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Previous work suggests that the experiences of online and offline self‐disclosure are heterogeneous among individuals. Yet little work has been done to identify the moderating role of individual characteristics and pre‐existing relationship characteristics on the diverse relational outcomes. The present study using a 7‐day diary design examined whether individuals' self‐esteem level and relational closeness would moderate the relationships between online and offline self‐disclosure to offline friends and two relational outcomes, that is, relationship satisfaction and trust in friendships. The analyses on 686 diary responses from 98 participants revealed that offline self‐disclosure generally predicted greater relationship satisfaction and trust in friendships, whereas the role of online self‐disclosure was not statistically significant. More importantly, self‐esteem moderated the pattern associated with offline self‐disclosure but not that with online self‐disclosure. Specifically, offline self‐disclosure predicted greater benefits to people with lower self‐esteem relative to people with higher self‐esteem. Moreover, pre‐existing relational closeness moderated the relationship between offline self‐disclosure and trust in friendships such that casual friendships benefited more from offline self‐disclosure than close friendships did. The present study highlights the importance of personal characteristics and relationship characteristics in understanding the heterogeneous relational influence of different communication modes.

Human amniotic epithelial cells (hAECs), one of the stem cells identified from the human placenta, possess numerous advantages and have been considered as an attractive and available cell source for regenerative medicine. Accumulating evidence has showed that cellular senescence was one of the pathogenic hubs of diabetic wound chronicity. Keratinocytes and fibroblasts are the primary cells involved in wound healing. Therefore, in this study, we aimed to investigate the antisenescence effects of hAECs on keratinocytes and fibroblasts in diabetic wounds.Sustained hyperglycemia impaired cell function and accelerated senescence in vitro.However, this phenotype was rescued by hAECs-conditioned medium (hAECs-CM), with increased migration and proliferation in keratinocytes and fibroblasts and enhanced collagen synthesis and α-smooth muscle actin (α-SMA) production in fibroblasts. In addition, hAECs-CM dramatically inhibited intracellular reactive oxygen species (ROS) and senescence-associated β-galactosidase (SA-β-gal) in keratinocytes and fibroblasts under high-glucose (HG) condition. Moreover, hAECs-CM could downregulate the increased RAGE and P21 induced by continuous HG stimulation.Intradermal injection of hAECs in diabetic wounds promoted re-epithelialization and granulation tissue formation, accompanied by decreased P21 + cells and increased PCNA + cells in epidermis and dermis, as well as promoted collagen deposition and α-SMA expression. Furthermore, CM-Dil-labeled hAECs survived to Day 5 but disappeared by Day 10 in diabetic wounds. These findings indicated that hAECs could inhibit diabetes-induced premature senescence and enhance the function of keratinocytes and fibroblasts via paracrine effects, partly by inhibiting RAGE/P21 signaling pathway. Thus, hAECs targeting cellular senescence induced by a hyperglycemic environment may be a new strategy for the treatment of diabetic wounds.

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Purpose This study assessed sleep quality in patients with burn scars and investigated risk factors of sleep disorders to guide clinical therapy. From the strategy of predictive, preventive, and personalized medicine (PPPM/3PM), we proposed that risk assessment based on clinical indicators could prompt primary prediction, targeted prevention, and personalized interventions to improve the management of sleep disorders present in patients with burn scars. Methods This retrospective study recruited patients with burn scars and healthy volunteers from the Shanghai Burn Treatment Center between 2017 and 2022. Relevant information and data, including demographic characteristics, scar evaluation, and sleep quality, were obtained through the hospital information system, classical scar scale, and self-report questionnaires. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and monitored using a cardiopulmonary-coupled electrocardiograph. Pain and pruritus were assessed using the visual analog scale (VAS). Scar appearance was assessed using the modified Vancouver scar scale (mVSS). Results The sample was comprised of 128 hypertrophic scar (HS) patients, with 61.7% males, a mean age of 41.1 ± 11.6 years, and burn area of 46.2 ± 27.9% total body surface area (TBSA). Patients with PSQI ≥ 7 accounted for 76.6%, and the global PSQI score was 9.4 ± 4.1. Objective sleep data showed that initial enter deep sleep time, light sleep time, awakening time, light sleep efficiency, and sleep apnea index were higher but deep sleep time, sleep efficiency, and deep sleep efficiency were lower in HS patients than that in healthy controls. Preliminary univariate analysis showed that age, hyperplasia time of scar, narrow airway, microstomia, VAS for pain and pruritus, and mVSS total (comprised of pigmentation, vascularity, height and pliability) were associated with the PSQI score ( p < 0.1). Multivariable linear regression showed narrow airway, VAS for pain and pruritus, and mVSS specifically height, were the risk factors for PSQI score ( p < 0.1). Conclusions This study model identified that narrow airway, pain, pruritus and scar appearance specifically height may provide excellent predictors for sleep disorders in HS patients. Our results provided a basis for the predictive diagnostics, targeted prevention, and individualized therapy of somnipathy predisposition and progression of HS patients in the setting of PPPM/3PM health care system, which contributed to a paradigm shift from reactive cure to advanced therapy.

BACKGROUND: Labor-saving pesticide application technology is eagerly pursued in the planting system of Chinese chives. In this study, we developed a set of application approaches by turning fungicides into smoke to achieve this goal. RESULTS:The fungicides fludioxonil, fluopyram, boscalid, procymidone, and prochloraz could be vaporized into smoke at temperatures below 300 °C. The SFR (smoke formation rate) decreased with the increasing temperature. At 300 °C, the SFR of fludioxonil, fluopyram, boscalid and procymidone were all higher than 80%. At 300 °C and 600 °C, there were no significant differences in the smoke particle state of these five fungicides. However, the inhibition rate of these five fungicides against the growth of Botrytis squamosa generally decreased with the temperature. At 600 °C, only fludioxonil and boscalid had inhibition rates higher than 80%. The deposition uniformity of fungicide smoke increased with the increasing amounts of NH 4 Cl. When the amount of NH 4 Cl reached 80% of the total content, the smoke of fungicide was uniformly deposited throughout each glass slide. In the greenhouse experiment, the control efficacy of fungicide application by smoke was significantly better than that of spraying application, whereas its residue was much lower.CONCLUSION: It is feasible to control air-borne disease through the vaporization of fungicides into smoke by electrical heating. Smoke application would effectively inhibit the spores in the air and would not increase the humidity of the environment. These findings indicate that smoke application is a labor-saving pesticide application technology viable in production.