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The North–South asymmetry in the number density and bulk velocity of stars in the Solar neighbourhood provides valuable insights into the formation and evolution of the Milky Way disc. Our objective is to investigate the wave-like disc oscillations of mono-age stellar populations in the Solar neighbourhood using data from Gaia Data Release 3. We have selected a comprehensive sample of main-sequence turn-off stars. The ages of these stars can be accurately determined using isochrone fitting methods. Our findings indicate that the North–South density and mean vertical velocity asymmetries remain consistent across all age groups. The uniformity of perturbations across all subsamples suggests that all populations are responding to the same external influence, which likely affects them irrespective of their age. Moreover, the fact that these perturbations appear consistently implies they could be either ongoing or recent. Regarding vertical velocity dispersions, we observe that older stars exhibit larger dispersions. [ABSTRACT FROM AUTHOR]

Objectives: The present study aimed to investigate the incremental prognostic value of the right ventricular fractal dimension (FD), a novel marker of myocardial trabecular complexity by cardiac magnetic resonance (CMR) in patients with arrhythmogenic cardiomyopathy (ACM). Methods: Consecutive patients with ACM undergoing CMR were followed up for major cardiac events, including sudden cardiac death, aborted cardiac arrest, and appropriate implantable cardioverter defibrillator intervention. Prognosis prediction was compared by Cox regression analysis. We established a multivariable model supplemented with RV FD and evaluated its discrimination by Harrell's C-statistic. We compared the category-free, continuous net reclassification improvement (cNRI) and integrated discrimination index (IDI) before and after the addition of FD. Results: A total of 105 patients were prospectively included from three centers and followed up for a median of 60 (48, 66) months; experienced 36 major cardiac events were recorded. Trabecular FD displayed a strong unadjusted association with major cardiac events (p < 0.05). In the multivariable Cox regression analysis, RV maximal apical FD maintained an independent association with major cardiac events (hazard ratio, 1.31 (1.11–1.55), p < 0.002). The Hosmer–Lemeshow goodness of fit test displayed good fit (X2 = 0.68, p = 0.99). Diagnostic performance was significantly improved after the addition of RV maximal apical FD to the multivariable baseline model, and the continuous net reclassification improvement increased 21% (p = 0.001), and the integrated discrimination index improved 16% (p = 0.045). Conclusions: In patients with ACM, CMR-assessed myocardial trabecular complexity was independently correlated with adverse cardiovascular events and provided incremental prognostic value. Clinical relevance statement: The application of FD values for assessing RV myocardial trabeculae may become an accessible and promising parameter in monitoring and early diagnosis of risk factors for adverse cardiovascular events in patients with ACM. Key Points: • Ventricular trabecular morphology, a novel quantitative marker by CMR, has been explored for the first time to determine the severity of ACM. • Patients with higher maximal apical fractal dimension of RV displayed significantly higher cumulative incidence of major cardiac events. • RV maximal apical FD was independently associated with major cardiac events and provided incremental prognostic value in patients with ACM. [ABSTRACT FROM AUTHOR]

To reduce the leakage and power consumption of metal–oxide resistive random access memory (RRAM), we propose and fabricate a cold-electrode (CE) RRAM (CE-RRAM) by extending the mechanism of cold-source FETs. First-principles calculations show that the n-Si/TiN composite CE can filter electrons with energy within the Si bandgap, which contribute to leakage current. A n-Si/TiN/HfOx/Pt CE-RRAM with low leakage current and large on/off current ratio was designed and fabricated. Comparative analysis with conventional RRAM demonstrates over a 100-fold reduction in leakage current in a high resistance state and a tenfold improvement in the Ion/Ioff ratio. Additionally, the CE-RRAM effectively suppresses the overshoot effect in terminal I–V characteristics and exhibits good endurance, maintaining a 100 Ion/Ioff ratio after 104 cycles. Furthermore, even after 104 s at 100 °C, the state remains unchanged. Moreover, the CE-RRAM demonstrates its multi-level storage capability. [ABSTRACT FROM AUTHOR]

The intelligent monitoring of the grinding wheel wear state has the potential to enhance several key aspects of grinding operations, including wheel utilization, wheel dressing, grinding efficiency, grinding quality and so on. In this paper, it is proposed as an acoustic emission signal–based monitoring method of electroplated diamond grinding wheel wear state for C/SiC composite material groove grinding. Firstly, the full-life wear experiment of electroplated grinding wheel grinding C/SiC composites was carried out, and the connection between the acoustic emission signal and the wear state of the grinding wheel was established by frequency domain and time–frequency domain characteristics. Secondly, the time domain, frequency domain and time–frequency domain features of the signals in the stable grinding stage of C/SiC composites were extracted by wavelet packet method. Finally, based on the extracted features, the Extreme Learning Machine (ELM) was optimized by Mayfly Algorithm (MA) to realize online monitoring and intelligent recognition of grinding wheel wear. The results show that the sample classification accuracy of this method is 96.67%, which can effectively identify the different states of grinding wheel wear. [ABSTRACT FROM AUTHOR]

Aim: In recent years, proteomics research has surged, with numerous observational studies identifying associations between plasma proteins and type 2 diabetes. However, research specifically focusing on the ratios of plasma proteins in type 2 diabetes remains relatively scarce. Methods: This study primarily employed a two‐sample, two‐step Mendelian randomization (MR) approach, leveraging genetic data from several large, publicly accessible genome‐wide association studies, wherein single nucleotide polymorphisms served as proxies for exposures and diseases. Within this framework, we applied two‐sample MR to assess the associations between the 2821 plasma protein‐to‐protein ratios and type 2 diabetes along with its complications and utilized reverse MR to confirm the unidirectionality of these causal relationships. In addition, we employed two‐step MR to investigate the potential mediating role of body mass index in these associations. To augment the robustness of our findings, we systematically implemented a series of sensitivity analyses. Results: The results gleaned from the inverse‐variance weighted method elucidated that a cumulative sum of 23 protein‐to‐protein ratios bore a causal nexus with type 2 diabetes across both sample cohorts. With each incremental elevation of 1 standard deviation in the genetically anticipated protein‐to‐protein ratio, the susceptibility to type 2 diabetes oscillated from 0.93 (95% confidence interval: 0.87, 1.00) for the CNTN3/NCSS1 protein level ratio to 1.13 (1.06, 1.22) for the DBNL/NCK2 protein level ratio. Moreover, a tally of eight protein‐to‐protein ratios correlated with a minimum of one complication linked to type 2 diabetes. Diverse sensitivity analyses corroborated the robustness of these observations. Conclusions: The outcomes of our investigation unveiled correlations between 23 plasma protein‐to‐protein ratios and type 2 diabetes, with eight of these ratios entwined with complications of type 2 diabetes. These discoveries offer novel perspectives on the diagnosis and management of type 2 diabetes and its associated complications. [ABSTRACT FROM AUTHOR]

Background: Cerebral microbleeds (CMBs) have been described in critically ill patients with respiratory failure, acute respiratory distress syndrome (ARDS), or sepsis. This scoping review aimed to systematically summarize existing literature on critical illness–associated CMBs. Methods: Studies reporting on adults admitted to the intensive care unit for respiratory failure, ARDS, or sepsis with evidence of CMBs on magnetic resonance imaging were included for review following a systematic search across five databases (MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, and Web of Science) and a two-stage screening process. Studies were excluded if patients' CMBs were clearly explained by another process of neurological injury. Results: Forty-eight studies reporting on 216 critically ill patients (mean age 57.9, 18.4% female) with CMBs were included. Of 216, 197 (91.2%) patients developed respiratory failure or ARDS, five (2.3%) patients developed sepsis, and 14 (6.5%) patients developed both respiratory failure and sepsis. Of 211 patients with respiratory failure, 160 (75.8%) patients had coronavirus disease 2019. The prevalence of CMBs among critically ill patients with respiratory failure or ARDS was 30.0% (111 of 370 patients in cohort studies). The corpus callosum and juxtacortical area were the most frequently involved sites for CMBs (64.8% and 41.7% of all 216 patients, respectively). Functional outcomes were only reported in 48 patients, among whom 31 (64.6%) were independent at discharge, four (8.3%) were dependent at discharge, and 13 (27.1%) did not survive until discharge. Cognitive outcomes were only reported in 11 of 216 patients (5.1%), all of whom showed cognitive deficits (nine patients with executive dysfunction and two patients with memory deficits). Conclusions: Cerebral microbleeds are commonly reported in patients with critical illness due to respiratory failure, ARDS, or sepsis. CMBs had a predilection for the corpus callosum and juxtacortical area, which may be specific to critical illness–associated CMBs. Functional and cognitive outcomes of these lesions are largely unknown. [ABSTRACT FROM AUTHOR]

Objectives: Endocardial trabeculae undergo varicose changes and hyperplasia in response to hemodynamic influences and are a variable phenotype reflecting changes in disease. Fractal analysis has been used to analyze the complexity of endocardial trabeculae in a variety of cardiomyopathies. The aim of this paper was to quantify the myocardial trabecular complexity through fractal analysis and to investigate its predictive value for the diagnosis of heart failure with preserved ejection fraction (HFpEF) in patients with multivessel coronary artery disease (CAD). Methods: The retrospective study population consisted of 97 patients with multivessel CAD, 39 of them were diagnosed with HFpEF, while 46 healthy volunteers were recruited as controls. Fractal dimension (FD) was obtained through fractal analysis of endocardial trabeculae on LV short-axis cine images. Logistic regression analyses were used to confirm the predictors and compare different prediction models. Results: Mean basal FD was significantly higher in patients with HFpEF than in patients without HFpEF or in the healthy group (median: 1.289; IQR: 0.078; p < 0.05). Mean basal FD was also a significant independent predictor in univariate and multivariate logistic regression (OR: 1.107 and 1.043, p < 0.05). Furthermore, adding FD to the prediction model improved the calibration and accuracy of the model (c-index: 0.806). Conclusion: The left ventricular FD obtained with fractal analysis can reflect the complexity of myocardial trabeculae and has an independent predictive value for the diagnosis of HFpEF in patients with multivessel CAD. Including FD into the diagnostic model can help improve the diagnosis. Critical relevance statement: Differences show in the complexity of endocardial trabeculae in multivessel coronary artery disease patients, and obtaining fractal dimensions (FD) by fractal analysis can help identify heart failure with preserved ejection fraction (HFpEF) patients. Key Points: The complexity of myocardial trabeculae differs among patients with multivessel coronary artery disease. Left ventricular fractal dimensions can reflect the complexity of the myocardial trabecular. Fractal dimensions have predictive value for the diagnosis of heart failure with preserved ejection fraction. [ABSTRACT FROM AUTHOR]

With 75 known species, the freshwater fish genus Sinocyclocheilus is the largest cavefish radiation in the world and shows multiple adaptations for cave‐dwelling (stygomorphic adaptations), which include a range of traits such as eye degeneration (normal‐eyed, micro‐eyed and eyeless), depigmentation of skin, and in some species, the presence of "horns". Their behavioural adaptations to subterranean environments, however, are poorly understood. Wall‐following (WF) behaviour, where an organism remains in close contact with the boundary demarcating its habitat when in the dark, is a peculiar behaviour observed in a wide range of animals and is enhanced in cave dwellers. Hence, we hypothesise that wall‐following is also present in Sinocyclocheilus, possibly enhanced in eyeless species compared to eye bearing (normal‐/micro‐eyed species). Using 13 species representative of Sinocyclocheilus radiation and eye morphs, we designed a series of assays, based on pre‐existing methods for Astyanax mexicanus behavioural experiments, to examine wall‐following behaviour under three conditions. Our results indicate that eyeless species exhibit significantly enhanced intensities of WF compared to normal‐eyed species, with micro‐eyed forms demonstrating intermediate intensities in the WF distance. Using a mtDNA based dated phylogeny (chronogram with four clades A–D), we traced the degree of WF of these forms to outline common patterns. We show that the intensity of WF behaviour is higher in the subterranean clades compared to clades dominated by normal‐eyed free‐living species. We also found that eyeless species are highly sensitive to vibrations, whereas normal‐eyed species are the least sensitive. Since WF behaviour is presented to some degree in all Sinocyclocheilus species, and given that these fishes evolved in the late Miocene, we identify this behaviour as being ancestral with WF enhancement related to cave occupation. Results from this diversification‐scale study of cavefish behaviour suggest that enhanced wall‐following behaviour may be a convergent trait across all stygomorphic lineages. [ABSTRACT FROM AUTHOR]

Video-based learning has successfully become an effective alternative to face-to-face instruction. In such situations, modeling or predicting learners' flow experience during video learning is critical for enhancing the learning experience and advancing learning technologies. In this study, we set up an instructional scenario for video learning according to flow theory. Different learning states, i.e., boredom, fit (flow), and anxiety, were successfully induced by varying the difficulty levels of the learning task. We collected learners' electrocardiogram (ECG) signals as well as facial video, upper body posture and speech data during the learning process. We proposed classification models of the learning state and regression models to predict flow experience by utilizing different combinations of the data from the four modalities. The results showed that the model performance of learning state recognition was significantly improved by the decision-level fusion of multimodal data. By using the selected important features from all data sources, such as the standard deviation of normal to normal R-R intervals (SDNN), high-frequency (HF) heart rate variability and mel-frequency cepstral coefficients (MFCC), the multilayer perceptron (MLP) classifier gave the best recognition result of learning states (i.e., mean AUC of 0.780). The recognition accuracy of boredom, fit (flow) and anxiety reached 47.48%, 80.89% and 47.41%, respectively. For flow experience prediction, the MLP regressor based on the fusion of two modalities (i.e., ECG and posture) achieved the optimal prediction (i.e., mean RMSE of 0.717). This study demonstrates the feasibility of modeling and predicting the flow experience in video learning by combining multimodal data. [ABSTRACT FROM AUTHOR]

With 75 known species, the freshwater fish genus Sinocyclocheilus is the largest cavefish radiation in the world and shows multiple adaptations for cave‐dwelling (stygomorphic adaptations), which include a range of traits such as eye degeneration (normal‐eyed, micro‐eyed and eyeless), depigmentation of skin, and in some species, the presence of "horns". Their behavioural adaptations to subterranean environments, however, are poorly understood. Wall‐following (WF) behaviour, where an organism remains in close contact with the boundary demarcating its habitat when in the dark, is a peculiar behaviour observed in a wide range of animals and is enhanced in cave dwellers. Hence, we hypothesise that wall‐following is also present in Sinocyclocheilus, possibly enhanced in eyeless species compared to eye bearing (normal‐/micro‐eyed species). Using 13 species representative of Sinocyclocheilus radiation and eye morphs, we designed a series of assays, based on pre‐existing methods for Astyanax mexicanus behavioural experiments, to examine wall‐following behaviour under three conditions. Our results indicate that eyeless species exhibit significantly enhanced intensities of WF compared to normal‐eyed species, with micro‐eyed forms demonstrating intermediate intensities in the WF distance. Using a mtDNA based dated phylogeny (chronogram with four clades A–D), we traced the degree of WF of these forms to outline common patterns. We show that the intensity of WF behaviour is higher in the subterranean clades compared to clades dominated by normal‐eyed free‐living species. We also found that eyeless species are highly sensitive to vibrations, whereas normal‐eyed species are the least sensitive. Since WF behaviour is presented to some degree in all Sinocyclocheilus species, and given that these fishes evolved in the late Miocene, we identify this behaviour as being ancestral with WF enhancement related to cave occupation. Results from this diversification‐scale study of cavefish behaviour suggest that enhanced wall‐following behaviour may be a convergent trait across all stygomorphic lineages. [ABSTRACT FROM AUTHOR]

Avoidance of PCR with prior AI detection. PPC projection on UWF fundus image. AI detection of PPC projection to avoid cataract surgical catastrophe. Purpose: To test a cataract shadow projection theory and validate it by developing a deep learning algorithm that enables automatic and stable posterior polar cataract (PPC) screening using fundus images. Setting: Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei, Taiwan. Design: Retrospective chart review. Methods: A deep learning algorithm to automatically detect PPC was developed based on the cataract shadow projection theory. Retrospective data (n = 546) with ultra-wide field fundus images were collected, and various model architectures and fields of view were tested for optimization. Results: The final model achieved 80% overall accuracy, with 88.2% sensitivity and 93.4% specificity in PPC screening on a clinical validation dataset (n = 103). Conclusions: This study established a significant relationship between PPC and the projected shadow, which may help surgeons to identify potential PPC risks preoperatively and reduce the incidence of posterior capsular rupture during cataract surgery. [ABSTRACT FROM AUTHOR]

The X-band phased array radar offers faster scanning speed and higher spatial resolution compared to the S-band radar, making it capable of enhancing tornado monitoring and early warning capabilities. This study analyzed the characteristics and nowcasting signals of a tornado case that occurred on June 16, 2022 in the Guangzhou region. Our findings indicate that the violent contraction of rotation radius and the dramatic increase in rotation speed were important signal characteristics associated with tornado formation. The X-band phased array radar, with its high temporal and spatial resolution, provided an opportunity to capture early warning signals from polarimetric characteristics. The X-band phased array radar demonstrated noteworthy ability to identify apparent tornado vortex signature (TVS) features in a 10-minute lead time, surpassing the capabilities of the CINRAD/SA radar. Additionally, due to its higher scanning frequency, the Xband phased-array radar was capable of consistently identifying TVS with shorter intervals, enabling a more precise tracking of the tornado's path. The application of professional radars, in this case, provides valuable insights for the monitoring of evolutions of severe local storms and even tornadoes and the issuance of early warning signals. [ABSTRACT FROM AUTHOR]

Highlights: The formation of peptide nanocapsules is facilitated by a gradient interface, where the differential solvent concentration drives the peptides to preferentially localize and assemble. The peptide nanocapsules, characterized by their hollow structures, demonstrated potential as carriers for targeted drug delivery. [ABSTRACT FROM AUTHOR]

The u -band magnitude is vital for determining stellar parameters and investigating specific astronomical objects. However, flux calibration in the u band for stars in the Galactic disc presents significant challenges. In this study, we introduce a comprehensive recalibration of u -band photometric magnitudes of the VPHAS+ Data Release 4, employing the stellar colour regression technique. By leveraging the expansive set of XP spectra and G BP photometry from Gaia Data Release 3, as well as the individual stellar extinction values provided by the literature, we have obtained precise model magnitudes of nearly 3 million stars. Our analysis identifies systematic magnitude offsets that exhibit a standard deviation of 0.063 mag across different observational visits, 0.022 mag between various CCDs, and 0.009 mag within pixel bins. We have implemented precise corrections for these observational visits, CCD chips, and pixel bins-dependent magnitude offsets. These corrections have led to a reduction in the standard deviation between the observed magnitudes and the model magnitudes from 0.088 to 0.065 mag, ensuring that the calibrated magnitudes are independent of stellar magnitude, colour, and extinction. The enhanced precision of these magnitudes substantially improves the quality of astrophysical research and offers substantial potential for furthering our understanding of stellar astrophysics. [ABSTRACT FROM AUTHOR]

Mechanism and microstructure of the CFASC device. [Display omitted] The increasing requirements for wearable and portable electronics are driving the interests of high performance fiber supercapacitor. Layered double hydroxide (LDH) is broadly used in electrode materials, owing to the adjustability of components and the unique lamellar structure. However, limited active sites and poor electrical conductivity hinder its applications. Herein, the core–shell heterostructured Ni(OH) 2 @activation Zn-Co-Ni layered double hydroxides (Ni(OH) 2 @A-ZnCoNi-LDH) electrode was fabricated by loading pseudocapacitance material on the A-ZnCoNi-LDH to improve the electrochemical performance. Significantly, benefits from the synergistic effect of the multi-metal ions and the core–shell heterostructure, the electrodes demonstrated a capacitance of 2405 mF·cm−2 at 1 mA·cm−2. Furthermore, Ni(OH) 2 @A-ZnCoNi-LDH was used as the core electrode and carbon nanotube (CNT) film coated with Fe 2 O 3 @reduced graphene oxide (rGO) was wrapped around the core electrode to assemble coaxial fiber asymmetric supercapacitor, which illustrated an ultrahigh energy density of 177.7 µWh·cm−2 at 0.75 mW·cm−2. In particular, after consecutive charging and discharging 7000 cycles, the capacitance retention of the device was 95 %, indicating the excellent cycling stability. Furthermore, the device with high flexibility can be woven into textiles in different shapes. The fabricated device has an excellent development prospect as an energy source in wearable electronic devices. [ABSTRACT FROM AUTHOR]

Stationary or mobile microwave radiometers (MRs) can measure atmospheric temperature, relative humidity, and water vapor density profiles with high spatio-temporal resolution, but cannot obtain the vertical variations of wind field. Based on a dataset of brightness temperatures (TBs) measured with a mobile MR over the Three-River-Source Region of the Tibetan Plateau from 18 to 30 July 2021, we develop a direct retrieval method for the wind profile (WP) based on the Long Short-Term Memory (LSTM) network technique, and obtain the reliable dynamic variation characteristics of the WP in the region. Furthermore, the ground-based radiative transfer model for TOVS (RTTOV-gb) was employed to validate the reliability of the TB observation, and we analyzed the impact of weather conditions, altitude, observational mode, and TB diurnal variation on the accuracy of the TB measurement and the retrieval of the WP. Results show that the TB from the mobile observation (MOTB) on clear and cloudy days are close to those of the simulated TB with the RTTOV-gb model, while TB measurements on rainy days are far larger than the modeled TBs. When compared with radiosonde observations, the WPs retrieved with the LSTM algorithm are better than the ERA5 reanalysis data, especially below 350 hPa, where the root mean square errors for both wind speed and wind direction are smaller than those of ERA5. The major factors influencing WP retrieval include the weather conditions, altitude, observational mode, and TB diurnal variation. Under clear-sky and cloudy conditions, the LSTM retrieval method can reproduce the spatio-temporal evolution of wind field and vertical wind shear characteristics. The findings of this study help to improve our understanding of meso-scale atmospheric dynamic structures, characteristics of vertical wind shear, atmospheric boundary layer turbulence, and enhance the assessment and forecasting accuracy of wind energy resources. [ABSTRACT FROM AUTHOR]

One of the major challenges we face is how to quickly and accurately create the three-dimensional (3D) density distributions of interstellar dust in the Milky Way using extinction and distance measurements of large samples of stars. In this study, we introduce a novel machine-learning approach that utilizes a convolution neural network, specifically a V-net, to infer the 3D distribution of dust density. Experiments are performed within two regions located towards the Galactic anticentre. The neural network is trained and tested using 10 000 simulations of dust density and line-of-sight extinction maps. Evaluation of the test sample confirms the successful generation of dust density maps from extinction maps by our model. Additionally, the performance of the trained network is evaluated using data from the literature. Our results demonstrate that our model is capable of capturing detailed dust density variations and can recover dust density maps while reducing the 'fingers of god' effect. Moving forward, we plan to apply this model to real observational data to obtain the fine distribution of dust at large and small scales in the Milky Way. [ABSTRACT FROM AUTHOR]

Background: Although gastrointestinal endoscopy with sedation is increasingly performed in older patients, the optimal level of sedation remains open to debate. In this study, our objective was to compare the effects of moderate sedation (MS) and deep sedation (DS) on recovery following outpatient gastroscopy in elderly patients. Methods: In this randomized, partially blinded, controlled trial, we randomly divided 270 patients older than 60 years who were scheduled for elective outpatient gastroscopy into the MS or DS group based on the Modified Observer's Assessment of Alertness/Sedation (MOAA/S) scale. The primary outcome was the duration of stay in the post-anesthesia care unit (PACU). Secondary outcomes included the duration of the total hospital stay, frequency of retching, bucking, and body movements during the examination, endoscopist and patient satisfaction, and sedation-associated adverse events during the procedure. Results: A total of 264 patients completed the study, of whom 131 received MS and 133 received DS. MS was associated with a shorter PACU stay [16.15 ± 9.01 min vs. 20.02 ± 11.13 min, P < 0.01] and total hospital stay [27.32 ± 9.86 min vs. 30.82 ± 12.37 min, P < 0.05], lesser hypoxemia [2.3% (3/131) vs. 12.8% (17/133), P < 0.01], use of fewer vasoactive drugs (P < 0.001), and more retching (P < 0.001). There was no difference in the incidence of bucking and body movements or endoscopist and patient satisfaction between the two groups. Conclusion: Compared to deep sedation, moderate sedation may be a preferable choice for American Society of Anesthesiologists (ASA) Grade I–III elderly patients undergoing outpatient gastroscopies, as demonstrated by shorter PACU stays and total hospital stays, lower sedation-associated adverse events, and similar levels of endoscopist and patient satisfaction. [ABSTRACT FROM AUTHOR]

Flue gas desulfurization gypsum (FGDG), a solid waste material generated by power plants, offers a cost-effective solution for preparing backfill materials. Concurrently, given that most backfill materials are exposed to mine water erosion, an investigation into the mechanical performance degradation and damage mechanisms of FGDG backfill materials subjected to prolonged chloride salt erosion is crucial for ensuring the stability of goaf backfills (by goaf, we mean the area or space that remains underground after the extraction of valuable minerals). This study explores the mechanical properties and damage mechanisms of backfill samples treated with varying concentrations of chloride. The findings indicate that over time, the mass of the sample initially decreases, experiences a slight increase, and then gradually declines. Simultaneously, the strength and structure of the sample deteriorate rapidly, followed by a partial recovery. The rebound in sample mass is attributed to an incomplete hydration reaction that continuously transforms free water into bound water. Microstructure analysis techniques, such as X-ray diffraction (XRD) and field-emission scanning electron microscopy (FE-SEM), reveals that the degradation in mechanical strength and structure is a consequence of chloride salt erosion. Subsequent reuse is facilitated by the formation of Friedel's salt resulting from the reaction between hydration products and chloride ions, filling voids in the sample and impeding further chloride ion erosion into the deeper regions. Notably, FGDG exhibits outstanding reuse performance in prolonged and high-concentration chloride ion environments. This study serves as a reference for understanding the deterioration mechanism and practical application of backfills in chloride-rich environments. [ABSTRACT FROM AUTHOR]

Purposes: Dilatation of cystic duct is very rare and had been classified as Todani type VI choledochal cyst. Choledochal cyst combined with dilatation of cystic duct is difficult to diagnose preoperatively. The purpose of this study is to report the rare variants and discuss the significance and laparoscopic management strategy in children. Methods: The subjects for this study were 10 consecutive patients with type VI choledochal cyst who had laparoscopic procedures at our institute between January 2009 and January 2023. Laparoscopic cholecystectomy, excision of the dilated cystic duct, and choledochal cyst were carried out, and the continuity of the biliary duct was re-established through a Roux-en-Y hepaticojejunostomy. Results: Cystic duct combined with the common bile duct dilatation was revealed in all the patients intraoperatively. Laparoscopic procedures were completed with no conversions. The postoperative recovery was uneventful. The mean follow-up duration was 27 ± 12.7 months (range 5–36 months) with no postoperative complications encountered. Conclusions: The rare entity of type VI choledochal cyst should be recognized as a distinct type of choledochal cyst and need to be given enough attention clinically. The laparoscopic procedure is a feasible option for experienced surgeons. [ABSTRACT FROM AUTHOR]

Objectives: Arrhythmogenic right ventricular cardiomyopathy (ARVC) is an inherited cardiomyopathy characterized by progressive fibrofatty infiltration of atrial and ventricular myocardium resulting in adverse cardiac events. Atrial function has been increasingly recognized as prognostically important for cardiovascular disease. As the right atrial (RA) strain is a sensitive parameter to describe RA function, we aimed to analyze the prognostic value of the RA strain in ARVC. Methods: RA strain parameters were derived from cardiac magnetic resonance (CMR) images of 105 participants with definite ARVC. The endpoint was defined as a combination of sudden cardiac death, survival cardiac arrest, and appropriate implantable cardioverter-defibrillator intervention. Cox regression and Kaplan–Meier survival analyses were performed to evaluate the association between RA strain parameters and endpoint. Concordance index (C index), net reclassification index (NRI), and integrated discrimination improvement (IDI) were calculated to assess the incremental value of RA strain in predicting the endpoint. Results: After a median follow-up of 5 years, 36 (34.3%) reaching the endpoint displayed significantly reduced RA strain parameters. At Kaplan–Meier analysis, impaired RA reservoir (RARS) and booster strains (RABS) were associated with an increased risk of the endpoint. After adjusting for conventional risk factors, RARS (hazard ratio [HR], 0.956; p = 0.005) and RABS (HR, 0.906; p = 0.002) resulted as independent predictors for endpoint at Cox regression analyses. In addition, RARS and RABS improved prognostic value to clinical risk factors and CMR morphological and functional predictors (all p < 0.05). Conclusion: RARS and RABS were independent predictors for adverse cardiac events, which could provide incremental prognostic value for conventional predictors in ARVC. Critical relevance statement: We evaluated the prognostic value of right atrial strain in ARVC patients and suggested cardiologists consider RA strain as a predictive parameter when evaluating the long-term outcome of ARVC patients in order to formulate better clinical therapy. Key points: • Patients with ARVC had significantly reduced RA strain and strain rates compared with healthy participants. • Participants with lower RA reservoir and booster stains were associated with a significantly higher risk of adverse cardiac events. • RA booster and reservoir strain provide incremental value to conventional parameters. [ABSTRACT FROM AUTHOR]

Metal–organic frameworks (MOFs), formed by the coordination of metal nodes and organic linkers, constitute a class of multifunctional materials with unprecedentedly high chemical/structural designability. Through properly harnessing the synergistic interplay between high atomic number nodes and functional linkers, radiation‐responsive MOFs have recently come on the scene, which can convert ionizing radiations (e.g., X‐ray, γ‐ray, β‐ray, α‐particle, and neutron) into electrical charges or visible light. Given the attributes of cost‐effectiveness, robust environmental stability, extensive chemical tunability, and diverse functionalities, cutting‐edge radiation‐responsive MOFs with remarkable electronic and optical properties have emerged as promising substitutes for conventional organic and inorganic radiation‐responsive substances in applications across biomedicine and technology. This review article documents recent advancements in radiation‐responsive MOFs by elucidating the foundational mechanisms governing electronic transport and photon conversion within frameworks through inherent node–linker and host–guest interactions prompted by high‐energy radiation. Furthermore, this review delves into state‐of‐the‐art applications that leverage newly formulated radiation‐responsive MOFs, capitalizing on precisely engineered component interactions to achieve efficient energy absorption, conversion, and emission. The rationale behind these developments is concluded and future opportunities for expanding the research of radiation‐responsive MOFs are simultaneously highlighted. [ABSTRACT FROM AUTHOR]

Background: Social distancing policies were of utmost importance during the early stages of the COVID-19 pandemic. These policies aimed to mitigate the severity of local outbreaks by altering public behavior. However, if the severity of the pandemic reduces, the impact of these policies on actual behavior may decrease. This study aims to examine, from a global perspective, whether the impact of social distancing policies on actual mobility is moderated by local pandemic severity and whether this moderating effect varies across cultural value contexts. Methods: We combined multiple publicly available global datasets for structural equation model analysis. 17,513 rows of data from 57 countries included in all databases were analyzed. Multilevel moderated moderation models were constructed to test the hypotheses. Results: More stringent policies in a region mean less regional mobility (β = -0.572, p < 0.001). However, the severity of local outbreaks negatively moderated this effect (β = -0.114, p < 0.001). When the pandemic was not severe, the influence of policy intensity on mobility weakened. Furthermore, based on Schwartz's cultural values theory, cultural values of autonomy (β = -0.109, p = 0.011), and egalitarianism (β = -0.108, p = 0.019) reinforced the moderating effect of pandemic severity. On the other hand, cultural values of embeddedness (β = 0.119, p = 0.006) and hierarchy (β = 0.096, p = 0.029) attenuated the moderating effect. Conclusions: Social distancing policies aim to reduce the severity of local pandemics; however, the findings reveal that mitigating local pandemics may reduce their impact. Future policymakers should be alert to this phenomenon and introduce appropriate incentives to respond. The results also show that the moderating role of pandemic severity varies across cultures. When policies are promoted to deal with global crises, policymakers must seriously consider the resistance and potential incentives of cultural values. [ABSTRACT FROM AUTHOR]

The construction of multiple continuous fully substituted carbon centers, which serve as unique structural motif in natural products, is a challenging topic in organic synthesis. Herein, we report a hydrated [3+2] cyclotelomerization of butafulvenes to create contiguous fully substituted carbon backbone. In the presence of scandium triflate, all‐carbon skeleton with spiro fused tricyclic ring can be constructed in high diastereoselectivity by utilizing butafulvene as the synthon. Mechanistic studies suggest that this atom‐economic reaction probably proceeds through a synergistic process containing butafulvenes dimerization and nucleophilic attack by water. In addition, the tricyclic product can undergo a series of synthetic derivatizations, which highlights the potential applications of this strategy. The recyclability of Sc(OTf)3 has also been demonstrated to show its robust performance in this hydrated cyclotelomerization. [ABSTRACT FROM AUTHOR]

The construction of multiple continuous fully substituted carbon centers, which serve as unique structural motif in natural products, is a challenging topic in organic synthesis. Herein, we report a hydrated [3+2] cyclotelomerization of butafulvenes to create contiguous fully substituted carbon backbone. In the presence of scandium triflate, all‐carbon skeleton with spiro fused tricyclic ring can be constructed in high diastereoselectivity by utilizing butafulvene as the synthon. Mechanistic studies suggest that this atom‐economic reaction probably proceeds through a synergistic process containing butafulvenes dimerization and nucleophilic attack by water. In addition, the tricyclic product can undergo a series of synthetic derivatizations, which highlights the potential applications of this strategy. The recyclability of Sc(OTf)3 has also been demonstrated to show its robust performance in this hydrated cyclotelomerization. [ABSTRACT FROM AUTHOR]

With the opening of the Stock Connect programs, the mainland China and Hong Kong stock markets are becoming more closely linked. In this paper, we develop a China's stock market risk early warning system. The proposed early warning system consists of three components. First, we use value at risk (VaR) to identify the stock market risk in which stock market risk is divided into multiple categories instead of two categories. Second, we construct a comprehensive indicator system in which basic indicators, technical indicators, overseas return rate indicators, and macroeconomic indicators are considered simultaneously. Third, we use four machine learning models, namely long short-term memory (LSTM), gate recurrent unit (GRU), multilayer perceptron (MLP), and EXtreme Gradient Boosting algorithm (XGBoost), to predict China's stock market risk. Experimental results show that: (1) Considering the macroeconomic indicators and basic indicators of Shanghai Composite Index (SSEC), ShenZhen Component Index (SZCZ) and Hang Seng Index (HSI) can significantly improve the performance of predicting China's stock market risk. (2) The opening of SH-HK Stock Connect program improves the predictive performance, but the opening of SZ-HK Stock Connect program decreases the predictive performance. (3) The indicators related to Hong Kong become more important after the SZ-HK Stock Connect program. [ABSTRACT FROM AUTHOR]

Recent studies have shown that a pro-inflammatory diet and dysbiosis, especially a high level of trimethylamine-N-oxide (TMAO), are associated with various adverse health conditions. Cardiovascular diseases and pancreatic diseases are two major morbidities in the modern world. Through this narrative review, we aimed to summarize the association between a pro-inflammatory diet, gut microbiota, and cardiovascular and pancreatic diseases, along with their underlying mechanisms. Our review revealed that TMAO is associated with the development of cardiovascular diseases by promoting platelet aggregation, atherosclerotic plaque formation, and vascular inflammation. TMAO is also associated with the development of acute pancreatitis. The pro-inflammatory diet is associated with an increased risk of pancreatic cancer and cardiovascular diseases through mechanisms that include increasing TMAO levels, activating the lipopolysaccharides cascade, and the direct pro-inflammatory effect of certain nutrients. Meanwhile, an anti-inflammatory diet decreases the risk of cardiovascular diseases and pancreatic cancer. [ABSTRACT FROM AUTHOR]

(1) Background: Pathological humeral shaft fracture (PHSF) is a frequently observed clinical manifestation in the later stages of tumor metastasis. Surgical interventions are typically recommended to alleviate pain and restore functionality. Intramedullary nail fixation (INF) or plate fixation (PF) is currently recommended for the treatment of PHSF. However, there is still no standard for optimal surgical treatment. Thus, we conducted a meta-analysis comparing the clinical outcomes of INF with PF for PHSF treatment. (2) Methods: We conducted searches in databases, such as Scopus, EMBASE, and PubMed, for studies published prior to May 2023. In total, nine studies with 485 patients were reviewed. (3) Results: There were no significant differences noted in the incidence of fixation failure, local recurrence, wound complication or overall complication. However, the INF group demonstrated a significantly lower incidence of postoperative radial nerve palsy than the PF group (OR, 5.246; 95% CI, 1.548–17.774; p = 0.008). A subgroup analysis indicated that there were no statistically significant differences in fixation failure or local recurrence among subgroups categorized by the design of intramedullary nail. (4) Conclusions: Considering the short life expectancy of end-stage patients, the choice of surgical method depends on the patient's individual condition, fracture and lesion patterns, the surgeon's experience, and comprehensive discussion between the surgeon and patient. [ABSTRACT FROM AUTHOR]

Benefiting from cloud computing's elasticity, scalability, and pay-per-use model, more and more scientific applications are deployed in or migrated to the cloud. Workflow scheduling still faces many challenges due to the growing scales of workflows and the diversified user QoS requirements. In this work, we propose a Mutation-driven and population Grouping Poor and Rich Optimization algorithm (MG-PRO) for scheduling workflows in the cloud to minimize makespan while satisfying the budget constraints. Specifically, we first adopt the middle-class sub-population into the original Poor and Rich Optimization algorithm (PRO), and develop the update strategies for rich and middle-class sub-populations to increase the randomness and search diversity. Secondly, the update mechanism for rich individuals is enriched, and the middle-class sub-population is guided by elite rich individuals, which enhances the information exchange and sharing among sub-populations. Finally, an evolution-aware mutation strategy is designed, where the mutation probability is adjusted adaptively as the dynamic monitoring of the population update process, and the two-point and triangular crossover-based mutations are used alternately to intervene the evolution trajectory according to the degree of objective optimization, resulting in a better balance between exploration and exploration. Extensive experiments are conducted on well-known scientific workflows with different types and scales through WorkflowSim. The experimental results show that, in most cases, MG-PRO outperforms existing algorithms in terms of constraint satisfiability, solution quality and stability. It can generate near-optimal solutions with the different budget constraints satisfied in a relatively short time, for example, the makespan resulting from MG-PRO is at most 59.95% shorter than other meta-heuristic algorithms, and at least 7.33% shorter than all its peers. [ABSTRACT FROM AUTHOR]

Multi-party reversible data hiding over ciphered images (MRDH-CI) has high restorability since the image is split into multiple ciphered images by secret sharing. However, the MRDH-CI methods either fail to produce satisfied results, or only work well for conventional images. This paper introduces a multi-party reversible data-hiding approach over ciphered overexposed images. First, the pixels of the overexposed images are decomposed into two parts, each of which can be used for secret sharing. Then, the decomposed overexposed images are converted into multiple ciphered overexposed images by using a modified secret sharing method, in which the differences of the ciphered overexposed images are retained. The symmetry of the difference retaining makes the secret data conceal within the ciphered overexposed images such that the marked ciphered overexposed images can be created. Finally, by collecting sufficient marked ciphered overexposed images, it is possible to symmetrically reconstruct the concealed data and primitive overexposed image. Experimental results illustrate that the presented method can efficiently deal with overexposed images while maintaining a low computational overhead. [ABSTRACT FROM AUTHOR]

Objective: A motor complete spinal cord injury (SCI) results in the loss of voluntary motor control below the point of injury. Some of these patients can regain partial motor function through inpatient rehabilitation; however, there is currently no biomarker to easily identify which patients have this potential. Evidence indicates that spasticity could be that marker. Patients with motor complete SCI who exhibit spasticity show preservation of descending motor pathways, the pathways necessary for motor signals to be carried from the brain to the target muscle. We hypothesized that the presence of spasticity predicts motor recovery after subacute motor complete SCI. Methods: Spasticity (Modified Ashworth Scale and pendulum test) and descending connectivity (motor evoked potentials) were tested in the rectus femoris muscle in patients with subacute motor complete (n = 36) and motor incomplete (n = 30) SCI. Motor recovery was assessed by using the International Standards for Neurological Classification of Spinal Cord Injury and the American Spinal Injury Association Impairment Scale (AIS). All measurements were taken at admission and discharge from inpatient rehabilitation. Results: We found that motor complete SCI patients with spasticity improved in motor scores and showed AIS conversion to either motor or sensory incomplete. Conversely, patients without spasticity showed no changes in motor scores and AIS conversion. In incomplete SCI patients, motor scores improved and AIS conversion occurred regardless of spasticity. Interpretation: These findings suggest that spasticity represents an easy‐to‐use clinical outcome that might help to predict motor recovery after severe SCI. This knowledge can improve inpatient rehabilitation effectiveness for motor complete SCI patients. ANN NEUROL 2024;95:71–86 [ABSTRACT FROM AUTHOR]

Copper indium sulfide (CuInS2) is a ternary A(I)B(III)X (VI)2 -type semiconductor featuring a direct bandgap with a high absorption coefficient. In attempts to explore their practical applications, nanoscale CuInS2 has been synthesized with crystal sizes down to the quantum confinement regime. The merits of CuInS2 nanocrystals (NCs) include wide emission tunability, a large Stokes shift, long decay time, and eco-friendliness, making them promising candidates in photoelectronics and photovoltaics. Over the past two decades, advances in wet-chemistry synthesis have achieved rational control over cation–anion reactivity during the preparation of colloidal CuInS2 NCs and post-synthesis cation exchange. The precise nano-synthesis coupled with a series of hybridization strategies has given birth to a library of CuInS2 NCs with highly customizable photophysical properties. This review article focuses on the recent development of CuInS2 NCs enabled by advanced synthetic and hybridization techniques. We show that the state-of-the-art CuInS2 NCs play significant roles in optoelectronic and biomedical applications. [ABSTRACT FROM AUTHOR]

Introduction: Infectious mononucleosis (IM) is a common infectious disease in children mainly caused by Epstein–Barr virus (EBV) infection, followed by abnormal immune response, and resulting in serious complications. However, there are few clinical analyses of immune responses in children with IM at different stages. Methods: This study combined EBV serological test and EBV DNA test to diagnose the infection status of children with IM, and the infection status was divided into primary acute IM infection (AIM), primary late IM infection (LIM) and reactivation IM infection (RIM). Results: The results revealed that the absolute numbers of leukocytes and CD8+ T lymphocytes in primary IM infection were significantly higher than those in reactivation infection, while the frequencies of CD4+ T lymphocytes and B cells were significantly lower than those in reactivation infection. In addition, the activities of ALT, AST, α‐HBDH and LDH in liver function indicators in primary infection were significantly increased compared with reactivation infection. Similarly, the EBV DNA levels of the primary infection were significantly higher than that of the reactivation infection. Conclusion: There are differences in immune response at different stages of infection, which can provide guidance for effective treatment in children with IM infection. [ABSTRACT FROM AUTHOR]

Gastroesophageal reflux disease (GERD) is a very common disease with an estimated 442 million cases worldwide. It is a well-documented independent risk factor for many gastrointestinal pathologies, however, its role in cardiovascular disease (CVD) is unclear, despite its high prevalence in patients with CVD. Although traditionally considered a causative agent of noncardiac chest pain, a common imitator of cardiac chest pain, or an incidentally shared comorbidity in patients with CVD, a number of studies have implicated GERD and its therapies as risk factors for CVD. This narrative review will explore the relationship between GERD and CVD, including medical and mechanical therapeutic approaches for GERD that could potentially impact the incidence, progression, and mortality of CVD. [ABSTRACT FROM AUTHOR]

A medial meniscus posterior root tear (MMPRT) contributes to knee joint degeneration. Arthroscopic transtibial pullout repair (ATPR) may restore biomechanical integrity for load transmission. However, degeneration persists after ATPR in certain patients, particularly those with preoperative subchondral insufficiency fracture of the knee (SIFK). We explored the relationship between preoperative SIFK and osteoarthritis (OA) progression in retrospectively enrolled patients who were diagnosed as having an MMPRT and had received ATPR within a single institute. Based on their preoperative magnetic resonance imaging (MRI), these patients were then categorized into SIFK and non-SIFK groups. OA progression was evaluated by determining Kellgren–Lawrence (KL) grade changes and preoperative and postoperative median joint widths. SIFK characteristics were quantified using Image J (Version 1.52a). Both groups exhibited significant post-ATPR changes in medial knee joint widths. The SIFK group demonstrated significant KL grade changes (p < 0.0001). A larger SIFK size in the tibia and a greater lesion-to-tibia length ratio in the coronal view were positively correlated with more significant KL grade changes (p = 0.008 and 0.002, respectively). Thus, preoperative SIFK in patients with an MMPRT was associated with knee OA progression. Moreover, a positive correlation was observed between SIFK lesion characteristics and knee OA progression. [ABSTRACT FROM AUTHOR]

Objective: The current study aimed to explore a deep convolutional neural network (DCNN) model that integrates multidimensional CMR data to accurately identify LV paradoxical pulsation after reperfusion by primary percutaneous coronary intervention with isolated anterior infarction. Methods: A total of 401 participants (311 patients and 90 age-matched volunteers) were recruited for this prospective study. The two-dimensional UNet segmentation model of the LV and classification model for identifying paradoxical pulsation were established using the DCNN model. Features of 2- and 3-chamber images were extracted with 2-dimensional (2D) and 3D ResNets with masks generated by a segmentation model. Next, the accuracy of the segmentation model was evaluated using the Dice score and classification model by receiver operating characteristic (ROC) curve and confusion matrix. The areas under the ROC curve (AUCs) of the physicians in training and DCNN models were compared using the DeLong method. Results: The DCNN model showed that the AUCs for the detection of paradoxical pulsation were 0.97, 0.91, and 0.83 in the training, internal, and external testing cohorts, respectively (p < 0.001). The 2.5-dimensional model established using the end-systolic and end-diastolic images combined with 2-chamber and 3-chamber images was more efficient than the 3D model. The discrimination performance of the DCNN model was better than that of physicians in training (p < 0.05). Conclusions: Compared to the model trained by 2-chamber or 3-chamber images alone or 3D multiview, our 2.5D multiview model can combine the information of 2-chamber and 3-chamber more efficiently and obtain the highest diagnostic sensitivity. Clinical relevance statement: A deep convolutional neural network model that integrates 2-chamber and 3-chamber CMR images can identify LV paradoxical pulsation which correlates with LV thrombosis, heart failure, ventricular tachycardia after reperfusion by primary percutaneous coronary intervention with isolated anterior infarction. Key Points: • The epicardial segmentation model was established using the 2D UNet based on end-diastole 2- and 3-chamber cine images. • The DCNN model proposed in this study had better performance for discriminating LV paradoxical pulsation accurately and objectively using CMR cine images after anterior AMI compared to the diagnosis of physicians in training. • The 2.5-dimensional multiview model combined the information of 2- and 3-chamber efficiently and obtained the highest diagnostic sensitivity. [ABSTRACT FROM AUTHOR]

This paper characterizes the efficacy of borax on different properties of alkali-activated materials (AAMs). Fly ash (FA) and ground granulated blast slag (GGBS) were used as base substances at different ratios. The effects of borax on workability, compressive strength, efflorescence formation and crack resistance are the main ideas of the study. The results indicated the positive effects of borax on the properties of one-part fly ash/slag-based alkali-activated materials such as increasing workability and decreasing efflorescence. The microscopic images and scanning electron microscope (SEM) showed that the addition of borax reduced the cracks and a higher amount of slag made the samples denser with less unreacted raw materials, respectively. The compressive strength test results showed that borax had a detrimental impact at early ages with a positive effect at later ages. Binders with borax and 20-25% replacement of FA with GGBS were found to have the best performance when workability, compressive strength, efflorescence formation, and cracks on the samples were taken into account. [ABSTRACT FROM AUTHOR]

Social media is emerged as a powerful communication tool over the past ten years. The Z generation's green buying habits and purchase intentions are being reshaped by social media, which is helping to advance the development of a sustainable environment. The consumption of non-organic products has raised carbon emissions, so changing consumption patterns and purchase intentions is necessary for a more sustainable future. Moreover, earlier literature has the absence of a comprehensive behavior change model that explains the mechanism through which social media influences sustainable behaviors This study explores that how social media affects patterns of consumption for Z generation of China while considering the role of environmental concerns, subjective norms, eco-branding and eco-labeling on the basis of theory of planned behavior. A questionnaire is used to get information from the 563 Z generation respondents of China. The data is analyzed using Smart-PLS and empirical outcomes show that social media has a statistically significant influence on shaping and affecting green consumption behavior of China's Z generation because it has the potential to reach a vast audience and spread awareness about environmental issues, leading to increased intention towards a sustainable environment and reduction in carbon emissions. It also provides a platform for individuals to express their opinions and engage in discussions on environmental issues. These developments are promising for the future of environmental sustainability as they indicate a growing interest in preserving the planet among the Z generation of China. It can be recommended as a policy tool that government and other organizations should support the development of informative content on social media platforms, highlighting the importance of environmental sustainability and eco-friendly habits. [ABSTRACT FROM AUTHOR]

(1) Background: Recent studies suggest an association between pancreatitis and cardiovascular disease. This article aims to review the available evidence linking cardiovascular disease with acute and chronic pancreatitis. (2) Methods: A comprehensive search was conducted on the PubMed/MEDLINE database from inception to April 2022 using Medical Subject Heading and keywords related to pancreatitis and cardiovascular disease. The search was limited to English-language literature involving human subjects, and various study types, including observational studies, case–control studies, cohort studies, and clinical trials, were screened for eligibility. Following data extraction, the authors conducted a narrative synthesis of the studies. (3) Results: Longitudinal studies indicate that a history of acute pancreatitis is associated with an increased risk of acute atherosclerotic cardiovascular disease and acute coronary syndrome. Elevated triglyceride levels (>2000 mg/dL) have a temporal relationship with acute pancreatitis. Cross-sectional studies have shown that acute pancreatitis is associated with cardiac injury during the acute phase. Based on longitudinal studies, chronic pancreatitis is associated with an increased risk of cerebrovascular diseases. However, data regarding the relationship between chronic pancreatitis and myocardial infarction are conflicting. (4) Conclusions: Based on the available evidence, having a history of acute pancreatitis appears to increase the risk of acute atherosclerotic cardiovascular disease. However, there is insufficient evidence to conclude whether chronic pancreatitis is associated with cardiovascular disease, and no definitive studies have yielded conflicting results. [ABSTRACT FROM AUTHOR]

Background: The combination of drug delivery with immune checkpoint targeting has been extensively studied in cancer therapy. However, the clinical benefit for patients from this strategy is still limited. B7 homolog 3 protein (B7-H3), also known as CD276 (B7-H3/CD276), is a promising therapeutic target for anti-cancer treatment. It is widely overexpressed on the surface of malignant cells and tumor vasculature, and its overexpression is associated with poor prognosis. Herein, we report B7H3 targeting doxorubicin (Dox)-conjugated gold nanocages (B7H3/Dox@GNCs) with pH-responsive drug release as a selective, precise, and synergistic chemotherapy-photothermal therapy agent against non-small-cell lung cancer (NSCLC). Results: In vitro, B7H3/Dox@GNCs exhibited a responsive release of Dox in the tumor acidic microenvironment. We also demonstrated enhanced intracellular uptake, induced cell cycle arrest, and increased apoptosis in B7H3 overexpressing NSCLC cells. In xenograft tumor models, B7H3/Dox@GNCs exhibited tumor tissue targeting and sustained drug release in response to the acidic environment. Wherein they synchronously destroyed B7H3 positive tumor cells, tumor-associated vasculature, and stromal fibroblasts. Conclusion: This study presents a dual-compartment targeted B7H3 multifunctional gold conjugate system that can precisely control Dox exposure in a spatio-temporal manner without evident toxicity and suggests a general strategy for synergistic therapy against NSCLC. [ABSTRACT FROM AUTHOR]

As the high-entropy design concept applied to the diboride ceramic system, high-entropy diboride ceramics with a wide range of composition control, is expected to become a new high-performance material for extreme high-temperature environments. Herein, the effects of four transition metal elements (Nb, Ti, Cr, W) on the phase stability and properties of (Hf, Zr, Ta)B 2 -based high-entropy diboride ceramics are systematically investigated via the first-principles calculations. All components were identified as thermodynamically, mechanically and dynamically stable from enthalpy of formation, elastic and phonon spectrum calculations. Among these, compared with the (Hf, Zr, Ta)B 2 ceramics, the addition of Nb and Ti on the metal sublattice is beneficial to improve the mechanical properties of ceramics, including Young's modulus, hardness and fracture toughness, while the introduction of Cr and W weakens the strength of covalently and ionic bonds inside the material, reducing its mechanical properties. The predicted thermophysical properties show that the high-entropy diboride ceramics containing Nb and Ti have better high-temperature comprehensive performance, including higher Debye temperature, thermal conductivity and lower thermal expansion characteristics, which is conducive to the application in extreme high-temperature environments. This research will provide important guidance for the design and development of new high-performance high-entropy diboride ceramics. [ABSTRACT FROM AUTHOR]

In this paper, the design and experimental validation of a knee exoskeleton are presented. The exoskeleton can capture the negative work from the wearer's knee motion while decreasing the muscle activities of the wearer. First, the human knee biomechanics during the normal walking is described. Then, the design of the exoskeleton is presented. The exoskeleton mainly includes a left one-way transmission mechanism, a right one-way transmission mechanism, and a front transmission mechanism. The left and right one-way transmission mechanisms are designed to capture the negative work from the wearer's knee motion in the stance and swing phases, respectively. The front transmission mechanism is designed to transform the bidirectional rotation of the wearer's knee joint into the generator unidirectional rotation. Additionally, the modeling and analysis of the energy harvesting of the exoskeleton is described. Finally, walking experiments are performed to validate the effectiveness of the proposed knee exoskeleton. The testing results verify that the developed knee exoskeleton can output a maximum power of 5.68 ± 0.23 W and an average power of 1.45 ± 0.13 W at a speed of 4.5 km/h in a gait cycle. The average rectus femoris and semitendinosus activities of the wearers in a gait cycle are decreased by 3.68% and 3.40%, respectively. [ABSTRACT FROM AUTHOR]

Objectives: Serious COVID-19 nosocomial infection has demonstrated a need to design our health services in a different manner. Triggered by the current crisis and the interest in rapid deployable hospital, this article discusses how hospital building layouts can be improved to streamline the patient pathways and thus to reduce the risk of hospital-related infections. Another objective of this work is to explore the possibility to develop flexible and scalable hospital building layouts through modular construction. This enables hospitals to better cope with different future demands and thereby enhance the resilience of the healthcare facilities. Background: During the first wave of COVID-19, approximate one-seventh to one-fifth COVID-19 patients and majority of infected healthcare workers acquired the disease in NHS hospitals. Similar issues emerged during the Crimean War (1853–1856) when more soldiers died from infectious diseases rather than of battlefield casualties in Scutari Hospital. This led to an important collaborative work between Florence Nightingale, who looked into this problem statistically, and Isambard Kingdom Brunel, who designed the rapid deployment Renkioi Hospital which yielded a death rate 90% lower than that in Scutari Hospital. While contemporary medical research and practice have moved beyond Nightingale's concept of contagion, challenges of optimizing hospital building layouts to support healing and effectively combat nosocomial infections still pose elusive problems that require further investigation. Methods: Through case study investigations, this article evaluates the risk of nosocomial infections of airborne transmissions under different building layouts, and this provides essential data for infection control in the new-build or refurbished healthcare projects. Results: Improved hospital layout can be achieved through reconfiguration of rooms and concourse. Design interventions through evidence-based infection risk analysis can reduce congestion and provide extra separation and compartmentalization which will contribute the reduced nosocomial infection rate. Conclusions: A resilient hospital shall be able to cope with unexpected circumstances and be flexible to change when new challenges arise, without compromising the safety and well-being of frontline medical staff and other patients. Such an organizational resilience depends on not only flexible clinical protocols but also flexible hospital building layouts. The latter allows hospitals to get better prepared for rapidly changing patient expectations, medical advances, and extreme weather events. The reconfigurability of an existing healthcare facility can be further enhanced through modular construction, standardization of building components, and additional space considered. [ABSTRACT FROM AUTHOR]

Anthropogenic heat release (AHR) is the release of heat generated by anthropogenic energy consumption. The global mean flux of AHR is 0.03 W m−2, while AHR is geographically concentrated and fundamentally correlates with economic activity; furthermore, AHR can reach a level sufficient for impacting regional even large-scale climate. In this study, the impacts of AHR on the summer European heatwaves (EHWs) are examined by using the Community Earth System Model version 1 (CESM1). The results show that in Europe, AHR increases the summer mean 2-m temperature by 0.26 °C and the surface minimum and maximum temperatures by 0.14 °C and 0.41 °C, respectively. AHR exacerbates the extreme high temperatures in the summer in Europe, increasing EHW days by 1–2 days in central and eastern Europe in the summer annually from 1992 to 2013. AHR strengthens the surface wind that flows from the ocean to the land in Europe by increasing the land surface temperatures. AHR decreases the lower-troposphere stability (LTS) and reduces the low-cloud amounts in Europe, which leads to more solar shortwave radiation reaching the surface. AHR affects water vapor and the surface energy balance in Europe, which impacts on European summer heatwaves further. AHR acts as a non-negligible factor for summer extreme high temperature in Europe and a potential factor impacting EHW days. [ABSTRACT FROM AUTHOR]

We present a highly integrated point-of-care testing (POCT) device capable of immediately and accurately screening bovine mastitis infection based on somatic cell counting (SCC). The system primarily consists of a homemade cell-counting chamber and a miniature fluorescent microscope. The cell-counting chamber is pre-embedded with acridine orange (AO) in advance, which is simple and practical. And then SCC is directly identified by microscopic imaging analysis to evaluate the bovine mastitis infection. Only 4 μL of raw bovine milk is required for a simple sample testing and accurate SCC. The entire assay process from sampling to result in presentation is completed quickly within 6 min, enabling instant "sample-in and answer-out." Under laboratory conditions, we mixed bovine leukocyte suspension with whole milk and achieved a detection limit as low as 2.12 × 104 cells/mL on the system, which is capable of screening various types of clinical standards of bovine milk. The fitting degrees of the proposed POCT system with manual fluorescence microscopy were generally consistent (R2 > 0.99). As a proof of concept, four fresh milk samples were used in the test. The average accuracy of somatic cell counts was 98.0%, which was able to successfully differentiate diseased cows from healthy ones. The POCT system is user-friendly and low-cost, making it a potential tool for on-site diagnosis of bovine mastitis in resource-limited areas. [ABSTRACT FROM AUTHOR]

This study aims to isolate collagen peptides from waste sturgeon fish skin, and prepare nanoemulsions for studying their anti-diabetic and wound-healing effects in mice. Collagen peptides were extracted and purified by acetic acid with sonication, followed by two-stage hydrolysis with 0.1% pepsin and 5% flavourzyme, and ultrafiltration with 500 Da molecular weight (MW) cut-off dialysis membrane. Animal experiments were performed with collagen peptides obtained by pepsin hydrolysis (37 kDa) and pepsin plus flavourzyme hydrolysis (728 Da) as well as their nanoemulsions prepared at two different doses (100 and 300 mg/kg/day). The mean particle size of low-MW and low-dose nanoemulsion, low-MW and high-dose nanoemulsion, high-MW and low-dose nanoemulsion and high-MW and high-dose nanoemulsion was, respectively, 16.9, 15.3, 28.1 and 24.2 nm, the polydispersity index was 0.198, 0.215, 0.231 and 0.222 and zeta potential was −61.2, −63.0, −41.4 and −42.7 mV. These nanoemulsions were highly stable over a 90-day storage period (4 °C and 25 °C) and heating at 40–100 °C (0.5–2 h). Experiments in mice revealed that the low-MW and high-dose nanoemulsion was the most effective in decreasing fasting blood glucose (46.75%) and increasing wound-healing area (95.53%). Collectively, the sturgeon fish skin collagen peptide-based nanoemulsion is promising for development into a health food or wound-healing drug. [ABSTRACT FROM AUTHOR]

Background: An aberrant vascular anatomy might present a technical pitfall for biliary atresia (BA) surgery. The purpose of this study was to report the rare cases and discuss the significance and management strategy for BA with an aberrant right hepatic artery (ARHA) by laparoscopic Kasai procedure in children. Methods: The subjects for this study were 10 consecutive type III BA patients with an ARHA who had laparoscopic Kasai procedure at our institute between January 2012 and August 2021. The common bile duct was mobilized between the right hepatic artery and the right branch of portal vein, and then lifted to the liver hilum. The fibrous cord was transected and then the laparoscopic Kasai was carried out. Results: All patients survived the laparoscopic Kasai without any intraoperative complications. The mean operative time was 235 minutes for each laparoscopic Kasai. The mean follow-up time was 32.6 months. The total and direct bilirubin dropped to normal within 4 months of surgery in 7 patients. One patient died of repeated cholangitis and liver failure 1 year after surgery. In the additional 2 patients the bilirubin levels dropped significantly after the surgery but elevated again because of repeated cholangitis and requiring ongoing observation and intermittent treatment. Conclusions: With the perfect laparoscopic skills, the common bile duct could be safely mobilized between the right hepatic artery and right branch of portal vein for the infants with type III BA associated with an ARHA, and laparoscopic Kasai could be carried out safely and successfully. [ABSTRACT FROM AUTHOR]