Association of Molar Incisor Hypomineralization with Hypomineralized Second Primary Molars: An Updated Systematic Review with a Meta-Analysis and Trial Sequential Analysis.

INTRODUCTION: There is a correlation between molar incisor hypomineralization (MIH) and hypomineralized second primary molars (HSPM), but this relationship has not been definitively confirmed. The purpose of this systematic review and meta-analysis was to reevaluate whether children with HSPM are more affected by MIH than non-HSPM children. METHODS: A systematic search was conducted in four databases (PubMed, Embase, Web of Science, and the Cochrane Library) for literature, published up to December 2022. Two independent reviewers conducted the study search and screening, quality assessment, and data extraction according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The risk-of-bias assessment of all included cohort studies and case-control studies was assessed by the Newcastle-Ottawa Scale (NOS), and cross-sectional studies were assessed using the Agency for Healthcare Research Quality (AHRQ) scale. RevMan 5.4 software was used for all data analyses, with odds ratios (ORs) and 95% confidence intervals (CIs) as the effect measures. Sensitivity and subgroup analyses were conducted to identify the potential sources of heterogeneity among the studies. Publication bias was tested and corrected by funnel plots and Egger's test. Trial sequential analysis (TSA) was performed using TSA 0.9.5.10 Beta software to control for type-1 and type-2 errors. RESULTS: A total of 12 studies involving 8,944 children were included in this meta-analysis. Compared with the non-HSPM group, the HSPM group had an increased likelihood of MIH (OR = 10.90, 95% CI = 4.59-25.89, p < 0.05). All the included studies were of moderate-to-high quality. TSA and sensitivity analyses suggested the robustness of this outcome. CONCLUSION: This systematic review demonstrated a certain correlation between HSPM and MIH, suggesting that HSPM can play a predictive role in the occurrence of MIH. Further high-quality, multicenter, and large-sample longitudinal studies are highly recommended.

Pseudoamaolide P, a 1,2:3,4:9,10:9,19-tetraseco-cycloartane triterpene spiroketal lactone from seeds of Pseudolarix amabilis.

A 1,2:3,4:9,10:9,19-tetraseco-cycloartane triterpene spiroketal lactone, pseudoamaolide P (1), two new labdane-type diterpenoids, pseudoamains A and B (2-3), and four known cembrane-type diterpenoids (4-7) were isolated from the seeds of Pseudolarix amabilis. The structures of these compounds were elucidated by spectroscopic analyses, including HRESIMS, 1D-, and 2D-NMR. The anti-inflammatory activities of the compounds were evaluated by suppressing the transcription of the NF-κB-dependent reporter gene in LPS-induced 293 T/NF-κB-luc cells. All compounds do not show potent activity.

[Diterpenoid constituents in Pseudolarix amabilis and their antitumor activities in vitro].

By various chromatographic techniques and extensive spectroscopic methods, 17 abietane diterpenoids were isolated from the dichloromethane fraction of the 95% ethanol cold-soak extracts of the seeds of Pseudolarix amabilis, namely pseudoamaol A(1), 12α-hydroxyabietic acid(2), 12-methoxy-7,13-abietadien-18-oic acid(3), 13-hydroxy-8,11,13-podocarpatrien-18-oic acid(4), 15-hydroxy-7,13-abietadien-12-on-18-oic acid(5), 8(14)-podocarpen-13-on-18-oic acid(6), holophyllin K(7), metaglyptin B(8), 7α-hydroxydehydroabietinsaure-methylester(9), 7-oxodehydroabietic acid(10), 15-hydroxy-7-oxodehydroabietinsaure-methy-lester(11), 15-methoxydidehydroabietic acid(12), 7-oxo-15-hydroxy-dehydroabietic acid(13), 15-hydroxydehydroabietic acid(14), 8,11,13-abietatriene-15,18-diol(15), 8,11,13-abietatriene-15-hydroxy-18-succinic acid(16), and 7ß-hydroxydehydroabie-tic acid(17). Compound 1 was a new compound. The isolated compounds were evaluated for their antitumor activities(HepG2, SH-SY5Y, K562), and compounds 8 and 17 showed potential cytotoxic activity against K562 cells, with IC_(50) values of 26.77 and 37.35 µmol·L~(-1), respectively.

Pseudoamaolides A-O, anti-inflammatory triterpene spiroketal lactones from seeds of Pseudolarix amabilis.

Fifteen new triterpenoids (1-15), along with twenty known ones (16-35), were isolated from Pseudolarix amabilis. The triterpenoid structures include multiple skeleton types, such as 2,3-seco-cycloartane, 3,4-seco-cycloartane, 3,4:9,10-diseco-cycloartane, and 3,4:8,9:9,10-triseco-cycloartane, as elucidated by extensive spectroscopy (1D NMR, 2D NMR, HRESIMS, and IR) and single-crystal X-ray diffraction. The anti-inflammatory activities of compounds 1-35 were evaluated. Compounds 3, 11, 16, 24, 25, and 26 suppressed the transcription of the NF-κB-dependent reporter gene in LPS-induced 293T/NF-κB-Luc cells with IC50 values of 0.12, 0.10, 0.30, 0.09, 0.49, and 0.35 µM, respectively. In addition, compound 16 showed anti-inflammatory activity against xylene-induced ear swelling in vivo with an inhibition rate of 44.7 % (30 mg/kg). Compound 16 significantly improved the disease activity index (DAI) of ulcerative colitis at a dose of 400 mg/kg in a dextran sodium sulfate (DSS)-induced mouse model of experimental ulcerative colitis (P < 0.01).

Two new diterpenoids from the stems of Rhododendron dauricum as GABAA receptor agonists.

Two new diterpenoids, dauricumins A (1) and B (2), together with two known aromatic meroterpenoids (3 and 4), were isolated from the petroleum ether soluble fraction of the stems from Rhododendron dauricum through an HPLC-MS-SPE-NMR combination strategy. The absolute configurations of 1 and 2 were elucidated by ECD calculations and [Rh2 (OCOCF3)4]-induced CD spectrum analysis. In a membrane potential FLIPR assay, confluentin (4) showed an agonistic effect on GABAA receptor (EC50 = 20 µM).

A bacterial F-box effector suppresses SAR immunity through mediating the proteasomal degradation of OsTrxh2 in rice.

Plant bacterial pathogens usually cause diseases by secreting and translocating numerous virulence effectors into host cells and suppressing various host immunity pathways. It has been demonstrated that the extensive ubiquitin systems of host cells are frequently interfered with or hijacked by numerous pathogenic bacteria, through various strategies. Some type-III secretion system (T3SS) effectors of plant pathogens have been demonstrated to impersonate the F-box protein (FBP) component of the SKP1/CUL1/F-box (SCF) E3 ubiquitin system for their own benefit. Although numerous putative eukaryotic-like F-box effectors have been screened for different bacterial pathogens by bioinformatics analyses, the targets of most F-box effectors in host immune systems remain unknown. Here, we show that XopI, a putative F-box effector of African Xoo (Xanthomonas oryzae pv. oryzae) strain BAI3, strongly inhibits the host's OsNPR1-dependent resistance to Xoo. The xopI knockout mutant displays lower virulence in Oryza sativa (rice) than BAI3. Mechanistically, we identify a thioredoxin protein, OsTrxh2, as an XopI-interacting protein in rice. Although OsTrxh2 positively regulates rice immunity by catalyzing the dissociation of OsNPR1 into monomers in rice, the XopI effector serves as an F-box adapter to form an OSK1-XopI-OsTrxh2 interaction complex, and further disrupts OsNPR1-mediated resistance through proteasomal degradation of OsTrxh2. Our results indicate that XopI targets OsTrxh2 and further represses OsNPR1-dependent signaling, thereby subverting systemic acquired resistance (SAR) immunity in rice.

Assessment on the cumulative effect of pollutants and the evolution of micro-ecosystems in bioretention systems with different media.

Bioretention system is one of the most used green stormwater infrastructures (GSI), and its media is a key factor in reducing runoff water volume and purifying water quality. Many studies have investigated media improvement to enhance the pollutant removal capacity. However, the long-term cumulative effect and microbial effect of pollutants in the modified-media bioretention system is less known. This study investigated the cumulative effect of pollutants and their influence on microbial characteristics in conventional and modified media bioretention system. The addition of modifiers increased the background content of pollutants in the media, and the accumulation of pollutants in planting soil (PS) and bioretention soil mixing + water treatment residuals (BSM+WTR) was relatively higher after the simulated rainfall experiment. The accumulation of pollutants led to a decrease in dehydrogenase activity, and an increase in urease and invertase activities. Ten dominant bacterial species at the phylum level were found in all bioretention systems. The relative abundances of the bacteria with good viability under low nutritional conditions decreased, while the species which could live in the pollutant-rich environment increased. The accumulation of pollutants in the bioretention system led to the extinction of some functional microorganisms. The better the effects of modified media on pollutant removal showed, the more obvious effect on the media micro-ecosystem was. To ensure the long-term efficient and stable operation of the modified-media bioretention system, we recommend balancing the pollutant removal efficiency and cumulative effect in modified-media bioretention systems.

Acetylharpagide Protects Mice from Staphylococcus Aureus-Induced Acute Lung Injury by Inhibiting NF-κB Signaling Pathway.

Staphylococcus aureus (S. aureus)-induced acute lung injury (ALI) is a serious disease that has a high risk of death among infants and teenagers. Acetylharpagide, a natural compound of Ajuga decumbens Thunb. (family Labiatae), has been found to have anti-tumor, anti-inflammatory and anti-viral effects. This study investigates the therapeutic effects of acetylharpagide on S. aureus-induced ALI in mice. Here, we found that acetylharpagide alleviated S. aureus-induced lung pathological morphology damage, protected the pulmonary blood-gas barrier and improved the survival of S. aureus-infected mice. Furthermore, S. aureus-induced myeloperoxidase (MPO) activity of lung homogenate and pro-inflammatory factors in bronchoalveolar lavage (BAL) fluid were suppressed by acetylharpagide. Mechanically, acetylharpagide inhibited the interaction between polyubiquitinated receptor interacting protein 1 (RIP1) and NF-κB essential modulator (NEMO), thereby suppressing NF-κB activity. In summary, these results show that acetylharpagide protects mice from S. aureus-induced ALI by suppressing the NF-κB signaling pathway. Acetylharpagide is expected to become a potential treatment for S. aureus-induced ALI.

A new ascorbic acid derivative and two new terpenoids from the leaves and twigs of Rhododendron decorum.

The phytochemical study of the ethanol extract of the leaves and twigs of Rhododendron decorum afforded a new ascorbic acid derivative (1), a new ionone analogue (2), a new ursane-type triterpenoid glucoside (3), and four known compounds (4-7). The structures were elucidated by spectroscopic analyses, including HRESIMS, 1D, and 2D NMR. The anti-neuroinflammatory activities of the compounds were evaluated by measuring inhibitory effects of LPS-induced NO production in BV2 cells.

Antinociceptive Diterpenoids from the Leaves and Twigs of Rhododendron decorum.

Three new leucothane-type (1-3), two new micrathane-type (4, 5), eight new grayanane-type diterpenoids (6-13), and four known compounds were obtained from the ethanol extract of the leaves and twigs of Rhododendron decorum. The structures were determined based on NMR spectra, quantum chemical calculations, and X-ray crystallography. The antinociceptive activities of compounds 1, 3, 4, 6, 8, 10-13, and 15-17 were evaluated via the acetic acid-induced writhing test. Compounds 1, 8, 11-13, and 15 exhibited significant antinociceptive activities. In particular, 12 and 15 were found to be effective at doses of 0.8 and 0.08 mg/kg, respectively.

Status and prospects of percutaneous vertebroplasty combined with ¹²5I seed implantation for the treatment of spinal metastases.

Metastatic spinal tumours are the most common type of bone metastasis. Various methods have been used to treat metastatic spinal lesions, including radiotherapy, chemotherapy, isotope therapy, bisphosphonate therapy, analgesics, and surgery. Conservative treatments such as radiotherapy and chemotherapy are not appropriate and usually are ineffective in patients with vertebral fractures and/or spinal instability. Minimally invasive surgical treatments using non-vascular interventional technology, such as percutaneous vertebroplasty (PVP), have been successfully performed in the clinical setting. PVP is a non-invasive procedure that creates small wounds and is usually associated with only minor complications. In the present study, we will review the clinical status and prospects for the use PVP combined with (125)I seed implantation (PVPI) to treat spinal metastases. The scientific evidence for this treatment, including safety, efficacy, and outcome measures, as well as comparisons with other therapies, was analysed in detail. PVPI effectively alleviates pain in metastatic spinal tumour patients, and the use of interstitial (125)I seed implants can enhance the clinical outcomes. In conclusion, PVPI is a safe, reliable, effective, and minimally invasive treatment. The techniques of PVP and (125)I seed implantation complement each other and strengthen the treatment's effect, presenting a new alternative treatment for spinal metastases with potentially wide application.

Minimal access versus open spinal surgery in treating painful spine metastasis: a systematic review.

STUDY DESIGN: The study design of this paper is a systematic review of literature published in the recent 10 years. OBJECTIVE: It is the objective of this paper to compare the clinical efficacy and safety of minimal access (MIS) spinal surgery and open spinal surgery for treating painful spine metastasis. METHODS: Two research questions below were determined through a consensus among a panel of spine experts. A systematic review of literature on spinal surgery was conducted by searching PubMed with a combination of keywords including "metastatic", "metastasis", "metastases", "spinal", and "spine". Independent reviewers selected the articles for analysis after screening the titles, abstracts, and full texts, then extracted data and graded the quality of each paper according to the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria. Specific clinical questions were as follows: 1. In patients with spine metastatic disease, what is the impact of different surgical approaches (MIS versus open) on pain relief and functional outcome? 2. In patients with metastatic disease, what is the impact of different surgical approaches (MIS versus open) on local recurrence, survive rate, and complication? RESULTS: A total of 1,076 abstracts were identified using various keywords. 5 prospective (level II) and 12 retrospective articles (level III) were eligible for inclusion, involving a total of 979 cases of spine metastasis. There were 345 cases in 8 studies regarding the clinical evaluation of MIS spinal surgery and 634 cases in 9 studies regarding the clinical evaluation of open spinal surgery for spine metastasis. CONCLUSION: Both open spinal surgery and MIS seem to achieve the improvement of pain and neurological dysfunction through decompression and stabilization for patients with spine metastasis, but open surgery may involve more major complications with a trend of lower survival rates and higher recurrence rates compared to MIS.

Pollutant accumulation and microbial community evolution in rain gardens with different drainage types at field scale.

Rain gardens play a key role in urban non-point source pollution control. The drainage type affects the infiltration processes of runoff pollutants. The soil properties and microbial community structures were studied to reveal the stability of the ecosystem in rain gardens with different drainage types under long-term operation. The results showed that the soil water content and total organic carbon in the drained rain gardens were always higher than that of the infiltrated ones. With the increase in running time, the contents of heavy metals in rain gardens showed significant accumulation phenomena, especially the contents of Zn and Pb in drained rain gardens were higher than that in infiltrated ones. The accumulation of pollutants resulted in lower microbial diversity in drained rain gardens than in infiltrated rain gardens, but the microbial community structures were the same in all rain gardens. The effects of drainage type on microbial community evolution were not significant, only the accumulation of heavy metals led to changes in the abundance of dominant microorganisms. There were differences in the soil environment of rain gardens with different drainage types. The long-term operation of rain gardens led to fluctuations in the soil ecosystem, while the internal micro-ecosystems of the drained rain gardens were in unstable states.

Deep Encrypted Traffic Detection: An Anomaly Detection Framework for Encryption Traffic Based on Parallel Automatic Feature Extraction.

With an increasing number of network attacks using encrypted communication, the anomaly detection of encryption traffic is of great importance to ensure reliable network operation. However, the existing feature extraction methods for encrypted traffic anomaly detection have difficulties in extracting features, resulting in their low efficiency. In this paper, we propose a framework of encrypted traffic anomaly detection based on parallel automatic feature extraction, called deep encrypted traffic detection (DETD). The proposed DETD uses a parallel small-scale multilayer stack autoencoder to extract local traffic features from encrypted traffic and then adopts an L1 regularization-based feature selection algorithm to select the most representative feature set for the final encrypted traffic anomaly detection task. The experimental results show that DETD has promising robustness in feature extraction, i.e., the feature extraction efficiency of DETD is 66% higher than that of the conventional stacked autoencoder, and the anomaly detection performance is as high as 99.998%, and thus DETD outperforms the deep full-range framework and other neural network anomaly detection algorithms.

Connotation, status, and governance of land ecological security in China's new urbanization: recent advances and future prospects.

The rapid development of China's new urbanization has created favorable conditions for economic growth and social development. Urbanization includes population urbanization and land urbanization, among which land urbanization leads to land ecological security problems. At present, there is a lack of comprehensive understanding of land ecological security in China's new urbanization construction. This paper aims to fill the gap by systematically combing relevant literature on the connotation, status, and governance of land ecological security in China's new urbanization. Literature review shows that China's land ecological security is still at a low level, and the new urbanization construction has significant impacts on land ecological security. Land contamination is the most critical factor threatening land ecological security, and there are differences in the levels of land contamination and types of pollutants in different new urbanization construction forms. According to an example of land ecological security governance with enterprises as the main body and multiple subjects cooperating, the governance of land ecological security needs to integrate a variety of different subjects to coordinate governance. Future research directions should focus on the construction of land ecological security assessment index system, development of land contamination multi-level control technology, and construction of multi-subject collaborative governance model with "government-enterprise-social organization-residents."

Characteristics of nitrogen distribution and its response to microecosystem changes in green infrastructure with different woody plants.

With the acceleration of urbanization, N pollution in rainfall runoff has become the primary cause of eutrophication. In order to control N pollution in rainfall runoff, green infrastructure (GI) has been widely implemented. However, little is known about the process through which plants, especially woody plants, affect N distribution and the microecosystem in GI. Limited information suggests that woody plants mainly affect N distribution and alter the microecosystem through the influence of their roots. Therefore, laboratory tests were conducted to investigate the roles of the taproot plant Sophora japonica and the fibrous root plant Malus baccata and the resultant changes at the microecosystem level regarding N removal in a column-scale GI. After one year of growth, analysis of the morphological traits of the roots revealed that the average root length and diameter of S. japonica were approximately 2.3 and 1.8 times greater than those of M. baccata, respectively. An investigation of microbial diversity revealed that in comparison to the control GI system without plants, the GI systems with S. japonica and M. baccata hosted 45.68% and 59.88% more Actinobacteria, respectively. Further, the soil urease (S-UE) activities in the GI systems with S. japonica and M. baccata were 13.6% and 98.8% higher than that in the control, respectively, and the soil acid protease (S-ALPT) activities were 20.5% and 25.4% higher than that in the control, respectively. Compared to the control and the S. japonica GI system, the NH3-N content in the soil of the M. baccata GI was 94.4% and 15.2% lower, respectively, and the NO3-N content was 57.3% and 12.7% lower, respectively. The M. baccata GI system had the lowest NH3-N and NO3-N contents because it was most abundant in Actinobacteria and Arthrobacter and had the highest S-UE and S-ALPT activities. The results may be useful for improving N removal in GI containing different woody plants, and by extension for improving control of N pollution from rainfall runoff.

Study on machine learning of molar incisor hypomineralization in an endemic fluorosis region in central China.

Objectives: The aim of the present study was to develop a machine learning model to predict the risk of molar incisor hypomineralization (MIH) and to identify factors associated with MIH in an endemic fluorosis region in central China. Methods: A cross-sectional study was conducted with 1,568 schoolchildren from selected regions. The clinical examination included an investigation of MIH based on the European Academy of Paediatric Dentistry (EAPD) criteria. In this study, supervised machine learning (e.g., logistic regression) and correlation analysis (e.g., Spearman correlation analysis) were used for classification and prediction. Results: The overall prevalence of MIH was 13.7%. The nomograph showed that non-dental fluorosis (DF) had a considerable influence on the early occurrence of MIH and that this influence became weaker as DF severity increased. We examined the association between MIH and DF and found that DF had a protective correlation with MIH; the protective effect became stronger as DF severity increased. Furthermore, children with defective enamel were more likely to experience caries, and dental caries were positively correlated with MIH (OR = 1.843; 95% CI: 1.260-2.694). However, gender, oral hygiene, and exposure to poor-quality shallow underground water did not increase the likelihood of developing MIH. Conclusions: DF should be considered a protective factor within the multifactorial etiology of MIH.

Medication Adherence in People with Asthma: A Qualitative Systematic Review of Patient and Health Professional Perspectives.

Background: Increased medication adherence leads to better asthma control and health outcomes. However, many studies have found that patient adherence to maintenance medication is poor. Aim: We undertook a meta-synthesis of qualitative studies, to investigate asthma patient and healthcare professionals' perspectives of medication adherence. Methods: This systematic review was reported by following the PRISMA guidelines. The Joanna Briggs Institute (JBI) meta-aggregative approach was used for the qualitative synthesis. The protocol was registered in PROSPERO (CRD42022346831). Results: In total, 12 articles were included in the review. These articles reported findings from 433 participants in total, which included 315 patients and 118 healthcare professionals. Four synthesised findings with sub-themes were identified from the reviewed studies. These synthesised findings were described as: 1) The role of relationship and communication with/between Healthcare Professionals in medication adherence; 2) Insufficient information from Healthcare Professionals acting as a barrier for adherence; 3) How patient's attitude/beliefs effect their adherence to medication; and 4) Patients' personal behaviour and other relevant barriers. Conclusion: The synthesized findings provide a strong evidence-base of patient and health professionals' perspectives and behaviours toward medication adherence, which helps to identify and address non-adherence. Healthcare providers can use these findings to support patients' adherence to asthma medications. The findings suggest that empowering people to make informed decisions around medication adherence rather than "adherence controlling" by health professionals is very important. Effective dialogue and appropriate education are critical approaches to increase medication adherence.

Effects of biochar-based materials on nickel adsorption and bioavailability in soil.

The potential for toxic elements to contaminate soil has been extensively studied. Therefore, the development of cost-effective methods and materials to prevent toxic element residues in the soil from entering the food chain is of great significance. Industrial and agricultural wastes such as wood vinegar (WV), sodium humate (NaHA) and biochar (BC) were used as raw materials in this study. HA was obtained by acidizing NaHA with WV and then loaded onto BC, which successfully prepared a highly efficient modification agent for nickel-contaminated soil, namely biochar-humic acid material (BC-HA). The characteristics and parameters of BC-HA were obtained by FTIR, SEM, EDS, BET and XPS. The chemisorption of Ni(II) ions by BC-HA conforms to the quasi-second-order kinetic model. Ni(II) ions are distributed on the heterogeneous surface of BC-HA by multimolecular layer adsorption, which accords with the Freundlich isotherm model. WV promotes better binding of HA and BC by introducing more active sites, thus increasing the adsorption capacity of Ni(II) ions on BC-HA. Ni(II) ions in soil are anchored to BC-HA by physical and chemical adsorption, electrostatic interaction, ion exchange and synergy.

A qualitative study exploring nursing students' perspectives on and attitudes towards hospice care in China.

BACKGROUND: With the fast growth of the older population and the increasing rates of chronic illnesses, the demand for hospice care is increasing at a rapid pace. This is bringing great challenges to the healthcare system in China. Given that nursing students will be the main healthcare workforce in the future, and as such, have responsibilities to prepare for these challenges. Therefore, understanding nursing students' perspectives and attitudes towards hospice care in China is important to promote the development of hospice care services. OBJECTIVES: To explore the perspectives and attitudes of Chinese nursing students towards hospice care. METHOD: The descriptive phenomenology of a qualitative approach was used for the study. Data were collected through semi-structured individual interviews from 11 nursing students in China between April and June 2021. Data were analysed using Colaizzi's seven-step approach. FINDINGS: Three main themes were identified: (1) Lack of knowledge and skills; (2) lack of clinical experience; and (3) needs for service improvement. These findings indicated the problems of hospice care education and hospice care services in China. CONCLUSION: The nursing students in this study lacked theoretical knowledge and the practical skills of hospice care. This suggests that medical educational institutions and the government should take action to increase hospice care training for nursing students, in order to increase the capacity and availability of hospice care services. It also informs policy-makers, health professionals, and health educators about the further need for the development of hospice care services in China.