Abstract Introduction: The pandemic has had a broad and lasting impact on the Macau community, which has motivated many scholars to explore these effects from different perspectives. In our view, it would have special meaning to conduct a study from the perspective of the linguistic landscape. Objective: Investigate how the COVID-19 pandemic has affected Macau's linguistic landscape. Methods: Our research was essentially a quantitative study through a comparative analysis of specific data collected before and during the pandemic. Results: The results showed that linguistic diversity in Macau was maintained, in parallel with the increase in the predominance of the Chinese mother tongue of the majority of inhabitants. Non-governmental organizations and institutions were less affected by language policy in disseminating messages related to the pandemic. Conclusion: Macau's linguistic landscape transformed concomitantly with the changes caused by the pandemic, particularly in the demographic structure of the local community.

Resumen Introducción: La pandemia ha tenido un impacto amplio y duradero en la comunidad de Macao, lo que ha motivado a muchos académicos a explorar estos efectos desde diferentes perspectivas. En nuestra opinión, tendría especial significado realizar un estudio desde la perspectiva del paisaje lingüístico. Objetivo: Investigue cómo la pandemia de COVID-19 ha afectado el panorama lingüístico de Macao. Métodos: Nuestra investigación fue esencialmente un estudio cuantitativo mediante un análisis comparativo de datos específicos recopilados antes y durante la pandemia. Resultados: Los resultados mostraron que la diversidad lingüística en Macao se mantuvo, en paralelo con el aumento del predominio de la lengua materna china de la mayoría de los habitantes. Las organizaciones e instituciones no gubernamentales se vieron menos afectadas por la política lingüística a la hora de difundir mensajes relacionados con la pandemia. Conclusión: El panorama lingüístico de Macao se transformó al mismo tiempo que los cambios provocados por la pandemia, particularmente en la estructura demográfica de la comunidad local.

Resumo Introdução: A pandemia teve um impacto amplo e duradouro na comunidade de Macau, o que motivou muitos académicos a explorar esses efeitos sob diversas perspetivas. Na nossa visão, teria um significado especial conduzir um estudo sob a perspetiva da paisagem linguística. Objetivo: Investigar como a pandemia de COVID-19 tem tido impacto na paisagem linguística de Macau. Métodos: A nossa investigação foi essencialmente um estudo quantitativo por meio de uma análise comparativa de dados específicos recolhidos antes e durante a pandemia. Resultados: Os resultados mostraram que a diversidade linguística em Macau se mantinha, em paralelo ao aumento da predominância da língua materna chinesa da maioria dos habitantes. As organizações e instituições não governamentais foram menos afetadas pela política linguística na disseminação de mensagens relacionadas com a pandemia. Conclusão: A paisagem linguística de Macau transformou-se concomitantemente com as mudanças provocadas pela pandemia, nomeadamente na estrutura demográfica da comunidade local.

Abstract Objective: To examine the mental health status and related factors in children and adolescents, and to assess age groups and sexes differences in factors influencing mental health. Methods: This cross-sectional study was performed on Chinese children aged 6-18 years from November 2021 to January 2022. Mental health difficulties were accessed by the Strengths and Difficulties Questionnaire. Multivariate logistic regression was used to analyze factors associated with mental health status. Multiple linear regression was used to evaluate factors associated with the scores of the Strengths and Difficulties Questionnaire. Results: The prevalence of mental health difficulties was 12.98% (n =1348). Age (OR, 0.909, [95%CI, 0.830-0.996]), sex (OR, 1.424, [95%CI, 1.033-1.963]) and screen time on weekdays (“≥2” h/d vs “< 1” h/d: OR, 2.001, [95%CI, 1.300-3.080]) were related factors for mental health difficulties. For children (year ≤ 12), the strongest related factor for mental health difficulties was screen time on weekdays (“≥ 2” h/d vs “< 1” h/d: OR, 1.821 [95%CI, 1.203-2.755]). The risk of mental health difficulties in females with ≥ 2 h/d screen time on weekends was 3.420 times higher than those with < 1 h/d (OR, 3.420, [95%CI, 1.923-6.081]). Conclusion: The prevalence of mental health difficulties among children and adolescents was relatively high. The lower age, female sex and excessive screen time were associated with a higher risk of mental health difficulties. The factors influencing mental health varied by different age groups and sexes. Thus, specific measures for different age groups and sexes should be adopted to mitigate the impact. Objective Methods crosssectional cross sectional 618 6 18 6-1 202 2022 Questionnaire Results 1298 12 98 12.98 n =1348. 1348 =1348 . =1348) OR (OR 0909 0 909 0.909 95%CI, 95CI CI 95 [95%CI 0.8300.996, 08300996 0.830 0.996 , 830 996 0.830-0.996]) 1424 424 1.424 1.0331.963 10331963 1.033 1.963 033 963 1.033-1.963] ≥2 (“≥2 hd h d “ 2001 001 2.001 1.3003.080 13003080 1.300 3.080 300 3 080 1.300-3.080] year 12, 12) (“ 1821 821 1.82 1.2032.755. 12032755 1.203 2.755 203 755 1.203-2.755]) 3420 420 3.42 1.9236.081. 19236081 1.923 6.081 923 081 1.923-6.081]) Conclusion high Thus impact 61 6- 20 129 9 12.9 134 =134 090 90 0.90 95%CI 8300 0.8300.996 0830099 0830 0.83 0996 0.99 83 99 0.830-0.996] 142 42 1.42 0331 1.0331.96 1033196 1033 1.03 1963 1.96 03 96 1.033-1.963 200 00 2.00 3003 1.3003.08 1300308 1300 1.30 3080 3.08 30 08 1.300-3.080 ( 182 82 1.8 2032 1.2032.755 1203275 1203 1.20 2755 2.75 75 1.203-2.755] 342 3.4 9236 1.9236.081 1923608 1923 1.92 6081 6.08 92 1.923-6.081] 12. 13 =13 09 0.9 0.8300.99 083009 083 0.8 099 8 0.830-0.996 14 4 1.4 1.0331.9 103319 103 1.0 196 1.9 1.033-1.96 2.0 1.3003.0 130030 130 1.3 308 3.0 1.300-3.08 1. 1.2032.75 120327 120 1.2 275 2.7 7 1.203-2.755 34 3. 1.9236.08 192360 192 608 6.0 1.923-6.081 =1 0. 0.8300.9 08300 0.830-0.99 1.0331. 10331 10 19 1.033-1.9 2. 1.3003. 13003 1.300-3.0 1.2032.7 12032 27 1.203-2.75 1.9236.0 19236 60 6. 1.923-6.08 = 0.8300. 0.830-0.9 1.0331 1.033-1. 1.3003 1.300-3. 1.2032. 1.203-2.7 1.9236. 1.923-6.0 0.8300 0.830-0. 1.033-1 1.300-3 1.2032 1.203-2. 1.9236 1.923-6. 0.830-0 1.033- 1.300- 1.203-2 1.923-6 0.830- 1.203- 1.923-

Abstract Objective: Reliably prediction models for coronary artery abnormalities (CAA) in children aged > 5 years with Kawasaki disease (KD) are still lacking. This study aimed to develop a nomogram model for predicting CAA at 4 to 8 weeks of illness in children with KD older than 5 years. Methods: A total of 644 eligible children were randomly assigned to a training cohort (n = 450) and a validation cohort (n = 194). The least absolute shrinkage and selection operator (LASSO) analysis was used for optimal predictors selection, and multivariate logistic regression was used to develop a nomogram model based on the selected predictors. Area under the receiver operating characteristic curve (AUC), calibration curves, Hosmer-Lemeshow test, Brier score, and decision curve analysis (DCA) were used to assess model performance. Results: Neutrophil to lymphocyte ratio, intravenous immunoglobulin resistance, and maximum baseline z-score ≥ 2.5 were identified by LASSO as significant predictors. The model incorporating these variables showed good discrimination and calibration capacities in both training and validation cohorts. The AUC of the training cohort and validation cohort were 0.854 and 0.850, respectively. The DCA confirmed the clinical usefulness of the nomogram model. Conclusions: A novel nomogram model was established to accurately assess the risk of CAA at 4–8 weeks of onset among KD children older than 5 years, which may aid clinical decisionmaking. Objective (CAA (KD lacking Methods 64 n 450 194. 194 . 194) (LASSO AUC, , (AUC) curves HosmerLemeshow Hosmer Lemeshow test score (DCA performance Results ratio resistance zscore z 25 2 2. cohorts 0854 0 854 0.85 0850 850 0.850 respectively Conclusions 48 4– decisionmaking 6 45 19 (AUC 085 85 0.8 1 08 0.

ABSTRACT Objective: To evaluate objective treatment efficacy and safety, and subjective patient-reported outcomes in patients with complex ureteral strictures (US) undergoing minimally invasive lingual mucosal graft ureteroplasty (LMGU). Materials and Methods: We prospectively enrolled patients underwent robotic or laparoscopic LMGU between May 2020 and July 2022. Clinical success was defined as symptom-free and no radiographic evidence of re-obstruction. Patient-reported outcomes, including health-related quality of life (HRQoL), mental health status and oral health-related quality of life (OHRQoL), were longitudinally evaluated before surgery, 6 and 12 months postoperatively. Results: Overall, 41 consecutive patients were included. All procedures were performed successfully with 32 patients in robotic approach and 9 in laparoscopic. Forty (97.56%) patients achieved clinical success during the median follow-up of 29 (range 15-41) months. Although patients with complex US experienced poor baseline HRQoL, there was a remarkable improvement following LMGU. Specifically, the 6-month and 12-month postoperative scores were significantly improved compared to the baseline (p < 0.05) in most domains. Twenty-eight (68.3%) and 31 (75.6%) patients had anxiety and depression symptoms before surgery, respectively. However, no significant decrease in the incidence of these symptoms was observed postoperatively. Moreover, there was no significant deterioration of OHRQoL at 6 months and 12 months postoperatively when compared to the baseline. Conclusions: LMGU is a safe and efficient procedure for complex ureteral reconstruction that significantly improves patient-reported HRQoL without compromising OHRQoL. Assessing patients’ quality of life enables us to monitor postoperative recovery and progress, which should be considered as one of the criteria for surgical success. Objective safety patientreported patient reported (US . (LMGU) Methods 202 2022 symptomfree symptom free reobstruction. reobstruction re obstruction. obstruction re-obstruction Patientreported Patient healthrelated related , (HRQoL) OHRQoL, (OHRQoL) surgery 1 Results Overall 4 included 3 97.56% 9756 97 56 (97.56% followup follow up 2 range 1541 15 15-41 Specifically 6month month 12month p 0.05 005 0 05 domains Twentyeight Twenty eight 68.3% 683 68 (68.3% 75.6% 756 75 (75.6% respectively However Moreover Conclusions progress (LMGU 20 (HRQoL (OHRQoL 97.56 975 5 (97.56 154 15-4 0.0 00 68.3 (68.3 75.6 7 (75.6 97.5 (97.5 15- 0. 68. (68. 75. (75. 97. (97. (68 (75 (97 (6 (7 (9 (

ABSTRACT This study was conducted to investigate the polymorphism of the silence information regulator 5 (SIRT5) gene in 103 Congjiang Xiang pigs from Southwest China. We searched for SNP (single nucleotide polymorphism) loci of SIRT5 gene through sequence alignment and PCR. We obtained nine SNP loci: g.14135 A>C (intron 6), g.14247 C>A (intron 6), g.14305 C>T (exon 7), g.14335 C>T (exon 7), g.16603 T>C (intron 7), g.16613 T>C (intron 7), g.16800 G>A (intron 7), g.16812 C>G (intron 7), and g.16916 A>G (exon 8). Further analysis of SNP genotypes associated with the carcass traits of skin thickness, backfat thickness, and eye muscle area was carried out in pigs. We found that the genotypes g.14305 C>T (CC) and g.16812 C>G (CG) had certain advantages for improving the carcass traits of Congjiang Xiang pigs. The haplotype combination of the SIRT5 gene that improved skin thickness was H2H3:CCGGCTCA. These results may provide empirical support for molecular-based breeding of carcass traits in Congjiang Xiang pigs. SIRT (SIRT5 10 China single PCR g14135 g 14135 g.1413 AC A C intron 6, 6 , 6) g14247 14247 g.1424 CA g14305 14305 g.1430 CT T exon 7, 7 7) g14335 14335 g.1433 g16603 16603 g.1660 TC g16613 16613 g.1661 g16800 16800 g.1680 GA G g16812 16812 g.1681 CG g16916 16916 g.1691 AG 8. 8 . 8) CC (CC (CG H2H3CCGGCTCA. H2H3CCGGCTCA HHCCGGCTCA H2H3 CCGGCTCA. CCGGCTCA H H2H3:CCGGCTCA molecularbased molecular based (SIRT 1 g1413 1413 g.141 g1424 1424 g.142 g1430 1430 g.143 g1433 1433 g1660 1660 g.166 g1661 1661 g1680 1680 g.168 g1681 1681 g1691 1691 g.169 HH H2H g141 141 g.14 g142 142 g143 143 g166 166 g.16 g168 168 g169 169 g14 14 g.1 g16 16 g1 g.

Colorectal cancer is one of the most common malignant cancers. Pseudogenes have been identified as oncogenes or tumor suppressor genes in the development of various cancers. However, the function of pseudogene CSPG4P12 in colorectal cancer remains unclear. Therefore, the aim of this study was to investigate the potential role of CSPG4P12 in colorectal cancer and explore the possible underlying mechanism. The difference of CSPG4P12 expression between colorectal cancer tissues and adjacent normal tissues was analyzed using the online Gene Expression Profiling Interactive Analysis 2 (GEPIA2) database. Cell viability and colony formation assays were conducted to evaluate cell viability. Transwell and wound healing assays were performed to assess cell migration and invasion capacities. Western blot was used to measure the expression levels of epithelial-mesenchymal transition-related proteins. Colorectal cancer tissues had lower CSPG4P12 expression than adjacent normal tissues. The overexpression of CSPG4P12 inhibited cell proliferation, invasion, and migration in colorectal cancer cells. Overexpressed CSPG4P12 promoted the expression of E-cadherin, whereas it inhibited the expression of vimentin, N-cadherin, and MMP9. These findings suggested that CSPG4P12 inhibits colorectal cancer development and may serve as a new potential target for colorectal cancer. cancers However CSPGP CSPG P CSPG4P1 unclear Therefore mechanism GEPIA2 GEPIA (GEPIA2 database capacities epithelialmesenchymal epithelial mesenchymal transitionrelated transition related proteins proliferation cells Ecadherin, Ecadherin E cadherin, cadherin E-cadherin vimentin Ncadherin, Ncadherin N N-cadherin MMP9 MMP CSPG4P (GEPIA

Resumo O presente artigo apresenta um corpus de aprendizes chineses de português L2 com a anotação de PoS e lema, destacando-se sua potencialidade de análise quantitativa e qualitativa na identificação de padrões linguísticos dos aprendizes, contribuindo, dessa forma, para o ensino de português L2. Este corpus (Corpus de Aprendizes de Português da Universidade de Macau), denominado UMPLC, contém, no total, 933 composições produzidas por 122 estudantes de português da Universidade de Macau durante três anos de estudo consecutivos. A anotação de PoS e lema realizou-se através do Stanza, anotador automático desenvolvido por Qi et al. ( 2020 ). A fim de garantir a consistência de anotação, o resultado foi revisado manualmente. Nesta pesquisa, as informações de PoS e lema permitem-nos investigar quantitativa e qualitativamente diversos fenômenos existentes no corpus relativos ao aspeto lexical e à mudança diacrônica desse aspeto. Dois estudos foram realizados com base em uma abordagem contrastiva, comparando-se o português dos aprendizes do corpus com o português nativo. Foram descobertas características de não-natividade linguística desses aprendizes, o que permitirá que os professores de português L2 se concentrem nas áreas em que é necessário um trabalho corretivo. L destacandose destacando contribuindo forma Corpus Macau, , Macau) UMPLC contém total 93 12 consecutivos realizouse realizou Stanza al 202 . ) manualmente pesquisa permitemnos permitem nos contrastiva comparandose comparando nativo nãonatividade não natividade corretivo 9 1 20 2

Abstract This article presents a corpus of Chinese learners of Portuguese L2 with PoS and lemma annotations, highlighting its potential for quantitative and qualitative analysis in identifying linguistic patterns among learners, thus contributing to the teaching of Portuguese L2. This corpus (University of Macau Portuguese Learners Corpus), named UMPLC, contains a total of 933 compositions produced by 122 Portuguese students from University of Macau over three consecutive years of study. PoS and lemma annotation was performed using Stanza, an automatic annotator developed by Qi et al. ( 2020 ). To ensure annotation consistency, the results were manually reviewed. In this research, the PoS and lemma information enables us to quantitatively and qualitatively investigate various phenomena in the corpus relating to lexical aspects and diachronic changes in this regard. Two studies were conducted based on a contrastive approach, comparing the Portuguese of learners in the corpus with native Portuguese. Non-native linguistic characteristics were discovered, allowing Portuguese L2 teachers to focus on areas requiring corrective work. L annotations Corpus, Corpus , Corpus) UMPLC 93 12 study Stanza al 202 . ) consistency reviewed research regard approach Nonnative Non discovered work 9 1 20 2

ABSTRACT Through a long-term micro-area positioning experiment (2006-2017), the precise fertilization locations of spring maize (Zea mays L.) in Jilin, China, were investigated using an embedded cement bucket pot. The effects of different fertilization placements and additional application of organic manure on maize yield, biomass, grain nutrient uptake, and soil fertility were examined. Six treatments were designed: base fertilizer + topdressing shallow application (BF1TD1); base fertilizer deep + topdressing shallow application (BF2TD1); base fertilizer + topdressing deep application (BF1TD2); base fertilizer deep + topdressing deep application (BF2TD2); base fertilizer + topdressing + organic manure shallow application (BF1TD1 + OS); and base fertilizer + topdressing shallow application + organic manure deep application (BF1TD1 + OD). After 12 years of continuous experimentation, the findings revealed that BF2TD2, BF1TD1 + OS, and BF1TD1 + OD exhibited 10.59 %, 25.17 %, and 29.34 % higher average yields than BF1TD1, respectively. Deep topdressing was more beneficial in increasing maize yield and nutrient accumulation, and additionally, increasing the use of organic fertilizer enhanced plant biomass and nutrient uptake. Over the 12 years considered, the soil organic matter in the 0-20 cm and 20-40 cm layers increased by 45.96 % and 80.61 %, respectively, and the soil pH increased from 0.38 to 0.48. In general, the deep application of organic manure was more beneficial for soil retention as it can increase soil fertility in the 0-40 cm layer. Considering the high yield and nutrient absorption and utilization of maize, technical advancement for soil fertilizer in whole-field tillage layers was crucial. longterm long term microarea micro area 20062017, 20062017 2006 2017 , (2006-2017) Zea L. L Jilin China pot uptake examined designed BFTD BF TD (BF1TD1) BF2TD1 (BF2TD1) BF1TD2 (BF1TD2) BF2TD2 (BF2TD2) (BF1TD OS OS) OD. . OD) 1 experimentation BF1TD 1059 10 59 10.5 2517 25 17 25.1 2934 29 34 29.3 respectively accumulation additionally considered 020 0 20 0-2 2040 40 20-4 4596 45 96 45.9 8061 80 61 80.6 038 38 0.3 048 48 0.48 general 040 0-4 layer wholefield whole field crucial 2006201 200 201 (2006-2017 BF2TD (BF2TD1 (BF1TD2 (BF2TD2 105 5 10. 251 2 25. 293 3 29. 02 0- 204 4 20- 459 9 45. 806 8 6 80. 03 0. 04 0.4 200620 (2006-201 (BF2TD 20062 (2006-20 (2006-2 (2006- (2006 (200 (20 (2 (

ABSTRACT Introduction: This study aimed to investigate the predictive value of the vasoactive-inotropic score (VIS) at different time points for postoperative prolonged mechanical ventilation (PMV) in adult congenital heart disease patients undergoing surgical treatment combined with coronary artery bypass grafting. Methods: Patients were divided into two groups that developed PMV or not. The propensity score matching method was applied to reduce the effects of confounding factors between the two groups. VIS at different time points (VIS at the end of surgery, VIS6h, VIS12h, and VIS12h max) after surgery were recorded and calculated. The value of VIS in predicting PMV was analyzed by the receiver operating characteristic (ROC) curve, and multivariate logistic regression was used to analyze independent risk factors. Results: Among 250 patients, 52 were in the PMV group, and 198 were in the non-PMV group. PMV rate was 20.8%. After propensity score matching, 94 patients were matched in pairs. At each time point, the area under the ROC curve predicted by VIS for PMV was > 0.500, among which VIS at the end of surgery was the largest (0.805). The optimal cutoff point for VIS of 6.5 could predict PMV with 78.7% sensitivity and 72.3% specificity. VIS at the end of surgery was an independent risk factor for PMV (odds ratio=1.301, 95% confidence interval 1.091~1.551, P<0.01). Conclusion: VIS at the end of surgery is an independent predictor for PMV in patients with adult congenital heart disease surgical treatment combined with coronary artery bypass grafting. Introduction vasoactiveinotropic vasoactive inotropic (PMV grafting Methods not VIS6h VISh h max calculated (ROC Results 25 5 group 19 nonPMV non 208 20 8 20.8% 9 pairs 0500 0 500 0.500 0.805. 0805 0.805 . 805 (0.805) 65 6 6. 787 78 7 78.7 723 72 3 72.3 specificity odds ratio1301 ratio 1 301 ratio=1.301 95 10911551 091 551 1.091~1.551 P<0.01. P001 P P<0.01 01 P<0.01) Conclusion 2 20.8 050 50 0.50 080 0.80 80 (0.805 78. 72. ratio130 30 ratio=1.30 1091155 09 55 1.091~1.55 P00 P<0.0 20. 05 0.5 08 0.8 (0.80 ratio13 ratio=1.3 109115 1.091~1.5 P0 P<0. 0. (0.8 ratio1 ratio=1. 10911 1.091~1. P<0 (0. ratio=1 1091 1.091~1 P< (0 ratio= 109 1.091~ ( 10 1.091 1.09 1.0 1.

ABSTRACT Objective: This study aimed to identify differentially expressed microRNAs (miRNAs) in exosomes derived from the blood plasma of Rheumatoid Arthritis (RA) patients and explore their clinical significance and biological roles. Methods: Illumina high-throughput sequencing was employed to measure miRNA expression levels in plasma exosomes, followed by validation using qRT-PCR. The correlation between exosomal miRNAs and disease activity was systematically analyzed. Additionally, the pathogenic effects of RA exosomes were investigated through bioinformatics analysis and in vitro experiments. Results: Significantly reduced levels of exosomal miR-144-3p and miR-30b-5p were observed in RA patients, which were negatively correlated with DAS28 scores and anti-CCP antibody levels. ROC curve analysis showed that miR-144-3p and miR-30b-5p in plasma exosomes could effectively distinguish RA patients from healthy controls, with AUC values of 0.725 and 0.773, respectively. Combining bioinformatics analysis and in vitro experiments, it was demonstrated that plasma exosomes contribute to ongoing autoantibody production in RA by promoting B-cell differentiation and antibody production. Conclusion: The present study indicates that plasma exosomes from RA patients may be potentially pathogenic. Exosomal miR-144-3p and miR-30b-5p exhibit significant decreases in RA patients and are associated with disease activity, suggesting their potential as valuable biomarkers for RA. Objective (miRNAs (RA roles Methods highthroughput high throughput qRTPCR. qRTPCR qRT PCR. PCR qRT-PCR analyzed Additionally experiments Results miR1443p miRp miR 144 3p p miR30b5p miRbp 30b 5p b DAS DAS2 antiCCP anti CCP controls 0725 0 725 0.72 0773 773 0.773 respectively Bcell B cell Conclusion 14 072 72 0.7 077 77 0.77 1 07 7 0.

Abstract Objective: To explore the relationship between Anion Gap (AG), Albumin Corrected AG (ACAG), and in-hospital mortality of Acute Myocardial Infarction (AMI) patients and develop a prediction model for predicting the mortality in AMI patients. Methods: This was a retrospective cohort study based on the Medical Information Mart for Intensive Care (MIMIC)-III, MIMIC-IV, and eICU Collaborative Study Database (eICU). A total of 9767 AMI patients who were admitted to the intensive care unit were included. The authors employed univariate and multivariable cox proportional hazards analyses to investigate the association between AG, ACAG, and in-hospital mortality; p < 0.05 was considered statistically significant. A nomogram incorporating ACAG and clinical indicators was developed and validated for predicting mortality among AMI patients. Results: Both ACAG and AG exhibited a significant association with an elevated risk of in-hospital mortality in AMI patients. The C-index of ACAG (C-index = 0.606) was significantly higher than AG (C-index = 0.589). A nomo-gram (ACAG combined model) was developed to predict the in-hospital mortality for AMI patients. The nomo-gram demonstrated a good predictive performance by Area Under the Curve (AUC) of 0.763 in the training set, 0.744 and 0.681 in the external validation cohort. The C-index of the nomogram was 0.759 in the training set, 0.756 and 0.762 in the validation cohorts. Additionally, the C-index of the nomogram was obviously higher than the ACAG and age shock index in three databases. Conclusion: ACAG was related to in-hospital mortality among AMI patients. The authors developed a nomogram incorporating ACAG and clinical indicators, demonstrating good performance for predicting in-hospital mortality of AMI patients. Objective , (AG) (ACAG) inhospital hospital (AMI Methods MIMICIII, MIMICIII MIMIC III, III (MIMIC)-III MIMICIV, MIMICIV IV, IV MIMIC-IV eICU. . (eICU) 976 included 005 0 05 0.0 Results Cindex C 0.606 0606 606 0.589. 0589 0.589 589 0.589) nomo gram AUC (AUC 0763 763 0.76 set 0744 744 0.74 0681 681 0.68 0759 759 0.75 0756 756 0762 762 cohorts Additionally databases Conclusion (AG (eICU 97 00 0. 0.60 060 60 058 0.58 58 076 76 0.7 074 74 068 68 0.6 075 75 9 06 6 0.5 5 07 7

ABSTRACT Introduction: The aim of this study was to identify perioperative risk factors of laryngeal symptoms and to develop an implementable risk prediction model for Chinese hospitalized patients undergoing coronary artery bypass grafting (CABG). Methods: A total of 1476 Chinese CABG patients admitted to Wuhan Asian Heart Hospital from January 2020 to June 2022 were included and then divided into a modeling cohort and a verification cohort. Univariate analysis was used to identify laryngeal symptoms risk factors, and multivariate logistic regression was applied to construct a prediction model for laryngeal symptoms after CABG. Discrimination and calibration of this model were validated based on the area under the receiver operating characteristic (ROC) curve and the Hosmer-Lemeshow (H-L) test, respectively. Results: The incidence of laryngeal symptoms in patients who underwent CABG was 6.48%. Four independent risk factors were included in the model, and the established aryngeal complications risk calculation formula was Logit (P) = −4.525 + 0.824 × female + 2.09 × body mass index < 18.5 Kg/m2 + 0.793 × transesophageal echocardiogram + 1.218 × intensive care unit intubation time. For laryngeal symptoms, the area under the ROC curve was 0.769 in the derivation cohort (95% confidence interval [CI]: 0.698-0.840) and 0.811 in the validation cohort (95% CI: 0.742-0.879). According to the H-L test, the P-values in the modeling group and the verification group were 0.659 and 0.838, respectively. Conclusion: The prediction model developed in this study can be used to identify high-risk patients for laryngealsymptoms undergoing CABG, and help clinicians implement the follow-up treatment. Introduction . (CABG) Methods 147 202 (ROC HosmerLemeshow Hosmer Lemeshow HL H L (H-L test respectively Results 648 6 48 6.48% P (P 4525 4 525 −4.52 0824 0 824 0.82 209 2 09 2.0 185 18 5 18. Kgm2 Kgm Kg m2 m Kg/m 0793 793 0.79 1218 1 218 1.21 time 0769 769 0.76 95% 95 (95 CI [CI] 0.6980.840 06980840 0.698 0.840 698 840 0.698-0.840 0811 811 0.81 0.7420.879. 07420879 0.742 0.879 742 879 0.742-0.879) Pvalues values 0659 659 0.65 0838 838 0.838 Conclusion highrisk high followup follow up treatment (CABG 14 20 64 6.48 452 52 −4.5 082 82 0.8 2. 079 79 0.7 121 21 1.2 076 76 9 (9 [CI 6980 0.6980.84 0698084 0698 0.69 0840 0.84 69 84 0.698-0.84 081 81 7420 0.7420.879 0742087 0742 0.74 0879 0.87 74 87 0.742-0.879 065 65 0.6 083 83 0.83 6.4 45 −4. 08 8 0. 07 7 12 1. ( 0.6980.8 069808 069 084 0.698-0.8 0.7420.87 074208 074 087 0.742-0.87 06 6. −4 0.6980. 06980 0.698-0. 0.7420.8 07420 0.742-0.8 − 0.6980 0.698-0 0.7420. 0.742-0. 0.698- 0.7420 0.742-0 0.742-

ABSTRACT CONTEXT: Scrub typhus, caused by Orientia tsutsugamushi, has a wide range of clinical manifestations, including meningoencephalitis, acute renal failure, pneumonitis, myocarditis, and septic shock. However, there are no documented cases of scrub typhus with hypokalemia. In this report, we present a case of scrub typhus with hypokalemia and multiple organ failure syndrome, highlighting the importance of electrolyte imbalance in patients with scrub typhus. CASE REPORT: A 59-year-old woman presented to the emergency department with abdominal pain that had been present for 1 day. On admission, the physical examination and laboratory test results indicated that the patient had renal, liver, and circulatory failure, and hypokalemia. She developed meningitis and disseminated intravascular coagulation during hospitalization. She recovered with appropriate management, and was discharged on day 17. CONCLUSION: This report highlights the potential for atypical presentations of scrub typhus, including a previously undocumented association with hypokalemia. Although the contribution of hypokalemia to the patient’s clinical course remains uncertain, this case underscores the importance of considering electrolyte imbalance in the management of patients with scrub typhus. Further research is warranted to better understand the relationship between scrub typhus and electrolyte imbalance. CONTEXT tsutsugamushi manifestations meningoencephalitis pneumonitis myocarditis shock However syndrome REPORT 59yearold yearold 59 year old admission liver hospitalization 17 CONCLUSION s uncertain 5

RESUMO Para avaliar de forma rápida e precisa o crescimento de plantas de chá, este estudo visa encontrar uma nova maneira de prever o conteúdo de clorofila em dosséis de plantas de chá usando aprendizado de máquina. Utilizando aeronaves pilotadas remotamente equipadas com câmeras multiespectrais, imagens de áreas de plantações de chá são capturadas e a reflectância de quatro bandas espectrais é extraída, levando ao cálculo de índices de vegetação. Simultaneamente, o conteúdo relativo de clorofila nos dosséis das plantas de chá foi coletado no terreno usando um detector. Quatro modelos, nomeadamente Floresta Aleatória (RF), rede neural de retropropagação (BPNN), rede de função de base radial (RBFN) e Rede Neural de Regressão Geral (GRNN), foram construídos para prever o conteúdo relativo de clorofila nos dosséis das plantas de chá. Subsequentemente, variáveis importantes de sensoriamento remoto foram identificadas através de filtragem RF, seguidas por uma comparação do desempenho preditivo dos modelos de aprendizado de máquina sob diferentes condições de entrada. Por último, ao integrar o Algoritmo de Busca de Pardal (SSA) para otimizar o fator de suavização no GRNN, o estudo explora o impacto dos algoritmos de otimização no desempenho preditivo do modelo GRNN. Experimentos indicam que, dentro dos modelos de aprendizado de máquina estabelecidos, o GRNN demonstra a maior precisão preditiva. Ao classificar a importância das variáveis de sensoriamento remoto através de RF, 18 variáveis significativas de sensoriamento remoto foram selecionadas, o que melhorou a precisão preditiva dos modelos de aprendizado de máquina. A otimização do fator de suavização do GRNN através do algoritmo SSA pode melhorar significativamente a precisão preditiva do modelo GRNN. Com base em uma série de experimentos, o modelo de predição estabelecido RFSSA-GRNN demonstra um bom desempenho preditivo, com um alcançando 0,84. multiespectrais extraída vegetação Simultaneamente detector RF , (RF) BPNN, BPNN (BPNN) RBFN (RBFN (GRNN) Subsequentemente entrada último (SSA estabelecidos 1 selecionadas experimentos RFSSAGRNN RFSSA 084 0 84 0,84 (RF (BPNN (GRNN 08 8 0,8 0,

ABSTRACT To quickly and accurately assess tea plant growth, this study aims to find a new way to predict the chlorophyll content in tea plant canopies using machine learning. Using remotely piloted aircraft equipped with multispectral cameras, images of tea plantation areas are captured and reflectance from four spectral bands is extracted, leading to the calculation of vegetation indices. Simultaneously, chlorophyll relative content in the tea plant canopies was collected on the ground using a detector. Four models, namely Random Forest (RF), Backpropagation neural network (BPNN), Radial basis function network (RBFN), and General Regression Neural Network (GRNN), were constructed to predict the chlorophyll relative content in tea plant canopies. Subsequently, important remote sensing variables were identified through RF filtering, followed by a comparison of the predictive performance of machine learning models under different input conditions. Lastly, by integrating the Sparrow Search Algorithm (SSA) to optimize the smoothing factor in the GRNN, the study explores the impact of optimization algorithms on the predictive performance of the GRNN model. Experiments indicate that within the established machine learning models, the GRNN demonstrates the highest predictive accuracy. By ranking the importance of remote sensing variables through RF, 18 significant remote sensing variables were selected, which enhanced the predictive accuracy of the machine learning models. The optimization of the GRNN smoothing factor through the SSA algorithm can significantly enhance the predictive accuracy of the GRNN model. Based on a series of experiments, the established RFSSA-GRNN prediction model demonstrates good predictive performance, with an reaching 0.84. growth cameras extracted indices Simultaneously detector , (RF) BPNN, BPNN (BPNN) RBFN, RBFN (RBFN) (GRNN) Subsequently filtering conditions Lastly (SSA 1 selected experiments RFSSAGRNN RFSSA 084 0 84 0.84 (RF (BPNN (RBFN (GRNN 08 8 0.8 0.

Emerging evidence demonstrates that curcumin has an inhibitory effect on non-small cell lung cancer (NSCLC), and its targets and mechanism of action need further exploration. The goal of this study was to explore the potential targets and mechanism of curcumin against NSCLC by network pharmacology, bioinformatics, and experimental validation, thereby providing more insight into combination treatment with curcumin for NSCLC in preclinical and clinical research. Curcumin targets against NSCLC were predicted based on HIT2.0, STD, CTD, and DisGeNET, and the core targets were analyzed via protein-protein interaction network construction (PPI), Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG), and molecular docking. The gene expression levels of samples in A549 cells, NCI-H460, and curcumin treated groups were detected by real-time quantitative PCR. A total of 67 common targets between curcumin and NSCLC were collected by screening public databases. GO and KEGG analysis suggested that curcumin treatment of NSCLC mainly involves cancer-related pathways, such as PI3K-AKT signaling pathway, Foxo signaling pathway, microRNAs, MAPK signaling pathway, HIF-1 signaling pathway, etc. The targets with the highest degree were identified through the PPI network, namely CASP3, CTNNB1, JUN, IL6, MAPK3, HIF1A, STAT3, AKT1, TP53, CCND1, VEGFA, and EGFR. The results of the in vitro experiments showed that curcumin treatment of NSCLC down-regulated the gene expressions of CCND1, CASP3, HIF1A, IL-6, MAPK3, STAT3, AKT1, and TP53. Our findings revealed that curcumin functions as a potential therapeutic candidate for NSCLC by suppressing multiple signaling pathways and interacting with multiple gene targets. nonsmall non small NSCLC, , (NSCLC) exploration pharmacology bioinformatics validation research HIT20 HIT HIT2 0 HIT2.0 STD CTD DisGeNET proteinprotein protein PPI, (PPI) GO, (GO) KEGG, (KEGG) docking A54 cells NCIH460, NCIH460 NCIH NCI H460, H460 H NCI-H460 realtime real time PCR 6 databases cancerrelated related PI3KAKT PIKAKT PI3K AKT PI K pathway microRNAs HIF1 HIF 1 HIF- etc CASP3 CASP CTNNB1 CTNNB JUN IL6 IL MAPK3 HIF1A HIFA STAT3 STAT AKT1 TP53 TP CCND1 CCND VEGFA EGFR downregulated down regulated 6, IL-6 (NSCLC HIT2. (PPI (GO (KEGG A5 NCIH46 H46 NCI-H46 KAKT PIK TP5 IL- NCIH4 H4 NCI-H4 NCI-H