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\"The 1949 Communist Revolution marked a period of earthshaking change in China. Political, economic, ideological, and cultural movements set into motion came to galvanize the country, culminating in dramatic social transformations at all levels but also in the persecution of hundreds of thousands of the country's citizens. Based on normally inaccessible records of confessions, interrogations, trial transcripts, and depositions, Eight Outcasts tells the stories of eight victims of the Maoist dictatorship. It introduces readers to individuals accused of infractions such as corruption, political wrong thoughts, homosexuality, illicit sexual activity, foreign ties, or \"historical problems\" (connections to the former Kuomintang regime) in the period between the revolution and Mao's death in 1976. Each chapter brings stories of China's voiceless citizens to light, broadening our knowledge of this important transitional period\"--Provided by publisher.

Currently, many film and television enterprises struggle with insufficient funds during the visualization process. To address this issue, companies can opt to enter into co-production agreements with sales platforms, implement supply chain financing, obtain financing through banks, or collaborate with all three parties simultaneously. The paper presents a tripartite evolutionary game model involving film and television enterprises, sales platforms, and banks and discusses the strategic choices of operation and the investment and financing behaviors of the three parties. Additionally, it analyzes film and television enterprises' capital, film production costs, copyright acquisition costs, and other factors and examines the impact of these factors on their strategic choices. The study shows that only when film and television enterprises have strong negotiation abilities will a sales platform consider establishing a cooperative relationship with them. As the cost of film production increases, the requirement for the negotiation ability of film and television companies also increases accordingly. Once the cooperation of the sales platform is obtained, film and television enterprises can actively complete the film shooting. If the sales platform chooses not to cooperate, the film and television enterprises' capital will be restricted. In the case of non-cooperation, if the film production cost is low, enterprises can still choose to complete the film using bank financing. In contrast, even if they have obtained the support of bank loans, the high production cost of the film compels the film and television enterprises to adopt the strategy of negative completion. The research provides theoretical support for further alleviating the financing difficulties of film and television enterprises and at the same time provides a theoretical basis for the cooperation among film and television enterprises, sales platforms, and banks.

Background Colorectal cancer is the 4th common cancer in China. Most colorectal cancers are due to modifiable lifestyle factors, but few studies have provided a systematic evidence-based assessment of the burden of colorectal cancer incidence and mortality attributable to the known risk factors in China. Methods We estimated the population attributable faction (PAF) for each selected risk factor in China, based on the prevalence of exposure around 2000 and relative risks from cohort studies and meta-analyses. Results Among 245,000 new cases and 139,000 deaths of colorectal cancer in China in 2012, we found that 115,578 incident cases and 63,102 deaths of colorectal cancer were attributable to smoking, alcohol drinking, overweight and obesity, physical inactivity and dietary factors. Low vegetable intake was the main risk factor for colorectal cancer with a PAF of 17.9%. Physical inactivity was responsible for 8.9% of colorectal cancer incidence and mortality. The remaining factors, including high red and processed meat intake, low fruit intake, alcohol drinking, overweight/obesity and smoking, accounted for 8.6%, 6.4%, 5.4%, 5.3% and 4.9% of colorectal cancer, respectively. Overall, 45.5% of colorectal cancer incidence and mortality were attributable to the joint effects of these seven risk factors. Conclusions Tobacco smoking, alcohol drinking, overweight or obesity, physical inactivity, low vegetable intake, low fruit intake, and high red and processed meat intake were responsible for nearly 46% of colorectal cancer incidence and mortality in China in 2012. Our findings could provide a basis for developing guidelines of colorectal cancer prevention and control in China.

To investigate the prevalence, developmental potential, chromosomal constitution and clinical outcome of embryos with direct unequal cleavages (DUC). A retrospective observational study. Academic Institution. 21,261 embryos from 3,155 cycles cultured in EmbryoScope®. The total incidence of DUCs per embryo occupying the first three cleavages were 26.1%. Depending of the cell stage, DUC rate was 9.8% at first cleavage (DUC-1), 9.1% at second cleavage (DUC-2), and 3.7% at third cleavage (DUC-3) with 3.6% of embryos exhibiting multiple DUCs (DUC-Plus). The occurrence of DUCs was not correlated with female gamete age or source. The incidence of DUC-1 was significantly higher in embryos fertilized by epididymal and testicular sperm (13.6% and 11.4%, respectively) compared to ejaculated sperm (9.1%, all p<0.05). The total incidences of DUCs were strongly correlated with the onset of blastomere multinucleation (MNB) during the first three divisions. In MNB embryos, DUCs incidence are two to three times more likely to develop when compared to non-MNB embryos (OR = 3.11, 95% CI [2.64, 3.67] at 1-cell stage, OR = 2.64, 95% CI [2.39, 2.91] at 2-cell stage and OR = 2.51, 95% CI [1.84, 3.43] at 4-cell stage). The blastocyst formation rates gradually decreased from 61.0% in non-DUC to 40.2% in DUC-3, 18.8% in DUC-2, 8.2% in DUC-1 and 5.6% in multiple DUC embryos (DUC-Plus). The known implantation rates (FH) for day 3 (D3) transfers were 12.42% (n = 3172) in Non-DUC embryos, 6.3% (n = 127) in DUC-3, and 2.7% (n = 260) in DUC-2 embryos. No live births resulted from either DUC-1 (n = 225) or DUC-Plus (n = 100) embryo transfers. For blastocyst transfers, lower implantation rates (33.3%) but similar live birth (LB) rates (40%) were observed if DUC blastocysts were transferred. Comparatively rates in Non-DUC blastocyst were 45.2% and 34.8%, respectively. The euploid rate gradually increased from DUC-1, -2, -3 to Non-DUC (13.3%, 19.5%, 33.3%, 45.6%, p<0.001) for D3 biopsied embryos. Interestingly, the trend of decreased euploidy disappeared in DUC D5/6 biopsied embryos and similar rates were exemplified in DUC (D5 56.3%, D6 35.6%) vs. non-DUC (D5 51.4%, D6 33.8%) embryos. Blastocyst formation, implantation potential and euploid rate were significantly reduced in DUC embryos. DUC embryos should be deselected for D3 transfers, but should be culture to blastocyst stage for possible ET.

The Warburg effect, which originally described increased production of lactate in cancer, is associated with diverse cellular processes such as angiogenesis, hypoxia, polarization of macrophages and activation of T cells. This phenomenon is intimately linked to several diseases including neoplasia, sepsis and autoimmune diseases 1 , 2 . Lactate, which is converted from pyruvate in tumour cells, is widely known as an energy source and metabolic by-product. However, its non-metabolic functions in physiology and disease remain unknown. Here we show that lactate-derived lactylation of histone lysine residues serves as an epigenetic modification that directly stimulates gene transcription from chromatin. We identify 28 lactylation sites on core histones in human and mouse cells. Hypoxia and bacterial challenges induce the production of lactate by glycolysis, and this acts as a precursor that stimulates histone lactylation. Using M1 macrophages that have been exposed to bacteria as a model system, we show that histone lactylation has different temporal dynamics from acetylation. In the late phase of M1 macrophage polarization, increased histone lactylation induces homeostatic genes that are involved in wound healing, including Arg1 . Collectively, our results suggest that an endogenous ‘lactate clock’ in bacterially challenged M1 macrophages turns on gene expression to promote homeostasis. Histone lactylation thus represents an opportunity to improve our understanding of the functions of lactate and its role in diverse pathophysiological conditions, including infection and cancer. The lactylation of lysine residues on histones in mammalian cells is stimulated by hypoxia and bacterial challenges, and increased histone lactylation induces genes involved in wound healing.

Three-dimensional (3D) digital technology is essential to the maintenance and monitoring of cultural heritage sites. In the field of bridge engineering, 3D models generated from point clouds of existing bridges is drawing increasing attention. Currently, the widespread use of the unmanned aerial vehicle (UAV) provides a practical solution for generating 3D point clouds as well as models, which can drastically reduce the manual effort and cost involved. In this study, we present a semi-automated framework for generating structural surface models of heritage bridges. To be specific, we propose to tackle this challenge via a novel top-down method for segmenting main bridge components, combined with rule-based classification, to produce labeled 3D models from UAV photogrammetric point clouds. The point clouds of the heritage bridge are generated from the captured UAV images through the structure-from-motion workflow. A segmentation method is developed based on the supervoxel structure and global graph optimization, which can effectively separate bridge components based on geometric features. Then, recognition by the use of a classification tree and bridge geometry is utilized to recognize different structural elements from the obtained segments. Finally, surface modeling is conducted to generate surface models of the recognized elements. Experiments using two bridges in China demonstrate the potential of the presented structural model reconstruction method using UAV photogrammetry and point cloud processing in 3D digital documentation of heritage bridges. By using given markers, the reconstruction error of point clouds can be as small as 0.4%. Moreover, the precision and recall of segmentation results using testing date are better than 0.8, and a recognition accuracy better than 0.8 is achieved.

ObjectiveThe gut virome is a dense community of viruses inhabiting the gastrointestinal tract and an integral part of the microbiota. The virome coexists with the other components of the microbiota and with the host in a dynamic equilibrium, serving as a key contributor to the maintenance of intestinal homeostasis and functions. However, this equilibrium can be interrupted in certain pathological states, including inflammatory bowel disease, causing dysbiosis that may participate in disease pathogenesis. Nevertheless, whether virome dysbiosis is a causal or bystander event requires further clarification.DesignThis review seeks to summarise the latest advancements in the study of the gut virome, highlighting its cross-talk with the mucosal microenvironment. It explores how cutting-edge technologies may build upon current knowledge to advance research in this field. An overview of virome transplantation in diseased gastrointestinal tracts is provided along with insights into the development of innovative virome-based therapeutics to improve clinical management.ResultsGut virome dysbiosis, primarily driven by the expansion of Caudovirales, has been shown to impact intestinal immunity and barrier functions, influencing overall intestinal homeostasis. Although emerging innovative technologies still need further implementation, they display the unprecedented potential to better characterise virome composition and delineate its role in intestinal diseases.ConclusionsThe field of gut virome is progressively expanding, thanks to the advancements of sequencing technologies and bioinformatic pipelines. These have contributed to a better understanding of how virome dysbiosis is linked to intestinal disease pathogenesis and how the modulation of virome composition may help the clinical intervention to ameliorate gut disease management.

AbstractObjectiveTo assess the prevalence of diabetes and its risk factors.DesignPopulation based, cross sectional study.Setting31 provinces in mainland China with nationally representative cross sectional data from 2015 to 2017.Participants75 880 participants aged 18 and older—a nationally representative sample of the mainland Chinese population.Main outcome measuresPrevalence of diabetes among adults living in China, and the prevalence by sex, regions, and ethnic groups, estimated by the 2018 American Diabetes Association (ADA) and the World Health Organization diagnostic criteria. Demographic characteristics, lifestyle, and history of disease were recorded by participants on a questionnaire. Anthropometric and clinical assessments were made of serum concentrations of fasting plasma glucose (one measurement), two hour plasma glucose, and glycated haemoglobin (HbA1c).ResultsThe weighted prevalence of total diabetes (n=9772), self-reported diabetes (n=4464), newly diagnosed diabetes (n=5308), and prediabetes (n=27 230) diagnosed by the ADA criteria were 12.8% (95% confidence interval 12.0% to 13.6%), 6.0% (5.4% to 6.7%), 6.8% (6.1% to 7.4%), and 35.2% (33.5% to 37.0%), respectively, among adults living in China. The weighted prevalence of total diabetes was higher among adults aged 50 and older and among men. The prevalence of total diabetes in 31 provinces ranged from 6.2% in Guizhou to 19.9% in Inner Mongolia. Han ethnicity had the highest prevalence of diabetes (12.8%) and Hui ethnicity had the lowest (6.3%) among five investigated ethnicities. The weighted prevalence of total diabetes (n=8385) using the WHO criteria was 11.2% (95% confidence interval 10.5% to 11.9%).ConclusionThe prevalence of diabetes has increased slightly from 2007 to 2017 among adults living in China. The findings indicate that diabetes is an important public health problem in China.

The species of Ptilomera Amyot & Serville, 1843 from China are reviewed. Two new species, Ptilomera acutidentata sp. n. and Ptilomera valida sp. n., are described from Yunnan, China. Diagnoses and new distribution records are provided for four previously recorded species, i.e., Ptilomera burmana D. Polhemus, 2001, Ptilomera hemmingseni Andersen, 1967, Ptilomera hylactor Breddin, 1903, and Ptilomera tigrina Uhler, 1860. Photographs and line drawings of the habitus, diagnostic characteristics of both sexes, habitat and in-situ photographs are presented. A distribution map of Ptilomera in China is also provided.

Background Three-dimensional (3D) printing is an emerging technology widely used in medical education. However, its role in the teaching of human anatomy needs further evaluation. Methods PubMed, Embase, EBSCO, SpringerLink, and Nature databases were searched systematically for studies published from January 2011 to April 2020 in the English language. GRADEprofiler software was used to evaluate the quality of literature. In this study, a meta-analysis of continuous and binary data was conducted. Both descriptive and statistical analyses were used. Results Comparing the post-training tests in neuroanatomy, cardiac anatomy, and abdominal anatomy, the standardized mean difference (SMD) of the 3D group and the conventional group were 1.27, 0.37, and 2.01, respectively ( p  < 0.05). For 3D vs. cadaver and 3D vs. 2D, the SMD were 0.69 and 1.05, respectively ( p <  0.05). For answering time, the SMD of the 3D group vs. conventional group was – 0.61 ( P  < 0.05). For 3D print usefulness, RR = 2.29( P <  0.05). Five of the six studies showed that satisfaction of the 3D group was higher than that of the conventional group. Two studies showed that accuracy of answering questions in the 3D group was higher than that in the conventional group. Conclusions Compared with students in the conventional group, those in the 3D printing group had advantages in accuracy and answering time. In the test of anatomical knowledge, the test results of students in the 3D group were not inferior (higher or equal) to those in the conventional group. The post-training test results of the 3D group were higher than those in the cadaver or 2D group. More students in the 3D printing group were satisfied with their learning compared with the conventional group. The results could be influenced by the quality of the randomized controlled trials. In a framework of ethical rigor, the application of the 3D printing model in human anatomy teaching is expected to grow further.