No relevant studies have yet been conducted to explore which measurement can best predict the survival time of patients with cancer cachexia. This study aimed to identify an anthropometric measurement that could predict the 1-year survival of patients with cancer cachexia. We conducted a nested case–control study using data from a multicentre clinical investigation of cancer from 2013 to 2020. Cachexia was defined using the Fearon criteria. A total of 262 patients who survived less than 1 year and 262 patients who survived more than 1 year were included in this study. Six candidate variables were selected based on clinical experience and previous studies. Five variables, BMI, mid-arm circumference, mid-arm muscle circumference, calf circumference and triceps skin fold (TSF), were selected for inclusion in the multivariable model. In the conditional logistic regression analysis, TSF (P = 0·014) was identified as a significant independent protective factor. A similar result was observed in all patients with cancer cachexia (n 3084). In addition, a significantly stronger positive association between TSF and the 1-year survival of patients with cancer cachexia was observed in participants aged > 65 years (OR: 0·94; 95 % CI 0·89, 0·99) than in those aged ≤ 65 years (OR: 0·96; 95 % CI 0·93, 0·99; Pinteraction = 0·013) and in participants with no chronic disease (OR: 0·92; 95 % CI 0·87, 0·97) than in those with chronic disease (OR: 0·97; 95 % CI 0·94, 1·00; Pinteraction = 0·049). According to this study, TSF might be a good anthropometric measurement for predicting 1-year survival in patients with cancer cachexia.

Drug-induced liver injury (DILI) is a common adverse drug reaction leading to the interruption of tuberculosis (TB) therapy. We aimed to identify whether the hepatitis B virus (HBV) infection would increase the risk of DILI during first-line TB treatment. A meta-analysis of cohort studies searched in PubMed, Web of Science and China National Knowledge Infrastructure was conducted. Effect sizes were reported as risk ratios (RRs) and 95% confidence intervals (CIs) and calculated by R software. Sixteen studies with 3960 TB patients were eligible for analysis. The risk of DILI appeared to be higher in TB patients co-infected with HBV (RR 2.66; 95% CI 2.13–3.32) than those without HBV infection. Moreover, patients with positive hepatitis B e antigen (HBeAg) were more likely to develop DILI (RR 3.42; 95% CI 1.95–5.98) compared to those with negative HBeAg (RR 2.30; 95% CI 1.66–3.18). Co-infection with HBV was not associated with a higher rate of anti-TB DILI in latent TB patients (RR 4.48; 95% CI 0.80–24.99). The effect of HBV infection on aggravating anti-TB DILI was independent of study participants, whether they were newly diagnosed with TB or not. Besides, TB and HBV co-infection patients had a longer duration of recovery from DILI compared to non-co-infected patients (SMD 2.26; 95% CI 1.87–2.66). To conclude, the results demonstrate that HBV infection would increase the risk of DILI during TB therapy, especially in patients with positive HBeAg, and close liver function monitoring is needed for TB and HBV co-infection patients.

The chemical and mineralogical compositions, the pore-diameter distribution, and the X-ray diffraction, scanning electron microscopy, thermogravimetric analysis and infrared spectroscopy of kaolin from Suzhou, China, and the physicochemical and catalytic properties of a catalyst prepared from that kaolin, are presented in this paper. Crystallized microspheres (CMR) containing ~30% NaY zeolite can be prepared from the Suzhou kaolin. The catalyst produced performs better than a standard commercial catalyst in terms of activity, attrition resistance, resistance to passivation by Ni and V and better gasoline and coke selectivity.

Objectives: Sleep quality affects memory and executive function in older adults, but little is known about its effects in midlife. If it affects cognition in midlife, it may be a modifiable factor for later-life functioning. Methods: We examined the association between sleep quality and cognition in 1220 middle-aged male twins (age 51–60 years) from the Vietnam Era Twin Study of Aging. We interviewed participants with the Pittsburgh Sleep Quality Index and tested them for episodic memory as well as executive functions of inhibitory and interference control, updating in working memory, and set shifting. Interference control was assessed during episodic memory, inhibitory control during working memory, and non-memory conditions and set shifting during working memory and non-memory conditions. Results: After adjusting for covariates and correcting for multiple comparisons, sleep quality was positively associated with updating in working memory, set shifting in the context of working memory, and better visual-spatial (but not verbal) episodic memory, and at trend level, with interference control in the context of episodic memory. Conclusions: Sleep quality was associated with visual-spatial recall and possible resistance to proactive/retroactive interference. It was also associated with updating in working memory and with set shifting, but only when working memory demands were relatively high. Thus, effects of sleep quality on midlife cognition appear to be at the intersection of executive function and memory processes. Subtle deficits in these age-susceptible cognitive functions may indicate increased risk for decline in cognitive abilities later in life that might be reduced by improved midlife sleep quality. (JINS, 2018, 24, 67–76)

The Wuhan Pre/Post-Natal Twin Birth Registry (WPTBR) is one of the largest twin birth registries with comprehensive medical information in China. It recruits women from the first trimester of pregnancy and their twins from birth. From January 2006 to May 2016, the total number of twins enrolled in WPTBR is 13,869 twin pairs (27,553 individuals). The WPTBR initiated the Wuhan Twin Birth Cohort (WTBC). The WTBC is a prospective cohort study carried out through incorporation of three samples. The first one comprises 6,920 twin pairs, and the second one, 6,949 twin pairs. Both are population-based samples linked to the WPTBR and include pre- and post-natal information from WPTBR. The second sample includes neonatal blood spots as well. Using a hospital-based approach, we recently developed a third sample with a target enrolment of 1,000 twin pairs and their mothers. These twins are invited, via their parents, to participate in a periodic health examination from the first trimester of pregnancy to 18 years. Biological samples are collected initially from the mother, including blood, urine, cord blood, cord, amniotic fluid, placenta, breast milk and meconium, and vaginal secretions, and later from the twins, including meconium, stool, urine, and blood. This article describes the design, recruitment, follow-up, data collection, and measures, as well as ongoing and planned analyses at the WTBC. The WTBC offers a unique opportunity to follow women from prenatal to postnatal, as well as follow-up of their twins. This cohort study will expand the understanding of genetic and environmental influences on pregnancy and twins’ development in China.

The molecular basis of resistance to tribenuron-methyl, an acetolactate synthase (ALS)–inhibiting herbicide was investigated in four resistant (R) and three susceptible (S) flixweed populations. The resistance level in the R populations was assessed in whole-plant pot experiments in a greenhouse, and resistance indices ranged from 723 to 1422. The ALS genes of the three S populations and four R populations were cloned and sequenced, and the full coding sequence of the ALS gene of flixweed was 2,004 bp. The sequences of the ALS genes of the three S populations collected from Shaanxi, Gansu, and Tianjin were identical. Comparison of the ALS gene sequences of the S and R populations with Arabidopsis revealed that proline at position 197 of the ALS gene was substituted by leucine in R population SSX-2, by alanine in R population SSX-3, and by serine in R populations TJ-2 and GS-2. In another study of two R flixweed populations from Hebei and Shaanxi, resistance was also related to mutation at position 197 of the ALS gene. Both studies confirmed tribenuron-methyl resistance in flixweed in China, with the resistance mechanism being conferred by specific ALS point mutations at amino acid position 197.

Reports arose from major Chinese wheat production regions that flixweed was not controlled by tribenuron after the herbicide was continuously used for several years. Flixweed seeds were collected from wheat fields that had been treated with tribenuron repeatedly over 3 to 15 yr or from road sides and remote hills that had never received tribenuron in Jiangsu, Hebei, Shanxi, Sichuan, Shandong, Shaanxi, and Henan provinces, and Tianjin and Beijing metropolises in China. The response of various biotypes to tribenuron was determined by whole plant experiments in the greenhouse. The experiments demonstrated that 11 of 32 flixweed biotypes were susceptible to tribenuron. The remaining 21 biotypes expressed moderate to high levels of tribenuron resistance with resistance indices ranging from 4 to > 1,500. DNA sequence analysis of acetolactate synthase (ALS) genes of selected biotypes 6, 7, 27, and 29 revealed a point mutation at position 197 of the ALS gene, as numbered relative to the protein sequence of Arabidopsis, where proline was substituted by leucine in biotype 7 and by threonine in biotype 29. These mutations are known to confer resistance to ALS-inhibiting herbicides and are responsible for the high resistance of these biotypes to tribenuron. The results also indicate that tribenuron resistance in flixweed is widespread in China and management programs to control these resistant populations are warranted.

Right pulmonary artery–left atrial fistula is a rare congenitalcardiac anomaly, and only a few articles published so far have reported the diagnosis and treatment of right pulmonary artery–left atrial fistula. In this study, we report three cases of successful transcatheter closure or surgical repair of right pulmonary artery–left atrial fistula.

The late Palaeoproterozoic to early Mesoproterozoic igneous rocks of southwestern China are characterized by a number of mafic intrusions and dykes. However, the origin and tectonic implications of these mafic intrusions and dykes remain unclear. The Hekou mafic intrusion, intruding into the Hekou Group in the Hekou area, SW China, is the biggest and most representative one. The intrusion is mainly composed of coarse-grained in the central zone (CZ) and medium- to fine-grained gabbroic rocks in the outer zone (OZ). Cameca secondary ion mass spectroscopy (SIMS) U–Pb zircon ages, and geochemical and Nd isotopic results for the intrusion are reported in this paper. SIMS U–Pb zircon ages indicate that the gabbroic rocks from the CZ and OZ were emplaced at 1735±6.5 Ma and 1736±4.0 Ma, respectively. This suggests that the Hekou intrusion originated from c. 1.7 Ga mafic magmatism in the southwestern Yangtze Block. The coarse-grained rocks in the CZ of the intrusion show fairly homogeneous major- and trace-element compositions. In contrast, the medium- to fine-grained rocks from the OZ display slightly evolved compositions, with relatively lower Mg nos, MgO, Al2O3, Cr and Ni contents, and higher SiO2, CaO and Zr concentrations than those of the rocks from the CZ. Although the gabbroic rocks of the intrusion have low total rare earth element (REE) contents (REE = 29.3–40.2 ppm) with slightly light REE (LREE)-enriched and heavy REE (HREE)-depleted patterns, they exhibit distinct trace-element and Nd isotopic features. The rocks from the CZ are characterized by slightly LREE-enriched and ‘convex upwards’ incompatible trace-element patterns with significant Th depletion and insignificant Nb and Ta depletion relative to La. However, the rocks from the OZ have relatively flatter REE patterns than those of the rocks from the CZ. In addition, the rocks from the OZ are slightly enriched in Th and depleted in Nb and Ta relative to La. The εNd(T) values of the CZ and the OZ rocks are +0.70 to +2.3 and −0.30 to +0.24, respectively. The parental magma for the Hekou gabbroic intrusion exhibits affinity with a subalkaline basaltic magma, which was possibly generated by relatively high degrees of partial melting of a slightly depleted asthenospheric mantle source. Their geochemical and isotopic variations were due to slight crystal fractionation with varying degrees of crustal contamination. The Hekou intrusion was therefore supposed to form in an anorogenic extensional environment. It is further suggested that c. 1.7 Ga is an important onset timing of widespread anorogenic magmatism in the southwestern Yangtze Block. We interpret the late Palaeoproterozoic gabbroic intrusion to represent anorogenic mafic magmatism, which was most likely related to the break-up of the Columbia supercontinent.

In this study, the effects of Sm on the microstructure and corrosion resistance of hot-extruded AZ61 magnesium alloys were investigated by optical microscopy, scanning electron microscopy, and transmission electron microscopy. The results showed that uniformly dispersed Al2Sm particles with size of ∼2 μm were discovered in the hot-extruded AZ61 magnesium alloy sample modified with 1.0 wt% Sm, which promoted dynamic recrystallization grain growth during the hot-extruded process, gradually increasing the grain of the alloy as Sm content increased. The morphology of the corroded surface and the corrosion rate of the hot-extruded AZ61 magnesium alloy both were significantly improved after Sm addition. The alloy sample modified with 2.0 wt% Sm after immersion in 3.5 wt% NaCl solution for 12 h showed minimum corrosion rate value, 3.1 mg/cm2 day, which is only 3.7% of the corrosion rate of unmodified alloy (82 mg/cm2 day).

Tributyltin, an organotin, is ubiquitous in estuaries and freshwater systems. Previous reports suggest that tributyltin is an endocrine disruptor in many wildlife species and it inhibits aromatase in mammalian placental and granulosa-like tumor cell lines. However, no evidence showing the effects of tributyltin on oocytes or preimplantation embryonic developmental competence exists. Therefore, we investigated the role of tributyltin chloride (TBTCl) in the development of female oocytes and preimplantation embryos. Briefly, female ICR mice were gavaged with 0 (vehicle), 4, and 8 mg/kg of TBTCl each day for 18 days. The fluorescence intensity analysis showed that the 5-methylcytosine level decreased after TBTCl treatment, indicating that the general DNA methylation level decreased in the treated oocytes. Our results demonstrate that TBTCl treatment results in decreased mRNA levels of imprinted genes H19, Igf2r, and Peg3 during oocyte growth. The TBTCl-treated oocytes showed a significant increase in reactive oxygen species levels in germinal vesicle oocytes. In TBTCl-treated oocytes, there was no difference in GPx and Sod1 expression, but a decreased mRNA level of Cat occurred when compared with control. Moreover, the blastocysts with TBTCl exposure displayed higher apoptotic signals. These results suggest that TBTCl induces developmental defects in oocytes and preimplantation embryos.

We review the present status and future prospects of fast ignition (FI) research of the theoretical group at the IAPCM (Institute of Applied Physics and Computational Mathematics, Beijing) as a part of the inertial confinement fusion project. Since the approval of the FI project at the IAPCM, we have devoted our efforts to improving the integrated codes for FI and designing advanced targets together with the experimental group. Recent FI experiments [K. U. Akli et al., Phys. Rev. E 86, 065402 (2012)] showed that the petawatt laser beam energy was not efficiently converted into the compressed core because of the beam divergence of relativistic electron beams. The coupling efficiency can be improved in three ways: (1) using a cone–wire-in-shell advanced target to enhance the transport efficiency, (2) using external magnetic fields to collimate fast electrons, and (3) reducing the prepulse level of the petawatt laser beam. The integrated codes for FI, named ICFI, including a radiation hydrodynamic code, a particle-in-cell (PIC) simulation code, and a hybrid fluid–PIC code, have been developed to design this advanced target at the IAPCM. The Shenguang-II upgraded laser facility has been constructed for FI research; it consists of eight beams (in total $24~ {\rm kJ}/3\omega $, 3 ns) for implosion compression, and a heating laser beam (0.5–1 kJ, 3–5 ps) for generating the relativistic electron beam. A fully integrated FI experiment is scheduled for the 2014 project.

In this study, we analyze the influence of passive joint viscous friction (PJVF) on modal space decoupling for a class of symmetric spatial parallel mechanisms (SSPM). The Jacobian matrix relating the platform movements to each passive joint velocity is first gained by vector analysis and the passive joint damping matrix is then derived by applying the Kane method. Next, an analytic formula index measuring the degree of coupling effects between the damping terms in the modal coordinates is proposed using classical modal analysis of dynamic equations in task space. Based on the index, a new optimal design method is found which establishes the kinematics parameters for minimizing the coupling degree of damping and achieves optimal fault tolerance for modal space decoupling when all struts have identical damping and stiffness coefficients in their axial directions. To illustrate the effectiveness of the theory, the new method was used to redesign two configurations of a specific manipulator.

We examined the contributions of genetic and environmental factors to body mass index (BMI) over approximately 28 years. Participants were 693 male, predominantly middle-class, twins (355 monozygotic, 338 dizygotic) from the Vietnam Era Twin Registry. The phenotypic correlation between age 20 and age 48 BMI was 0.52; the genetic correlation was 0.60. Most of the remaining variance at both times was accounted for by nonshared environmental factors. Since genetic factors are not perfectly correlated, this indicates that other genes affect BMI at one or both time points, leaving room for further exploration of the genetics of body mass stability. Mean BMI increased significantly from 22.7 (normal) to 27.8 (overweight). Overweight BMI at age 20 predicted midlife adult onset diabetes (adjusted odds ratio = 4.62, 95% CI 1.91 to 11.18), but not hypertension. Depending on one's vantage point, the results indicate elements of both stability and change in BMI. Very similar phenotypic and genetic correlations were observed over a similar time period in a WW II twin sample, but without the substantial mean increase in BMI. It seems unlikely that different genes influence BMI in the two cohorts. Therefore, we argue that nonshared environmental factors are probably primarily responsible for the secular increase in midlife BMI. Our results also provide prospective evidence that early excess BMI may have serious long-term health consequences, and that this risk is not limited to minorities or adults of lower socioeconomic status.