Biology of tongue coating in different disease stages of RA and its value in disease progression.

OBJECTIVE: To assess and compare the composition of tongue coating microbiota among patients at different stages of rheumatoid arthritis (RA). METHODS: A total of 47 patients diagnosed with RA, as per the American College of Rheumatology criteria, and 10 healthy individuals were enrolled in this study. The RA patients were stratified considering their Disease Activity Score 28 (DAS28), a composite measure based on the 28 tender and swollen joint count and erythrocyte sedimentation rate (ESR). The study population was further categorized into active phase group (LMH group) and inactive phase group (RE group) according to their DAS28 values. DNA extraction was extracted from tongue coating samples. Subsequently, the V3-V4 16S rDNA region was selectively amplified and sequenced through high-throughput 16S rDNA analysis. The resulting data were then utilized to ascertain the microbial contents. RESULTS: Significant variations were observed in the tongue coating microbiota of patients with RA during active and inactive phases, in comparison to healthy individuals (p < 0.05). At the genus level, the presence of Prevotellan, Veillonella, Rothia, and Neisseria in RA patients was notably more evident than in the healthy control (HC) group. These disparities find support in existing research on gut and oral microbiota. During the active phase of RA, the relative abundance of Veillonella, Rothia, and Neisseria in the tongue coating microbiota of patients was significantly higher than in those with inactive RA. These findings underscore the need for further and in-depth research on the potential impact of these microorganisms on the progression of RA disease. CONCLUSION: The results substantiate the hypothesis that tongue coating microbes actively contribute to the progression of RA.

Novel Dynamic Event-Triggered Consensus Control of Multiagent Systems With Markovian Switching Topologies Under DoS Attacks.

This article focuses on the issue of novel dynamic event-triggered consensus control of multiagent systems (MASs) with denial-of-service (DoS) attacks. Different from the conventional Markovian switching topologies, the generally uncertain semi-Markovian (GUSM) switching topologies with partially unknown elements and time-dependent uncertainties are constructed for the leader-following MASs by considering the equipment performance and external uncertain environment influence. To save communication resources, the novel dynamic memory event-triggered strategy (DMETS) is presented to decrease the frequency of communication between agents. Some secure consensus control criteria are established for the MASs with GUSM switching topologies and DoS attacks due to the potential system communication disruption caused by attackers. Finally, two physical system examples are designed to prove the effectiveness of the presented method.

Experiences of Chinese Rheumatoid Arthritis Patients Who Chose Western Medicine, Traditional Chinese Medicine, and a Combination of Treatments: A Study Based on Interviews and Thematic Analysis.

Background: This qualitative study, part of a prospective mixed-methods research, aimed to gain insights into the medical experiences and disease perceptions of Chinese patients living with rheumatoid arthritis (RA). Specifically, the study examined how RA patients' perceptions of their disease were influenced by the diagnosis and treatment they receive. Methods: RA patients undergoing treatment were invited to participate in this qualitative study. Face-to-face semi-structured interviews were conducted among 18 patients, and the collected data were analyzed using thematic analysis. Results: The 18 participants in this study had a mean (SD) age of 58, a median disease duration of 6.5 years, and a predominance of female subjects (17 out of 18). The qualitative analysis identified two themes with six sub-themes: 1. Patients' experiences of treatment: discovery of the disease, misdiagnosis and mistreatment, and patients' treatment choices; 2. Feelings about the disease: psychological impact, reflections on the disease, and expectations of treatment. Conclusion: This study provides valuable perspectives and data to enhance the understanding of the relationship between patients' illness perceptions and their healthcare choices.

Research on the spatial patterns and evolution trends of the coupling coordination between digital finance and sustainable economic development in the Yellow River Basin, China.

In the current global context, digital finance (DF) and sustainable economic development (SED) are important topics. The synergies between DF and SED have already been proven. However, the measurement and quantitative analysis of the coupling coordination degree (CCD) of DF and SED have not received sufficient attention to date. Based on data from 55 cities in the Yellow River Basin (YRB) from 2011 to 2021, this study constructs an evaluation index system of DF and SED and measures their level, respectively. The proposed CCD model is then used to measure the CCD between the two systems. In addition, kernel density estimation, Markov chain, σ-convergence, ß-convergence, and the quadratic assignment procedure (QAP) method are used to study the spatial pattern, distribution dynamic evolution trend, convergence, and influencing factors of the regional differences in the CCD. The results show that: (1) From 2011 to 2021, the CCD level showed a stable upward trend and regional heterogeneity, and the time stage characteristics were more obvious. (2) The center position and change interval of the overall distribution curve of the kernel density estimation gradually shifted to the right. The Markov transfer probability matrix shows that the CCD is more stable among different levels, indicating a phenomenon of "club convergence". (3) A convergence analysis shows that there are significant σ-convergence, absolute ß-convergence, and conditional ß-convergence. (4) The QAP regression shows that factors such as the regional differences in GDP per capita have a significant impact on the regional differences in the CCD. This study offers a comprehensive structure that can be used to examine the synergistic effects between DF and SED; the research findings can also provide perspectives for other areas.

A one-pot hydrothermal synthesis of morphologically controllable yolk-shell structured CoFe glycerate spheres for oxygen evolution reaction.

CoFe-based catalysts are efficient electrocatalysts for the oxygen evolution reaction (OER) in alkaline media. Here, we present a simple one-pot hydrothermal method for synthesizing a series of CoFe glycerates with controllable surface morphologies and investigate their potential as highly efficient catalysts for the OER in alkaline media. These CoFe glycerates exhibit a unique yolk-shell microsphere structure assembled from ultrathin nanosheets. The adjustment of the surface nanosheet size is achieved by varying the CoFe ratio, ensuring a more efficient electrocatalytic system for the OER process. Due to the abundant active sites provided by the yolk-shell structure and interleaved ultrathin nanosheets, Co3Fe1 glycerate (Co3Fe1 gly) demonstrates a low overpotential (283 mV) and a small Tafel slope (44.61 mV dec-1) at 10 mA cm-2. Additionally, Co3Fe1 gly exhibits excellent durability in alkaline electrolytes. Moreover, a series of characterizations demonstrate that the active sites of Co3Fe1 gly are the high-valence Co species generated during the OER process. This study opens a promising avenue for utilizing efficient and low-cost electrocatalysts to enhance OER performance.

Research on the coupling coordination characteristics and convergence of digital finance and regional sustainable development: evidence from Chinese city clusters.

The study examines the digital finance (DF) and regional sustainable development (RSD) across 90 cities within six major city clusters in China over the period from 2011 to 2020. By constructing an evaluation index system for DF and RSD, we employed the entropy value method to assess their levels, and the coupling coordination degree (CCD) model to evaluate their interplay. Our analysis extended to temporal and spatial disparities, distribution dynamics, and the convergence of CCD through kernel density estimation, Markov chain analysis, σ -convergence, and ß -convergence techniques. The results indicate a consistent upward trend in CCD, yet it remains at a low level with pronounced regional disparities and temporal characteristics. The kernel density distribution's central tendency has shifted rightward progressively, albeit with a decelerating pace annually. The Markov transition probability matrix suggests a stable CCD across various levels, hinting at "club convergence". Furthermore, both σ -convergence and ß -convergence analyses reveal significant convergence trends in CCD, enhanced by economic growth factors. Using the Quadratic Assignment Procedure (QAP) method, we found that regional economic growth disparities significantly influence the CCD's regional variances.

A retrospective analysis of sheep generated by somatic cell nuclear transfer.

Somatic cell nuclear transfer (SCNT) is one of the primary methods for production of genetically engineered sheep, which allows for gene editing or transgene introduction in somatic cells. The use of SCNT eliminates the risk of genetic mosaicism in embryos and animals that is commonly observed after zygote micromanipulations. This retrospective analysis of SCNT in sheep performed at Utah State University, spanning from 2016 to 2021, examined parameters that may impact pregnancy and full-term development, including donor oocytes (donor age), donor cell lines, SCNT parameters (time of oocyte activation following SCNT, number of transferred embryos, in vitro maturation and culture conditions), and recipients (surgical number and ovulatory status), as well as factors that may correlate with large offspring syndrome or abnormal offspring syndrome (LOS/AOS) in the fetuses and lambs. Our findings indicated that compared to prepubertal oocytes, the SCNT embryos produced from adult sheep oocytes had comparable in vitro maturation rates, pregnancy and full-term development rates, as well as SCNT efficiency. In addition, earlier activation time of SCNT embryos (e.g. 24-26 h post maturation) was correlated to the early pregnancy loss rate, full-term rate, and SCNT efficiency. Compared to our standard serum-containing medium, commercial serum-free culture medium showed a positive correlation with the full-term development of sheep SCNT embryos. Transferring 15-30 embryos per recipient resulted in consistently good pregnancy rates. Surgical numbers and ovulatory status (having at least one follicle between 6 and 12 mm in size or a corpus hemorrhagicum (CH)) of recipients did not affect pregnancy and full-term development rates. In summary, this retrospective analysis identified parameters for improving pregnancy and full-term development of SCNT embryos in sheep.

Revision hip arthroplasties with use of the modular S-ROM prosthesis.

Objective : The aim of this study was to revision hip arthroplasties in ankylosing spondylitis. Materials and Methods: We performed 21 revision hip arthroplasty in 16 patients with ankylosing spondylitis (AS) using S-ROM modular femoral stem. At the final follow-up, all patients were able to ambulate without any walking aids. Results: The mean Harris hip score improved from 57.2 (35 to 74) pre-operatively to 90.2 points (73 to 100) post-operatively, and the outcome was classified as good or excellent in 17 hips (81%). Fixation of the femoral component was classified as stable with bone ingrowth in 15 hips (71.4%), stable with fibrous ingrowth in 2 hips (9.5%), and radiolucent loosening in 4 hips (19.1%). Five hips developed a pedestal at the tip of femoral component. Femoral osteolysis was found in 3 hips (14.2%): 3 hips in Gruen zones 1 and 7, one hip in zone 7, and two hips in zone 1. One hip underwent acetabular revision because of breakage of polyethylene liner, and the well-fixed femoral component was left in situ. Thigh pain developed in 1 patient (6.2%). Kaplan-Meier survival was 81% at 64 months, with radiographic loosening as an end-point when two hips were at risk. Conclusion: Satisfactory results of midterm clinical and radiographic follow-up can be achieved using S-ROM modular femoral stem for revision of femoral stem in ankylosing spondylitis.