How the xerophytic moss Pogonatum inflexum tolerates desiccation.

KEY MESSAGE: Desiccation-tolerant process of xerophytic moss Pogonatum inflexum were identified through de novo transcriptome assembly , morphological structure and physiology analysis. Pogonatum inflexum (Lindb.) Lac. is a typical xerophytic moss and have been widely used in gardening and micro-landscape. However, the mechanisms underlying desiccation tolerance are still unclear. In this study, morphological,  physiological and trancriptomic analyses of P. inflexum to tolerate desiccation were carried out. Our results indicate that P. inflexum increase osmoregulation substances, shut down photosynthesis, and alter the content of membrane lipid fatty acids in response to desiccation, and the genes involved in these biological processes were changes in expression after desiccation. 12 h is the threshold for P. inflexum to tolerate desiccation and its photosynthesis has not been damaged within 12 h of desiccation and can still recover after rewater. We also proved that the gametocyte of P. inflexum has the ability to absorb and transport water, and contains lignin-synthesis genes in response to tolerant desiccation. Our findings not only explain the mechanisms of P. inflexum during desiccation, but also provide some attractive candidate genes for genetic breeding.

Highly Solvent Resistant Small-Molecule Hole-Transporting Materials for Efficient Perovskite Quantum Dot Light-Emitting Diodes.

Perovskite quantum dot light-emitting diodes (Pe-QLEDs) have been shown as promising candidates for next-generation displays and lightings due to their unique feature of wide color gamut and high color saturation. Hole-transporting materials (HTMs) play crucial roles in the device performance and stability of Pe-QLEDs. However, small-molecule HTMs have been less studied in Pe-QLEDs due to their poor solvent resistance and low hole mobility. In this work, three novel small-molecule HTMs employing benzimidazole as the center core, named X4, X5, and X6, were designed and synthesized for application in Pe-QLEDs. One of the tailored HTM-X6 exhibits excellent solvent resistant ability to the perovskite quantum dot (QD) inks due to its proper solubility and low surface energy. Our result clearly demonstrated that the synergistic effect of poor solubility and low surface energy facilitates the achievement of good solvent resistance to perovskite QD inks. As a result, a promising maximal external quantum efficiency (EQE) of 14.1% is achieved in X6-based CsPbBr3 Pe-QLEDs, which is much higher than that of X4 (9.16%) and X5 (6.60%)-based devices, which is comparable to the PTAA reference (EQE ∼ 15.8%) under the same conditions. To the best of our knowledge, this is the first example that a benzimidazole-based small-molecule HTM demonstrated a good application in Pe-QLEDs. Our work provides new guidance for the rational design of small-molecule HTMs with high solvent resistance for efficient Pe-QLEDs and other photoelectronic devices.

Enhanced Adjacency Matrix-Based Lightweight Graph Convolution Network for Action Recognition.

Graph convolutional networks (GCNs), which extend convolutional neural networks (CNNs) to non-Euclidean structures, have been utilized to promote skeleton-based human action recognition research and have made substantial progress in doing so. However, there are still some challenges in the construction of recognition models based on GCNs. In this paper, we propose an enhanced adjacency matrix-based graph convolutional network with a combinatorial attention mechanism (CA-EAMGCN) for skeleton-based action recognition. Firstly, an enhanced adjacency matrix is constructed to expand the model's perceptive field of global node features. Secondly, a feature selection fusion module (FSFM) is designed to provide an optimal fusion ratio for multiple input features of the model. Finally, a combinatorial attention mechanism is devised. Specifically, our spatial-temporal (ST) attention module and limb attention module (LAM) are integrated into a multi-input branch and a mainstream network of the proposed model, respectively. Extensive experiments on three large-scale datasets, namely the NTU RGB+D 60, NTU RGB+D 120 and UAV-Human datasets, show that the proposed model takes into account both requirements of light weight and recognition accuracy. This demonstrates the effectiveness of our method.

Elevated postprandial triglyceride-rich lipoproteins in patients with diabetes and stable coronary artery disease correlated with early renal damage and systemic inflammation.

BACKGROUND: Dyslipidaemia is key in the development of coronary heart disease (CHD) in patients with diabetes mellitus (DM). Accumulated evidence supports that diabetic nephropathy increases the mortality risk of patients with CHD, while the influence of diabetic dyslipidaemia on renal damage in patients with DM and CHD remains unknown. Moreover, recent data indicate that postprandial dyslipidaemia has predictive value in terms of CHD prognosis, especially in patients with DM. The study aimed to determine the relationship of triglyceride-rich lipoproteins (TRLs) after daily Chinese breakfast on systemic inflammation and early renal damage in Chinese patients with DM and SCAD. METHODS: Patients with DM diagnosed with SCAD while in the Department of Cardiology of Shengjing Hospital from September 2016 to February 2017 were enrolled in this study. Fasting and 4-h postprandial blood lipids, fasting blood glucose, glycated haemoglobin, urinary albumin-to-creatinine ratio (UACR), serum interleukin-6 (IL-6) and tumour necrosis factor-α (TNF-α) concentrations, and other parameters were measured. Fasting and postprandial blood lipid profiles and inflammatory cytokines were analysed using a paired t-test. The association between variables was analysed using Pearson or Spearman bivariate analysis. P < 0.05 was considered to be statistically significant. RESULTS: The study enrolled 44 patients in total. Compared with fasting state, postprandial total cholesterol high-density lipoprotein-cholesterol (HDL-C),low-density lipoprotein-cholesterol (LDL-C) and non-high-density lipoprotein-cholesterol (non-HDL-C) all showed no significant change. Postprandial serum triglyceride (TG) concentration increased significantly compared with that at fasting (1.40 ± 0.40 vs. 2.10 ± 0.94 mmol/L, P < 0.001), as did serum remnant lipoprotein-cholesterol (RLP-C) (0.54 ± 0.18 mmol/L vs. 0.64 ± 0.25 mmol/L). Pearson analysis revealed that serum TG and RLP-C positively correlated before and after breakfast. Moreover, during fasting, positive correlations were observed between TG and serum IL-6, TNF-α, and UACR. Positive correlations were observed between RLP-C and IL-6, UACR under fasting condition, while both TG and RLP-C were positively correlated with postprandial serum IL-6, TNF-α, and UACR concentrations. Finally, positive correlations were observed between UACR and IL-6 and TNF-α concentration under both fasting and postprandial conditions. CONCLUSIONS: An increase in postprandial TRLs was observed in Chinese patients with DM and SCAD after daily breakfast, and this increase may be related to early renal injury via the induction of systemic inflammation.

Nonalcoholic Fatty Liver Disease as an Emerging Risk Factor and Potential Intervention Target for Atherosclerotic Cardiovascular Diseases.

ABSTRACT: Nonalcoholic fatty liver disease (NAFLD) is an underappreciated independent risk factor for atherosclerotic cardiovascular diseases (ASCVDs). In recent years, the risk of ASCVD has increased along with the prevalence of NAFLD. ASCVD events are highly prevalent and are the main contributor to death in patients with NAFLD. The association between NAFLD and ASCVD has been validated in numerous observational, cohort, and genetic studies. Most of these studies agree that NAFLD significantly increases the risk of developing atherosclerosis and ASCVD. In addition, the underlying proatherosclerotic mechanisms of NAFLD have been gradually revealed; both disorders share several common pathophysiologic mechanisms including insulin resistance, whereas systemic inflammation and dyslipidemia driven by NAFLD directly promote atherosclerosis. Recently, NAFLD, as an emerging risk enhancer for ASCVD, has attracted attention as a potential treatment target for ASCVD. This brief review aims to illustrate the potential mechanistic insights, present recent clinically relevant investigations, and further explore the emerging therapies such as novel antidiabetic and lipid-lowering agents that could improve NAFLD and reduce ASCVD risk.

Research progress on the effects of novel hypoglycemic drugs in diabetes combined with myocardial ischemia/reperfusion injury.

Acute myocardial infarction (AMI) reperfusion is associated with ischemia/reperfusion (I/R) injury, which leads to enlarged myocardial infarction size, poor healing of the infarcted myocardium, and poor left ventricular remodeling, thus increasing the risk of major adverse cardiovascular events (MACEs). Diabetes increases myocardial susceptibility to I/R injury, decreases myocardial responsiveness to cardioprotective strategies, exacerbates myocardial I/R injury, and expands the infarct size of AMI, thereby increasing the incidence of malignant arrhythmias and heart failure. Currently, evidence regarding pharmacological interventions for diabetes combined with AMI and I/R injury is lacking. Traditional hypoglycemic drugs have a limited role in the prevention and treatment of diabetes combined with I/R injury. Current evidence suggests that novel hypoglycemic drugs may exert a preventive effect on diabetes combined with myocardial I/R injury, especially glucagon-like peptide-1 receptor agonists (GLP-1 RA) and sodium-dependent glucose transporter protein 2 inhibitors (SGLT2i), which may increase coronary blood flow, reduce acute thrombosis, attenuate I/R injury, decrease myocardial infarction size, inhibit structural and functional remodeling of the ischemic heart, improve cardiac function, and reduce the occurrence of MACEs of diabetes patients combined with AMI via mechanisms such as reduction of inflammatory response, inhibition of oxidative stress, and improvement of vascular endothelial function. This paper will systematically elaborate the protective role and molecular mechanisms of GLP-1 RA and SGLT2i in diabetes combined with myocardial I/R injury, aiming to provide clinical assistance.

Safety Issues Associated With the Clinical Application of PCSK9 Inhibitors: Current Findings.

Reduction in low-density lipoprotein cholesterol levels is the cornerstone of treatment and prevention of atherosclerotic cardiovascular diseases. Currently, high-intensity statins are being used as the first-line therapy to lower low-density lipoprotein cholesterol levels, as they improve the prognosis of patients with atherosclerotic cardiovascular disease and those in high-risk groups. However, in some patients, the expected reduction in cholesterol is not achieved despite aggressive treatment with statins. Moreover, some patients cannot tolerate the dosage or show poor response or compliance to statins. Therefore, combination therapies with statins and other medications should be considered. Recently, several clinical trials have shown that the use of proprotein convertase subtilisin/kexin type 9 inhibitors with or without statins and/or other lipid-lowering drugs can significantly reduce low-density lipoprotein cholesterol levels, sometimes to extremely low levels. Therefore, to facilitate appropriate prescription of these new lipid-lowering drugs, we systemically evaluated the safety issues associated with these inhibitors and extremely low low-density lipoprotein cholesterol levels.

De novo transcriptome assembly and analysis of genes involved in desiccation tolerance in Grimmia pilifera.

The anatomically simple plants that transition from the aquatic to the terrestrial have a certain mechanism to deal with the damage caused by the changing living environment. Grimmia pilifera is a type of resurrection plants that can survive a long period of desiccation. To understand the molecular mechanisms of desiccation tolerance, nine cDNA libraries were constructed in triplicate from mRNA obtained from G. pilifera for the 0 h, 6 h and 18 h desiccation treatment. RNA-Seq generated âˆ¼ 666 million reads which were assembled into 135,850 unigenes. The differentially expressed genes (DEGs) were identified between different period of time of desiccation. Gene ontology analysis showed that a significant number of genes involved in water deprivation, chloroplast organization, xyloglucan metabolic process, regulation of signaling pathway. In addition, genes involved in osmotic stress, oxidative stress, accumulation of soluble matter, such as gene encoding antioxidant enzymes, trehalose synthase and channel protein, were up-regulated in response to drought stress. These results will be helpful for further studying on the molecular mechanisms of desiccation responses in G. pilifera.

Fatigue and Sleep Assessment using Digital Sleep Trackers: Insights from a Multi-Device Pilot Study.

For the patient community with neurodegenerative disorders (NDD) and immune-mediated inflammatory diseases (IMID), fatigue and sleep disturbances stand out as two of the most common and disabling symptoms, which mightily impair patient's quality of life. Traditional questionnaire-oriented approaches to reflect such symptoms suffer from recall bias and poor sensitivity to change. By virtue of multiple sensing modalities at home, IDEA-FAST project aims to identify novel digital endpoints of fatigue and sleep disturbances, that are objective, reliable and sensitive to change. This article presents and discusses results from a pilot study of IDEA-FAST to evaluate the feasibility of capturing sleep and fatigue measures from three sleep trackers. Data collected from 143 participants (age range: 21-82) across 6 disease groups and healthy cohort for a period of 9 months, were investigated using our proposed sensor analytical pipeline. The overall performance reveals that the median coverage rate of sleep trackers ranged from 48.3% to 76.9%. Furthermore, the digital measures obtained from each device, indicated a higher association with sleep related patient reported outcomes (PROs) than fatigue related ones, when taking all participants into account.

The History of the Introduction of the Concept of Depression Into China.

This is a thematic historical study on the historical construction of the concept of depression in early modern China. Using an external historical research method, through the analysis of newspaper stories, drug advertisements, and medical texts (textbooks and reference books), it presents the sociocultural context of depression in the late Qing Dynasty and early Republican period and depicts the germination and evolution of the depression from a hazy and ambiguous concept in the late Qing Dynasty to a clear and complete disease entity of Western medicine, at least in the Chinese pharmaceutical market in the 1920s. This article examines the three internal logical clues in the localization of depression in China, namely, (1) the transformation of the disease from a symptom (the symptom of a disease) to a disease (an independent disease entity); (2) the pathological mechanism of depression was first made from the perspective of Traditional Chinese Medicine-"caused by stagnation of liver qi," which was joined later by the pathological mechanism of Western medicine-"caused by brain dysfunction"; (3) the introduction of the knowledge of "depression" presents a pattern of "cross-fertilization" between the West and the East. This study also examines the cultural imagery of depression during its early introduction to China and finds the three stereotypes of the manifestation of depression among the then Chinese public, namely, a feminized disease, a disease that afflicted the intellectual youth who were worried about the country, and the association between the disease and the morbid and distorted state of life of the upper-class literary youth.

WiMonitor: Continuous Long-Term Human Vitality Monitoring Using Commodity Wi-Fi Devices.

For a large population of elderly who live alone, a continuous long-term daily monitoring system is critical and imminently needed to enhance the quality of their lives. Continuous monitoring of vitality information (i.e., which area the elder is staying in, the motion state and activity intensity of an elder) is essential for elderly care. In this paper, we use existing commodity Wi-Fi devices to design and implement a long-term device-free human daily vitality system, WiMonitor. Our system can continuously capture the target's vitality information in a multi-room home environment without compromising the privacy of the target. In a continuous 22-day experiment, WiMonitor successfully captures the human vitality information accurately. We believe our system can provide valuable long-term monitoring data for both researchers and health care personnel.

ZnO Composite Graphene Coating Micro-Fiber Interferometer for Ultraviolet Detection.

A simple and reliable ultraviolet sensing method with high sensitivity is proposed. ZnO and ZnO composite graphene are successfully prepared by the hydrothermal method. The optical fiber sensor is fabricated by coating the single-mode-taper multimode-single-mode (STMS) with different shapes of ZnO. The effects of the sensitivity of ultraviolet sensors are further investigated. The results show that the sensor with ZnO nanosheets exhibits a higher sensitivity of 357.85 pm/nW·cm-2 for ultraviolet sensing ranging from 0 to 4 nW/cm2. The ultraviolet characteristic of STMS coated flake ZnO composite graphene has been demonstrated with a sensitivity of 427.76 pm/nW·cm-2. The combination of sensitive materials and optical fiber sensing technology provides a novel and convenient platform for ultraviolet detection technology.

A Sm-MOF/GO nanocomposite membrane for efficient organic dye removal from wastewater.

The instability of graphene oxide (GO) membranes in aqueous solutions restricts their application in wastewater treatment through the membrane separation technology. In this work, a nanocomposite membrane (Sm-MOF/GO) composed of samarium metal-organic frameworks (Sm-MOFs) and GO nanosheets was successfully fabricated via the filtration of the corresponding Sm-MOF/GO dispersions. The in situ growth of Sm-MOF with aqueous stability on the GO sheets prevented the adjacent GO layers from expanding in aqueous solutions, thus endowing the prepared Sm-MOF/GO membrane with a stable membrane skeleton structure. Besides, the successful loading of Sm-MOF enlarged the layer space of the composite membrane, which was beneficial for higher permeance. The optimization of the Sm-MOF loading contents was also investigated to prepare M-X (where X represents the mass ratio of the MOF raw material to the total mass of the reactants). Subsequently, the fabricated M-0.31 possessed a high permeance of 26 L m-2 h-1 bar-1, which was 3 times higher than that of a pure GO membrane; moreover, high rejections (>91%) to rhodamine B and methylene blue were obtained. After continuous 5.5 h filtration, the excellent rejection was still maintained as expected, indicating the long-term stability of M-0.31.

Convergent Estimation Mechanism Design for Nonlinear Fuzzy Systems With Faults.

The convergent estimation for a class of nonlinear Takagi-Sugeno fuzzy systems is concerned, where time-varying process faults and input disturbances are both involved. A convergent estimation mechanism (CEM) based on a set of fuzzy iterative estimation observers is constructed for the nonlinear fuzzy system; meanwhile, the convergence of the mean sequence of estimation errors (for both states and faults) to zero (vector) is proved. However, in the existing literature, the estimation errors can only be proved to be uniformly ultimately bounded when the fault is time varying. In the design procedure, the disturbances on systems in consideration can be isolated effectively in the obtained fuzzy iterative error dynamics through introducing a suitable isolation technique. Numerical examples give the simulation results to show the effectiveness and merits of the proposed CEM.

[Traces of Chinese and Western medicine in the Kanbun bronze acupuncture figure].

Acupuncture figure is the model of human body for the learners and practitioners of acupuncture to learn and memorize the meridians points on the body surface in ancient time. The earliest bronze acupuncture figure was made in the fifth year of the North Song Dynasty and it had been cast continuously or even spread to overseas in the later dynasties. Specially, the imitation and production of bronze acupuncture figure in Japan in Edo Period were the most prominent. At present, the bronze acupuncture figure of the Edo era, with the complete and detailed historical background records, is preserved in the Tokyo National Museum of Japan and exhibited as a metal reticulated bronze figure. Such figure was named as Kanbun bronze acupuncture figure because it was cast during the Kanbun period. In the paper, the study achievements were collected on the Kanbun bronze acupuncture figure at home and abroad and its history was reviewed in terms of time feature, production background and producer. Based on the traditional Chinese thought and theory of acupuncture and moxibustion embodied by Kanbun bronze acupuncture figure, the value of the Kanbun bronze acupuncture figure in acupuncture and moxibustion was explored. Additionally, align with the introduction of Western medicine in Edo era in Japan and in consideration with the specific understanding on anatomical knowledge in Western medicine reflected by the bronze acupuncture figure, the value of the Western medicine was discussed. Finally, in view of the reticule structure of bronze acupuncture figure, the orientation and selection were analyzed under the influence of the eastern and western medicine in the Edo era, based on which, the motivation of the acceptance and creation of this bronze acupuncture figure in Japan was explored in the culture dissemination of medicine.

A Novel Nanocomposite Membrane Combining BN Nanosheets and GO for Effective Removal of Antibiotic in Water.

Residual antibiotics in water have become a primary source of water pollution due to their misuse. Recently, membranes, produced by layered nanomaterials such as graphene oxide (GO), boron nitride (BN) and transition metal dichalcogenides, have been used in water purification, desalination and molecule separation as they are energy saving and simple to operate. The performance of membranes is closely related to their structure and the properties of the nanomaterials used. In this work, BN nanosheets (BNNSs) and GO were used to fabricate a two-dimensional nanocomposite membrane in order to improve the membrane's permeance. It should be mentioned that the corresponding equal mass of the pure GO membrane was almost impermeable for the antibiotic solution. Multi-walled carbon nanotubes (MWCNTs) were inserted into the GO layers to increase the interlayer spacing and adsorb more antibiotics from the water. The resultant MWCNTs/BNNSs/GO membranes showed improved permeance and stable sieving capability for the antibiotic and small species. Specifically, permeance reached 30.2 L m-2 h-1 bar-1, which was much higher than pure GO membrane and the antibiotic rejection was 96.1%.

Recent Advances on the Network Models in Target-based Drug Discovery.

With the advancement of "proteomics" data and systems biology, new techniques are needed to meet the new era of drug discovery. Network theory is increasingly applied to describe complex biological systems, thus implying its essential roles in system-based drug design. In this review, we first summarized general network parameters used in describing biological systems, and then gave some recent applications of these network parameters as topological indices in drug design in terms of Protein Structure Networks (PSNs), Protein-Protein Interaction Networks (PPINs) including related structural PPINs, and Elastic Network Models (ENMs). These network models have enabled the development of new drugs relying on allosteric effects, describing anti-cancer targets, targeting hot spots and key proteins at the protein-protein interfaces and PPINs, and helped drug design by modulating conformational flexibility. Accordingly, we highlighted the integration of network models bringing new paradigms into the next-generation target-based drug discovery.

Acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report.

BACKGROUND: Kawasaki disease is an acute febrile disease with mucocutaneous and cardiovascular involvement affecting infants and young children. Though coronary artery abnormalities are common in Kawasaki disease, no consensus has been reached regarding the treatment of acute coronary artery diseases in this population. CASE PRESENTATION: We described a case of myocardial infarction triggered by blunt chest wall trauma in a 20 years old girl. She presented with chest pain and breathlessness with brief syncope, lab results and electrocardiogram findings were consistent with acute myocardial infarction. Chest computer tomography (CT) demonstrated coronary artery calcifications and echocardiography revealed multiple giant left anterior descending aneurysms, suggestive of Kawasaki disease. Subsequent contrast enhanced 3 dimensional coronary computer tomography angiography (CTA) confirmed these findings. We managed this young patient with a conservative strategy. The patient remained symptom free during 2-years follow-ups. CONCLUSIONS: Prompt medical treatment for traumatic myocardial infarction even with underlying giant coronary artery aneurysms can successfully preserve left ventricular function and prevent remodeling with good short term prognosis.