Cost Shifting in Lung Cancer Inpatient Care Under Diagnosis-Intervention Packet Reform: A Pilot Study in China.

Purpose: China has developed and widely implemented an innovative case-based payment method for inpatient services under a regional global budget, termed the "Diagnosis-Intervention Packet" (DIP). This study aims to examine cost-shifting behaviour in lung cancer inpatient care under the DIP reform.

Methods: This study examines the impact of the DIP reform in Zunyi, a national pilot city, using double machine learning (DML).

Optimal conditions for sampling of blood cytokine tests using AimPlex flow cytometry.

Objectives: Quantification of cytokine is indispensable to elucidate the mechanism of immune regulation at the molecular level, thereby contributing to the diagnosis and treatment of several diseases. Here, we aimed to determine the effect of detection method and storage conditions of specimens on the quantification of cytokine levels.

Methods: We used four vacuum blood collection tubes containing EDTA, heparin, clot activator, gel and compared the changes in the expression levels of 14 cytokines in serum and plasma samples at different temperatures and durations of storage using AimPlex flow cytometry-based immunoassay.

Labor epidural analgesia among Han and Uyghur parturients: a prospective observational study in China.

Background: Disparities in pain sensitivity and tolerance have been described, however little is known about variability in the experience of labor pain and childbirth in China.

Methods: This prospective observational study was conducted at a tertiary hospital in Xinjiang, China with two major ethnic groups: Han and Uyghur women. Women with a vaginal delivery with labor epidural analgesia were enrolled.

Does vertical integration increase the costs for primary care inpatients? Evidence from a national pilot programme in China.

Objective: To assess the impact of vertical integration (VI) within County-Level Integrated Health Organisations (CIHOs) on the costs of primary care inpatients.

Methods: This study assessed Xishui, a national pilot county for CIHOs, using inpatient claims data. The treatment group comprised 10,118 inpatients from 5 vertically integrated township health centres (THCs), while the control group consisted of 21,165 inpatients from 19 non-vertically integrated THCs.

Proteomics analysis of immune response-related proteins in Guillain-Barré Syndrome (GBS) and Chronic Inflammatory Demyelinating Polyneuropathy (CIDP).

The objective is to characterize differentially expressed proteins (DEPs) in Guillain-Barré Syndrome (GBS) and Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) through high-throughput analysis. Sera from 11 healthy controls (HCs), 21 GBS and 19 CIDP patients were subjected to Olink Proteomics Analysis. In the comparison between CIDP and GBS groups, up-regulation of ITM2A and down-regulation of NTF4 were observed.

Deep learning-based hyperspectral technique identifies metastatic lymph nodes in oral squamous cell carcinoma-A pilot study.

Aims: To establish a system based on hyperspectral imaging and deep learning for the detection of cancer cells in metastatic lymph nodes.

Main Methods: The continuous sections of metastatic lymph nodes from 45 oral squamous cell carcinoma (OSCC) patients were collected. An improved ResUNet algorithm was established for deep learning to analyze the spectral curve differences between cancer cells and lymphocytes, and that between tumor tissue and normal tissue.

miR-34b-5p suppresses the epithelial-mesenchymal transition and metastasis in endometrial cancer AN3CA cells by targeting .

Objectives: Tumor metastasis is a primary cause of recurrence and mortality in endometrial cancer. miR-34b-5p is abnormally expressed in various cancers and participates in tumor cell progression and metastasis. The objective of this study was to elucidate the biological functions and molecular mechanisms of miR-34b-5p in regulating the epithelial-mesenchymal transition (EMT) and metastasis in AN3CA endometrial cancer cells.

Interferon-induced transmembrane protein-1 competitively blocks Ephrin receptor A2-mediated Epstein-Barr virus entry into epithelial cells.

Epstein-Barr virus (EBV) can infect both B cells and epithelial cells (ECs), causing diseases such as mononucleosis and cancer. It enters ECs via Ephrin receptor A2 (EphA2). The function of interferon-induced transmembrane protein-1 (IFITM1) in EBV infection of ECs remains elusive.

FD-Net: Feature Distillation Network for Oral Squamous Cell Carcinoma Lymph Node Segmentation in Hyperspectral Imagery.

Oral squamous cell carcinoma (OSCC) has the characteristics of early regional lymph node metastasis. OSCC patients often have poor prognoses and low survival rates due to cervical lymph metastases. Therefore, it is necessary to rely on a reasonable screening method to quickly judge the cervical lymph metastastic condition of OSCC patients and develop appropriate treatment plans.

Analysis of cellular response to drugs with a microfluidic single-cell platform based on hyperspectral imaging.

Background: Cellular response to pharmacological action of drugs is significant for drug development. Traditional detection method for cellular response to drugs normally rely on cell proliferation assay and metabolomics examination. In principle, these analytical methods often required cell labeling, invasion analysis, and hours of co-culture with drugs, which are relatively complex and time-consuming.

Study on spatiotemporal dynamic characteristics of precipitation and causes of waterlogging based on a data-driven framework.

The discernible alterations in regional precipitation patterns, influenced by the intersecting factors of urbanization and climate change, exert a substantial impact on urban flood disasters. Based on multi-source precipitation data, a data-driven model fusion framework was constructed to analyze the spatial and temporal dynamic distribution characteristics of precipitation in Beijing. Wavelet analysis method was used to reveal the periodic variation characteristics and multi-scale effects of precipitation, and the machine learning method was used to characterize the spatiotemporal dynamic change pattern of precipitation.

Multi-omics analysis of small RNA, transcriptome, and degradome to identify putative miRNAs linked to MeJA regulated and oridonin biosynthesis in Isodon rubescens.

Isodon rubescens has garnered much attention due to its anti-tumor or anti-cancer properties. However, little is known about the molecular mechanism of oridonin biosynthesis leveraging the regulatory network between small RNAs and mRNAs. In this study, the regulatory networks of miRNAs and targets were examined by combining mRNA, miRNA, and degradome.

A Diamond/Graphene/Diamond Electrode for Waste Water Treatment.

Boron-doped diamond (BDD) thin film electrodes have great application potential in water treatment. However, the high electrode energy consumption due to high resistance directly limits the application range of existing BDD electrodes. In this paper, the BDD/graphene/BDD (DGD) sandwich structure electrode was prepared, which effectively improved the conductivity of the electrode.

Genome resequencing reveals the evolutionary history of garlic reproduction traits.

The propagation of cultivated garlic relies on vegetative cloves, thus flowers become non-essential for reproduction in this species, driving the evolution of reproductive feature-derived traits. To obtain insights into the evolutionary alteration of reproductive traits in the clonally propagated garlic, the evolutionary histories of two main reproduction-related traits, bolting and flower differentiation, were explored by genome analyses using 134 accessions displaying wide diversity in these two traits. Resequencing identified 272.

A systematic approach to macro-level safety assessment and contributing factors analysis considering traffic crashes and violations.

During rapid urbanization and increase in motorization, it becomes particularly important to understand the relationships between traffic safety and risk factors in order to provide targeted improvements and policy recommendations. Violations and police enforcement are key variables, but the endogenous relationship between crashes and violations has made these variables unreliable and has limited their use. To manage this problem, this study developed a systematic approach for the joint modeling of crashes and violations to identify crash and violation hotspots and examine the mechanisms underlying macro-level contributing factors.

Functional lightweight polystyrene@polydopamine nanoparticle for high-performance ELISA.

Nanoparticles are usually used as carrier to load more antibody and enzyme to improve the sensitivity of enzyme-linked immunosorbent assay (ELISA). However, limited by high density and complicated modification procedure, the traditional nanoparticles such as Au nanoparticles (AuNPs) usually induce large background signal and poor reproducibility in ELISA. In this work, functional lightweigh nanoparticle polystyrene@polydopamine (PS@PDA) was prepared and induced as the carrier of detection antibody and horseradish peroxidase (HRP) to form PS@PDA@Ab/HRP biojungates.

Novel serological biomarker panel using protein microarray can distinguish active TB from latent TB infection.

Background: Rapid laboratory technologies which can effectively distinguish active tuberculosis (ATB) from controls and latent tuberculosis infection (LTBI) are lacked.The objective of this study is to explore MTB biomarkers in serum that can distinguish ATB from LTBI.

Methods: We constructed a tuberculosis protein microarray containing 64 MTB associated antigens.

Genome-wide Identification and Characterization of the GRAS Transcription Factors in Garlic ( L.).

GRAS transcription factors play crucial roles in plant growth and development and have been widely explored in many plant species. Garlic ( L.) is an important crop owing to its edible and medicinal properties.

Comparative analysis of chloroplast genomes reveals phylogenetic relationships and intraspecific variation in the medicinal plant Isodon rubescens.

Isodon rubescens (Hemsley) H. Hara (Lamiaceae) is a traditional Chinese medicine plant that has been used to treat various human diseases and conditions such as inflammation, respiratory and gastrointestinal bacterial infections, and malignant tumors. However, the contents of the main active components of I.

The complete chloroplast genome sequence of (Gaertn.) DC. ().

In this study, we constructed and annotated a complete circular chloroplast genome of wild . The chloroplast genome of wild is 153,678 bp in length, including two inverted repeat (IR) regions of 25,759 bp, separated by a large single copy (LSC) region of 84,544 bp and a small single copy (SSC) region of 17,616 bp. The genome contains 149 genes, including 104 protein-coding genes, 37 tRNA genes, and eight rRNA genes.

A room-temperature ultrasonic hydrogen sensor based on a sensitive layer of reduced graphene oxide.

It is challenging to increase the sensitivity of a hydrogen sensor operating at room temperature due to weak sorption and tiny mass of hydrogen. In this work, an ultrasonic sensor is presented for detecting hydrogen, which is composed of a 128° YX-LiNbO substrate and a reduced graphene oxide (RGO) sensitive layer with a platinum catalyzer. By optimizing the depositing parameters of RGO and platinum, a considerably high sensitivity is achieved at room temperature.