Basic Characteristics Research Articles

Psychometric assessment for ADHD and the role of ICTs

The Attention Deficit Hyperactivity Disorder (ADHD), with or without Hyperactivity, is a matter of concern for a significant portion of the student population. This study aims to undertake an exploratory approach regarding the diagnostic process, especially the use of psychometric tools in the assessment and diagnosis of a child considered to have ADHD. In order for this analysis to be feasible, a widely accepted definition of what this disorder is, as well as its basic characteristics, must be provided. This will make it clear what symptoms can be observed in individuals diagnosed with this disorder.

Oncological features and prognosis of colorectal cancer in human immunodeficiency virus-positive patients: A retrospective study.

Due to the prolonged life expectancy and increased risk of colorectal cancer (CRC) among patients with human immunodeficiency virus (HIV) infection, the prognosis and pathological features of CRC in HIV-positive patients require examination. To compare the differences in oncological features, surgical safety, and prognosis between patients with and without HIV infection who have CRC at the same tumor stage and site. In this retrospective study, we collected data from HIV-positive and -negative patients who underwent radical resection for CRC. Using random stratified sampling, 24 HIV-positive and 363 HIV-negative patients with colorectal adenocarcinoma after radical resection were selected. Using propensity score matching, we selected 72 patients, matched 1:2 (HIV-positive:negative = 24:48). Differences in basic characteristics, HIV acquisition, perioperative serological indicators, surgical safety, oncological features, and long-term prognosis were compared between the two groups. Fewer patients with HIV infection underwent chemotherapy compared to patients without. HIV-positive patients had fewer preoperative and postoperative leukocytes, fewer preoperative lymphocytes, lower carcinoembryonic antigen levels, more intraoperative blood loss, more metastatic lymph nodes, higher node stage, higher tumor node metastasis stage, shorter overall survival, and shorter progression-free survival compared to patients who were HIV-negative. Compared with CRC patients who are HIV-negative, patients with HIV infection have more metastatic lymph nodes and worse long-term survival after surgery. Standard treatment options for HIV-positive patients with CRC should be explored.

Risk factors for recurrence of common bile duct stones after surgical treatment and effect of ursodeoxycholic acid intervention.

Endoscopic retrograde cholangiopancreatography (ERCP) is an accurate diagnostic method for choledocholithiasis and treatment option for stone removal. Additionally, ursodeoxycholic acid (UDCA) can dissolve cholesterol stones and prevent their development and reappearance by lowering the cholesterol concentration in bile. Despite these treatment options, there are still patients who experience stone recurrence. To analyze the risk factors for choledocholithiasis recurrence after ERCP retrograde cholangiopancreatography and the effect of UDCA intervention. The clinical data of 100 patients with choledochal stones who were hospitalized at the Yixing People's Hospital and underwent ERCP for successful stone extraction between June 2020 and December 2022 were retrospectively collected. According to the post-ERCP treatment plan, 100 patients were classified into UDCA (n = 47) and control (n = 53) groups. We aimed to assess the clinical efficacy and rate of relapse in the two patient populations. We then collected information (basic demographic data, clinical characteristics, and serum biochemical indicators) and determined the factors contributing to relapse using logistic regression analysis. Our secondary goal was to determine the effects of UDCA on liver function after ERCP. Compared to the control group, the UDCA group demonstrated a higher clinical effectiveness rate of 92.45% vs 78.72% (P < 0.05). No significant differences were observed in liver function indices, including total bilirubin, direct bilirubin, gamma-glutamyl transpeptidase, alanine aminotransferase, alkaline phosphatase, and aspartate aminotransferase, between the two groups before treatment. After treatment, all liver function indices were significantly reduced. Comparing the control vs UDCA groups, the UDCA group exhibited significantly lower levels of all indices (55.39 ± 6.53 vs 77.31 ± 8.52, 32.10 ± 4.62 vs 45.39 ± 5.69, 142.32 ± 14.21 vs 189.63 ± 16.87, 112.52 ± 14.25 vs 149.36 ± 15.36, 122.61 ± 16.00 vs 171.33 ± 22.09, 96.98 ± 10.44 vs 121.35 ± 11.57, respectively, all P < 0.05). The stone recurrence rate was lower in the UDCA group (13.21%) in contrast with the control group (44.68%). Periampullary diverticula (OR: 6.00, 95%CI: 1.69-21.30), maximum stone diameter (OR: 1.69, 95%CI: 1.01-2.85), stone quantity >3 (OR: 4.23, 95%CI: 1.17-15.26), and positive bile culture (OR: 7.61, 95%CI: 2.07-27.91) were independent factors that influenced the relapse of common bile duct stones after ERCP (P < 0.05). Furthermore, postoperative UDCA was identified as a preventive factor (OR: 0.07; 95%CI: 0.08-0.09). The intervention effect of UDCA after ERCP for common bile duct stones is adequate, providing new research directions and references for the prevention and treatment of stone recurrence.

Characterisation of New Foxunavirus Phage Murka with the Potential of Xanthomonas campestris pv. campestris Control.

Phages of phytopathogenic bacteria are considered to be promising agents for the biological control of bacterial diseases in plants. This paper reports on the isolation and characterisation of a new Xanthomonas campestris pv. campestris phage, Murka. Phage morphology and basic kinetic characteristics of the infection were determined, and a phylogenomic analysis was performed. The phage was able to lyse a reasonably broad range (64%, 9 of the 14 of the Xanthomonas campestris pv. campestris strains used in the study) of circulating strains of the cabbage black rot pathogen. This lytic myovirus has a DNA genome of 44,044 bp and contains 83 predicted genes. Taxonomically, it belongs to the genus Foxunavirus. This bacteriophage is promising for use as a possible means of biological control of cabbage black rot.

Graphene's Potential in Electronic Devices: Characteristics, Applications, Challenges, And Solutions

This comprehensive overview explores the multifaceted world of graphene, a two-dimensional crystal structure composed of a single layer of carbon atoms, and its applications in electronic devices. The discussion begins with an introduction highlighting the remarkable potential of graphene in the field of electronics. Section 2 delves into the basic characteristics of graphene, including its atomic structure, excellent electronic properties, optical and thermal attributes, high conductivity, and mobility, as well as its mechanical strength and flexibility. It also briefly outlines the fundamental methods of graphene preparation. Section 3 delves into the application of graphene in electronic devices, covering topics such as graphene's role in Field Effect Transistors (FETs), including carrier control characteristics and the basic principles of FETs. Additionally, it explores the prospects of graphene in FET technology, its application in flexible electronic devices, and its integration into optoelectronic devices. Section 4 addresses the dilemmas and solutions faced by graphene electronic devices, such as issues related to the preparation process and stability, the impact of defects and impurities, and current solutions to overcome these challenges. Finally, the conclusion underscores the immense potential of graphene in revolutionizing electronic devices while recognizing the ongoing efforts for future innovations in this field.

PROTECTIVE ROLE OF SAFFRON TO REDUCE INFLAMMATION AND IMPROVE CLINICAL MANIFESTATIONS IN ULCERATIVE COLITIS PATIENTS

Abstract BACKGROUND We studied saffron as an additional intervention to improve clinical manifestations of Ulcerative colitis (UC) patients. METHODS This is a study at Yazd university where 30 UC patients were randomly assigned to placebo (n=9), low (n=9, 25 mg), or high dose saffron (n=12, 50mg), two times a day for 8 weeks. Hemoglobin, platelet levels, CRP, ESR, and fecal calprotectin along with clinical data Simple Clinical Colitis Activity Index (SCCAI), Partial Mayo Score, and Hamilton Depression Anxiety Score (HDRS) were recorded at baseline and completion of treatment. For validation, we recruited 3 UC patients at Howard University who received 50mg of Saffron twice daily for 8 weeks, two underwent a wash-out period and received saffron for a second cycle. Inflammatory markers, CRP, stool calprotectin, and the cytokines from PMA/ionomycin stimulated PBMCs, at baseline and 8 weeks Saffron treatment were compared. 16S rDNA analysis was performed on stool DNA for gut microbiome. RESULTS In Yazd study of 30 patients, all participants completed the study successfully. The high dose group showed significant improvement in HDRS score (p=0.001), SCCAI (p=0.04), Partial Mayo score (p=0.01), fecal calprotectin (p=0.009), and CRP (p=0.001) compared to baseline. The low dose group also improved in HDRS score (p=0.01; Table 1, Fig 1). No adverse events were reported. In HU data, saffron improved Partial Mayo Score, health related quality of life and HDRS. Pro-inflammatory cytokines TNFα, INFγ, IL-6, IL-2, IL-17a decreased while anti-inflammatory IL-10, TGF-β increased. Fecal calprotectin levels of 228 μg/g and 169 μg/g decreased to 63 μg/g and 16 μg/g in two individual patients, respectively. After the wash-out period, fecal calprotectin increased. A second saffron treatment cycle reduced it again further validating the causal relationship. Saffron led to a decrease in gamma Proteobacteria, and enrichment in Ruminococcaceae. CONCLUSION This study demonstrates that saffron led to improvements in clinical response including reduction in partial Mayo scores, HDRS scores, and inflammatory markers such as fecal calprotectin and CRP. These findings suggest that the use of saffron supplements alongside standard treatment protocols may yield beneficial effects for individuals with UC. Table 1. Basic characteristics, clinical variables, and laboratory variables among the study participants in three arms of the clinical trial. Figure 1 Effect of Saffron on quality of life and Inflammatory markers.

Exploration of Carbon Emission Statistics and Management in the Supply Chain of Automobile Industry based on Blockchain Technology

This paper discusses the carbon emission statistics and management of the supply chain in the automobile industry based on Blockchain technology. It first analyzes the importance and challenges of carbon emission statistics in the supply chain of the automotive industry. Then, it introduces the basic principles and characteristics of Blockchain technology and describes its potential application in supply chain management. Then, a solution for carbon emission statistics and management in the supply chain of the automotive industry based on Blockchain technology is proposed, including the establishment of a Blockchain-based carbon emission data sharing platform, the realization of data transmission and verification in each link of the supply chain, and the establishment of a smart contract to achieve the carbon emission reduction target. Finally, the possible challenges and future development direction of the solution are discussed.

Analysis of the Basic Characteristics of the Working Accuracy of the Atomic Diffusion Additive Manufacturing ADAM Process by Comparison with the Selective Laser Melting SLM Process

Analysis of the Basic Characteristics of the Working Accuracy of the Atomic Diffusion Additive Manufacturing ADAM Process by Comparison with the Selective Laser Melting SLM Process

Diborides of Multielement Transition Metals: Methods for Calculating Physical and Mechanical Characteristics

From the first principles simulation (using the method of “a priori pseudopotential” and the “quasi-harmonic approximation” method- author’s developments), the basic characteristics of diborides and diborides of multielement transition metals (DMTMs) with an AlB2 type structure were calculated. For both diborides and DMTMs, the linear coefficients of thermal expansion (LCTE) along the axial axes differ little from each other, i.e., transition metal diborides and hexagonal lattice DMTMs are quasi-isotropic. Quasi-isotropy makes it possible to estimate the LCTE using an analytical formula that depends on the melting temperature. In the absence of experimental data on the melting point of DMTMs, a method for calculating it from first principles is presented. The theoretical hardness values of transition metal diborides and DMTMs with averaged parameters were calculated from the first principles. The hardness of both bulk and nano-sized DMTMs was assessed using a hybrid method. There is agreement between the calculated and available experimental data.

P219 Prognostic potential of mucosal proteins in Ulcerative Colitis

Abstract Background Better prognostic measures for ulcerative colitis (UC) could significantly advance patient care. While the prognostic capacity of circulating proteins in UC has been explored, the role of mucosal proteins remains largely unknown. We examined mucosal protein markers in patients with incident ulcerative colitis and evaluated their prognostic value. Methods Biopsies from macroscopically inflamed colonic/rectal mucosa of adult patients in the Swedish inception cohort of IBD (SIC IBD) were obtained at diagnosis of UC. Patients were followed prospectively, and clinical data were recorded after 3 and 12 months. Disease course was categorised as indolent or aggressive at 12 months, based on a composite outcome of colectomy, hospital admission for active disease, treatment refractoriness towards ≥2 biological agents; the use of &amp;gt;2 courses of corticosteroids, or a cumulative dose of &amp;gt;2.5 g. Relative estimates of 162 protein markers were assessed in homogenised tissue supernatants, using proximity extension assay technology (Olink Proteomics, Uppsala, Inflammation and Oncology II panel). Mann-Whitney U test, with Benjamini-Hochberg correction was used to identify differentially regulated mucosal proteins in aggressive vs indolent disease course, with a 5% false discovery rate (FDR). Smoothly clipped absolute deviation regularised logistic regression models were used to identify prognostic signatures distinguishing aggressive from indolent disease course. Performance was estimated in a leave-one-out cross-validation and reported as the area under the receiver operating characteristic (ROC) curve (AUC). Results 117 patients provided a macroscopically inflamed colonic/rectal biopsy at diagnosis of UC. Basic demographics and clinical characteristics are presented in Table 1. Relative protein levels of WFdc2 and CCL20 were significantly lower in lysates from patients developing an aggressive course vs patients developing an indolent course, while estimates of MMP1, CCL11, WISP-1, OPG, RSPO3 and VEGFR2 were higher (Figure 1A). Regularized logistic regression identified signatures restricted to 28 proteins, distinguishing aggressive from indolent UC courses, yielding an AUC of 0.68 (95% confidence interval (CI): 0.56-0.80) for left-out samples (Figure 1B). Incorporating extent of inflammation at diagnosis in the model improved the AUC to 0.71 (95% CI: 0.60-0.83). Conclusion We identified prognostic mucosal protein signatures associated with future course of ulcerative colitis by analysing inflamed mucosal biopsies that were obtained at diagnosis. These protein markers may highlight pathways of relevance for ulcerative colitis outcomes.

Wing buzzing as a mechanism for generating vibrational signals in psyllids (Hemiptera: Psylloidea).

Psyllids, or jumping plant lice (Hemiptera: Sternorrhyncha: Psylloidea), are a group of small phytophagous insects that include some important pests of crops worldwide. Sexual communication of psyllids occurs via vibrations transmitted through host plants, which play an important role in mate recognition and localization. The signals are species-specific and can be used to aid in psyllid taxonomy and pest control. Several hypotheses have been proposed for the mechanism that generates these vibrations, of which stridulation, that is, friction between parts of the forewing and thorax, has received the most attention. We have investigated vibrational communication in the European pear psyllid species Cacopsylla pyrisuga (Foerster, 1848) using laser vibrometry and high-speed video recording, to directly observe the movements associated with signal production. We describe for the first time the basic characteristics of the signals and signal emission of this species. Based on observations and analysis of the video recordings using a point-tracking algorithm, and their comparison with laser vibrometer recordings, we argue that males of C. pyrisuga produce the vibrations primarily by wing buzzing, that is, tremulation that does not involve friction between the wings and thorax. Comparing observed signal properties with previously published data, we predict that wing buzzing is the main mechanism of signal production in all vibrating psyllids.

The effect of elevated temperature on LCF damage growth in 2024AA – Experiment and modeling

This paper presents the results of experimental low-cycle fatigue (LCF) tests conducted on EN-AW 2024 alloy in T3511 temper at 100 °C, 200 °C and 300 °C. The material's basic fatigue characteristics were determined, such as fatigue life curve and cyclic strain curve. Both the hysteresis loop and nature of fracture surfaces obtained in macro- and microscopic observations (scanning electron microscope, SEM) were accounted for. The results of tests at elevated temperature were compared with results obtained at room temperature in the authors’ previous papers. Based on the results of experimental tests, an analytical model of fatigue damage growth was proposed. In this model, it was assumed that damage accumulation mainly depends on the current normal stress and increment of plastic strain. Dependencies of the model's parameters with respect to temperature were determined, and the model was validated experimentally. Good concurrency of the numerical simulations with the experimental results was obtained.

Patterns of long-term care service use and multimorbidity in older Japanese adults: A cross-sectional study of claim data.

The long-term care (LTC) insurance system provides a combination of several services in Japan; therefore, it is important to clarify service utilization. Furthermore, it is important to consider multimorbidity among older adults, who frequently present several diseases. This study aimed to clarify LTC service utilization patterns, including those for newly added multifunctional services, and to describe the basic characteristics, including multimorbidity, of these patterns. We included 37 419 older adults in care need levels 1-5, living at home, who used LTC services in October 2017. We used LTC and medical claims data that were linked using unique identifiers from the National Health Insurance, Advanced Elderly Medical Insurance, and LTC Insurance of Shizuoka Prefecture in Japan. LTC service utilization patterns were identified using cluster analysis based on service fees. Multimorbidity was analyzed using the Charlson Comorbidity Index (CCI) and compared characteristics in these patterns. Six LTC service utilization patterns were identified: light use (51.0%), intensive use of day care (33.7%), intensive use of short stay (6.3%), intensive use of home help (5.1%), multifunctional LTC in small-group homes (MLS) use (3.7%), and MLS and home-visiting nurses (MLSH) use (0.2%). MLSH use had the highest CCI (3.6 ± 2.3). Intensive use of day care and short stay had the lowest CCI (2.6 ± 1.9). The characteristics of multimorbidity differed by LTC service utilization patterns. Our findings are useful for considering service utilization that takes into account the characteristics of older adults. Geriatr Gerontol Int 2024; 24: 283-289.

Advance understanding of the synthesis process, special performance, and multidiscipline applications of SiC nanowires and the constructed composites

As research and development of nanocomposites receive more attention in today's fast-paced world. SiC nanowires (SiC NWs) and their composites exhibit numerous unique and exceptional properties. As a result, they are widely used in various fields such as the chemical industry, optoelectronic devices, electronic products, aerospace, and military applications. In this paper, we present a comprehensive summary of the synthesis technology, distinctive properties, and potential applications of SiC NWs and the composite constructed from them. The introduction begins with an overview of the basic concept and characteristics of SiC. It then provides a detailed list of common synthesis methods, including precursor infiltration pyrolysis, chemical vapor deposition, solvothermal synthesis, carbothermal reduction, template method, other methods of molten salt, controllable chemical etching, and self-assembly synthesis. The advantages and shortcomings of these methods are also discussed in the context of specific applications. Then, the special performance and multidisciplinary applications are displayed after summarizing the previous studies. Eventually, this review concludes with an outlook on future research regarding SiC NWs and their composite materials, highlighting major prospects, challenges to be addressed, and possible solutions in a wide range of areas. A systematic overview of the topic of interest actually helps to reveal patterns in research cognition, plays a potential role in fostering awareness of scientific innovation and cross-thinking, and also serves as a guide for scientific research and interest development.

The epidemiology and the pathogen distribution of pediatric dacryocystitis in Chinese population 2017–2022

BackgroundDacryocystitis is a common disease in pediatric ophthalmology. Analysis of basic information, flora distribution, and characteristics of information on drug-resistant bacteria in children with dacryocystitis for 6 years, providing evidence for ophthalmologic infection prevention and clinical management strategies.MethodsA retrospective cohort study was conducted to evaluate the demographics of dacryocystitis in children and microbiological characteristics of secretion cultures, and to analyze the basic information, distribution of pathogenic bacteria, drug resistance, and to plot trendsand distribution pie charts according to the years.ResultsThis study recruited 5791 specimens. Decreased incidence of dacryocystitis from 2020 to 2022 (including the COVID-19 pandemic). The age of highest incidence of dacryocystitis is infancy, followed by the neonatal period, and the incidence decreased with age. Streptococcus pneumoniae had the highest percentage in 2017, and the overall trend was decreasing, the difference was statistically significant (p < 0.001); Streptococcus mitis showed an overall increasing trend, with the highest incidence in 2022 and the lowest in 2017, with a statistically significant difference (p < 0.001); Haemophilus influenzae was the most common gram-negative bacteria with an overall decreasing trend (p < 0.001); The incidence of Catamoeba and Stenotrophomonas varied from year to year, with statistically significant differences (p = 0.010, p = 0.033, respectively). Methicillin-resistant Staphylococcus aureus (MRSA) had the lowest incidence in 2017 and 2022 the highest incidence in 2022, with a statistically significant difference in incidence between years (p = 0.003); β-lactamase-positive was the most common type of resistance, and MRSA was the second, with statistically significant differences between years (p = 0.003, p < 0.001, respectively). Streptococcus pneumoniae is a common etiologic agent of dacryocystitis in all age groups.ConclusionsDacryocystitis in children is significantly associated with age characteristics and infection-related pathogens, and infection prevention and control can help reduce the infection of related pathogens and the increase of new drug-resistant strains. Close monitoring of changes in pathogen distribution in ocular secretion cultures can help in early intervention and treatment of infectious dacryocystitis.

A Mixed-Methods Exploration Of Opportunities For Barriers And Bias During Off Site Animal Adoption Events

Introduction: Adopters and animal shelter leaders are calling for higher equity in services provided by animal shelters to their communities. Specifically, restrictive pet adoption processes have been proposed as a threat to equitable service. The study had three specific goals: (1) to describe the basic characteristics of off-site adoption events, (2) to describe the adoption processes in use by shelters and to determine if there is any potential for unconscious bias in these processes, and (3) to determine if adoption practices differ depending on the characteristics of the animal shelter. Methods: A total of 484 participants reported on how they conduct adoption events and their adopter selection procedures. Characteristics of organisations and their adoption event procedures were described and compared across organisation size using Chi-squared tests. Qualitative responses to open-ended questions asking about screening procedures were analysed through inductive thematic analysis. Results: Commonly, adoption events were held weekly (n = 158, 33.1%) in locally owned stores (n = 259, 54.4%), with volunteers engaging directly with potential adopters (n = 423, 88.5%). Just under half responded that adopters could take pets straight home from the event (n = 229, 47.8%) and that the adoption process does not require a home visit (n = 276, 57.7%). Qualitative analysis revealed three major groups of themes: ‘methods of selection’, ‘information gathered by the animal shelter’, ‘information provided by the animal shelter’. The sub-theme of ‘Vibes’ (coded for 39.4% participants, n = 175) encompassed decision-making based on intuition or feeling when meeting or observing potential adopters face-to-face. Generally, larger organisations held adoption events more frequently, were more likely to let adopters take animals straight home, and did not require a home visit. However, both types of organisations showed a potential for implicit bias when selecting adopters. Conclusion: Our results suggest that procedures of adoption events in animal shelters vary across organisation, with some practices differing based on organisation size. Given that our results suggest possibility for implicit bias when screening adopters during adoption events, we conclude that there is a need for increased awareness, research, and training to address the issue of implicit bias in animal sheltering organisations.

Comparative and Microscopic Analysis of Vehicle Startup Behavior in Red Countdown Traffic Lights with Various Display Forms

Background: Countdown-type traffic lights provide drivers with the time remaining before the signal turns green or red. Most countdown devices inform the drivers of the exact signal switching time numerically on a display form. This study focuses on two vehicle startup behaviors when a red signal phase countdown (RC) is displayed: a premature start (PS) and an early reaction (ER). The PS is a vehicle crossing the stop line before the green phase, and the ER is a vehicle starting to move before the green phase. While there are many studies on PS rates under RC, there are only a few studies on ER rates. There are also few studies that have analyzed the relationship between the PS and ER rates and the display forms of RC have also been analyzed in terms of micro-behavior. Objective: This study microscopically analyzes the ER and PS by including data within 1 second at signal switching while comparing 10 types of display forms in RC in order to obtain the ideas of safer and more efficient display forms in signal countdown. Methods: We conducted the experiments with RC traffic lights of different display forms, and the surveys of no countdown (NC). Results: From the very limited conditions of the experiment, we found that there is a threshold at which the ER rates in RC and NC differ significantly. Conclusion: We were also able to analyze the basic characteristics related to the display forms of RC, which is a quick start and which reduces PS and ER.

Trends in utilization of MSI testing and reporting among patients with gastrointestinal cancers: A review of NCDB Database.

221 Background: MSI-H tumors have a different disease biology and clinical outcomes compared to MSS/MSI-low tumors. The frequency and pattern for MSI testing and reporting is unknown. The aim of this study was to characterize the trends of MSI testing and reporting among GI cancers. Methods: From the National Cancer Database, we identified all GI cancer patients from 2010 to 2016 to determine the number of patients where MSS/MSI low or MSI-H data were available. We describe the basic tumor and disease characteristics and treatment utilization for the two groups. Results: Between 2010-2016, MSI testing was done in 140,602 patients in colon, small intestine and rectal cancers among all GI cancers. MSI testing increased significantly during this study period (11,400 in 2010; 15,021 in 2011; 17,968 in 2012; 20,810 in 2013; 21,973 in 2014; 25,012 in 2015; 28,418 in 2016). We identified a total of 120,349 patients with MSI status reported, among these three tumor types, most commonly among colon followed by rectal and then small intestinal cancers. Overall 111,694 (92.8%) were MSS/MSI-low and 8,655 were MSI-H (7.2%). Among patients with reported MSI status, 52.1% were males and 47.9% were females. The mean age was 64.4 years. Most patients were whites (87.6%) and had insurance (96.8%), no existing comorbidities (70.4%), and grade 2 (70.8%) and AJCC Clinical Stage 4 (26.1%) GI cancer. A higher proportion of GI cancer patients with MSS/MSI-low utilized chemotherapy as first course compared to those with MSI high (48.2% vs 34.0%) whereas a lower proportion of GI cancer patients with MSS/MSI-low underwent a surgical procedure compared to those with MSI high (94.7% vs 97.1%). MSI status was reported most frequently in comprehensive community cancer program (40.3%) and academic center (34.8%), followed by integrated network cancer program (16.8%) and Community Cancer program (8.1%). Conclusions: The utilization of MSI testing has increased significantly between 2010 and 2016. Among all GI cancer patients, MSI status was most frequently reported in colon, rectum and small intestinal cancers. Comprehensive community cancer centers and academic centers reported MSI status more frequently than Integrated Network Cancer program and Community Cancer program.

Relationship Between Hearing Loss and Cognitive Function in Elderly Chinese People: A Study Based on Propensity Score Matching

To explore the relationship between hearing loss and cognitive function in the elderly population through propensity score matching method. We analyzed the data of 7605 participants aged 60 and above who were included in the 2018 China Health and Retirement Longitudinal Study (CHARLS). The non-substitutable 1∶1 nearest neighbor matching method without caliper value was used for propensity score matching and G-computation was used to estimate the average treatment effect (ATE) of hearing loss on all dimensions of cognitive function. Before matching, there were 3626 (47.68%) women, with 1409 (18.53%) of whom suffering from hearing loss and 3031 (39.86%) of whom suffering from cognitive impairment. After matching, 1409 subjects were included in the hearing loss group and 1409, in the normal hearing group, with both groups sharing similar distribution of basic demographic characteristics. The results for the average treatment effect of the population indicated that the cognitive function scores of the hearing loss group were lower than those of the normal hearing group, with the overall cognitive function being 0.593 points lower (95% confidence intervel [CI]: －0.916-－0.257, P<0.001), orientation being 0.183 points lower (95% CI: －0.302-－0.055, P=0.004), immediate memory being 0.150 points lower (95% CI: －0.218-－0.085, P<0.001), and language skills being 0.178 points lower (95% CI: －0.303-－0.058, P=0.006). The prevalence of cognitive impairment of the hearing loss group was 4.2% higher than that of the normal hearing group (95% CI: 0.007-0.077, P=0.020). Hearing loss adversely affects the orientation, memory, and language skills of the elderly population and forms a potential risk factor for cognitive impairment in the elderly population.

Socioeconomic inequalities in depressive symptoms in China: The role of social capital

This cohort study used the China Health and Retirement Longitudinal Study (CHARLS, 2015–2018) to investigate the effects of socioeconomic status and social capital to the incidence of depressive symptoms among middle-aged and older individuals in China, incorporating a sample size of 9949 participants. Socioeconomic status, social capital and other explanatory variables were collected in 2015, while depressive symptoms were assessed in 2018. Basic characteristics and social capital measures were compared between urban and rural residents using the chi-square test. Logistic regression was used to explore the relationship between socioeconomic status, social capital and depressive symptoms, and the Karlson, Holm, and Breen (KHB) method was employed to verify the mediating role of social capital. We reported persistent socioeconomic inequalities in depressive symptoms, with rural residents and the illiterate having 1.45 times and 1.34 times higher odds of depression. We ascertained social capital from both the cognitive and structural constructs, where we enriched the measurement of structural social capital from three specific dimensions, i.e., informal interaction, altruism, and formal social participation. We found that both cognitive and structural social capital were associated with lower incidence of depressive symptoms, where informal interaction had the largest effect. The mediation analysis further illustrated that informal interaction contributed most to explain 6 %–12 % of the socioeconomic inequalities in depressive symptoms. These results highlighted the unsatisfied mental wellbeing of the vulnerable older people living in rural areas. The finding suggested that older people may benefit more from personal interactions than formal participations. To fulfill the Health in All vision, government and social organizations should consider how to create opportunities to better integrate the older people into the community.