Rheumatoid arthritis (RA) is a chronic, systemic, abnormal inflammatory immune response. It is characterized by the involvement of the synovium and multiple organs and the destruction of joints and articular cartilage. Over the past 30 years, several promising novel compounds and antibodies have been developed for the treatment of RA. The introduction of new drugs and precision medicine for all forms of RA raises several issues related to access to novel treatments by patients, optimal regimen selection, cost-effectiveness, prognosis monitoring and outcome surveillance, particularly with regarding to the development of low drug response rates, drug resistance and adverse side effects. Tremendous attention has been given to the identification of optimized drug combinations for the treatment of RA, particularly in early high-risk vulnerable and early individuals. Addressing these issues requires novel therapeutic approaches with new mechanisms and the establishment of accurate guidelines for drug selection, drug recombination, and non-chemical therapeutic efforts. In this study, we reviewed the most exciting recently established or ongoing novel drugs and methods according to the clinical trial database maintained by the United States National Library of Medicine and discussed the trends in RA drug development and challenges in the treatment, providing a reference significant for the accurate treatment of RA and the research direction in the future.

A fluorescent probe, N'-((3-methyl-5-oxo-1-phenyl-4, 5-dihydro-1H-pyrazol-4-yl) methylene)-2-oxo-2H-chromene-3-carbohydrazide (MPMC), was synthesized and characterized. Characterizations of the synthetic MPMC were conducted by proton nuclear magnetic resonance (1HNMR) spectroscopy and carbon-13 nuclear magnetic resonance spectroscopy (13C NMR). The fluorescence emission behaviors of probe MPMC towards diverse metal ions were detected and the probe exhibited high sensitivity and selectivity towards Cu2+ over other metal ions via quenching of its fluorescence. Furthermore, the existence of other metal actions made no difference on the fluorescence intensity of the MPMC-Cu2+ system apparently, that is, MPMC displayed a good anti-interference ability. Job’s plot of MPMC and copper ions indicated the detection limit was 15.16 nM (R2=0.9612) for the assayed actions, with a stoichiometric ratio of 1:1 for MPMC and Cu2+. Additionally, the color of MPMC probe solution changed from nearly colorless to yellow in the presence of Cu2+ in visible light, which the color change could be observed by the naked eye. Similarly, the color resolved bright yellow into blue in ultraviolet light. Also reusability studies indicated that MPMC probe was reusable. The pH effect of probe MPMC to Cu2+ had a broad range of pH detection 4.0 to 11.0. The response time of MPMC probe for determining Cu2+ was within 1 min. The recognition of Cu2+ by MPMC performed on pre-treated paper under sunlight and UV light both had a distinct colour change. Thus, the solid-state method for detecting Cu2+ with the naked-eye, was both economical and convenient.

With the development of remote sensing satellite technology for Earth observation, remote sensing stereo images have been used for three-dimensional reconstruction in various fields, such as urban planning and construction. However, remote sensing images often include noise, occluded regions, weakly textured areas and repeated textures, which can lead to reduced accuracy in stereo matching and affect the quality of the 3D reconstruction results. To reduce the impact of complex scenes in remote sensing images on stereo matching and to ensure both speed and accuracy, we propose a new end-to-end stereo matching network based on convolutional neural networks (CNNs). The proposed stereo matching network can learn features at different scales from the original images and construct cost volumes with varying scales to obtain richer scale information. Additionally, when constructing the cost volume, we introduce negative disparity to adapt to the common occurrence of both negative and nonnegative disparities in remote sensing stereo image pairs. For cost aggregation, we employ a 3D convolution-based encoder-decoder structure that allows the network to adaptively aggregate information. Before feature aggregation, we also introduce an attention module to retain more valuable feature information, enhance feature representation, and obtain a higher-quality disparity map. By training on the publicly available US3D dataset, we obtain the accuracy that 1.115 pixel in end-point error (EPE) and 5.32% in the error pixel ratio (D1) on the test dataset, and the inference speed is 92 ms. Comparing our model with existing state-of-the-art models, we achieve higher accuracy, and the network is beneficial for the three-dimensional reconstruction of remote sensing images.