Despite global efforts to end tuberculosis (TB), the goal of preventing catastrophic health expenditure (CHE) due to TB remains unmet. This cross-sectional study was conducted in Guizhou Province, Southwest China. Data were collected from the Hospital Information System and a survey of TB patients who had completed standardized antituberculosis treatment between January and March 2021. Among the 2 283 participants, the average total expenditure and out-of-pocket expenditure were $1 506.6 (median = $760.5) and $683.6 (median = $437.8), respectively. Health insurance reimbursement reduced CHE by 16.8%, with a contribution rate of 24.9%, and the concentration index changed from -0.070 prereimbursement to -0.099 postreimbursement. However, the contribution of health insurance varied significantly across different economic strata, with contribution rates of 6.4% for the lowest economic group and 53.1% for the highest group. For patients from lower socioeconomic strata, health insurance contributed 10.7% to CHE in the prediagnostic phase and 23.5% during treatment. While social health insurance alleviated the financial burden for TB patients, it did not provide sufficient protection for those in lower economic strata or during the prediagnostic stage. This study underscores the need for more effective and equitable subsidy policies for TB patients .

Light stimulation can realise the remote control of the deformation of the specific position of 4D printing structure. Shape-memory polymer–carbon nanotube (CNT) composite materials, with outstanding near-infrared photothermal conversion rate and shape-memory ability, is one type of the most popular light responsive smart materials. However, current studies focused on the photothermal effect and shape-memory applications of light-responsive shape-memory polymer composite (SMPC) sheet structures, and there is no research on the photothermal effect in the depth direction of light-responsive SMPC three-dimensional structures. Here, we prepared a UV curable, mechanically robust, and highly deformable shape-memory polymer (IBBA) as the matrix of light responsive SMPC. CNTs were added as photothermal conversion materials. We explore the photothermal effect of near-infrared laser on the surface and depth of IBBA–CNT composites cube. Shape-memory experiments show that different folded shapes can be obtained by selective near-infrared laser programming. Selective near-infrared laser programming three-dimensional movable type plate shows a programming application in depth direction of three-dimensional light-responsive intelligent structure. This research extends the application of near-infrared laser in 4D printing to the depth direction of intelligent structures, which will bring more complex and interesting 4D printing structures in the future.

Schistosomiasis, a parasite infectious disease caused by Schistosoma japonicum, often leads to egg granuloma and fibrosis due to the inflammatory reaction triggered by egg antigens released in the host liver. This study focuses on the role of the egg antigens CP1412 protein of S. japonicum (SjCP1412) with RNase activity in promoting liver fibrosis. In this study, the recombinant egg ribonuclease SjCP1412, which had RNase activity, was successfully prepared. By analysing the serum of the population, it has been proven that the anti-SjCP1412 IgG in the serum of patients with advanced schistosomiasis was moderately correlated with liver fibrosis, and SjCP1412 may be an important antigen associated with liver fibrosis in schistosomiasis. In vitro, the rSjCP1412 protein induced the human liver cancer cell line Hep G2 and liver sinusoidal endothelial cells apoptosis and necrosis and the release of proinflammatory damage-associated molecular patterns (DAMPs). In mice infected with schistosomes, rSjCP1412 immunization or antibody neutralization of SjCP1412 activity significantly reduced cell apoptosis and necroptosis in liver tissue, thereby reducing inflammation and liver fibrosis. In summary, the SjCP1412 protein plays a crucial role in promoting liver fibrosis during schistosomiasis through mediating the liver cells apoptosis and necroptosis to release DAMPs inducing an inflammatory reaction. Blocking SjCP1412 activity could inhibit its proapoptotic and necrotic effects and alleviate hepatic fibrosis. These findings suggest that SjCP1412 may be served as a promising drug target for managing liver fibrosis in schistosomiasis japonica.

The optimization of laser pulse shapes is of great importance and a major challenge for laser direct-drive implosions. In this paper, we propose an efficient intelligent method to perform laser pulse optimization via hydrodynamic simulations guided by the genetic algorithm and random forest algorithm. Compared to manual optimizations, the machine-learning guided method is able to efficiently improve the areal density by a factor of 63% and reduce the in-flight-aspect ratio by a factor of 30% at the same time. A relationship between the maximum areal density and ion temperature is also achieved by the analysis of the big simulation dataset. This design method has been successfully demonstrated by the 2021 summer double-cone ignition experiments conducted at the SG-II upgrade laser facility and has great prospects for the design of other inertial fusion experiments.

Eight bryozoan species are described from the Hanchiatien Formation (lower Silurian, Telychian) of southern Chongqing, South China. Four species are new: the trepostomes Asperopora sinensis n. sp., Trematopora jiebeiensis n. sp., and Trematopora tenuis n. sp., and the fenestrate Moorephylloporina parvula n. sp. One species, the cystoporate Hennigopora sp. indet., is described in open nomenclature. Moorephylloporina parvula n. sp. is eurytopic, occurring in all types of facies within the bioherms. Erect Moorephylloporina Bassler, 1952, Trematopora Hall, 1852, and Leioclema Ulrich, 1882 formed pioneering communities on weakly cemented substrata, whereas encrusting Fistulipora M‘Coy, 1849, Hennigopora Bassler, 1952, and Asperopora Owen, 1969 occurred on hardgrounds and formed densely compact framestones. Robust branched Trematopora and Leioclema tend to occur out of the reef core (framework) where they could have formed reef-flank thickets in more agitated conditions. The generic composition of the studied fauna correlates with other localities in South China, and they show general paleobiogeographic relations to Siberia and Indiana, USA.

UUID http://zoobank.org/3326dd2f-7c9e-43bc-9dab-84047b274f89

We incorporate deep learning (DL) into tiled aperture coherent beam combining (CBC) systems for the first time, to the best of our knowledge. By using a well-trained convolutional neural network DL model, which has been constructed at a non-focal-plane to avoid the data collision problem, the relative phase of each beamlet could be accurately estimated, and then the phase error in the CBC system could be compensated directly by a servo phase control system. The feasibility and extensibility of the phase control method have been demonstrated by simulating the coherent combining of different hexagonal arrays. This DL-based phase control method offers a new way of eliminating dynamic phase noise in tiled aperture CBC systems, and it could provide a valuable reference on alleviating the long-standing problem that the phase control bandwidth decreases as the number of array elements increases.

Introduction: The mortality of Parkinson’s disease (PD) and its associated risk factors among clinically definite PD patients in China has been rarely investigated. Our study aimed to identify the mortality rates and predictors of death in PD patients in China. Methods: 157 consecutive, clinically definite PD patients from the urban area of Shanghai were recruited from a central hospital based movement disorder clinic in 2006. All patients were regularly followed up at the clinic until December 31, 2011, or death. Mortality and associations with baseline demographics, health and medical factors were then determined within the cohort. Results: After 5 years, 11(7%) patients had died. The standardised mortality ratio was 0.62 (95% CI 0.32 to 1.07, P=0.104). The main causes of death were pneumonia (54.5%, 6/11) and digestive disorders (18.2%, 2/11), respectively. Age at onset, independent living, the mini mental state examination score, the Parkinson’s disease sleep scale score and the Epworth sleepiness scale score at baseline were statistically significantly different between the survival group and the deceased group (P<0.05). Across all participants, risk factors for death included low mini mental state examination score, and high Epworth sleepiness scale score according to a binary variable logistic regression analysis. Conclusions: This study confirms the similar survival of patients with PD to the control population up to a follow-up of 5 years. Interventions tailored to potential risk factors associated with death may offer further benefits.

The high repetition rate 10 J/10 ns Yb:YAG laser system and its key techniques are reported. The amplifiers in this system have a multi-pass V-shape structure and the heat in the amplifiers is removed by means of laminar water flow. In the main amplifier, the laser is four-pass, and an approximately 8.5 J/1 Hz/10 ns output is achieved in the primary test. The far-field of the output beam is approximately 10 times the diffraction limit. Because of the higher levels of amplified spontaneous emission (ASE) in the main amplifier, the output energy is lower than expected. At the end we discuss some measures that can improve the properties of the laser system.

Signal-In-Space Error (SISE) is important for the system integrity of GNSS. Real-time monitoring SISE has been one of the effective solutions used for improving GNSS system-level integrity. As one of the typical solutions, the Galileo integrity concept uses Signal-In-Space Accuracy (SISA) and Signal-In-Space Monitoring Accuracy (SISMA) respectively to transmit the quality of SIS and the integrity alarming information to users. As an important component of the Galileo Integrity Concept, Worst User Location (WUL) is of great importance for the computation of SISA and SISMA. An improved WUL algorithm based on a geometrical model is given in this paper, which needs no iterative search and is simple when compared with the existing models. The WUL accuracy requirement is discussed based on an analysis of the magnitude of the orbit errors and SIS ranging resolution and error. The conclusion is that, considering the metre-level orbital error observed in the orbit determination process, as long as the orientation error of the WUL is less than three degrees, the projection error of SISE can be kept to centimetre levels. This will satisfy the requirements of most users. The algorithm is further optimised to omit the non-linear iterative parts based on the above assumption. The optimisation reduces computation load and enhances the real-time capability. GPS raw measurements are used to validate the correctness and reliability of the algorithms.

In this article, palladium modification and silver modification were used as examples to demonstrate the disinfection effects on microorganisms in aqueous environment of photocatalytic transition-metal-ion-modified nitrogen-doped titanium oxide (TiON/M) materials. Transition metal ion modification was applied to TiON to take advantage of the coupling between transition metal ion addition and TiON semiconductor matrix under visible light illumination. The coupling promotes the separation of electron and hole pairs produced by photon excitation, thus it could reduce the intrinsic charge carrier recombination from anion-doping, which largely limits the photoactivity of TiON under visible light illumination. Large enhancements on the hydroxyl radical production and the photocatalytic disinfection efficiency on microorganisms under visible light illumination were observed for TiON with both palladium and silver modifications. The superior photocatalytic performance under visible light illumination suggests that the transition metal ion modification is an effective approach to reduce the massive charge carrier recombination from anion-doping and to enhance the photocatalytic performance of anion-doped TiO2. The resulting photocatalytic materials have the potential for a wide range of environmental applications.

Simple sequence repeats (SSR) and random amplification of polymorphic DNA (RAPD) molecular markers were used to assess the genetic diversity of 80 isolates of Phytophthora infestans in potato (Solanum tuberosum) from Fujian, Heilongjiang, Hebei and Inner Mongolia Provinces in China. Polymorphism was identified by 13 SSR primers and 14 RAPD primers in the isolates of P. infestans in potato. A total of 76 bands were amplified by SSRs, with the percentage of polymorphic bands (PPB) being 78.9% and the similarity coefficient ranging between 0.00 and 0.42. A total of 189 bands were amplified by RAPDs, with the percentage of polymorphic bands being 95.2% and the similarity coefficient ranging between 0.04 and 0.66. Analysis of genetic diversity showed that there exists higher genetic variation in the Fujian population in comparison to the populations of Heilongjiang, Hebei and Inner Mongolia. Nei's genetic identity analysis indicates that the genetic similarity between populations of Heilongjiang and Inner Mongolia is the highest and that between Fujian and Hebei is the lowest. A cluster analysis revealed that isolates from Fujian, in the south of China, are distantly related to those from Heilongjiang, Hebei and Inner Mongolia in the north, and the Fujian population is distributed among more groups than the other three, exhibiting a higher genetic diversity.

The expression of the YUCAA1 gene and the amount of endogenous indole acetic acid (IAA) in rice (Oryza sativa subsp. japonica) plants and rice suspension cells infected by Rice stripe virus (RSV) were investigated by real-time reverse transcriptase–polymerase chain reaction (RT-PCR) and high-performance liquid chromatography, respectively. The results showed that the expression of the YUCAA1 gene and the amount of endogenous IAA increased at various times (16, 32, 48 and 64 h) after infection of rice suspension cells by RSV. In rice plants infected with RSV, the expression of the YUCAA1 gene and the amount of endogenous IAA increased, in comparison with healthy rice plants, at 4–8 days after infection, and decreased at 12 and 16 days. These results indicated that RSV infection could regulate auxin biosynthesis in rice. Additionally, the expression of the RSV gene CP increased 2.9 times in rice plants after they were treated with a KPSC buffer to deplete the endogenous auxins, and decreased 45% after treatment with 30 μmol/l IAA. All of these results suggest that auxin may play a role in RSV replication in rice plants.

Spermatogonial stem cells (SSCs), which were isolated from chicken (Gallus gallus) embryo testes 16 days after laying, were cultured, subcultured, and induced into adipocytes in vitro. The differentiated cells were identified by oil red-O staining. Dexamethasone, insulin and 3-isobutyl-1-methylxanthine (IBMX) were tested for their induction potential. About 7–21 days after induction, SSCs differentiated into adipocytes, and the resulting adipocytes strongly expressed peroxisome proliferation activation receptor-γ (PPAR-γ). The assay outcome showed that an optimal treatment consisted of dexamethasone, insulin and IBMX application for 3 days and insulin for 1 day (3 cycles), then insulin for 21 days. The differentiation ratio was 85%, better than the combined use of dexamethasone, insulin and IBMX (P<0.01). However, the combination of the three derivatives triggered a stronger induction than any of them used alone (P<0.01). This study has demonstrated the potential of chicken embryonic SSCs to differentiate in vitro into adipocytes.

Geochemical and Sr–Nd–Pb isotopic data are presented for volcanic rocks from Zougouyouchaco (30.5 Ma) and Dogai Coring (39.7 Ma) of the southern and middle Qiangtang block in northern Tibet. The volcanic rocks are high-K calc-alkaline trachyandesites and dacites, with SiO2 contents ranging from 58.5 to 67.1 wt % The rocks are enriched in light REE (LREE) and contain high Sr (649 to 986 ppm) and relatively low Yb (0.8 to 1.2 ppm) and Y (9.5 to 16.6 ppm) contents, resulting in high La/Yb (29–58) and Sr/Y (43–92) ratios, as well as relatively high MgO contents and Mg no., similar to the compositions of adakites formed by slab melting in subduction zones. However, the adakitic rocks in the Qiangtang block are characterized by relatively low εNd(t) values (−3.8 to −5.0) and highly radiogenic Sr ((87Sr/86Sr)i=0.706–0.708), which are inconsistent with an origin by slab melting. The geochemistry and tectonics indicate that the adakitic volcanic rocks were most likely derived from partial melting of delaminated lower continental crust. As the pristine adakitic melts rose, they interacted with the surrounding mantle peridotite, elevating their MgO values and Mg numbers.

Nitrogen was doped into titanium dioxide film to alter its surface electrostatic properties, and subsequently modulate the interaction force between MS2 virus and semiconductor films for control of the adsorption behavior of MS2 on semiconductor surfaces. By combining atomic force microscopy (AFM) height profile and phase profile, adsorptions of MS2 virus on TiO2-based semiconductor surfaces were observed in solutions over a range of pH values. The adsorption behavior was shown to agree with the theoretical analysis of colloidal interactions.

Rice grassy stunt virus (RGSV), a member of the genus Tenuivirus, is composed of a single nucleocapsid protein and six genomic ssRNA segments. Based on the known RNA sequence of the RGSV-IR isolate, primers were designed and cDNA of the NS3 gene was obtained by reverse transcription of the virus sense (v) RNA3 and PCR amplification, with genomic RNAs of RGSV-SX isolate as template. The cDNA was then cloned and sequenced. The NS3 gene comprised 588 nt and the sequence identities were 99.1%, 96.2% at the nucleotide level and 98.4%, 96.4% at the amino acid level, compared with those of RGSV-IR and -SC isolates. The 22.9 kDa NS3 protein encoded by RGSV-SX vRNA3 showed 33.0% identity to the 21.6 kDa protein encoded by vRNA5 of RGSV over a span of 80 amino acids, and no other significant matches were found in the GenBank database. The NS3 gene was cloned in pGEX-2T to generate a prokaryotic expression plasmid pGTNS3, and a fusion protein of GST-NS3 at 49.0 kDa was induced in Escherichia coli. Antiserum prepared to this protein reacted with NS3 encoded by RGSV in Western blots. The protein was detected only in infected rice (Oryza sativa), not in purified virus or viruliferous planthopper vectors. Thus NS3 appears to be a protein encoded abundantly only while the virus infects the rice host plant and may be related to the virus pathogenesis.