Knowledge, Attitudes, and Practices of Physicians Regarding Targeted Drug Therapy for Lung Cancer.

Purpose: This study aimed to examine the KAP of physicians regarding targeted drug therapy for lung cancer in China. Methods: This cross-sectional study enrolled physicians working in hospitals in Nanyang. A self-administered questionnaire was developed (Cronbach's α=0.912) to collect the demographic information and KAP. Results: This study included 191 valid questionnaires. Most participants were male (70.2%) and aged 36-50 (55.5%). The median knowledge score was 29 (24-31) (/36, 80.6%), the mean attitude score was 42 (39-44) (/50, 84.0%), and the mean practice score was 28 (26-29) (/30, 93.3%), indicating sufficient knowledge, positive attitudes, and proactive practice. The female gender (OR=5.291, 95% CI: 1.426-19.634, P=0.013), working in non-public tertiary hospitals (OR=0.053, 95% CI: 0.008-0.360, P=0.003), and working in medical oncology (OR=10.764, 95% CI: 2.638-43.922, P=0.001) were independently associated with adequate knowledge. Only the knowledge scores (OR=1.121, 95% CI: 1.036-1.212, P=0.004) were independently associated with a positive attitude. Only the attitude scores (OR=1.895, 95% CI: 1.333-2.694, P<0.001) were independently associated with proactive practice. Conclusion: Physicians working in thoracic surgery, respiratory medicine, or medical oncology displayed sufficient knowledge, positive attitude, and proactive practice toward targeted therapy for lung cancer.

Brønsted acid-promoted ring-opening and annulation of thioamides and 2H-azirines to synthesize 2,4,5-trisubstituted thiazoles.

In this study, a metal-free synthesis of 2,4,5-trisubstituted thiazoles using 2H-azirines and thioamides is disclosed. Under the catalysis of HClO4, the protocol was realized through a novel chemical bond breaking of 2H-azirine, which is usually achieved using a metal catalyst. It provides an efficient and green route for the synthesis of substituted thiazoles with a broad substrate scope. Preliminary mechanistic studies show that such a reaction may involve a ring-opening reaction, annulation, and a hydrogen atom rearrangement process.

Mannose phosphate isomerase gene mutation leads to a congenital disorder of glycosylation: A rare case report and literature review.

We report the case of a 2-year-old girl who was diagnosed with Mannose-6-phosphate isomerase-congenital disorder of glycosylation (MPI-CDG) and provide a review of the relevant literature. The young girl presented with recurrent unexplained diarrhea, vomiting, hypoproteinemia, and elevated liver transaminases. Whole-exome sequencing revealed that the patient had compound heterozygous mutations in the MPI gene (NM_0024). An exon 4 (c.455G > T, p.R152l) mutation was inherited from the mother and an exon 7 (c.884G > A, p.R295H) mutation from the father. One week after the start of mannose treatment, the vomiting and diarrhea symptoms disappeared completely and did not show any side effects. We also provide a brief review of the relevant literature. Including the present case, a total of 52 patients from hospitals across 17 countries were diagnosed with MPI-CDG. Age at disease onset ranged from birth to 15 years, with an onset under 2 years in most patients (43/50). Overall, patients presented with at least one or more of the following symptoms: chronic diarrhea (41/46), vomiting (23/27), hepatomegaly (39/44), hepatic fibrosis (20/37), protein-losing enteropathy (30/36), elevated serum transaminases (24/34), hyperinsulinemic-hypoglycemia (24/34), hypoalbuminemia (33/38), prolonged coagulation (26/30), splenomegaly (13/21), non-pitting edema (14/20), failure to thrive (13/36), portal hypertension (4/9), epilepsy (2/17), thrombosis (12/14), and abnormally elevated leukocytes (5). None of the patients was reported to have an intellectual disability (0/28). The majority of patients (26/30) showed clinical symptoms, and laboratory results improved after oral mannose administration. Our findings suggest that MPI-CDG should be considered in children with unexplained recurrent digestive and endocrine systems involvement, and gene examination should be performed immediately to obtain a definite diagnosis in order to begin treatment in a timely manner.

A Semi-supervised Sensing Rate Learning based CMAB scheme to combat COVID-19 by trustful data collection in the crowd.

The recruitment of trustworthy and high-quality workers is an important research issue for MCS. Previous studies either assume that the qualities of workers are known in advance, or assume that the platform knows the qualities of workers once it receives their collected data. In reality, to reduce costs and thus maximize revenue, many strategic workers do not perform their sensing tasks honestly and report fake data to the platform, which is called False data attacks. And it is very hard for the platform to evaluate the authenticity of the received data In this paper, an incentive mechanism named Semi-supervision based Combinatorial Multi-Armed Bandit reverse Auction (SCMABA) is proposed to solve the recruitment problem of multiple unknown and strategic workers in MCS. First, we model the worker recruitment as a multi-armed bandit reverse auction problem and design an UCB-based algorithm to separate the exploration and exploitation, regarding the Sensing Rates (SRs) of recruited workers as the gain of the bandit Next, a Semi-supervised Sensing Rate Learning (SSRL) approach is proposed to quickly and accurately obtain the workers' SRs, which consists of two phases, supervision and self-supervision. Last, SCMABA is designed organically combining the SRs acquisition mechanism with multi-armed bandit reverse auction, where supervised SR learning is used in the exploration, and the self-supervised one is used in the exploitation. We theoretically prove that our SCMABA achieves truthfulness and individual rationality and exhibits outstanding performances of the SCMABA mechanism through in-depth simulations of real-world data traces.

Current Implementation Status of Cold Spray Technology: A Short Review.

In recent years, cold spray technology has attracted more and more attentions. After more than 30 years of rapid development, research focus of cold spray technology is gradually shifting from fundamental and theoretical studies to application developments, some of which have been industrialized and mass-produced. In this paper, the characteristics of cold spray technology, cold spray materials perspectives and cold spray system developments were briefly introduced. Besides, the recent developments of cold spray applications in different fields including aerospace, biomedical, energy, electronics, semiconductor fields were discussed. Although cold spray technology is in the early stages of implementation, it has demonstrated a great potential to reduce costs and improve performance. World-wide awareness of ongoing and planned cold spray programs is critical to expand its applications and benefits.

Synthesis of oxazolidinones through ring-opening and annulation of vinylene carbonate with 2-pyrrolyl/indolylanilines under Rh(III) catalysis.

Herein, we have developed a rhodium-catalyzed C-H functionalization and subsequent intramolecular ring-opening/cyclization of vinylene carbonate with 2-pyrrolyl/indolylanilines, which leads to oxazolidinones in moderate to good yields. In this transformation, vinylene carbonate only eliminates one oxygen atom rather than -CO3 or CO2. Furthermore, some control experiments are conducted to elucidate the reaction mechanism.

linc00941 regulates the proliferation, invasion and glycolysis of esophageal squamous cell carcinoma via miR-203/CCL2 axis / 中国肿瘤生物治疗杂志

@#[摘要] 目的：探究linc00941 作为ceRNA吸附miR-203 上调CC-趋化因子配体2（CC chemokine ligand 2，CCL2）的表达在食 管鳞癌（esophageal squamous cell carcinoma，ESCC）中的作用机制。方法：选取南阳医学高等专科学校第一附属医院58 例ESCC 患者的癌组织和癌旁组织，其中，男性患者33 例，年龄（49.3±18.6）岁，女性患者25 例，年龄（44.6±20.7）岁。qPCR 法检测 linc00941、miR-203、CCL2 在ESCC 组织和4 株人ESCC 细胞系（EC9706、KYSE30、ECA109 和TE1）以及人正常食管上皮细胞株 HET-1A细胞系中的表达。构建linc00941-wt、linc00941-mut、CCL2-wt、CCL2-mut 质粒并分别与miR-203 NC 或miR-203 模拟物 共转染到293T 细胞中。双荧光素酶报告基因实验验证linc00941、miR-203、CCL2 之间的相互作用。CCK-8 和Transwell 实验检 测细胞的增殖与侵袭能力。乳酸含量检测评价细胞的糖酵解能力。流式细胞术检测细胞的凋亡情况。糖酵解抑制剂2-DG以及 linc00941 共同干预ESCC细胞，以进一步观察linc00941 对ESCC细胞的调控作用。结果：在ESCC组织中和细胞系中linc00941、 CCL2 表达均上调，miR-203 表达下调（均P<0.05）。linc00941 与miR-203、miR-203 与CCL2 的相互作用在ECA109 细胞中得到证 实。下调linc00941 能够抑制ECA109 细胞的增殖、侵袭和糖酵解，并诱导细胞凋亡，该作用被miR-203 抑制剂部分逆转（均 P<0.05）。过表达CCL2 可以部分逆转敲减linc00941 对ECA109 细胞增殖、侵袭、糖酵解和凋亡的影响（均P<0.05）。结论： linc00941 能够吸附miR-203 进而上调CCL2 的表达，促进ESCC细胞的增殖、侵袭和糖酵解，诱导细胞凋亡。linc00941 对ESCC细 胞增殖、侵袭和凋亡的影响可能是通过调控糖酵解实现的。

Effects of miR-133a-5p on the proliferation and adhesion of gastric cardia adenocarcinoma cells and the polarization of M1 macrophages / 中国肿瘤生物治疗杂志

@#[摘 要] 目的：探究miR-133a-5p调控血清外泌体源性纤连蛋白1（fibronectin1，FN1）的表达对胃贲门腺癌（gastric cardia adenocarcinoma，GCA）细胞增殖、黏附和M1型巨噬细胞极化的影响。方法：借助GEO数据库分析GCA组织中的差异表达基因，进行功能富集分析。采用qPCR检测FN1在GCA组织、血清、血清外泌体和细胞中的表达。向GCA患者血清外泌体中转染FN1的过表达载体及其对照质粒，向HGC-27细胞中转染miR-133a-5p模拟物及其对照，将转染后的HGC-27细胞和外泌体共培养，再将此细胞与THP-1细胞共培养。采用CCK-8和细胞黏附实验分别检测各组HGC-27细胞的增殖和黏附情况，WB法、ELISA分别检测细胞中CD86、iNOS的水平以及对巨噬细胞分泌IL-6、IL-1β的影响。采用双荧光素酶报告基因实验验证FN1 mRNA和miR-133a-5p之间的相互作用关系。结果：与健康人对照组相比，GCA组织、血清、血清外泌体和细胞中的FN1表达水平显著上调（均P<0.05），FN1高表达的血清外泌体与GCA患者的TNM分期（P=0.032 9）和淋巴结转移有关联（P=0.012 7）。富含FN1的血清外泌体能够被GCA细胞内化，与过表达FN1的外泌体共培养能够提高HGC-27细胞的增殖和黏附能力，抑制THP-1细胞中IL-6、IL-1β、CD86和iNOS的表达，抑制M1型巨噬细胞极化（（P<0.05或P<0.01）。miR-133a-5p在GCA组织和细胞中较对照组显著降低，可负调控FN1的表达，过表达miR-133a-5p能够通过降低GCA细胞增殖和黏附能力，促进IL-6、IL-1β、CD86和iNOS的表达，部分逆转FN1对GCA细胞恶性行为的促进作用（P<0.05或P<0.01）。结论：miR-133a-5p可通过抑制血清外泌体分泌FN1对GCA细胞的恶性行为起抑制作用，对M1型巨噬细胞极化起促进作用。

Direct synthesis of 2,3,5-trisubstituted pyrroles via copper-mediated one-pot multicomponent reaction.

We have developed a copper-mediated one-pot synthesis of 2,3,5-trisubstituted pyrroles from 1,3-dicarbonyl compounds and acrylates using ammonium acetate as a nitrogen source. The reaction achieves C-C and C-N bond formation and provides an efficient approach to access highly functionalized pyrroles without further raw material preparation. This method is operationally simple, compatible with a wide range of functional groups, and provides the target products in moderate to good yields.

Iridium(III)-Catalyzed Tandem Annulation of Pyridine-Substituted Anilines and α-Cl Ketones for Obtaining 2-Arylindoles.

A facile and expeditious protocol for the synthesis of 2-arylindole compounds from readily available N-(2-pyridyl)anilines and commercially available α-Cl ketones through iridium-catalyzed C-H activation and cyclization is reported here. As a complementary approach to the conventional strategies for indole synthesis, the transformation exhibits powerful reactivity, tolerates a large number of functional groups, and proceeds with good to excellent yields under mild conditions, providing a straightforward method to obtain structurally diverse and valuable indole scaffolds. Furthermore, the reaction could be easily scaled up to gram scale.

Rhodium-catalyzed tandem acylmethylation/annulation of N-nitrosoanilines with sulfoxonium ylides for the synthesis of substituted indazole N-oxides.

An atom-economical protocol for synthesizing indazole N-oxides from readily available N-nitrosoanilines and sulfoxonium ylides through the rhodium(iii)-catalyzed C-H activation and cyclization reaction is described here. This protocol employs nitroso as a traceless directing group. The transformation features powerful reactivity, tolerates various functional groups, and proceeds with moderate to good yields under an ambient atmosphere, providing a straightforward approach to access structurally diverse and valuable indazole N-oxide derivatives. Importantly, this new annulation process represents a hitherto unobserved reactivity pattern for the N-nitroso group.

Base-promoted Lewis acid catalyzed synthesis of quinazoline derivatives.

A one-pot protocol has been developed for the synthesis of quinazolinones from amide-oxazolines with TsCl via a cyclic 1,3-azaoxonium intermediate and 6π electron cyclization in the presence of a Lewis acid and base. The process is operationally simple and has a broad substrate scope. This method provides a unique strategy for the construction of quinazolinones.

Selective synthesis of (1H-benzo[d]imidazol-2-yl)(phenyl)methanone and quinoxaline from aromatic aldehyde and o-phenylenediamine.

We have designed a general, inexpensive, and versatile method for the synthesis of (1H-benzo[d]imidazol-2-yl)(phenyl)methanone and the formation of C-N bonds via an aromatic aldehyde and o-phenylenediamine. In the presence of N,N-dimethylformamide/sulfur, (1H-benzo[d]imidazol-2-yl)(phenyl)methanone was obtained; however, in the absence of sulfur, quinoxaline was obtained in 1,4-dioxane. A wide range of quinoxalines and (1H-benzo[d]imidazol-2-yl)(phenyl)methanones was obtained under mild conditions.

Synthesis of quinazolin-4(1H)-ones via amination and annulation of amidines and benzamides.

Quinazolinones have broad applications in the biological, pharmaceutical and material fields. Studies on the synthesis of these compounds are therefore widely conducted. Herein, a novel and highly efficient copper-mediated tandem C(sp2)-H amination and annulation of benzamides and amidines for the synthesis of quinazolin-4(1H)-ones is proposed. This synthetic route can be useful for the construction of quinazolin-4(1H)-one frameworks.

Ruthenium-catalyzed synthesis of indole derivatives from N-aryl-2-aminopyridines and alpha-carbonyl sulfoxonium ylides.

Indole is a ubiquitous structural motif with important applications in many areas of chemistry. Given this, a simple and efficient Ru(ii)-catalyzed synthesis of indole via intermolecular annulation of N-aryl-2-aminopyridines and sulfoxonium ylides was proposed and accomplished. Excellent selectivity and good functional group tolerance of this transformation were observed. This protocol provides easy access to a wide variety of useful indoles in the presence of a commercially available [Ru(p-cymene)Cl2]2 catalyst. A possible mechanism for the reaction pathway was also proposed. More importantly, this reaction will offer a useful method for the construction of enantioenriched indole frameworks.

Adding Active Slot Joint Larger Broadcast Radius for Fast Code Dissemination in WSNs.

By using Software Defined Network (SDN) technology, senor nodes can get updated program code which can provide new features, so it has received extensive attention. How to effectively spread code to each node fast is a challenge issue in wireless sensor networks (WSNs). In this paper, an Adding Active Slot joint Larger Broadcast Radius (AAS-LBR) scheme is proposed for fast code dissemination. The AAS-LBR scheme combines the energy of data collection and code dissemination, making full use of the remaining energy in the far-sink area to increase the active slot and the broadcast radius to speed up the code dissemination. The main contributions of the proposed AAS-LBR scheme are the following: (1) Make full use of the remaining energy of the far sink area to expand the broadcast radius, so that the node broadcasts a longer distance. The wide range of broadcasts makes the number of nodes receiving code more, which speeds up the spread of code dissemination. (2) AAS-LBR uses two improved methods to further reduce the number of broadcasts and speed up the code dissemination: (a) When constructing the broadcast backbone whose nodes dominate all nodes in network and are responsible for broadcasting code, the active slot is added to the next hop node in a pipeline style on the diffusion path, which enables the code dissemination process to continue without pause. Thus, the code can quickly spread to the entire broadcast backbone. (b) For the nodes in the non-broadcast backbone whose nodes are dominated by the broadcast backbone and only for receiving code, an active slot is added coincident with its broadcast backbone' active slot, which can reduce the time required for code dissemination and reduce the number of broadcasts. A lot of performance analysis and simulation results show that compared to previous schemed, the AAS-LBR scheme can balance energy consumption, the transmission delay can be reduced 43.09⁻78.69%, the number of broadcasts can be reduced 44.51⁻86.18% and the energy efficiency is improved by about 24.5%.

Microstructure and Mechanical Properties of Zn-Ni-Al2O3 Composite Coatings.

Zn-Ni-Al2O3 composite coatings with different Ni contents were fabricated by low-pressure cold spray (LPCS) technology. The effects of the Ni content on the microstructural and mechanical properties of the coatings were investigated. According to X-ray diffraction patterns, the composite coatings were primarily composed of metallic-phase Zn and Ni and ceramic-phase Al2O3. The energy-dispersive spectroscopy results show that the Al2O3 content of the composite coatings gradually decreased with increasing of Ni content. The cross-sectional morphology revealed thick, dense coatings with a wave-like stacking structure. The process of depositing Zn and Ni particles and Al2O3 particles by the LPCS method was examined, and the deposition mechanism was demonstrated to be mechanical interlocking. The bond strength, micro hardness and friction coefficient of the coatings did not obviously change when the Ni content varied. The presence of Al2O3 and Ni increased the wear resistance of the composite coatings, which was higher than that of pure Zn coatings, and the wear mechanism was abrasive and adhesive wear.

The synthesis of multi-substituted pyrrolidinones via a direct [3 + 2] cycloaddition of azaoxyallyl cations with aromatic ethylenes.

A novel [3 + 2] cycloaddition reaction of azaoxyallyl cations and aromatic ethylenes has been developed to afford multi-substituted pyrrolidinones in moderate to good yields. This method not only further expands the synthetic utility of α-halo hydroxamates, but also provides an alternative method for the synthesis of bioactive molecules containing pyrrolidinones.

STARD-rapid screening for the 6 most common G6PD gene mutations in the Chinese population using the amplification refractory mutation system combined with melting curve analysis.

Dot-blot hybridization and high-resolution melting curve methods are used to detect G6PD gene mutations; however, the performance and throughput limitations of these methods hinder their use for screening large populations. For simple screening, we developed a novel approach called "Amplification Refractory Mutation System combined with Melting Curve Analysis (ARMS-MC)," which enables rapid and batch-based detection of the 6 most common G6PD mutations.In this method, we established 4 PCR reaction systems that can be used to detect the 6 most common G6PD mutations (c.95A>G, c.392G>T, c.871G>A, c.1024C>T, c.1376G>T, and c.1388G>A) in the Chinese population.The ARMS-MC method was evaluated with 174 cases of clinical G6PD-deficient samples, and the results were verified by direct sequencing at G6PD gene exons. The results showed that 170 samples had ≥1 of the 6 mutations, which accounted for 97.70% of all mutations. These results were consistent with the results of direct sequencing with 100% accuracy and specificity. Sequencing validation revealed other mutations in the 4 samples in which no mutation was detected by the ARMS-MC method.ARMS-MC provides a rapid, simple, inexpensive, and accurate screening method for detecting the most common G6PD mutations in Chinese people.