Rheumatoid arthritis (RA) is a common autoimmune condition with an elusive etiology. Conventional and biological disease-modifying drugs sometimes fail or produce only partial responses. Traditional Chinese medicine (TCM) has long been used in China as a treatment for RA and is achieving everincreasing acceptance worldwide. TCM treatments are traditionally guided by the theory of treatment based on TCM syndrome differentiation; however, they remain a matter of empirical practice relying on TCM theories and doctors’ own experience, which places severe restrictions on worldwide TCM application. Nevertheless, TCM is a treasure trove for drug discovery, particularly as a treatment for complicated human conditions. The discoveries of artemisinin as a treatment for malaria and of TCM–arsenic trioxide (As₂O₃) combination therapy as a treatment for acute promyelocytic leukemia (APL) are excellent examples of the great value of TCM. Regarding RA treatments, many Chinese medicinal herbs and their formulas, extracts, ingredients, and even single compounds have been used in clinical applications. Several Chinese proprietary medicines (CPMs) derived from TCM formulas or herbal bioactive components, such as the controlled-release tablets of ZhengQingFengTongNing (ZQFTN), tripterygium glycoside tablets, and capsules of total glucosides of peony (TGP), have been included in the National Health Insurance Directory of China, and show comparable therapeutic efficacies to those of western chemical drugs with fewer side effects. As TCM research has advanced, particularly in the use of multidisciplinary technologies, the scientific foundations and characteristics of the use of TCM to treat RA have been revealed, and the quality of TCM treatments have been increasingly enhanced. However, TCM generally lacks sufficient clinical and laboratory data to be consistent with international standards for quality, safety, and efficacy in order to support its application worldwide. Therefore, intensive basic and clinical studies on TCM are required. In particular, investigations that use cutting-edge technologies in analytical chemistry, biology, and biomedical sciences, and the development of randomized clinical trials (RCTs) and personalized pragmatic randomized controlled trials (PPRCTs) are necessary. Researchers should also collaborate to advance TCM from empirical practice to evidence-based therapy, thus consistently promoting TCM development and globalization in a vital, beneficial, and contributable manner.

An intelligent manufacturing system is a composite intelligent system comprising humans, cyber systems, and physical systems with the aim of achieving specific manufacturing goals at an optimized level. This kind of intelligent system is called a human–cyber–physical system (HCPS). In terms of technology, HCPSs can both reveal technological principles and form the technological architecture for intelligent manufacturing. It can be concluded that the essence of intelligent manufacturing is to design, construct, and apply HCPSs in various cases and at different levels. With advances in information technology, intelligent manufacturing has passed through the stages of digital manufacturing and digital-networked manufacturing, and is evolving toward new-generation intelligent manufacturing (NGIM). NGIM is characterized by the in-depth integration of new-generation artificial intelligence (AI) technology (i.e., enabling technology) with advanced manufacturing technology (i.e., root technology); it is the core driving force of the new industrial revolution. In this study, the evolutionary footprint of intelligent manufacturing is reviewed from the perspective of HCPSs, and the implications, characteristics, technical frame, and key technologies of HCPSs for NGIM are then discussed in depth. Finally, an outlook of the major challenges of HCPSs for NGIM is proposed.

Engineering Owner: Construction Headquarters of Yangshan Deep-water Port Phase IV Project of Shanghai International Shipping Center

Sustainability has become increasingly important, however, relatively little attention has focused on metrics for the construction and operation of airport and roadway infrastructure. Most attention has focused on buildings, with high profile BREEAM and LEED projects taking center stage. Sustainability is also important in airport and roadway infrastructure projects, which have significant public impact but have a much lower profile than vertical construction when it comes to sustainability. Sustainable infrastructure is important in China and India where new infrastructure is under construction to meet growing and developing economies, and in the US, where infrastructure is in substandard condition and requires reconstruction. The purpose of this paper is to provide an overview and discussion of sustainability rating systems for airport and roadway infrastructure, including both construction and operation. Specific projects that highlight both proven and innovative sustainable practices are included to illustrate the application of these concepts. Finally, the relationship between sustainable transportation infrastructure and resilient transportation infrastructure is addressed since resiliency is of growing interest and there is overlap between these concepts.