At present, there are many effective ways to achieve high performance in cluster system storage management, including server-end disk, server-end caching, local caching and cooperative caching. The cooperative caching mechanism shares caches among different clients so as to avoid expensive disk access costs and to improve overall throughput of cluster system. In this paper, a Single Copy Cooperative Cache model is proposed together with block lookup algorithm, block replacement algorithm and the consistency algorithm based on the model. Meanwhile, the prototype system of the model is implemented in PVFS file system. Finally, the performance of this system is tested in InfiniBand Framework, the result of which shows that in contrast to the original PVFS system, read performance of PVFS file system is improved by about two times, while write performance is reduced by nearly ten percent.

Objective To investigate the effects of granulocyte macrophage colony-stimulating factor (GM-CSF) combined with interleukin-12 (IL-12) genes on apoptosis of hepatoma cells.Methods The hepatoma cell lines were cultured in vitro and were divided into four groups: GM-CSF transfection group,IL-12 transfection group,GM-CSF and IL-12 co-transfection group,negative control group (empty load group),respectively.The PIB-CMV3-GM-CSF and PIB-CMV3-IL-12 eukayotic expression vector was built,and 36 h after transfection,fluorescence microscope was used to detect the transfection effect;the expression level of IL-12,GM-CSF,p53,p38 and C-JUN mRNA were detected by RT-PCR,and Western blot was used to examine the expression level of IL-12,GM-CSF,p53,p38 and C-JUN protein.In addition,the flow cytometry was applied to detect cell apoptosis.Results Through fluorescence microscope,green fluorescence was observed in cells of GM-CSF transfection group,IL-12 transfection group,GM-CSF and IL-12 co-transfection group,indicating that the plasmid has successfully transferred into cells.In addition,the expression of p53mRNA in empty load group,GM-CSF transfection group,IL-12 transfection group,GM-CSF and IL-12 co-transfection group were 1.2±0.10,4.3±0.98,4.2±0.34,9.2±0.87,and the protein expression were 1.0±0.10,3.6±0.34,3.8±0.30,5.0±0.60.Compared with the empty load group,the expression level of p53 mRNA and protein were significantly increased in the three plasmid transfection groups (P<0.01).The expression of p53 mRNA and protein were significantly increased in co-transfection group than GM-CSF group and IL-12 group (P<0.01),while in the comparison with GM-CSF transfection group and IL-12 transfection group,the expression level of p53mRNA and protein in the co-transfection group could be improved to a higher degree(P<0.01).Meanwhile,p38 C-JUN mRNA expression levels in empty load group,GM-CSF transfection group,IL-12 transfection group,GM-CSF and IL-12 co-transfection group were as follows: 7.5± 0.9,3.5±0.45,3.7±0.25,1.0±0.11,while p38protein expression levels were 10.1±1.03,6.1± 0.67,7.1 ± 0.61,1.0 ± 0.12,respectively,C-JUN mRNA expression levels were 11.2 ± 1.20,4.1 ± 0.19,3.3 ± 0.30,1.0 ± 0.01,separately,C-JUN protein expression levels were 2.25 ± 0.2,1.8 ± 0.13,1.4 ± 0.12,1.0 ± 0.09.P38, C-JUN mRNA and protein levels were significantly reduced in the three plasmid transfection groups compared with the empty load group (P<0.01).The expression of p38,C-JUN mRNA and protein were reduced to a lower degree in co-transfection group than in GM-CSF transfection group and IL-12 transfection group (P<0.01).Flow cytometer showed that the hepatoma cell apoptosis rate of the empty load group,GM-CSF transfection group,IL-12 transfection group,co-transfection group were (3.43±0.9)%,(5.87±1.02)%,(7.32±1.1)%,(17.47±2.11)%,the rates of the three plasmid transfection groups were significantly higher than that of the empty load group (P<0.01).And the apoptosis rate was significantly increased in the co-transfected group compared with other plasmid groups (P<0.01). Conclusion The combination of GM-CSF and IL-12 could significantly accelerate the apoptosis of hepatoma cells by up-regulating the expression of p53,and down-regulating the expression of p38 and C-JUN.

Objective:To investigate the clinical application of cognitive behavioral therapy (CBT) and the reasons of the choosing CBT.Method:Totally 14 psychotherapists accepted a semi-structured interview,including their backgrounds of CBT training,the application of CBT in psychotherapy,their attitude toward consultative relations,their opinion on comparing other schools with CBT,and their reasons for choosing CBT.Results:The main reasons for choosing CBT included the influence of important others,the characters of CBT and personal factors.In clinical practice,the most commonly used behavioral techniques included exposure therapy,roll play,relaxation Waining and so on.The most commonly used cognitive techniques included Socratic questioning,cognitive restructuring and challenge unreasonable cognition.Conclusion:Cognitive behavioral therapy (CBT) is suitable for those who are sensible and preferring structural therapy.Nevertheless,the trend in therapy is the integration of different psychotherapy schools.

Objective To investigate the correlation of serum osteoprotegerin(OPG)and calci-um levels with cerebral microbleeds in patients with acute ischemic stroke.Methods A total of 97 patients with acute ischemic stroke were selected as the study subjects and divided into cerebral mi-crobleed(group 31 patients with)and non-cerebral microbleed(group 66 patients)based on the re-sults of susceptibility-weighted imaging.Demographic data and laboratory examination indicators were collected from the two groups,and serum OPG and calcium levels were measured.The levels of serum OPG and calcium were compared between patients with different degrees of lesion and bleeding sites.Spearman rank correlation analysis was used to determine the correlations of serum OPG and calcium with cerebral microbleeds.Multivariate Logistic regression analysis was conducted to explore the influ-encing factors of cerebral microbleeds.Receiver operating characteristic(ROC)curves were plotted to assess the predictive value of serum OPG and calcium for cerebral microbleeds.Results Significant differences were observed in age,proportions of patients with drinking and hypertension as well as diabetes,systolic blood pressure,diastolic blood pressure,and serum OPG and calcium levels be-tween the cerebral microbleed group and the non-cerebral microbleed group(P＜0.05).Multivari-ate Logistic regression analysis revealed that older age,history of alcohol consumption,history of hy-pertension,high systolic blood pressure,and high OPG level were independent risk factors for cere-bral microbleeds(OR=1.480,1.330,1.843,1.632,1.652;P＜0.05),while high calcium level was an independent protective factor for cerebral microbleeds(OR=0.721,P＜0.05).The AUC values for the prediction of cerebral microbleeds in acute ischemic stroke patients using serum OPG or calcium alone,and their combination were 0.853,0.825,and 0.921,respectively,with the combined prediction showing higher value than the individual prediction(Z=2.895,3.138;P＜0.05).Spearman rank correlation analysis revealed a positive correlation between serum OPG and the severity of cerebral microbleeds(rs=0.736,P＜0.05)and a negative correlation between calcium and the severity of cerebral microbleeds(r,=-0.752,P＜0.05).No significant differ-ences were observed in serum OPG and calcium levels between patients with cerebral microbleeds in different locations(P＞0.05).Conclusion Elevated serum OPG and reduced calcium levels are observed in patients with acute ischemic stroke and cerebral microbleeds.The levels of serum OPG and calcium are closely related to the severity of cerebral microbleeds,and early combined detection can effectively predict the risk of cerebral microbleeds.

Objective To investigate the correlation of serum osteoprotegerin(OPG)and calci-um levels with cerebral microbleeds in patients with acute ischemic stroke.Methods A total of 97 patients with acute ischemic stroke were selected as the study subjects and divided into cerebral mi-crobleed(group 31 patients with)and non-cerebral microbleed(group 66 patients)based on the re-sults of susceptibility-weighted imaging.Demographic data and laboratory examination indicators were collected from the two groups,and serum OPG and calcium levels were measured.The levels of serum OPG and calcium were compared between patients with different degrees of lesion and bleeding sites.Spearman rank correlation analysis was used to determine the correlations of serum OPG and calcium with cerebral microbleeds.Multivariate Logistic regression analysis was conducted to explore the influ-encing factors of cerebral microbleeds.Receiver operating characteristic(ROC)curves were plotted to assess the predictive value of serum OPG and calcium for cerebral microbleeds.Results Significant differences were observed in age,proportions of patients with drinking and hypertension as well as diabetes,systolic blood pressure,diastolic blood pressure,and serum OPG and calcium levels be-tween the cerebral microbleed group and the non-cerebral microbleed group(P＜0.05).Multivari-ate Logistic regression analysis revealed that older age,history of alcohol consumption,history of hy-pertension,high systolic blood pressure,and high OPG level were independent risk factors for cere-bral microbleeds(OR=1.480,1.330,1.843,1.632,1.652;P＜0.05),while high calcium level was an independent protective factor for cerebral microbleeds(OR=0.721,P＜0.05).The AUC values for the prediction of cerebral microbleeds in acute ischemic stroke patients using serum OPG or calcium alone,and their combination were 0.853,0.825,and 0.921,respectively,with the combined prediction showing higher value than the individual prediction(Z=2.895,3.138;P＜0.05).Spearman rank correlation analysis revealed a positive correlation between serum OPG and the severity of cerebral microbleeds(rs=0.736,P＜0.05)and a negative correlation between calcium and the severity of cerebral microbleeds(r,=-0.752,P＜0.05).No significant differ-ences were observed in serum OPG and calcium levels between patients with cerebral microbleeds in different locations(P＞0.05).Conclusion Elevated serum OPG and reduced calcium levels are observed in patients with acute ischemic stroke and cerebral microbleeds.The levels of serum OPG and calcium are closely related to the severity of cerebral microbleeds,and early combined detection can effectively predict the risk of cerebral microbleeds.

Protein phosphorylation in bacteria is important for signaling and metabolic activity. Clostridium acetobutyicum can synthesize high yield of organic solvent under acidic condition. How solventogenesis is regulated at molecular level in this bacterium, is not clearly elucidated yet. We used two dimensional electrophoresis (2-DE) and mass spectrometry to have a differential analysis of the bacterial proteins from Clostridium acetobutylicum at acedogenic and solventogenic stage. We focused on these iso-spots with similar molecular mass and different pI values. Totally, eight string spots were identified, which displayed significant changes of pI values as well as spot volumes in response to solventogenic development. The data acquired from mass spectrometry demonstrated that all of the iso-spots contained the phosphrylated peptides. Bioinformatic analysis revealed that these proteins partake in the pathways of solvent synthesis.
Bacterial Proteins ; metabolism ; Clostridium acetobutylicum ; genetics ; metabolism ; Electrophoresis, Gel, Two-Dimensional ; Mass Spectrometry ; Phosphorylation ; Proteome ; analysis ; Proteomics ; methods

Circadian rhythm disorder is a common physiological change of cancer survivors, which is mainly manifested in rest activity rhythm change, sleep wake disorder and the decrease of sleep efficiency at night, which further affect their physiological, psychological outcome and disease outcome. This paper reviews the concept, mechanism, influence and intervention methods of circadian rhythm disorder in cancer patients, in order to provide references for effective intervention of circadian rhythm disorder in cancer survivors.

Objective To evaluate the relationship between postoperative residual pancreatic volume and change of blood glucose levels. Method Eighty?five cases of pancreatic benign and malignant tumor patients with preoperative and postoperative pancreatic CT images and clinical data were included retrospectively. Preoperative and postoperative pancreatic volume in benign patients and malignant patients were measured. Eight five patients were divided into 5 groups according to the resection volume ratio. Blood glucose levels were compared at different resection volume ratios. Correlation analysis of pancreatic resection volume ratio and blood glucose level were conducted in 39 benign patients and 46 malignant patients.ANOVA test, t test and Peason correlation coefficient were used. Result Postoperative benign and malignant group glucose level difference had statistical significance (P<0.05). Preoperative and postoperative malignant group of glucose level difference had statistical significance (P<0.05). Benign postoperative blood glucose between each groups was statistically significant (P<0.05); Malignant postoperative blood glucose between each groups was statistically significant (P<0.05); The volume ratio of benign and malignant tumor resection was positively correlated with postoperative blood glucose level (r values were 0.85 and 0.77, P<0.01). Conclusions There were statistically significant differences in blood glucose levels between pre?operation and post?operation of benign and malignant tumors. Postoperative blood glucose level was correlated with pancreatic resection volume, and postoperative blood glucose level was positively correlated with resection volume ratio.

Objective To explore the action mechanism of tauroursodeoxycholic acid(TUDCA)promoting intracellular clearance of Burkholderia pseudomallei(B.pseudomallei)in RAW264.7 macrophages.Methods After TUDCA of different concentrations were used to treat RAW264.7 cells pre-infected with B.pseudomallei for 8 h or not,flow cytometry was applied to detect the apoptosis of the infected and control cells.In addition,another endoplasmic reticulum stress(ERS)inhibitor 4-PBA was used to detect the apoptosis and proliferation of host cells after B.pseudomallei infection with Annexin-V/PI double staining and MTT cell proliferation assay.Furthermore,after transfected with CHOP siRNA,Western blotting and flow cytometry were employed to detect the effect of TUDCA on the expression levels of Caspase-3 and Caspase-12 and the changes in apoptotic rate after B.pseudomallei infection,respectively.Finally,the effect of TUDCA on intracellular multiplication of infected RAW264.7 cells were observed to estimate the CFU value in the presence and absence of CHOP siRNA.Results Under different concentrations of TUDCA,100 or 200 μmol/L TUDCA significantly reduced B.pseudomallei-induced apoptosis in RAW264.7 cells(P＜0.05).Meanwhile,both TUDCA and 4-PBA treatment could decrease the apoptosis induced by B.pseudomallei infection by ERS(P＜0.05).Further,the expression levels of Caspase-3 and Caspase-12 were obviously increased after B.pseudomallei infection compared with uninfected groups,but their expression levels in the siCHOP group was significantly lower than that in the siC group.Besides,flow cytometry also showed that TUDCA could reduce apoptosis induced by B.pseudomallei infection(P＜0.05),but no significant effect of TUDCA on apoptosis was observed under CHOP knockdown.Finally,intracellular CFU assay indicated that TUDCA treatment promoted the host cell clearance of B.pseudomallei(P＜0.05),but no such effect was observed in siCHOP group.Conclusion In B.pseudomallei infected RAW264.7 cells,TUDCA promotes the intracellular clearance of the bacteria by inhibiting ERS-induced apoptosis.

Objective:To investigate the vaccination status, characteristics and prognosis of patients suffering from a combination of COVID-19 and chronic lymphocytic anemia (CLL) in China.Methods:Clinical data of 328 patients with chronic lymphocytic leukemia (CLL) who were first diagnosed with COVID-19 and treated in the Department of Hematology of Jiangsu Provincial People’s Hospital between November 2022 and February 2023 were retrospectively analyzed. Univariate and multivariate analysis of data of patients with severe/critical COVID-19 were conducted by applying the binary logistic regression model.Results:The median age of the CLL patients was 60 (24-87) years. 23.5% (77/328) of these patients suffered from severe/critical COVID-19 infection. Univariate analysis of the data demonstrated that a combination of factors including age >67 years ( OR=2.15, 95% CI 1.24- 3.73, P=0.006), diabetes ( OR=2.09, 95% CI 1.05-4.20, P=0.037), chronic hepatitis B ( OR=2.91, 95% CI 1.30-6.51, P=0.010), CLL progressive ( OR=3.79, 95% CI 1.57-9.15, P=0.003) and CD20 antibody-based treatments within three months prior to the COVID-19 infection ( OR=2.79, 95% CI 1.35-5.77, P=0.006) were the risk factors for severe/critical COVID-19. According to the multivariate analysis, CLL progressive ( OR=2.98, 95% CI 1.10-8.10, P=0.033) was an independent risk factor for severe/critical COVID-19 and administration of the BTK (Bruton tyrosine kinase) inhibitor monotherapy might exert a protective effect and influence a positive outcome of the COVID-19 infection ( OR=0.38, 95% CI 0.16-0.90, P=0.028). Among the 242 patients who were followed up until October 2023, 9.1% (22/242) had multiple subsequent COVID-19 infections (≥3), and 2.1% (5/242) had persistent COVID-19 infections (patients with persistent positive test for the SARS-CoV-2 antigen testing until missing follow-up for any reason). The peak value of the anti-SARS-CoV-2-IgG titres was observed between three and four months post symptom onset (median: 3.511 S/CO vs 1.047 S/CO, P<0.05). The levels of immunoglobulin A gradually decreased following infection with COVID-19, and its trough levels were attained between two to four weeks post infection (median: 0.30 g/L vs 0.74 g/L, P<0.05). According to this study the mortality of patients suffering from a combination of COVID-19 infection and CLL was 2.7% (9/328), and the main reason for their death was respiratory failure and heart failure. Conclusions:A low rate of COVID-19 vaccination and a high rate of severe/critical COVID-19 infection was observed in the CLL patients. CLL progressive was associated with severe/critical COVID-19. Anti-CD20-based treatments received within the past three months might be a risk factor for exacerbation of COVID-19 infection, whereas a monotherapy with BTK inhibitors exert a protective effect and improve outcome of COVID-19 infection.