Accelerating effects of growing-season warming on tree seasonal activities are progressively disappearing.

The phenological changes induced by climate warming have profound effects on water, energy, and carbon cycling in forest ecosystems. In addition to pre-season warming, growing-season warming may drive tree phenology by altering photosynthetic carbon uptake. It has been reported that the effect of pre-season warming on tree phenology is decreasing. However, temporal change in the effect of growing-season warming on tree phenology is not yet clear. Combining long-term ground observations and remote-sensing data, here we show that spring and autumn phenology were advanced by growing-season warming, while the accelerating effects of growing-season warming on tree phenology were progressively disappearing, manifesting as phenological events converted from being advanced to being delayed, in the temperate deciduous broadleaved forests across the Northern Hemisphere between 1983 and 2014. We further observed that the effect of growing-season warming on photosynthetic productivity showed a synchronized decline over the same period. The responses of phenology and photosynthetic productivity had a strong linear relationship with each other, and both showed significant negative correlations with the elevated temperature and vapor pressure deficit during the growing season. These findings indicate that warming-induced water stress may drive the observed decline in the responses of tree phenology to growing-season warming by decelerating photosynthetic productivity. Our results not only demonstrate a close link between photosynthetic carbon uptake and tree seasonal activities but also provide a physiological perspective of the nonlinear phenological responses to climate warming.

The Efficacy and Safety of Acupuncture in Treating Stress Urinary Incontinence in Women from a Meta-Analysis of Four Randomized Controlled Trials.

PURPOSE: To verify the efficacy and safety of acupuncture in treating stress urinary incontinence (SUI) in women in a single treatment cycle lasting at least 6 weeks. METHODS: A preferred reporting items for systematic reviews and meta-analyses (PRISMA) summary was followed correctly. Through the use of EMBASE, Cochrane Library databases, and PubMed (until July 2021), we looked for randomized controlled trials. In addition, the included articles' original references were looked up as well. RESULTS: Totally, we analyzed four studies including 690 patients. Compared with the sham acupuncture group, this analysis verified that acupuncture was critically better result in decreasing mean urine leakage (p = 0.04), 1-hour pad test (p = 0.04), 72-hour incontinence episodes (p < 0.00001), International Consultation on Incontinence Questionnaire-Short Form scores (p = 0.0005) and improving patient self-evaluation (All p < 0.05). However, two groups had no statistical significance in improving pelvic floor muscle strength. In the matter of safety, mainly adverse events, especially with respect to pain, both groups showed no statistical difference. CONCLUSIONS: Acupuncture is more beneficial to patients with stress urinary incontinence in women with no critical difference in the incidence of advent events than sham acupuncture.

The Efficacy and Safety of Acupuncture in Treating Stress Urinary Incontinence in Women from a Meta-Analysis of Four Randomized Controlled Trials

Abstract Purpose: To verify the efficacy and safety of acupuncture in treating stress urinary incontinence (SUI) in women in a single treatment cycle lasting at least 6 weeks. Methods: A preferred reporting items for systematic reviews and meta-analyses (PRISMA) summary was followed correctly. Through the use of EMBASE, Cochrane Library databases, and PubMed (until July 2021), we looked for randomized controlled trials. In addition, the included articles’ original references were looked up as well. Results: Totally, we analyzed four studies including 690 patients. Compared with the sham acupuncture group, this analysis verified that acupuncture was critically better result in decreasing mean urine leakage (p = 0.04), 1-hour pad test (p = 0.04), 72-hour incontinence episodes (p < 0.00001), International Consultation on Incontinence Questionnaire-Short Form scores (p = 0.0005) and improving patient self-evaluation (All p < 0.05). However, two groups had no statistical significance in improving pelvic floor muscle strength. In the matter of safety, mainly adverse events, especially with respect to pain, both groups showed no statistical difference. Conclusions: Acupuncture is more beneficial to patients with stress urinary incontinence in women with no critical difference in the incidence of advent events than sham acupuncture (AU)

Development and validation of a prognostic model for kidney renal clear cell carcinoma based on RNA binding protein expression.

Dysregulated expression of RNA-binding proteins (RBPs) is strongly associated with the development and progression of multiple tumors. However, little is known about the role of RBPs in kidney renal clear cell carcinoma (KIRC). In this study, we examined RBP expression profiles using The Cancer Genome Atlas database and identified 133 RBPs that were differentially expressed in KIRC and non-tumor tissues. We then systematically analyzed the potential biological functions of these RBPs and established PPIs. Based on Lasso regression and Cox survival analyses, we constructed a risk model that could independently and accurately predict prognosis based on seven RBPs (NOL12, PABPC1L, RNASE2, RPL22L1, RBM47, OASL, and YBX3). Survival times were shorter in patients with high risk scores for cohorts stratified by different characteristics. Gene set enrichment analysis was also performed to further understand functional differences between high- and low-risk groups. Finally, we developed a clinical nomogram with a concordance index of 0.792 for estimating 3- and 5-year survival probabilities. Our results demonstrate that this risk model could potentially improve individualized diagnostic and therapeutic strategies.