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To examine the relationship between the therapeutic effect of intratympanic methylprednisolone perfusion and histone acetylation in refractory sudden sensorineural hearing loss.
Thirty-four refractory sudden sensorineural hearing loss patients were enrolled and treated with intratympanic methylprednisolone perfusion. Pure tone average, acetylated histone H3, acetylated histone H4 and histone deacetylase 2 (HDAC2) were measured in peripheral blood mononuclear cells before and after intratympanic methylprednisolone perfusion. Sixteen healthy volunteers were recruited to obtain normal reference values.
Pure tone average in sudden sensorineural hearing loss patients improved from 84.14 ± 13.54 dB to 73.56 ± 18.45 dB after intratympanic methylprednisolone perfusion. Up-regulations in HDAC2 protein level, and down-regulations in histone H3 and H4 acetylation were observed in the intratympanic methylprednisolone perfusion sensitive group (pure tone average gain of 15 dB or more), while no significant changes were observed in the intratympanic methylprednisolone perfusion insensitive group (pure tone average gain of less than 15 dB).
Intratympanic methylprednisolone perfusion can improve hearing in a considerable number of refractory sudden sensorineural hearing loss patients. The therapeutic effect is closely related to reduced histone acetylation.
In 2012 the Chinese architect Wang Shu won the distinguished Pritzker Architecture Prize. Since then, his buildings and his architectural thinking have received increasing international attention. Among his many written works, Wang's PhD thesis ‘Fictionalising Cities’ - completed in 2000 under the supervision of Professor Jiwei Lu at Tongji University in Shanghai – is widely considered the definitive statement of his architectural thought and methodology. It comprises a structuralist study of the city and its architecture, doing so through the development of two key themes. The first is Wang’s theoretical discussion of the application of structuralist-semiotic approaches to architecture, urban research, and other areas in the humanities, and the second is his reading of the Chinese city and China's landscape architecture tradition in the light of this theoretical discussion. Wang believes that traditional Chinese cities have their own structure, components and rules of combination, and refers to them as instances of ‘texture city’ (), a term that proposes an analogy between Roland Barthes's notion of text and the city, both of which are understood as a ‘fabric of signifiers’.
Radiocarbon (14C) has become a unique and powerful tracer in source apportionment of atmospheric carbonaceous particles. In this study, the Asia Pacific Economic Cooperation summit (APEC) held in Beijing in 2014 was used as a demonstration to research the source apportionment of atmosphere PM2.5. We used a 200 kV single stage accelerator mass spectrometer recently completed at China Institute of Atomic Energy (CIAE). The PM2.5 samples related to above case were collected, and the characteristics of radiocarbon in organic carbon (OC) and elemental carbon (EC) in samples were analyzed using the AMS. The results show that the Before-APEC pollution emission mode is different from the During-APEC and After-APEC pollution emission modes. For Before-APEC, During-APEC and After-APEC, the average values of fossil carbon fraction of OC are 0.463, 0.431 and 0.615, respectively, and those of EC are 0.644, 0.561 and 0.687. The fossil source contributions of traffic activities using fossil fuels to OC and EC are 15.8 % and 21.9 %, respectively. The fossil source contributions of industrial activities to OC and EC are 38.0 % and 8.2 %, respectively. It is about 7–10 days that is needed to take to regenerate the PM2.5 pollution caused by human activities.
Echinococcus granulosus sensu stricto (s.s.), Echinococcus multilocularis and Echinococcus canadensis are the common causes of human echinococcosis in China. An accurate species identification tool for human echinococcosis is needed as the treatments and prognosis are different among species. The present work demonstrates a method for the simultaneous detection of these three Echinococcus species based on multiplex polymerase chain reaction (mPCR). Specific primers of this mPCR were designed based on the mitochondrial genes and determined by extensive tests. The method can successfully detect either separated or mixed target species, and generate expected amplicons of distinct size for each species. Sensitivity of the method was tested by serially diluted DNA, showing a detection threshold as less as 0.32 pg for both E. granulosus s.s. and E. canadensis, and 1.6 pg for E. multilocularis. Specificity assessed against 18 other parasites was found to be 100% except weakly cross-react with E. shiquicus. The assay was additionally applied to 69 echinococcosis patients and 38 healthy persons, confirming the high reliability of the method. Thus, the mPCR described here has high application potential for clinical identification purposes, and can further provide a useful tool for evaluation of serology and imaging method.
Evaluation of Cr, Mn, Fe, Zn and Se in humans is challenged by the potentially high within-individual variability of these elements in biological specimens, which are poorly characterised. This study aimed to evaluate their within-day, between-day and between-month variability in spot samples, first-morning voids and 24-h collections. A total of 529 spot urine samples (including eighty-eight first-morning voids and 24-h collections) were collected from eleven Chinese adult men on days 0, 1, 2, 3, 4, 30, 60 and 90 and analysed for these five elements using inductively coupled plasma-MS. Intraclass correlation coefficients (ICC) were utilised to characterise the reproducibility, and their sensitivity and specificity were analysed to assess how well a single measurement classified individuals’ 3-month average exposures. Serial measurements of Zn in spot samples exhibited fair to good reproducibility (creatinine-adjusted ICC = 0·47) over five consecutive days, which became poor when the samples were gathered months apart (creatinine-adjusted ICC = 0·33). The reproducibility of Cr, Mn, Fe and Se in spot samples was poor over periods ranging from days to months (creatinine-adjusted ICC = 0·01–0·12). Two spot samples were sufficient for classifying 60 % of the men who truly had the highest (top 33 %) 3-month average Zn concentrations; for Cr, Mn, Fe and Se, however, at least three specimens were required to achieve similar sensitivities. In conclusion, urinary Cr, Mn, Fe, Zn and Se concentrations showed a strong within-individual variability, and a single measurement is not enough to efficiently characterise individuals’ long-term exposures.
The Iterated Closest Contour Point (ICCP) algorithm is widely used in geomagnetic navigation. In order to enhance the anti-interference performance of the ICCP, an improved algorithm is proposed. First, the principle of delta modulation is introduced to generate a geomagnetic matching sequence according to the magnetic fluctuations, this assists finding the optimal quantitative step and matching length; thus, the algorithm's accuracy and real-time performance are improved. Second, in order to solve the problem of geomagnetic matching under an interference environment, a Probability Data Association (PDA) algorithm based on regenerated measurements is adopted. The ideal magnetic value is regarded as a target, and the measured values within the confidence region are taken as the effective measurements of the target. Each of them will give an estimation of the vehicle's position. Considering the constraints of a vehicle's kinematic performance, its final position can be obtained by fusing all effective estimations with the PDA algorithm. Simulation and semi-physical experiments have verified the feasibility and effectiveness of the proposed algorithm. The Regenerated Measurements (RM)-PDA algorithm shows better performance and can be used in practical applications.
Vortex structures are very popular research objects in turbulent boundary layers (TBLs) because of their prime importance in turbulence modelling. This work performs a tomographic particle image velocimetry measurement on the near-wall region (
) of TBLs at three Reynolds numbers
, 2286 and 3081. The main attention is paid to the wall-normal evolution of the vortex geometries and topologies. The vortex is identified with swirl strength (
), and its orientation is recognized by using the real eigenvector of the velocity gradient tensor. The vortex inclination angles in the streamwise–wall-normal plane and in the streamwise–spanwise plane as functions of wall-normal positions are investigated, which provide useful information to speculate on the three-dimensional shape of the vortex tubes in a TBL. The difference between the orientations of vorticity and swirl is discussed and their inherent relationship is revealed based on the governing equation of vorticity. Linear stochastic estimation (LSE) is further deployed to directly extract three-dimensional vortex models. The LSE velocity fields for ejection events happening at different wall-normal positions shed light on the evolution of the topologies for the vortices dominating ejection events. LSE based on a centred prograde spanwise vortex provides a typical packet model, which indicates that the population density of the packets in a TBL is large enough to leave footprints in conditionally averaged flow fields. This work should help to settle the severe debate on the existence of packet structures and also lays some foundation for the TBL model theory.
Compulsive behaviors in obsessive-compulsive disorder (OCD) have been related to impairment within the associative cortical-striatal system connecting the caudate and prefrontal cortex that underlies consciously-controlled goal-directed learning and behavior. However, little is known whether this impairment may serve as a biomarker for vulnerability to OCD.
Using resting-state functional magnetic resonance imaging (fMRI), we employed Granger causality analysis (GCA) to measure effective connectivity (EC) in previously validated striatal sub-regions, including the caudate, putamen, and the nucleus accumbens, in 35 OCD patients, 35 unaffected first-degree relatives and 35 matched healthy controls.
Both OCD patients and their first-degree relatives showed greater EC than controls between the left caudate and the orbital frontal cortex (OFC). Both OCD patients and their first-degree relatives showed lower EC than controls between the left caudate and lateral prefrontal cortex. These results are consistent with findings from task-related fMRI studies which found impairment in the goal-directed system in OCD patients.
The same changes in EC were present in both OCD patients and their unaffected first-degree relatives suggest that impairment in the goal-directed learning system may be a biomarker for OCD.
Zha Mingzhe's 1997 production of Sartre's Morts sans sépulture takes bold creative license in the form of retooled dialogues; hard-edged stage design; moody, ironic music; and the brutal acoustic ‘facsimile’ of torture to reimagine the play for Chinese audiences. Zha's production is neither an exuberant celebration of ‘heroism’ as the term is conventionally understood, nor a parable-like play given to ‘philosophizing’ the core tenets of Sartre's existentialism. Rather, it is a full-scale, in-your-face presentation of ‘total heroism’: heroism that is flawed, falling far short of the kind of heroism idealized in the annals or mythologies of the so-called ‘red classics’, but it is heroism nonetheless. It is an interrogation, in the fullest sense of the term, of the ‘essence’ of being tested in the crucible of ferocious tortures, and a ‘cruel’ antidote much needed to shock the numbed nerves of the body politic.
Molluscan shells showing phenotypic variations are ideal models for studying evolution and plasticity. In north-eastern Asia, genetic and morphological diversity of the gastropod, Monodonta labio, were assumed to be influenced by both palaeoclimatic changes and current ecological factors. In this study, we examined spatial variations in shell shape of M. labio using general measurement and geometric morphometric analysis. We also investigated whether shell shape variation is best explained by environmental gradients or by genetic structuring, based on our prior molecular phylogeographic study. Two common morphological forms were observed among Chinese populations and in the adjacent Asian areas. Both the analyses revealed separation patterns in morphological variations of shell shape among the clades and populations. Environmental modelling analysis showed a significant correlation between shape variations and local maximum temperatures of the warmest month, indicating the role of natural selection in the evolution of this species. Data obtained in this study, combined with the cytochrome oxidase subunit I (COI) molecular phylogenetic data from the prior study, showed that morphological variations in M. labio were constrained by both local adaptation and phenotypic plasticity. We hypothesized that geographic separation by the Dongshan Landbridge was the first step towards its diversification, and that the temperature gradient between the East China Sea and South China Sea probably was the selective force driving the divergence of its morphological variations.
The East Kunlun Orogen (EKO) is the NW part of the Central China Orogenic Belt, which records the evolutionary history of the Proto- and Palaeo-Tethys Oceans from the Cambrian to the Triassic. An Early Palaeozoic eclogite belt has been recognized in recent years, which extends discontinuously for ∼500 km as three eclogite-bearing terranes. In this study, we report an integrated study of zircon grains from mica-schists accompanying the eclogites, in terms of mineral inclusions, U–Pb age systematics and P–T conditions. The presence of coesite is identified, as inclusions within the metamorphic domain of zircons, which provides unambiguous evidence for subducted terrigenous clastic rocks of the Proto-Tethys Ocean exhumed from coesite-forming depths. U–Pb dating of the metamorphic zircons yields a concordia age of 426.5 ± 0.88 Ma, which is likely to be the time of ultrahigh-pressure metamorphism in the Kehete terrane. P–T calculations suggest that metapelite may have experienced a clockwise P–T path with peak P/T conditions of 685 ± 41 °C and >28 kbar, and equilibrated at 482–566 °C and 5.6–8.9 kbar during subsequent exhumation. The high-pressure – ultrahigh-pressure (HP-UHP) metamorphic belt within the EKO may have formed by collision between the Qaidam Block and the South Kunlun Block, as a consequence of the closure of the Proto-Tethys Ocean.
Cognitive-behavioural therapy (CBT) is an effective treatment for depressed adults. CBT interventions are complex, as they include multiple content components and can be delivered in different ways. We compared the effectiveness of different types of therapy, different components and combinations of components and aspects of delivery used in CBT interventions for adult depression. We conducted a systematic review of randomised controlled trials in adults with a primary diagnosis of depression, which included a CBT intervention. Outcomes were pooled using a component-level network meta-analysis. Our primary analysis classified interventions according to the type of therapy and delivery mode. We also fitted more advanced models to examine the effectiveness of each content component or combination of components. We included 91 studies and found strong evidence that CBT interventions yielded a larger short-term decrease in depression scores compared to treatment-as-usual, with a standardised difference in mean change of −1.11 (95% credible interval −1.62 to −0.60) for face-to-face CBT, −1.06 (−2.05 to −0.08) for hybrid CBT, and −0.59 (−1.20 to 0.02) for multimedia CBT, whereas wait list control showed a detrimental effect of 0.72 (0.09 to 1.35). We found no evidence of specific effects of any content components or combinations of components. Technology is increasingly used in the context of CBT interventions for depression. Multimedia and hybrid CBT might be as effective as face-to-face CBT, although results need to be interpreted cautiously. The effectiveness of specific combinations of content components and delivery formats remain unclear. Wait list controls should be avoided if possible.
The present paper deals with non-real eigenvalues of singular indefinite Sturm–Liouville problems with limit-circle type endpoints. A priori bounds and the existence of non-real eigenvalues of the problem associated with a special separated boundary condition are obtained.
Introduction: White matter hyperintensities (WMHs) were commonly seen in brain magnetic resonance imaging (MRI) of the elderly. Many studies found that WMHs were associated with cognitive decline and dementia. However, the association between WMHs in different brain regions and cognitive decline remains debated. Methods: We explored the association of the severity of WMHs and cognitive decline in 115 non-demented elderly (≥50 years old) sampled from the Wuliqiao Community located in urban area of Shanghai. MRI scans were done during 2009–2011 at the beginning of the study. Severity of WMHs in different brain regions was scored by Improved Scheltens Scale and Cholinergic Pathways Hyperintensities Scale (CHIPS). Cognitive function was evaluated by Mini-Mental State Examination (MMSE) every 2 to 4 years during 2009–2018. Results: After adjusting for confounding factors including age, gender, education level, smoking status, alcohol consumption, depression, hypertension, diabetes, hyperlipidemia, brain infarcts, brain atrophy, apoE4 status, and baseline MMSE score, periventricular and subcortical WMH lesions as well as WMHs in cholinergic pathways were significantly associated with annual MMSE decline ( p < 0.05), in which the severity of periventricular WMHs predicted a faster MMSE decline (–0.187 points/year, 95% confidence interval: –0.349, –0.026, p = 0.024). Conclusions: The severity of WMHs at baseline was associated with cognitive decline in the non-demented elderly over time. Interventions on WMH lesions may offer some benefits for cognitive deterioration.
Formally adopted in 2012, environmental public interest litigation in China has expanded standing beyond individual rights by granting administrative authorities, procuratorates, and non-governmental organizations (NGOs) the ability to initiate environmental public interest litigation (PIL). However, the aims of enhancing the enforcement of environmental regulation and the development of the ‘objective legality’ model through civil society have not been met. This is as a result of administrative authorities and procuratorates being granted standing, which inhibits NGOs from initiating their own PIL in line with the aims of the ‘objective legality’ model. In order to promote participation by civil society and its actors in environmental law enforcement, NGOs should be granted preferential standing in environmental PIL. To this end, the current requirements for NGOs to be granted standing should be relaxed, and the standing granted to administrative authorities and procuratorates should be limited or removed.
The absence of a regional, open water vessel collision risk assessment system endangers maritime traffic and hampers safety management. Most recent studies have analysed the risk of collision for a pair of vessels and propose micro-level risk models. This study proposes a new method that combines density complexity and a multi-vessel collision risk operator for assessing regional vessel collision risk. This regional model considers spatial and temporal features of vessel trajectory in an open water area and assesses multi-vessel near-miss collision risk through danger probabilities and possible consequences of collision risks via four types of possible relative striking positions. Finally, the clustering method of multi-vessel encountering risk, based on the proposed model, is used to identify high-risk collision areas, which allow reliable and accurate analysis to aid implementation of safety measures.
Identifying the source of passive scalar transported in a turbulent environment from remote measurements is an ill-posed problem due to the irreversibility of diffusive processes. A significant difficulty of the source reconstruction is due to different potential source locations generating very highly correlated signals at the sensor. A variational algorithm is formulated, which utilizes high-fidelity simulations to reconstruct the spatial distribution of the source. A cost functional is defined based on the difference between the true measurements and their prediction from the simulations with the estimated source. Using forward–adjoint looping, the gradient of the cost functional with respect to the source distribution is evaluated, and the estimate of the source is updated. The adjoint-variational approach naturally accommodates measurements from multiple sensors, with essentially the same computational cost. The algorithm is evaluated for scalar dispersion in turbulent channel flow. When a single sensor is placed directly downstream of the source, the reconstruction is accurate in the cross-stream directions and is elongated in the streamwise direction. The estimated source, however, can reproduce the measurements and the scalar plume downstream of the sensor location. In the channel centre and log layer, the scalar fields are dominated by dispersion, and therefore the reconstruction is better than in the near-wall regions, where the scalar fields are dominated by diffusion. When a sensor is placed near the wall, the accuracy of the source recovery deteriorates due to diffusive effects. By using more sensors that span the plume cross-section, improvement of performance can be demonstrated despite an enlarged domain of dependence.
Ceramics are strong but brittle. According to the classical theories, ceramics are brittle mainly because dislocations are suppressed by cracks. Here, the authors report the combined elastic and plastic deformation measurements of nanoceramics, in which dislocation-mediated stiff and ductile behaviors were detected at room temperature. In the synchrotron-based deformation experiments, a marked slope change is observed in the stress–strain relationship of MgAl2O4 nanoceramics at high pressures, indicating that a deformation mechanism shift occurs in the compression and that the nanoceramics sample is elastically stiffer than its bulk counterpart. The bulk-sized MgAl2O4 shows no texturing at pressures up to 37 GPa, which is compatible with the brittle behaviors of ceramics. Surprisingly, substantial texturing is seen in nanoceramic MgAl2O4 at pressures above 4 GPa. The observed stiffening and texturing indicate that dislocation-mediated mechanisms, usually suppressed in bulk-sized ceramics at low temperature, become operative in nanoceramics. This makes nanoceramics stiff and ductile.
Penetrative turbulent Rayleigh–Bénard convection which depends on the density maximum of water near
is studied using two-dimensional and three-dimensional direct numerical simulations. The working fluid is water near
with Prandtl number
. The considered Rayleigh numbers
. The density inversion parameter
varies from 0 to 0.9. It is found that the ratio of the top and bottom thermal boundary-layer thicknesses (
) increases with increasing
, and the relationship between
seems to be independent of
. The centre temperature
is enhanced compared to that of Oberbeck–Boussinesq cases, as
is related to
is also found to have a universal relationship with
which is independent of
. Both the Nusselt number
and the Reynolds number
decrease with increasing
, the normalized Nusselt number
and Reynolds number
also have universal relationships with
which seem to be independent of both
and the aspect ratio
. The scaling exponents of
are found to be insensitive to
despite of the remarkable change of the flow organizations.