This paper investigates the occurrence and severity of collisions involving multiple vehicles on mountain expressways (MMEs) in Western China. A total of 1 521 crash samples occurring on one typical mountain expressway in Shaanxi, China, between 2012 and 2017, were analysed through a partially constrained generalised ordered logit to identify the significant risk factors contributing to the severity of such crashes. Elasticity analysis was performed to quantify the effects of each independent explanatory variable on the collision severity outcomes. Fourteen total explanatory variables were found to have a significant and pronounced influence on the likelihood of MME crashes. These include the type of collision, the at-fault driver's age, driving while fatigued, cell phone use while driving, alcohol-impaired driving, speeding, risky following and dangerous overtaking behaviour, sharp curves in the roadway and slippery pavement conditions, seasons, day of the week, time of day, and adverse weather (rain/snow/fog). The impacts of the variables on the collision severity were also explored. Taken together, the findings may serve as a useful guide for developing legislation and technical countermeasures to ensure traffic safety on mountain expressways in Western China.

ABSTRACT The present study was conducted to investigate the effects of dietary fiber on growth performance, fat deposition, serum lipids, fat metabolism, and mRNA (messenger RNA) expression of lipoprotein lipase (LPL) in Jilin white and Carlos geese. Sixty Jilin white and sixty Carlos geese aged six-weeks and of similar health and weight (average weight 313.11g) were selected. Geese of each breed were randomly divided into two groups (n=30), and with each group containing three replicate subgroups of 10 geese. The diet was supplemented with 8% or 11% fiber (corn straw powder). The Jilin white geese are divided into A1 (8%) and A2 (11%) groups, and Carlos geese are divided into B1 (8%) and B2 (11%) groups. The experiment lasted 35 days. The results showed that high dietary fiber can significantly (p<0.05) increase average daily feed intake (ADFI), significantly (p<0.05) reduce final weight (FW) and average daily gain (ADG) of both varieties, and increase LPL mRNA expression levels in abdominal fat, liver, sebum, and urethral glands. High dietary fiber accelerates intestinal peristalsis, affects the absorption of other nutrients, reduces the available energy value of the absorbed feed, and increases fat loss. Compared with the to Carlos geese, high dietary fiber content had a more significant effect on the live, slaughter, and sebum weights and sebum percentage of the Jilin white geese, indicating that the Carlos geese have higher requirements for dietary fiber content. High fiber content will reduce the growth performance, slaughter performance, and fat deposition of geese.

This study aimed to investigate the feasibility of the establishment of a human cancer xenograft model using samples from computed tomography (CT)-guided percutaneous biopsy. Fresh tumor tissues obtained from 10 cancer patients by CT-guided percutaneous biopsy were subcutaneously inoculated into NOD-Prkdcem26Il2rgem26Nju (NCG) mice to establish human patient-derived tumor xenograft (PDTX) models. The formation of first and second generation xenografts was observed, and tumor volume was recorded over time. Tumor tissue consistency between the PDTX model and primary tumors in patients was compared using H&E staining and immunohistochemistry. Pharmacodynamic tests of clinically used chemotherapeutic drugs were conducted on second generation xenografts, and their effects on tumor growth and body weight were observed. CT-guided percutaneous biopsy samples were successfully collected from 10 patients with advanced cancers. The PDTX model was established in mice using tumor samples obtained from 4 cancer patients, including one small cell carcinoma sample, two adenocarcinoma samples, and one squamous cell carcinoma sample. The success rate was 40%. The obtained PDTX model maintained a degree of differentiation, and morphological and structural characteristics were similar to primary tumors. The pharmacodynamic test of chemotherapeutic drugs in the PDTX model revealed a therapeutic effect on tumor growth, as expected. CT-guided percutaneous biopsy samples can be effectively used to establish a PDTX model, and test these chemotherapy regimens.

Human enterovirus 71 (EV71) is the major causative agent of hand, foot, and mouth disease (HFMD), particularly in infants and children below 4 years of age. Shikonin is a bioactive compound with anti-inflammatory, antiviral, and antibacterial activities derived from the roots of the Chinese medicinal herb Lithospermum erythrorhizon. This study aimed to examine the antiviral activity of PMM-034, a shikonin ester derivative, against EV71 in rhabdomyosarcoma (RD) cells. Cytotoxicity of PMM-034 on RD cells was determined using WST-1 assay. Dose- and time-dependent effects of PMM-034 on EV71 replication in RD cells were determined using plaque reduction assay. mRNA expression levels of EV71/VP1 and pro-inflammatory cytokines (IL-1β, IL-6, IL-8, and TNF-α) were determined by real-time RT-PCR, and EV71/VP1 and phospho-p65 protein expressions were determined by western blot analysis. PMM-034 exhibited only weak cytotoxicity against RD cells. However, PMM-034 exhibited significant antiviral activity against EV71 in RD cells with 50% inhibitory concentration of 2.31 μg/mL. The VP1 mRNA and protein levels were significantly reduced in cells treated with PMM-034. Furthermore, relative mRNA expression levels of IL-1β, IL-6, IL-8, and TNF-α significantly decreased in the cells treated with PMM-034, while the phospho-p65 protein expression was also significantly lower in the treated cells. These results indicated that PMM-034 suppressed the expressions of pro-inflammatory cytokines in RD cells, exhibiting antiviral activity against EV71, as evidenced by the reduced VP1 mRNA and protein levels in PMM-034-treated cells. Thus, PMM-034 is a promising candidate for further development as an EV71 inhibitor.

This study aimed to determine whether psychological factors affect health-related quality of life (HRQL) and recovery of knee function in total knee replacement (TKR) patients. A total of 119 TKR patients (male: 38; female: 81) completed the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), State Trait Anxiety Inventory (STAI), Eysenck Personality Questionnaire-revised (EPQR-S), Knee Society Score (KSS), and HRQL (SF-36). At 1 and 6 months after surgery, anxiety, depression, and KSS scores in TKR patients were significantly better compared with those preoperatively (P<0.05). SF-36 scores at the sixth month after surgery were significantly improved compared with preoperative scores (P<0.001). Preoperative Physical Component Summary Scale (PCS) and Mental Component Summary Scale (MCS) scores were negatively associated with extraversion (E score) (B=-0.986 and -0.967, respectively, both P<0.05). Postoperative PCS and State Anxiety Inventory (SAI) scores were negatively associated with neuroticism (N score; B=-0.137 and -0.991, respectively, both P<0.05). Postoperative MCS, SAI, Trait Anxiety Inventory (TAI), and BAI scores were also negatively associated with the N score (B=-0.367, -0.107, -0.281, and -0.851, respectively, all P<0.05). The KSS function score at the sixth month after surgery was negatively associated with TAI and N scores (B=-0.315 and -0.532, respectively, both P<0.05), but positively associated with the E score (B=0.215, P<0.05). The postoperative KSS joint score was positively associated with postoperative PCS (B=0.356, P<0.05). In conclusion, for TKR patients, the scores used for evaluating recovery of knee function and HRQL after 6 months are inversely associated with the presence of negative emotions.