Bilateral septal pacing in combination with coronary venous pacing for cardiac resynchronization therapy.

BACKGROUND: Conventional right ventricular pacing combined with coronary venous pacing (CVP) is a mainstay for cardiac resynchronization therapy (CRT). However, QRS duration of conventional CRT may be frequently more than 130 ms. This study aimed to evaluate the effectiveness of QRS narrowing by bilateral septal pacing (BSP) in combination with CVP for CRT (BSP-CRT). METHODS: Fourteen patients with QRS > 130 ms of conventional CRT after failure of physiological conduction system pacing were enrolled. Electrophysiologic characteristics were compared among different modes of CRT during procedure. BSP which was defined as capture of both sides of interventricular septum manifested as shortened R wave peak time without a right bundle branch block QRS pattern. RESULTS: BSP-CRT were successfully achieved in 85.7% (12/14) patients. QRS duration at baseline was 185 ± 13 ms and significantly narrowed to 156 ± 9 ms during conventional CRT (n = 14, P < .001), to 143 ± 7 ms during left ventricular septal pacing (LVSP) in combination with CVP for CRT (LVSP-CRT) (n = 9, P < .001), and further to 122 ± 10 ms during BSP-CRT (n = 12, P < .001). Notably, among 7 patients in whom both LVSP and BSP were achieved, BSP-CRT outperformed LVSP-CRT at QRS narrowing by 16% (P < .001). At 3-month follow-up, left ventricular ejection fraction improved from 29 ± 6% to 41 ± 8% (P < .001). CONCLUSIONS: BSP-CRT resulted in superior acute electrical synchronization to conventional CRT and might be considered as an alternative to conventional CRT with QRS more than 130 ms.

Effect of greenhouse gas emissions on the life cycle of biomass energy production and conversion under different straw recycling modes.

With the gradual growth of greenhouse gas (GHG) emissions during the agricultural cultivation cycle, GHG emissions specific to the production and conversion of biomass energy is becoming increasingly problematic. Current studies lack analysis of net GHG emissions generated during full life cycle of agricultural cultivation, straw use and bioenergy production. This study measures the global warming potential of biomass energy production and conversion processes under different agricultural cultivation cycle systems based on life cycle approach, accompanied by four straw treatment methods: fast pyrolysis, slow pyrolysis, flash pyrolysis and anaerobic fermentation. The demonstration of Heilongjiang Province showed that the net GHG emissions of rice and soybean over 52.39% and 101.57% higher than those of corn, respectively. The amount of standard coal saved by fast pyrolysis treatment, slow pyrolysis treatment and anaerobic fermentation treatment of straw was only 38.38%, 78.02% and 61.98% of that of flash pyrolysis treatment. The relationship between environmental pressure and economic growth was decoupled during 2011-2017 and coupled in 2017-2020. This study contributes to green production of biomass energy. The methodology in this paper can be used to account for and assess the carbon effect of the entire straw recycling chain in any region.

Polymerizable Surfactant Ligand for Stabilization and Film Formation of CsPbBr3 Nanocrystals.

Surfactant ligands are important in the synthesis of inorganic perovskite nanocrystals (NCs), not only for stabilizing NCs but also for surface defect passivation. A new polymerizable surfactant ligand with a multidentate l-cysteine head, a long oleoyl tail, and a polymerizable styrenyl group (NOSVC) is designed for the post-synthesis treatment and stabilization of colloidal CsPbBr3 NCs in this work. 1H nuclear magnetic resonance and X-ray photoelectron spectroscopy analysis show that the l-cysteine head has strong interactions with the NCs. The absolute photoluminescence quantum yields of the colloidal NCs are increased from 45.1% of the pristine NCs stabilized with oleic acid/oleyl amine to 91.8% after NOSVC treatment. NOSVC-stabilized CsPbBr3 colloidal NCs show enhanced stabilities when exposed in polar solvents. The NOSVC-stabilized CsPbBr3 NCs in a solid film state allow for a photopolymerization to be carried out with the assistance of a photoinitiator. The polymerized films of NOSVC-treated NCs exhibit significantly enhanced stability against thermal radiation, ultraviolet irradiation, and humidity. We also fabricated self-healing polymer films incorporating NOSVC-treated CsPbBr3 NCs as a green filter for a white light-emitting diode device. The green light-emitting films are very stable in humid environments, revealing the great application potential of NOSVC-treated CsPbBr3 NCs in flexible display and lighting devices.

Morphologies and dynamics of free surfaces of crystals composed of active particles.

Active matter exhibits various collective motions and nonequilibrium phases, such as crystals; however, their surface properties have been poorly explored. Here, we use Brownian dynamics simulations to investigate the surface morphology and dynamics of two-dimensional active crystals during and after growth. For crystal growth on a substrate, the position and roughness of the crystal surface reach steady states at different times. In the steady state, the surface exhibits superdiffusive behaviour at the short time, and the roughness is insensitive to the roughening process and particle activity. We observe two-stage and three-stage surface roughening at different Péclet numbers. The result of dynamic scaling analysis shows that the surface is similar to anomalous roughening, which is distinct from the normal roughening typically found in conventional passive systems. Capillary wave theory for a thermal equilibrium system can describe the active surface fluctuations only in the long-wavelength regime, indicating that active particles mainly drive the surface out of equilibrium locally. These similarities and differences between the active and passive crystal surfaces are essential for understanding active crystals and interfaces.

Neural basis of implicit cognitive reappraisal in panic disorder: an event-related fMRI study.

BACKGROUND: Panic disorder (PD) is thought to be related with deficits in emotion regulation, especially in cognitive reappraisal. According to the cognitive model, PD patients' intrinsic and unconscious misappraisal strategies are the cause of panic attacks. However, no studies have yet been performed to explore the underlying neuromechanism of cognitive reappraisal that occur on an unconscious level in PD patients. METHODS: Twenty-six patients with PD and 25 healthy controls (HC) performed a fully-verified event-block design emotional regulation task aimed at investigating responses of implicit cognitive reappraisal during an fMRI scan. Participants passively viewed negatively valanced pictures that were beforehand neutrally, positively, or adversely portrayed in the task. RESULTS: Whole-brain analysis of fMRI data showed that PD patients exhibited less activation in the right dorsolateral prefrontal cortex (dlPFC) and right dorsomedial prefrontal cortex (dmPFC) compared to HC, but presented greater activation in parietal cortex when negative pictures were preceded by positive/neutral vs negative descriptions. Simultaneously, interactive effects of Group × Condition were observed in the right amygdala across both groups. Furthermore, activation in dlPFC and dmPFC was is negatively correlated to severity of anxiety and panic in PD when negative images were preceded by non-negative vs negative descriptions. CONCLUSIONS: Emotional dysregulation in PD is likely the result of deficient activation in dlPFC and dmPFC during implicit cognitive reappraisal, in line with impaired automatic top-down regulation. Correlations between severity of anxiety and panic attack and activation of right dlPFC and dmPFC suggest that the failure to engage prefrontal region during implicit cognitive reappraisal might be associated wtih the severity of anxiety and panic; such functional patterns might be the target of possible treatments.

Morphologies and dynamics of the interfaces between active and passive phases.

Active matters exhibit interesting collective behaviors and novel phases, which provide an important platform for the study of nonequilibrium physics. Mixtures of active and passive particles have been intensively studied in motility-induced phase separation, but the morphology of the active-passive interface has been poorly explored. In this work, we investigate the interface morphology in two-dimensional mixtures of active and passive particles using Brownian dynamics simulations. By systematically changing the Péclet number (Pe) and area fraction (ρ), we obtain the phase diagram of the active-passive interface, including rough sharp, rough invasive and flat interdiffusive interfaces. For a sharp interface, dynamic scaling analysis in the propagation stage shows that the roughness exponent α, the growth exponent ß, the time exponent κ, and the dynamic exponent z satisfy z = α/(ß - κ). Such anomalous scaling indicates that the roughening behavior does not belong to the conventional universality classes with Family-Vicsek scaling for the growth of passive interfaces. On the other hand, the interface in the middle-wavelength regime during the morphology relaxation stage can be described by capillary wave theory. The mean interface position propagates with time as t1/2, which is robust at different ρ and Pe values in the propagation stage and exhibits superdiffusion in the morphology relaxation stage. These similarities and differences between the active-inactive interfaces and passive interfaces cast light on the interfacial growth of active matter.

A simple and practical criterion for determining a failed His-bundle pacing.

AIMS: To establish a simple criterion for determining a failed His-bundle pacing (HBP). This criterion states that if stimulus to QRS end interval is longer than His-bundle potential to QRS end interval ('S-QRSend > H-QRSend') then a failed HBP can be determined. METHODS AND RESULTS: We performed retrospective analysis on 737 pacing tests around His-bundle in 241 patients and prospective analysis on 400 tests in 123 patients. A successful HBP is defined as that whole His-bundle is captured with or without capture of adjacent ventricular myocardium, otherwise, a failed HBP was considered. The output criteria and effective refractory period criteria were used as the gold standards for determining a successful HBP. The gold standards are that if decreasing the pacing output or pacing cycle length to a certain level results in duration or morphology changes of QRS, then a successful HBP is ascertained. In retrospective analysis of patients with normal His-Purkinje conduction, a failed HBP was determined in 31% (154/492) of pacing tests according to 'S-QRSend > H-QRSend'; all of them were validated by the gold standards (specificity = 100%). In prospective study, a failed HBP was confirmed according to the simple criterion with 100% accuracy in 33% (79/241) pacing tests. This simple criterion was also suitable for patients with His-Purkinje conduction disease although cases with 'S-QRSend > H-QRSend' rarely occurred. CONCLUSION: A failed HBP can be easily and reliably determined solely by 'S-QRSend > H-QRSend' in more than 30% pacing tests.

[General Troubleshooting and Preventive Maintenance of the Digestive Electron Microscope System].

OBJECTIVE: Improve the integrity of the digestive electron microscope equipment and reduce the cost of equipment failure maintenance. METHODS: By studying the composition and function of the digestive electron microscope system and analyzing the causes of common faults, a targeted preventive maintenance plan is developed, equipment users are graded, and a training system is established. RESULTS: The user of the device can skillfully analyze the cause of the malfunction and timely deal with the sudden failure of the diagnosis and treatment, thereby reduce the risk of diagnosis and treatment and the investment in hospital maintenance. CONCLUSIONS: Through the analysis and processing of the digestive electron microscope system, point detection leakage, grading training, preventive maintenance can significantly improve the equipment integrity rate, reduce the risk of clinical diagnosis and treatment, effectively reduce the number of equipment failures, and reduce maintenance costs.

Collective cell migration has distinct directionality and speed dynamics.

When a constraint is removed, confluent cells migrate directionally into the available space. How the migration directionality and speed increase are initiated at the leading edge and propagate into neighboring cells are not well understood. Using a quantitative visualization technique-Particle Image Velocimetry (PIV)-we revealed that migration directionality and speed had strikingly different dynamics. Migration directionality increases as a wave propagating from the leading edge into the cell sheet, while the increase in cell migration speed is maintained only at the leading edge. The overall directionality steadily increases with time as cells migrate into the cell-free space, but migration speed remains largely the same. A particle-based compass (PBC) model suggests cellular interplay (which depends on cell-cell distance) and migration speed are sufficient to capture the dynamics of migration directionality revealed experimentally. Extracellular Ca2+ regulated both migration speed and directionality, but in a significantly different way, suggested by the correlation between directionality and speed only in some dynamic ranges. Our experimental and modeling results reveal distinct directionality and speed dynamics in collective migration, and these factors can be regulated by extracellular Ca2+ through cellular interplay. Quantitative visualization using PIV and our PBC model thus provide a powerful approach to dissect the mechanisms of collective cell migration.

When do you know what you know? The emergence of memory monitoring.

Recent research on comparative metacognition shows that animals, like humans, can differentiate between what they know and what they do not know. However, not much is known about the metacognitive behaviors of human children during their early years. To explore the emergence of memory-monitoring skills, two experiments were conducted using nonverbal tasks adapted from the work of Kornell, Son, and Terrace (2007) and Hampton (2001). Experiment 1 endeavored to determine when children began to show the ability to monitor their memories retrospectively. Experiment 2 aimed to reveal when young children knew what they knew by assessing their prospective monitoring. The results suggested that 4- to 5-year-olds had the ability to judge retrospectively their accuracy in a serial position task, whereas 3- to 4-year-olds did not. In contrast, 4.5- to 5-year-olds could discern items present in and absent from their memory before recognition, whereas 4- to 4.5-year-olds could not. In conclusion, 4-year-olds began to make accurate confidence judgments retrospectively, and children who are approximately 4.5years old began to demonstrate prospective memory-monitoring skills.

A High-Sensitivity Microfluidic Sensor Based on a Substrate Integrated Waveguide Re-Entrant Cavity for Complex Permittivity Measurement of Liquids.

In this study, a novel non-invasive and contactless microwave sensor using a square substrate integrated waveguide (SIW) re-entrant cavity is proposed for complex permittivity measurement of chemical solutions. The working principle of this sensor is based on cavity perturbation technique, in which the resonant properties of cavity are utilized as signatures to extract the dielectric information of liquid under test (LUT). A winding microfluidic channel is designed and embedded in the gap region of the cavity to obtain a strong interaction between the induced electric field and LUT, thus achieving a high sensitivity. Also, a mathematical predictive model which quantitatively associates the resonant properties of the sensor with the dielectric constant of LUT is developed through numerical analysis. Using this predictive model, quick and accurate extraction of the complex permittivity of LUT can be easily realized. The performance of this sensor is then experimentally validated by four pure chemicals (hexane, ethyl acetate, DMSO and water) together with a set of acetone/water mixtures in various concentrations. Experimental results demonstrate that the designed sensor is capable of characterizing the complex permittivities of various liquids with an accuracy of higher than 96.76% (compared with the theoretical values obtained by Debye relaxation equations), and it is also available for quantifying the concentration ratio of a given binary mixture.

[Discussion on the Monitoring of Medical Device Adverse Event].

Objective: Analyzing the status of medical device adverse events, the function of the clinical medical engineers in medical device adverse event monitoring was investigated. Methods: Through introducing the functions of the various departments in the medical device adverse event monitoring, the technical requirements and management responsibilities of clinical medical engineer and medical staff were defined. Results: Enhancing the function of clinical medical engineers in medical device adverse event monitoring,which is an effective measure to prevent medical device adverse events. Conclusion: Play the functions of clinical engineers in the medical device adverse event monitoring, which is significant to improve the using quality of medical devices and to ensure patient safety.

Left Ventricular Lead Placement Targeted at the Latest Activated Site Guided by Electrophysiological Mapping in Coronary Sinus Branches Improves Response to Cardiac Resynchronization Therapy.

INTRODUCTION: Electrophysiological mapping (EPM) in coronary sinus (CS) branches is feasible for guiding LV lead placement to the optimal, latest activated site at cardiac resynchronization therapy (CRT) procedures. However, whether this procedure optimizes the response to CRT has not been demonstrated. This study was to evaluate effects of targeting LV lead at the latest activated site guided by EPM during CRT. METHODS: Seventy-six consecutive patients with advanced heart failure who were referred for CRT were divided into mapping (MG) and control groups (CG). In MG, the LV lead, also used as a mapping bipolar electrode, was placed at the latest activated site determined by EPM in CS branches. In CG, conventional CRT procedure was performed. Patients were followed for 6 months after CRT. RESULTS: Baseline characteristics were comparable between the 2 groups. In MG (n = 29), EPM was successfully performed in 85 of 91 CS branches during CRT. A LV lead was successfully placed at the latest activated site guided by EPM in 27 (93.1%) patients. Compared with CG (n = 47), MG had a significantly higher rate (86.2% vs. 63.8%, P = 0.039) of response (>15% reduction in LV end-systolic volume) to CRT, a higher percentage of patients with clinical improvement of ≥2 NYHA functional classes (72.4% vs. 44.7%, P = 0.032), and a shorter QRS duration (P = 0.004). CONCLUSIONS: LV lead placed at the latest activated site guided by EPM resulted in a significantly greater CRT response, and a shorter QRS duration.

An individualized criterion for left bundle branch capture in patients with a narrow QRS complex.

BACKGROUND: Left bundle branch (LBB) pacing (LBBP) is a physiological pacing; however, the accuracy of current electrocardiographic criteria for LBBP remains inadequate. OBJECTIVE: The purpose of this study was to establish a novel individualized criterion to improve the accuracy of LBBP determination in patients with a narrow QRS complex. METHODS: Patients in whom both LBBP and left ventricular septal pacing (LVSP) were acquired during operation were enrolled. LBB conduction time (LBBCT) was measured from LBB potential (LBBpo) to intrinsic QRS onset. LBBpo-V6RWPT, Native-V6RWPT, and Paced-V6RWPT were respectively measured from LBBpo, intrinsic QRS onset, and stimulus to R-wave peak in V6. ΔV6RWPT was the difference value between Paced-V6RWPT and Native-V6RWPT. The accuracy of ΔV6RWPT criterion for determining LBBP was evaluated. RESULTS: In all 71 enrolled patients, ΔV6RWPT was <30 ms during LBBP (21.3 ± 4.6 ms; range 9.3-28.3 ms) but was >30 ms during LVSP (38.5 ± 4.6 ms; range 31.1-47.0 ms). The probability distribution of ΔV6RWPT was well separated between LBBP and LVSP. Sensitivity and specificity of the novel criterion of "ΔV6RWPT <30 ms" for determining LBBP both were 100%. However, the optimal cutoff value of Paced-V6RWPT for validation of LBBP was 64.2 ms, and sensitivity and specificity were 84.5% and 97.2%, respectively. Paced-V6RWPT during LBBP was equivalent to LBBpo-V6RWPT in all patients. There was a strong linear correlation between Native-V6RWPT and LBBpo-V6RWPT (r = 0.796; P <.001). CONCLUSION: ΔV6RWPT could be an accurate individualized criterion for determining LBB capture with high sensitivity and specificity and was superior over the fixed Paced-V6RWPT criterion.

The Interaction between SARS-CoV-2 Nucleocapsid Protein and UBC9 Inhibits MAVS Ubiquitination by Enhancing Its SUMOylation.

Severe COVID-19 patients exhibit impaired IFN-I response due to decreased IFN-ß production, allowing persistent viral load and exacerbated inflammation. While the SARS-CoV-2 nucleocapsid (N) protein has been implicated in inhibiting innate immunity by interfering with IFN-ß signaling, the specific underlying mechanism still needs further investigation for a comprehensive understanding. This study reveals that the SARS-CoV-2 N protein enhances interaction between the human SUMO-conjugating enzyme UBC9 and MAVS. Increased MAVS-UBC9 interaction leads to enhanced SUMOylation of MAVS, inhibiting its ubiquitination, resulting in the inhibition of phosphorylation events involving IKKα, TBK1, and IRF3, thus disrupting IFN-ß signaling. This study highlights the role of the N protein of SARS-CoV-2 in modulating the innate immune response by affecting the MAVS SUMOylation and ubiquitination processes, leading to inhibition of the IFN-ß signaling pathway. These findings shed light on the complex mechanisms utilized by SARS-CoV-2 to manipulate the host's antiviral defenses and provide potential insights for developing targeted therapeutic strategies against severe COVID-19.

Comparing the cost-benefit probability of management based on early-stage and late-stage economic thresholds with that of seed treatment of Aphis glycines.

BACKGROUND: The current integrated pest management (IPM) curative strategy for soybean aphid, Aphis glycines Matsumura (Hemiptera: Aphididae), relies on responsive spraying foliar insecticides during the R1-R5 soybean stage when aphid abundance reaches the economic threshold (ET) of 250 aphids plant-1 (traditional IPM). By analyzing the relationship between aphid abundance and yield loss before the R1 stage, we developed an early-stage ET. We propose to spray foliar insecticides on plants colonized with aphids using the early-stage ET as a trigger (improved IPM), together with seed treatment to manage A. glycines and delay them exceeding the ET of 250 aphids plant-1 in the late stage for whole-field spraying (traditional IPM). Finally, we compared the cost-benefit probabilities of the three management approaches. RESULTS: The early-stage ET over all potential yields, market prices, and control costs was 64 aphids plant-1 , providing growers 7 days of preparation time to spray foliar insecticides before the economic injury level of 187 aphids plant-1 was reached. Improved IPM achieved the highest cost-benefit probabilities followed by traditional IPM, and the seed treatment achieved the lowest. However, in fields where the pressure from white grubs was high, the probability of achieving a positive net return with seed treatment was higher than that in other locations. CONCLUSION: Improved IPM based on early-stage ET of 64 aphids plant-1 was the most cost-effective of all the three approaches. Neonicotinoid seed treatment can be applied as an insurance strategy to supplement A. glycines IPM in Liaoning, China. © 2022 Society of Chemical Industry.

Influencing Effects of Fabrication Errors on Performances of the Dielectric Metalens.

Despite continuous developments of manufacturing technology for micro-devices and nano-devices, fabrication errors still exist during the manufacturing process. To reduce manufacturing costs and save time, it is necessary to analyze the effects of fabrication errors on the performances of micro-/nano-devices, such as the dielectric metasurface-based metalens. Here, we mainly analyzed the influences of fabrication errors in dielectric metasurface-based metalens, including geometric size and shape of the unit element, on the focusing efficiency and the full width at half maximum (FWHM) values. Simulation results demonstrated that the performance of the metasurface was robust to fabrication errors within a certain range, which provides a theoretical guide for the concrete fabrication processes of dielectric metasurfaces.

Propagation dynamics of electrotactic motility in large epithelial cell sheets.

Directional migration initiated at the wound edge leads epithelia to migrate in wound healing. How such coherent migration is achieved is not well understood. Here, we used electric fields to induce robust migration of sheets of human keratinocytes and developed an in silico model to characterize initiation and propagation of epithelial collective migration. Electric fields initiate an increase in migration directionality and speed at the leading edge. The increases propagate across the epithelial sheets, resulting in directional migration of cell sheets as coherent units. Both the experimental and in silico models demonstrated vector-like integration of the electric and default directional cues at free edge in space and time. The resultant collective migration is consistent in experiments and modeling, both qualitatively and quantitatively. The keratinocyte model thus faithfully reflects key features of epithelial migration as a coherent tissue in vivo, e.g. that leading cells lead, and that epithelium maintains cell-cell junction.

Cultural constraints on brain development: evidence from a developmental study of visual word processing in mandarin chinese.

Developmental differences in phonological and orthographic processing in Chinese were examined in 9 year olds, 11 year olds, and adults using functional magnetic resonance imaging. Rhyming and spelling judgments were made to 2-character words presented sequentially in the visual modality. The spelling task showed greater activation than the rhyming task in right superior parietal lobule and right inferior temporal gyrus, and there were developmental increases across tasks bilaterally in these regions in addition to bilateral occipital cortex, suggesting increased involvement over age on visuo-orthographic analysis. The rhyming task showed greater activation than the spelling task in left superior temporal gyrus and there were developmental decreases across tasks in this region, suggesting reduced involvement over age on phonological representations. The rhyming and spelling tasks included words with conflicting orthographic and phonological information (i.e., rhyming words spelled differently or nonrhyming words spelled similarly) or nonconflicting information. There was a developmental increase in the difference between conflicting and nonconflicting words in left inferior parietal lobule, suggesting greater engagement of systems for mapping between orthographic and phonological representations. Finally, there were developmental increases across tasks in an anterior (Broadman area [BA] 45, 46) and posterior (BA 9) left inferior frontal gyrus, suggesting greater reliance on controlled retrieval and selection of posterior lexical representations.

Performance of single-stage partial nitritation and anammox reactor treating low-phenol/ammonia ratio wastewater and analysis of microbial community structure.

Phenol and ammonia are common pollutants in many industrial wastewaters. The partial nitritation and anammox process is a very promising technology for treating phenol-ammonia wastewater. This study was the first time to rapidly achieve the start-up and operation of the single-stage partial nitritation /anammox reactor treating phenol-ammonia wastewater. The optimized ratio of phenol and nitrogen (phenol/NH4 + -N=0.3) was set to start-up the reactor. After 60 days of operation, the total nitrogen and COD removal efficiencies were around 73.0% and 79.5%, respectively. The activity of ammonium-oxidizing bacteria was291.1 ± 3.0 mg NH4 + -N g-1 MLVSS d-1 and the specific anammox activity was 20.9 ± 1.0 mg NH4 + -N g-1 MLVSS d-1 . The results indicated that the anammox bacteria had adapted to phenol condition and remained stable activity after the 60 days' operation in the reactor. The sequence analysis of 16SrRNA showed that the microbial community structure evolved to a balanced distribution that the removals of phenol and ammonia could be achieved simultaneously. PRACTITIONER POINTS: Phenol/N ratio of 0.3 was set to start up the single-stage partial nitritation/anammox reactor. The single-stage partial nitritation /anammox reactor was rapidly started up when treating the phenol-ammonia wastewater. Total nitrogen removal rate and COD removal efficiencies could achieve to 73.0% and 79.5%, respectively. Microbial community structure evolved to stable distribution of which AOB, anammox bacteria, denitrification bacteria and heterotrophic nitrification bacteria coexisted.