for mitigating hazards associated with subsidence against the background of SWDP.

Monitoring Differential Subsidence along the Beijing-Tianjin Intercity Railway with Multiband SAR Data.

High-speed railways have strict standards of infrastructure deformation and post-construction settlement. The interferometric synthetic aperture radar (InSAR) has the ability to detect ground deformation with a high accuracy and wide coverage and is becoming a useful tool for monitoring railway health. In this study, we analyzed the Beijing-Tianjin Intercity Railway (BTIR) track using InSAR time-series analysis with different data sets. First, by using RADARSAT-2 images, we examined the areas along the BTIR with significant subsidence. Then, we characterized these areas by means of X-band TerraSAR-X data. We adopted the expectation (Ex) and entropy (En) method, combined with GIS spatial analysis, to analyze the ground settlement differences on both sides of the railway. The results show that the area with the most severe differential settlement occurs between 12 and 20 km along the railway and within 120 to 20 m on both sides of the Chaoyang-Tongzhou section (CTS). Thereafter, we analyzed the reasons for the large difference in this area by considering different factors, e.g., regional land subsidence, groundwater level changes, and the dynamic load. In addition, we studied the impact of regional subsidence on the safe operation of the BTIR. The results show that the maximum different settlement along the BTIR is within the safe range, according to the high-speed railway design standard between 2010 and 2015. This study aims to provide technical support for assessing the impact of subsidence on the safety of railway operations.

The Correlation between Atrial Fibrillation and Prognosis and Hemorrhagic Transformation.

OBJECTIVE: Atrial fibrillation (AF) is the recognized risk factor for hemorrhagic transformation (HT) in thrombolysis patients with acute ischemic stroke (AIS). But the impact of AF on prognosis is still controversial. In our study, we aimed to assess the relationship between AF and HT and prognosis. METHODS: We assessed 184 patients diagnosed with AIS and received thrombolysis from January 2016 to October 2017. Based on the imaging results during hospitalization, the patients were divided into HT and non-HT groups in which the HT was containing 40 patients. According to the modified Rankin Scale (mRS), we divided the patients into favorable prognosis (mRS score of 0-2) and the poor (mRS score >2) after 3 and 6 months of follow-up. Our analysis included demographics, onset to treatment time, initial blood pressure, baseline National Institutes of Health Stroke Scale (NIHSS) score, HT, anticoagulants, AF, smoking, and other past history. RESULTS: At baseline, there was a significant difference (p < 0.05) between the HT and non-HT groups in the level of age, hyperlipidemia, AF, NIHSS, and the application of anticoagulants. After 3 and 6 months of follow-up, we found that only NIHSS (OR3 month 1.421, 95% CI 1.280-1.578, p < 0.001, and OR6 month 1.326, 95% CI 1.217-1.445, p < 0.001) was associated with prognosis instead of AF, HT, and anticoagulants. Meanwhile, patients with AF tended to be older, higher NIHSS score and less hyperlipidemia (p < 0.05). CONCLUSION: The present study indicated that there is no significant correlation between AF and prognosis, although there is some indeed related with HT. That was, the prognosis with AF had a similar response trend compared with the non-AF.

Generation of Cancer-Specific Cytotoxic PD-1- T Cells Using Liposome-Encapsulated CRISPR/Cas System with Dendritic/Tumor Fusion Cells.

T-cell immunotherapy is showing great promise and therefore undergoing intensive developments for cancer treatment. In this study, we applied liposome-encapsulated Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR) and CRISPR-associated protein-9 nuclease (Cas9) (CRISPR/Cas9) genome editing tool to specifically knock out the programmed death-1 (PD-1) gene from T cells (PD-1- T cells). We then activated these cells by dendritic/tumor fusion cells (FCs) and examined their anti-cancer potential. Results showed that, following the antigen presentation and activation by DC/HepG2 FCs, PD-1- T cells showed a significantly higher ability than PD-1+ T cells to proliferate, secrete pro-inflammatory cytokine IFN-γ, and kill HepG2 cells in vitro. Consistently, in vitro activated PD-1- T cells inhibited proliferation and induced apoptosis in HepG2 xenografts in vivo, leading to significantly suppressed tumor growth and improved mouse survival. Liposome-encapsulated CRISPR/Cas9 genome editing technology effectively knocked out PD-1 gene in T cells, stimulating T cell activation in response to DC/tumor FCs and affording T cell-mediated cancer immunotherapy. Our study provides evidence to target checkpoint receptors in adoptively transfected T cells, as a novel therapeutic modality for adoptive T cell transfer.