AIM: To determine the prognostic value of circulating indicators of cell death in acute-on-chronic liver failure (ACLF) patients with chronic hepatitis B virus (HBV) infection as the single etiology. METHODS: Full len...AIM: To determine the prognostic value of circulating indicators of cell death in acute-on-chronic liver failure (ACLF) patients with chronic hepatitis B virus (HBV) infection as the single etiology. METHODS: Full length and caspase cleaved cytokeratin 18 (detected as M65 and M30 antigens) represent circulating indicators of necrosis and apoptosis. M65 and M30 were identified by enzyme-linked immunosorbent assay in 169 subjects including healthy controls (n = 33), patients with chronic hepatitis B (CHB, n = 55) and patients with ACLF (n = 81). According to the 3-mo survival period, ACLF patients were defined as having spontaneous recovery (n = 33) and non-spontaneous recovery which included deceased patients and those who required liver transplantation (n = 48). RESULTS: Both biomarker levels significantly increased gradually as liver disease progressed (for M65: P < 0.001 for all; for M30: control vs CHB, P = 0.072; others: P < 0.001 for all). In contrast, the M30/M65 ratio was significantly higher in controls compared with CHB patients (P = 0.010) or ACLF patients (P < 0.001). In addition, the area under receiver operating characteristic curve (AUC) analysis demonstrated that both biomarkers had diagnostic value (AUC >= 0.80) in identifying ACLF from CHB patients. Interestingly, it is worth noting that the M30/M65 ratio was significantly different between spontaneous and non-spontaneous recovery in ACLF patients (P = 0.032). The prognostic value of the M30/M65 ratio was compared with the Model for End-Stage Liver Disease (MELD) and Child-Pugh scores at the 3-mo survival period, the AUC of the M30/M65 ratio was 0.66 with a sensitivity of 52.9% and the highest specificity of 92.6% (MELD:AUC = 0.71; sensitivity, 79.4%; specificity, 63.0%; Child-Pugh: AUC = 0.77; sensitivity, 61.8%; specificity, 88.9%). CONCLUSION: M65 and M30 are strongly associated with liver disease severity. The M30/M65 ratio may be a potential prognostic marker for spontaneous recovery in patients with HBV-related ACLF. (C) 2014 Baishideng Pub展开更多
Phosphorus （P） and zinc （Zn） deficiencies are the major problems that decrease crop productivity under rice-wheat cropping system. Field experiments were conducted to investigate impacts of P （0, 40, 80 and 120 k...Phosphorus （P） and zinc （Zn） deficiencies are the major problems that decrease crop productivity under rice-wheat cropping system. Field experiments were conducted to investigate impacts of P （0, 40, 80 and 120 kg/hm^2） and Zn levels （0, 5, 10 and 15 kg/hm^2） on dry matter （DM） accumulation and partitioning, and harvest index of three rice genotypes ＇fine （Bamati-385） vs. coarse （F-Malakand and Pukhraj）＇ at various growth stages （tiliering, heading and physiological maturity）. The experiments were conducted at farmers＇ field at Batkhela in Northwestern Pakistan for two years in summer 2011 and 2012. The two year pooled data reveled that there were no differences in percent of DM partitioning into leaves and culms with application of different P and Zn levels, and genotypes at tillering. The highest P level （120 kg/hm^2） partitioned more DM into panicles than leaves and culms at heading and physiological maturity stages. The highest Zn level （15 kg/hm^2） accumulated more DM and partitioned more DM into panicles than leaves and culms at heading and physiological maturity stages. The hybrid rice （Pukhraj） produced and partitioned more DM into panicles than F-Malakand and Bamati-385 at heading and physiological maturity stages. Higher DM accumulation and greater amounts of partitioning into panicles at heading and physiological maturity stages was noticed with increase in P and Zn levels, and the increase was significantly higher in the coarse rice genotypes than fine. We concluded that the growing hybrid rice with application of 120 kg/hm^2 P ＋ 15 kg/hm^2 Zn not only increases total DM accumulation and partitioned greater amounts into the reproductive plant parts （panicles） but also results in higher harvest index.展开更多
China has pledged to peak carbon emissions by 2030 and neutralize emissions by 2060.There is an urgent need to develop a comprehensive and reliable methodology to judge whether a region has reached its carbon emission...China has pledged to peak carbon emissions by 2030 and neutralize emissions by 2060.There is an urgent need to develop a comprehensive and reliable methodology to judge whether a region has reached its carbon emissions peak(CEP),as well as to schedule and prioritize mitigation activities for different regions.In this study,we developed an approach for identifying the CEP status of 30 provincial areas in China,considering both the carbon emissions trends and the main socioeconomic factors that influence these trends.According to the results of the Mann-Kendall(MK)tests,changes in carbon emissions for the 30 provincial areas can be grouped inlo four clusters:those with significant reductions,marginal reductions,marginal increases,and significant increases.Then,total energy consumption(TEC),the proportion of coal consumption(PCC),the proportion of the urban population(PUP),the proportion of secondary industry(PASP),and per capita GDP(PGDP)were further identified as the main factors influencing carbon emissions,by applying Redundancy analysis(RDA)and Monte Carlo permutation tests.To balance efficacy with fairness,we assigned scores from 1 to 4 to trends in carbon emissions,and the Group Analysis results of the main influencing factors above except for TEC;for TEC,main basis is the relevant assessment results.And finally,according to the actual condition of total scores,provincial areas were assigned to the first,second,third and fourth stage of progress toward CEP,using the method of Natural Breaks(Jenks).Based on the method,differentiated plans should be adopted from the perspective of fair development and emissions reduction efficiency,in accordance with the basic principles of Doing the Best within Capacity and Common but Differentiated Responsibilities.This classification method can also be adopted by other developing countries which have not yet achieved CEP.展开更多
基金Supported by National Science and Technology Key Project of China on"Major Infectious Diseases",No.2012ZX10002004-006,No.2012ZX10004904-003-001,No.2013ZX10002002-006-001Beijing Municipal Science and Technology Commission,No.Z131107002213019,No.Z131100004613030+2 种基金High Technical Personnel Training Program in Beijing Health System,No.2011-3-083,No.2013-3-071Special Scientific Research Fund for Beijing Health Development,No.2011-2018-04National Natural Science Foundation of China,No.30800979,No.30800517
文摘AIM: To determine the prognostic value of circulating indicators of cell death in acute-on-chronic liver failure (ACLF) patients with chronic hepatitis B virus (HBV) infection as the single etiology. METHODS: Full length and caspase cleaved cytokeratin 18 (detected as M65 and M30 antigens) represent circulating indicators of necrosis and apoptosis. M65 and M30 were identified by enzyme-linked immunosorbent assay in 169 subjects including healthy controls (n = 33), patients with chronic hepatitis B (CHB, n = 55) and patients with ACLF (n = 81). According to the 3-mo survival period, ACLF patients were defined as having spontaneous recovery (n = 33) and non-spontaneous recovery which included deceased patients and those who required liver transplantation (n = 48). RESULTS: Both biomarker levels significantly increased gradually as liver disease progressed (for M65: P < 0.001 for all; for M30: control vs CHB, P = 0.072; others: P < 0.001 for all). In contrast, the M30/M65 ratio was significantly higher in controls compared with CHB patients (P = 0.010) or ACLF patients (P < 0.001). In addition, the area under receiver operating characteristic curve (AUC) analysis demonstrated that both biomarkers had diagnostic value (AUC >= 0.80) in identifying ACLF from CHB patients. Interestingly, it is worth noting that the M30/M65 ratio was significantly different between spontaneous and non-spontaneous recovery in ACLF patients (P = 0.032). The prognostic value of the M30/M65 ratio was compared with the Model for End-Stage Liver Disease (MELD) and Child-Pugh scores at the 3-mo survival period, the AUC of the M30/M65 ratio was 0.66 with a sensitivity of 52.9% and the highest specificity of 92.6% (MELD:AUC = 0.71; sensitivity, 79.4%; specificity, 63.0%; Child-Pugh: AUC = 0.77; sensitivity, 61.8%; specificity, 88.9%). CONCLUSION: M65 and M30 are strongly associated with liver disease severity. The M30/M65 ratio may be a potential prognostic marker for spontaneous recovery in patients with HBV-related ACLF. (C) 2014 Baishideng Pub
文摘Phosphorus （P） and zinc （Zn） deficiencies are the major problems that decrease crop productivity under rice-wheat cropping system. Field experiments were conducted to investigate impacts of P （0, 40, 80 and 120 kg/hm^2） and Zn levels （0, 5, 10 and 15 kg/hm^2） on dry matter （DM） accumulation and partitioning, and harvest index of three rice genotypes ＇fine （Bamati-385） vs. coarse （F-Malakand and Pukhraj）＇ at various growth stages （tiliering, heading and physiological maturity）. The experiments were conducted at farmers＇ field at Batkhela in Northwestern Pakistan for two years in summer 2011 and 2012. The two year pooled data reveled that there were no differences in percent of DM partitioning into leaves and culms with application of different P and Zn levels, and genotypes at tillering. The highest P level （120 kg/hm^2） partitioned more DM into panicles than leaves and culms at heading and physiological maturity stages. The highest Zn level （15 kg/hm^2） accumulated more DM and partitioned more DM into panicles than leaves and culms at heading and physiological maturity stages. The hybrid rice （Pukhraj） produced and partitioned more DM into panicles than F-Malakand and Bamati-385 at heading and physiological maturity stages. Higher DM accumulation and greater amounts of partitioning into panicles at heading and physiological maturity stages was noticed with increase in P and Zn levels, and the increase was significantly higher in the coarse rice genotypes than fine. We concluded that the growing hybrid rice with application of 120 kg/hm^2 P ＋ 15 kg/hm^2 Zn not only increases total DM accumulation and partitioned greater amounts into the reproductive plant parts （panicles） but also results in higher harvest index.
基金We thank the National Natural Science Foundation of China(Youth Science Fund Project)"Zoning control of ozone pollution based on multi-source data"(4210072435)the Ministry of Ecology and Environment.The People's Republic of China project"Carbon Emission Peak Action"for financial support.
文摘China has pledged to peak carbon emissions by 2030 and neutralize emissions by 2060.There is an urgent need to develop a comprehensive and reliable methodology to judge whether a region has reached its carbon emissions peak(CEP),as well as to schedule and prioritize mitigation activities for different regions.In this study,we developed an approach for identifying the CEP status of 30 provincial areas in China,considering both the carbon emissions trends and the main socioeconomic factors that influence these trends.According to the results of the Mann-Kendall(MK)tests,changes in carbon emissions for the 30 provincial areas can be grouped inlo four clusters:those with significant reductions,marginal reductions,marginal increases,and significant increases.Then,total energy consumption(TEC),the proportion of coal consumption(PCC),the proportion of the urban population(PUP),the proportion of secondary industry(PASP),and per capita GDP(PGDP)were further identified as the main factors influencing carbon emissions,by applying Redundancy analysis(RDA)and Monte Carlo permutation tests.To balance efficacy with fairness,we assigned scores from 1 to 4 to trends in carbon emissions,and the Group Analysis results of the main influencing factors above except for TEC;for TEC,main basis is the relevant assessment results.And finally,according to the actual condition of total scores,provincial areas were assigned to the first,second,third and fourth stage of progress toward CEP,using the method of Natural Breaks(Jenks).Based on the method,differentiated plans should be adopted from the perspective of fair development and emissions reduction efficiency,in accordance with the basic principles of Doing the Best within Capacity and Common but Differentiated Responsibilities.This classification method can also be adopted by other developing countries which have not yet achieved CEP.
