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Introduction: Microbial pathogens invade various human organs, including the oral cavity. Candida albicans (C.a) and Streptococcus mutans (S.m) served respectively as representative oral pathogenic fungi and bacteria to stimulate dental pulp stem cells (DPSCs) and to screen the DPSC subcluster that specifically responded to fungal infection., Methods: DPSCs were obtained from the impacted third molars of six healthy subjects. Then, cells were mixed and divided into three samples, two of which were stimulated with C.a and S.m, respectively; the third sample was exposed to cell medium only (Ctrl). Single-cell mRNA sequencing analysis of treated DPSCs was performed., Results: DPSCs were composed of four major clusters of which one, DPSC.7, exhibited unique changes compared to those of other subclusters. The DPSC.7 cell percentage of the C.a sample was twice those of the Ctrl and S.m samples. DPSC.7 cells expressed genes associated with the response to reactive oxygen species (ROS) response. DPSC.7 subgroup cells established characteristic aggregation under the stimulation of different pathogens in UMAP. The MAPK/ERK1/2 and NF-κB pathways were up-regulated, DUSP1/5/6 expressions were suppressed, FOS synthesis was activated, the immune-related pathway was induced, and the levels of cytokines, including IL-6 and CCL2 , were up-regulated in DPSC.7 cells when stimulated with C.a., Conclusions: Our study analyzed the cellular and molecular properties of DPSCs infected by oral fungi and bacteria with single-cell RNA sequencing. A subcluster of DPSCs responded specifically to infections with different pathogens, activating the MAPK and NF-κB pathways to induce immune responses via the ROS pathway. This suggests novel treatment strategies for fungal infections., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision., (Copyright © 2024 Xu, Liu, Zhang, Li, Zhang, Li, Zhang, Yue, Li, Lin, Zou and Chen.)

Scoliosis often occurs in adolescents and seriously affects physical development and health. Traditionally, medical imaging is the most common means of evaluating the corrective effect of bracing during treatment. However, the imaging approach falls short in providing real-time feedback, and the optimal corrective force remains unclear, potentially slowing the patient's recovery progress. To tackle these challenges, an all-in-one integrated array of pressure sensors and sEMG electrodes based on hierarchical MXene/chitosan/polydimethylsiloxane (PDMS)/polyurethane sponge and MXene/polyimide (PI) is developed. Benefiting from the microstructured electrodes and the modulus enhancement of PDMS, the sensor demonstrates a high sensitivity of 444.3 kPa -1 and a broad linear detection range (up to 81.6 kPa). With the help of electrostatic attraction of chitosan and interface locking of PDMS, the pressure sensor achieves remarkable stability of over 100 000 cycles. Simultaneously, the sEMG electrodes offer exceptional stretchability and flexibility, functioning effectively at 60% strain, which ensures precise signal capture for various human motions. After integrating the developed all-in-one arrays into a commercial scoliosis brace, the system can accurately categorize human motion and predict Cobb angles aided by deep learning. This study provides real-time insights into brace effectiveness and patient progress, offering new ideas for improving the efficiency of scoliosis treatment., (© 2024 Wiley‐VCH GmbH.)

Background and Objective: In needle insertion procedure, needle deflection and target movement will affect targeting accuracy. Existing planning algorithms rely on predetermined interaction force and parameters, which increase the targeting error for the patient-specific difference. In this paper, we proposed a needle-tissue interaction model based needle path planning method with patient-specific parameter identification algorithm, which is able to use iteration learning control and interaction model predicted information to improve targeting accuracy with the consideration of patient-specific differences., Methods: A 3D needle-tissue interaction deformation model has been constructed using local constraint method. The model, termed as the full computation model, predicts the needle-tissue interaction force using a Kriging-based model as well as the target movement and needle deflection simultaneously only requiring patient specific parameters. Needle paths without incorporating deformation, which is called static path, are generated by rapidly-exploring random trees algorithm first. Then, the needle-tissue interaction deformation model can calculate force and deformation of the static path and iterative learning control can correct the targeting error of moved target. In addition, the intraoperative parameter identification algorithm is proposed to identify patient-specific parameter. Simulations are carried out to verify the full computation model and needle path planning. A testbed is constructed and experiments are designed to validate the proposed method using phantom with common lesion-size obstacle markers and target markers. The deformation of tissue and needle are captured through charge coupled device camera., Results: Simulation results indicated the full computation model can simulate the needle-tissue interaction process and the proposed method can achieve needle path planning incorporating tissue deformation. Experiment results indicated the tissue deformation and needle deflection agree between model prediction and experiments. The proposed path planning method can reduce targeting error from maximum of 3.89 mm without incorporating deformation to less than 1 mm in 4 phantom experiments., Conclusions: The full computation model based needle path planning is verified to be effective by experiments. The planning accuracy is improved based on the deformation predicted by full computation model and the desired accuracy is achieved., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier B.V. All rights reserved.)

During the irrigation period, the interactions between the linked lake-groundwater systems are complicated and change. This is because natural and human activities are happening at the same time, which makes it harder to identify the interactions. This study uses data on water level, hydrochemistry, and hydrogen-oxygen stable isotopes to analyze the hydrodynamics, electrical conductivity (EC), isotopic characteristics, and spatial distribution of lake water and groundwater to reveal lake-groundwater interactions. The results indicate that the hydrochemical type of Chagan Lake and groundwater is dominated by the HCO 3 -Na type. The key hydrochemical indicator EC obtained by principal component analysis (PCA) can be used to reveal the lake-groundwater interaction, and the interaction should be identified by location according to the significant correlation between hierarchical clustering results and regional distribution. The lake body's geographic coefficient of variation for EC and δ 18 O is small, and irrigation return flow is one factor in the region's surface water's significant spatial variation for EC and δ 18 O. The three study methods indicate that the groundwater supplies the lake in the vicinity of the Huoling River-Hongzi Pool, while in other sections, the lake water leaks and replenishes the groundwater, exhibiting geographic inconsistency. The isotope method was employed as a support tool to determine that groundwater might recharge the lake at Xinmiao Pool. According to the calculations of the Mix SIAR model, the groundwater recharge contribution rate in the Xinmiao Pool section is approximately 51%, while in the remaining sections, the contribution rate of lake water to groundwater ranges from approximately 25% to 52%. Therefore, the identification of the interaction is crucial for the linked irrigated lake-groundwater system where water sources are scarce and threatened by agricultural pollution., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Due to the influence of complex regional climate, water quality perturbation factors of lakes in cold regions are complicated, and the uncertainty of each factor needs further study. This study coupled two algorithms (clustering and EM) to establish a water quality uncertainty model of Chagan Lake, a typical cold region lake in China. A BN model containing nine influencing factors (including water temperature (WT), total phosphorus (TP), total nitrogen (TN), etc.) was established and optimized, and sensitivity analysis was also performed. The results indicate that the water quality status of the lake is class III and 27.47% risk of exceeding the standard. The water quality of the lake is more susceptible to disturbance during the freezing period (WT < 1 °C). TP is the most sensitive factor for water quality disturbance in the lake followed by chemical oxygen demand (COD), TN, and fluoride (F). Parameter control result displays, and the multifactor synergistic control scheme could reduce the water quality risk of the lake by 36.47%. This study demonstrates that our proposed method can be used to predict both sudden water quality events and the overall trend of water quality fluctuation, which is important for rapid water quality evaluation and management decisions., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Objective: The purpose of our study was to investigate the effect of the 15° left operating table tilt on the inferior vena cava (IVC) and the hemodynamics of full-term pregnant women, and to evaluate the efficacy of inferior vena cava collapse index (IVCCI) in predicting hypotension., Methods: All parturients planning to perform cesarean section (CS) were randomly divided into supine group and 15° group. Their parameters of IVC were measured by ultrasound and then calculated the IVCCI. Systolic blood pressure (SBP), mean arterial pressure (MAP), and heart rate (HR) in two positions were recorded from baseline to fetal delivery., Results: The IVCCI in the 15° group was significantly lower when compared with that in the supine group (20.40 [18.84-21.60] vs. 21.82 [20.16-22.79] %, p = 0.012). The incidence of hypotension was observed statistically lower in the 15° group than the supine group (27.5% vs. 50%, p = 0.039). Best cut-off value was 21.69% and area under the receiver operating characteristic (ROC) curve of IVCCI in supine position to predict hypotension was 0.93. Best cut-off value was 21.78% and area under the ROC curve of IVCCI in supine position to predict hypotension was 0.80., Conclusions: The 15° left operating table tilt can relieve the extent of compression of IVC and reduce the incidence of hypotension. IVCCI can predict the occurrence of hypotension., (© 2022 The Authors. Journal of Obstetrics and Gynaecology Research published by John Wiley & Sons Australia, Ltd on behalf of Japan Society of Obstetrics and Gynecology.)

Transient and chronic waterlogging constrains crop production in many regions of the world. Here, we invoke a novel iTRAQ-based proteomic strategy to elicit protein synthesis and regulation responses to waterlogging in tolerant (XM 55) and sensitive genotypes (YM 158). Of the 7,710 proteins identified, 16 were distinct between the two genotypes under waterlogging, partially defining a proteomic basis for waterlogging tolerance (and sensitivity). We found that 11 proteins were up-regulated and 5 proteins were down-regulated; the former included an Fe-S cluster assembly factor, heat shock cognate 70, GTP-binding protein SAR1A-like and CBS domain-containing protein. Down-regulated proteins contained photosystem II reaction center protein H, carotenoid 9, 10 (9', 10')-cleavage dioxygenase-like, psbP-like protein 1 and mitochondrial ATPase inhibitor. We showed that nine proteins responded to waterlogging with non-cultivar specificity: these included 3-isopropylmalate dehydratase large subunit, solanesyl-diphosphate synthase 2, DEAD-box ATP-dependent RNA helicase 3, and 3 predicted or uncharacterized proteins. Sixteen of the 28 selected proteins showed consistent expression patterns between mRNA and protein levels. We conclude that waterlogging stress may redirect protein synthesis, reduce chlorophyll synthesis and enzyme abundance involved in photorespiration, thus influencing synthesis of other metabolic enzymes. Collectively, these factors accelerate the accumulation of harmful metabolites in leaves in waterlogging-susceptible genotypes. The differentially expressed proteins enumerated here could be used as biological markers for enhancing waterlogging tolerance as part of future crop breeding programs., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Yang, Li, Harrison, Fahad, Wei, Li, Yin, Sha, Zhou, Liu and Wang.)

In endoscopic surgery, the surgical navigation system needs to calculate the deformation of soft tissue by biomechanical model which requires elastic properties and boundary conditions. However, patient-specific elastic parameters and boundary conditions of soft tissue are hard to measure accurately from the preoperative images, especially the boundary conditions will change during the operation due to the ligament cutting. In addition, simple boundary conditions such as fixed constraints and free-force constraints are not physically adequate to simulate the elastic effect of ligaments attached to the liver. In this paper, we present a novel method to identify the Young's modulus and equivalent spring constraint boundary conditions of a locally observed soft tissue. Based on the spring constraint boundary condition, a two-step inverse algorithm is developed based on the finite element method (FEM) with integration of energy regularized Gauss-Newton (GN) method and l 1 -regularized method, which takes external forces and displacements of observable nodes as inputs. A series of numerical simulations and physical hydrogel phantom experiments were conducted. The results of simulation and physical experiments show that the Young's modulus and equivalent spring constraint boundary conditions identified by the proposed method agree well with their setup true values.

Climate change has great impacts on forest ecosystems, especially with the increasing frequency of heatwaves. Thermal safety margin (TSM) calculated by the difference between body temperature and thermotolerance threshold is useful to predict thermal safety of organisms. It has been widely used for animals, whereas has rarely been reported for plants. Besides, most of the previous studies used only thermotolerance to estimate thermal safety or used thermotolerance and air temperature (Ta) to calculate TSM. However, leaf temperature (Tl) is the real "body" temperature of plant leaves. Tl decoupling from Ta might induce large error in TSM. Here, we investigated TSM of photosystem II (thermotolerance of PSII - the maximum Tl) of dominant canopy plants in four forests from tropical to temperate biomes during a heatwave, and compared the TSMs calculated by Tl (TSM.Tl) and Ta (TSM.Ta) respectively. Also, thermal related leaf traits were investigated. The results showed that both TSM. Tl and TSM.Ta decreased from the cool forests to the hot forests. TSM.Tl was highly correlated with the maximum leaf temperature (Tlmax), while had an opposite trend with thermotolerance across biomes. Thus, Tlmax instead of thermotolerance can be used to evaluate TSM. The maximum Ta (Tamax), Tlmax and leaf traits explained 68% of the variance of thermotolerance in a random forest model, where Tamax and Tlmax explained 62%. TSM.Ta could not distinguish thermal safety differences between co-occurring species. The overestimation of TSM by TSM.Ta increased from the tropical to the temperate forest, and increased with Tl within biome. Therefore, it is not recommended to use TSM.Ta in cold forests. The present study enriches the dataset of photosynthetic TSMs across biomes, proposes using Tlmax to estimate TSMs of leaves, and highlights the risk of hot dry forest during heatwaves., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2021 Elsevier B.V. All rights reserved.)

Introduction: The space on each side of the mouth, between the commissure of the mouth and the buccal surface of the last visible tooth, is called the buccal corridor. The size of the buccal corridor can affect perceptions of facial esthetics. We analyzed the perceptions of orthodontists, laypersons, and orthodontic patients regarding the size of buccal corridors in people with brachyfacial, mesofacial, and dolichofacial types., Methods: Photographs of 1 male and 1 female model were modified digitally into brachyfacial, mesofacial, and dolichofacial types. Each facial type was further modified to create 5 sizes of buccal corridors. Orthodontists, adult orthodontic patients, and laypersons were invited to rate the photographs., Results: Orthodontists rated lower than the other groups of raters when they evaluated the female model with the buccal corridors of 20% (P <0.05). Laypersons could not distinguish the changes of the buccal corridors when evaluating the male model with brachyfacial and mesofacial (P >0.05). Orthodontic patients rated significantly higher than the orthodontists and the laypersons when evaluating the dolichofacial type of both models (P <0.05)., Conclusions: Orthodontists are more sensitive to the buccal corridors than are orthodontic patients and laypersons. It is only necessary to consider eliminating the patient's buccal corridors when the buccal corridor area ratio is over 15%., (Copyright © 2021 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)

Needle-tissue interaction model is essential to tissue deformation prediction, interaction force analysis and needle path planning system. Traditional FEM based needle-tissue interaction model would encounter mesh distortion or continuous mesh subdivision in dealing with penetration, in which the computational instability and poor accuracy could be introduced. In this work, a novel material point method (MPM) is applied to establish the needle-tissue interaction model which is suitable to handle the discontinuous penetration problem. By integrating a hyperelastic material model, the tissue deformation and interaction force can be solved simultaneously and independently. A testbed of needle insertion into a Polyvinyl alcohol (PVA) hydrogel phantom was constructed to validate both tissue deformation and interaction force. The results showed the experimental data agrees well with the simulation results of the proposed model.