Investigating the Effect of School Bus Stopping Process on Driver Behavior of Surrounding Vehicles Based on a Driving Simulator Experiment.

School bus safety has attracted widespread attention with economic development and the improvement of overall quality of the population. However, violations of school bus regulations and school bus-related crashes often occur. Limited research has been conducted on the impact of the school bus stopping process on surrounding drivers' behavior. This study provides a driving simulator experiment to explore drivers' behaviors during the school bus stopping process under different traffic law awareness status, traffic volume status, and initial location status. Eight variables about behavior decision and kinetic parameters were assessed for analysis by a logistic regression model and multivariate analysis of variance (MANOVA). Results show that the mean speed decreases and the number of people complying with the regulations increases after publicizing the regulations. The proportion of surrounding vehicles in the acceleration state increases, especially under the scenario that the traffic volume is large and the initial distance is far. This indicates that the enforcement of the regulations may stimulate unsafe driving behavior. The findings of this study could help policy makers to better understand the prevalence and compliance of current school bus stopping regulations among drivers and support improvements in the practical application of the regulations.

Do CD4+ Foxp3+ Treg cells correlate with transplant outcomes: a systematic review on recipients of solid organ transplantation.

Regulatory T cells (Tregs) are considered to be critical for the induction of transplant tolerance. Tregs counts were measured in blood, biopsy and urine sample after transplantation in many studies. Although not unanimous, some studies have suggested that Tregs is associated with better outcome and can also serve as an immune marker to predict the individual risk of rejection and identify tolerant patients. In this study, we systematically reviewed the correlation between Tregs and transplant outcomes, identifying if Tregs can predict transplant rejection and tolerance. A total of 22 articles were included and assessed, the results showed that Tregs in recipients are helpful to maintain a stable graft function, reduce acute/chronic rejection rate. And the Tregs in graft and urine, rather than in PBL, may have a better diagnostic value for transplant outcomes. However, since the low quality of included studies, results may be influenced by bias. More high quality studies with bigger sample size are still needed in future.

The protective mechanism of ligustrazine against renal ischemia/reperfusion injury.

BACKGROUND: Ischemia/reperfusion (I/R) injury is unavoidable in renal transplantation, and represents an additional risk factor for the late renal allograft failure. Our study focused on the effects of ligustrazine on oxidative stress, apoptosis, neutrophils recruitment, the expression of proinflammatory mediators and adhesion molecules caused by renal I/R injury. MATERIALS AND METHODS: Renal warm I/R was induced in male C57BL/6 mice by clamping the left renal artery and vein non-traumatically. Group I was sham-operated animals; group II, nontreated animals; and group III, ligustrazine-treated animals (80 mg/kg, i.p. 30 min before I/R). Mice were sacrificed 4 and 24h post reperfusion. The effects of ligustrazine on oxidative stress, neutrophils recruitment, proinflammatory mediators, and adhesion molecules caused by renal I/R injury were assayed. RESULTS: Ligustrazine pretreatment attenuated dramatically the injuries in mice kidneys caused by warm I/R (histological scores of untreated versus treated, 4.2 ± 0.4 versus 0.9 ± 0.3; P<0.01). Administration of ligustrazine significantly reduced myeloperoxidase (MPO) activity by 38.6% and decreased malondialdehye (MDA) level by 19.2%, while superoxide dismutase (SOD) activity increased by 39.6% (P<0.01), suggesting an effective reduction of oxidative stress following ligustrazine treatment. Moreover, ligustrazine also inhibited cell apoptosis, abrogated neutrophils recruitment, and suppressed the over expression of TNF-α and ICAM-1. CONCLUSIONS: In conclusion, ligustrazine protects murine kidney from warm ischemia/reperfusion injury, probably via reducing oxidative stress, inhibiting cell apoptosis, decreasing neutrophils infiltration, and suppressing the overexpression of TNF-α and ICAM-1 levels.