Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low-or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI).Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression.

Circular RNA CDR1as/ciRS-7 functions as an oncogenic regulator in various cancers. However, there has been a lack of systematic and comprehensive analysis to further elucidate its underlying role in cancer. In the current study, we firstly performed a bioinformatics analysis of CDR1as among 868 cancer samples by using RNA-seq datasets of the MiOncoCirc database. Gene ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG), gene set enrichment analysis (GSEA), CIBERSORT, Estimating the Proportion of Immune and Cancer cells (EPIC), and the MAlignant Tumors using Expression data (ESTIMATE) algorithm were applied to investigate the underlying functions and pathways. Functional enrichment analysis suggested that CDR1as has roles associated with angiogenesis, extracellular matrix (ECM) organization, integrin binding, and collagen binding. Moreover, pathway analysis indicated that it may regulate the TGF-β signaling pathway and ECM-receptor interaction. Therefore, we used CIBERSORT, EPIC, and the ESTIMATE algorithm to investigate the association between CDR1as expression and the tumor microenvironment. Our data strongly suggest that CDR1as may play a specific role in immune and stromal cell infiltration in tumor tissue, especially those of CD8+ T cells, activated NK cells, M2 macrophages, cancer-associated fibroblasts (CAFs) and endothelial cells. Generally, systematic and comprehensive analyses of CDR1as were conducted to shed light on its underlying pro-cancerous mechanism. CDR1as regulates the TGF-β signaling pathway and ECM-receptor interaction to serve as a mediator in alteration of the tumor microenvironment.

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Heavy PM2.5 (particulate matter with aerodynamic diameter equal to or less than 2.5 μm) pollution and urban heat island (UHI) pose increasing threats to human health and living environment in populated cities. However, how PM2.5 pollution affects the UHI intensity (UHII) has not been fully understood. The impacts of PM2.5 on the wintertime UHII in the Beijing‐Tianjin‐Hebei megalopolis of China are explored during 2013–2017. The results show that the UHII at the time of daily maximum/minimum temperature (UHIImax/UHIImin) exhibits a decreasing/increasing tendency as PM2.5 concentration increases, causing a continuous decrease in the diurnal temperature range. These effects are mediated via aerosol‐radiation interaction (aerosol‐cloud interaction) under clear‐sky (cloudy) condition. The changes in PM2.5 concentration further cause different relative trends of UHIImax/UHIImin/diurnal temperature range across different cities in the Beijing‐Tianjin‐Hebei region, which are likely related to the differences in both the PM2.5 composition and city size. This study provides insights on how air pollution affects urban climate and would help to design effective mitigation strategies.

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