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Nuclear kinetic calculations based on point kinetic model have been generally applied as the standard method for neutronics codes. As the central control rod (C-CR) withdrawal test has demonstrated in a prismatic core type high-temperature gas-cooled reactor (HTGR) named High Temperature Engineering Test Reactor (HTTR), the transient calculation of kinetic parameter, reactivity, and neutron fluxes, requires a new method to shorten calculation-process time. Development of neural network method was applied to point kinetic model as the necessity of real-time calculation that could work in parallel with the digital reactivity meter. The combination of Time Delayed Neural Network (TDNN) and Jordan Recurrent Neural Network (Jordan RNN) named TD-Jordan RNN was the result of the modeling approach. The application of TD-Jordan RNN with adequate learning, tested offline, determined results accurately even when signal inputs were noisy. Furthermore, the preprocessing for neural network input utilized noise reduction as one of the equations to transform two of twelve time-delayed inputs into power corrected inputs.

In Japan, the 7-valent pneumococcal conjugate vaccine (PCV7) was introduced to the nation's routine immunization program in April 2013 and was replaced by the 13-valent pneumococcal conjugate vaccine (PCV13) in November 2013. Distribution of serotypes and macrolide resistance genotypes was investigated for a total of 1097 (975 children, 122 adults) and 960 (873 children, 87 adults) clinical isolates of Streptococcus pneumoniae from noninvasive infections in Hokkaido (northern main island of Japan) in the routine immunization periods for PCV7 and PCV13 (April–October 2013 and November 2013–November 2014, respectively). Serotype was determined by sequential multiplex PCR and additional genetic analyses. Macrolide resistance genes erm(B) and mef(A/E) were detected by multiplex PCR. Although the most prevalent serotypes in children were 23A and 6C in the PCV7 period, after replacement with PCV13, 19A became the most common, followed by 6C, 15A and 23A. Among adults, serotype 3 was consistently the most frequent throughout the study periods. Compared with values from the pre-PCV7 routine immunization period, PCV7 serotypes decreased from 48.3 to 3.3% in the PCV13 period among children, while the rates of non-PCV13 serotypes (particularly 15A, 23A, 11A, 10A and 35B) increased from 39.7 to 75.1% (p

1T-IrTe2 exhibits an intriguing series of charge-ordered states in both bulk and atomically thin layers. The charge orders in IrTe2 emerge with consecutive first-order structural transitions involving in-plane Ir-Ir dimerization and interlayer Te-Te depolymerization, resulting in stripe patterns with various periods. Upon chemical doping, 1T-IrTe2 can also be driven into a superconductor. Despite the intense research effort, a comprehensive understanding of the nature of the charge ordering and its relation to the superconductivity is yet to be reached. This review provides an overview of the novel charge orders and the emergence of superconductivity in IrTe2. We further introduce the recent studies on IrTe2 nanoflake, in which novel charge orders attainable only in two-dimensional limits lay the grounds for an exotic phase diagram. [ABSTRACT FROM AUTHOR]

Objective: To develop and externally validate an updated artificial intelligence (AI) prediction system for stratifying the risk of lymph node metastasis (LNM) in T2 colorectal cancer (CRC)., Background: Recent technical advances allow complete local excision of T2 CRC, traditionally treated with surgical resection. Yet, the widespread adoption of this approach is hampered by the inability to stratify the risk of LNM., Methods: Data from patients with pT2 CRC undergoing surgical resection between April 2000 and May 2022 at one Japanese and one Italian center were analyzed. Primary goal was AI system development for accurate LNM prediction. Predictors encompassed 7 variables: age, sex, tumor size, tumor location, lymphovascular invasion, histologic differentiation, and carcinoembryonic antigen level. The tool's discriminating power was assessed through area under the curve, sensitivity, and specificity., Results: Out of 735 initial patients, 692 were eligible. Training and validation cohorts comprised of 492 and 200 patients, respectively. The AI model displayed an area under the curve of 0.75 in the combined validation data set. Sensitivity for LNM prediction was 97.8%, and specificity was 15.6%. The positive and the negative predictive value were 25.7% and 96%, respectively. The false negative rate was 2.2%, and the false positive was 84.4%., Conclusions: Our AI model, based on easily accessible clinical and pathologic variables, moderately predicts LNM in T2 CRC. However, the risk of false negative needs to be considered. The training of the model including more patients across western and eastern centers - differentiating between colon and rectal cancers - may improve its performance and accuracy., Competing Interests: The authors report no conflicts of interest., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Background and Aim: Accurate stratification of the risk of lymph node metastasis (LNM) following endoscopic resection of submucosal invasive (T1) colorectal cancer (CRC) is imperative for determining the necessity for additional surgery. In this systematic review, we evaluated the efficacy of prediction of LNM by artificial intelligence (AI) models utilizing whole slide image (WSI) in patients with T1 CRC., Methods: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic review was conducted through searches in PubMed (MEDLINE), Embase, and the Cochrane Library for relevant studies published up to December 2023. The inclusion criteria were studies assessing the accuracy of hematoxylin and eosin-stained WSI-based AI models for predicting LNM in patients with T1 CRC., Results: Four studies met the criteria for inclusion in this systematic review. The area under the receiver operating characteristic curve for these AI models ranged from 0.57 to 0.76. In the three studies in which AI performance was compared directly with current treatment guidelines, AI consistently exhibited a higher area under the receiver operating characteristic curve. At a fixed sensitivity of 100%, specificities ranged from 18.4% to 45.0%., Conclusions: Artificial intelligence models based on WSI can potentially address the issue of diagnostic variability between pathologists and exceed the predictive accuracy of current guidelines. However, these findings require confirmation by larger studies that incorporate external validation., (© 2024 The Author(s). Journal of Gastroenterology and Hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.)

Background: We review and analyze research on the application of machine learning (ML) and deep learning (DL) models to lymph node metastasis (LNM) prediction in patients with T1 colorectal cancer (CRC). Predicting LNM before radical surgery is important in patients with T1 CRC. However, current surgical treatment guidelines are limited. LNM prediction using ML or DL may improve predictive accuracy. The diagnostic accuracy of LNM prediction using ML- and DL-based models for patients with CRC was assessed., Methods: We performed a comprehensive search of the PubMed, Embase, and Cochrane databases (inception to April 30th of 2022) for studies that applied ML or DL to LNM prediction in T1 CRC patients specifically to compare with histopathological findings and not related to radiological aspects., Results: 33,199 T1 CRC patients enrolled across seven studies with a retrospective design were included. LNM was observed in 3,173 (9.6%) patients. Overall, the ML- and DL-based model exhibited a sensitivity of 0.944 and specificity of 0.877 for the prediction of LNM in patients with T1 CRC. Six different types of ML and DL models were used across the studies included in this meta-analysis. Therefore, a high degree of heterogeneity was observed., Conclusions: The ML and DL models provided high sensitivity and specificity for predicting LNM in patients with T1 CRC, and the heterogeneity between studies was significant. These results suggest the potential of ML or DL as diagnostic tools. However, more reliable algorithms should be developed for predicting LNM before surgery in patients with T1 CRC., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Background: We developed a machine learning (ML) model to predict the risk of lymph node metastasis (LNM) in patients with early gastric cancer (EGC) who did not meet the existing Japanese endoscopic curability criteria and compared its performance with that of the most common clinical risk scoring system, the eCura system., Methods: We used data from 4,042 consecutive patients with EGC from 21 institutions who underwent endoscopic submucosal dissection (ESD) and/or surgery between 2010 and 2021. All resected EGCs were histologically confirmed not to satisfy the current Japanese endoscopic curability criteria. Of all patients, 3,506 constituted the training cohort to develop the neural network-based ML model, and 536 constituted the validation cohort. The performance of our ML model, as measured by the area under the receiver operating characteristic curve (AUC), was compared with that of the eCura system in the validation cohort., Results: LNM rates were 14% (503/3,506) and 7% (39/536) in the training and validation cohorts, respectively. The ML model identified patients with LNM with an AUC of 0.83 (95% confidence interval, 0.76-0.89) in the validation cohort, while the eCura system identified patients with LNM with an AUC of 0.77 (95% confidence interval, 0.70-0.85) (P = 0.006, DeLong's test)., Conclusions: Our ML model performed better than the eCura system for predicting LNM risk in patients with EGC who did not meet the existing Japanese endoscopic curability criteria. We developed a neural network-based machine learning model that predicts the risk of lymph node metastasis in patients with early gastric cancer who did not meet the endoscopic curability criteria., (© 2024. The Author(s).)

The separation of the acetate derivatives of a number of oxygenated sterols was achieved by medium pressure liquid chromatography on silica gel columns and by normal and reversed phase high performance liquid chromatography. We have explored the application of these chromatographic systems for the analysis of oxygenated sterols of plasma samples from two normal human subjects. The addition of highly purified [14C]cholesterol to plasma permitted the detection and quantitation of oxygenated sterols formed by autoxidation of cholesterol during processing of the samples. Special attempts to suppress autoxidation of cholesterol included the use of an all-glass closed system for saponification and extraction under argon followed by rapid removal of cholesterol from the polar sterols by reversed phase medium pressure liquid chromatography. Chromatographic analyses of the [3H]acetate derivatives of the polar sterols provided a sensitive approach for the detection and quantitation of the individual oxygenated sterols. Oxygenated sterols detected in plasma included cholest-5-ene-3 beta,26-diol, (24S)-cholest-5-ene-3 beta,24-diol, and cholest-5-ene-3 beta,7 alpha-diol. After correction for their formation by autoxidation of cholesterol during processing of the samples, very little or none of the following sterols were observed: cholest-5-ene-3 beta,7 beta-diol, 5 alpha,6 alpha-epoxy-cholestan-3 beta-ol, 5 beta,6 beta-epoxy-cholestan-3 beta-ol, and cholestane- 3 beta, 5 alpha,6 beta-triol, and the 25-hydroxy, 22R-hydroxy, 21-hydroxy, 20 alpha-hydroxy, and 19-hydroxy derivatives of cholesterol.

5 alpha-Cholest-8(14)-en-3 beta-ol-15-one is a potent inhibitor of cholesterol biosynthesis which has significant hypocholesterolemic activity upon oral administration to animals. Described herein are the results of experiments that indicate the presence of the 15-ketosterol in rat skin. The 15-ketosterol was, after purification by medium pressure liquid chromatography on Lichroprep RP-8 columns, thin-layer chromatography on silica gel G, and reverse phase high performance liquid chromatography, characterized by gas-liquid chromatography-mass spectrometry in the form of its trimethylsilyl ether derivative. The use of an internal standard containing both tritium and deuterium permitted the determination of the levels of the 15-ketosterol by mass fragmentography. The results of five separate analyses of portions of the skin of a male Sprague Dawley rat showed a mean value of 84.5 +/- 4.1 (SEM) ng per g. Analyses of hair samples of ten male Sprague Dawley rats indicated a mean level of 143 +/- 19 (SEM) ng per g of hair. Most (approximately 72%) of the 15-ketosterol in hair was esterified. This report constitutes the first isolation of the 15-ketosterol from animal tissues.

An advanced microarray-selective epitaxy with wider open-stripes has been developed for simple fabrication of distributed-feedback laser diode array-based high-power wavelength-selectable light sources. More than 40-mW fiber-coupled power and 50-dB sidemode suppression ratio over 9.2-nm wavelength were achieved. [ABSTRACT FROM PUBLISHER]

We report on the first demonstrated near-complete coverage of the S-, C-, and L-bands using six different ranges of wavelength-selectable microarray light sources (WSLs) based on a distributed-feedback (DFB) laser diode (LD) array. The six devices were fabricated on only two wafers. Each device has a tuning range of more than 15 nm, a sidemode suppression ratio of over 40 dB, and a fiber-coupled power greater than around 10 mW. [ABSTRACT FROM PUBLISHER]

Quantum dynamics in a strongly disordered quantum many-body system show localization properties. The initial state memory is maintained owing to slow relaxation when the system is in the localized regime. This work demonstrates how localization can be observed using a noisy quantum computer by evaluating the magnetization and twist overlap in a quantum spin chain after short-time evolution. The quantities obtained from quantum-circuit simulation and real-device computation show their apparent dependence on disorder strength, although real-device computation suffers from noise-induced errors significantly. Using the exact diagonalization of the Hamiltonian, we analyze how noise-induced errors affect those quantities. The analysis also suggests how the twist overlap can reflect the information on the eigenstates of the Hamiltonian. [ABSTRACT FROM AUTHOR]

With expertise, athletes develop motor strategies that enhance sports performance or reduce functional costs. Motor variability is known as a relevant way to characterize these strategies in athletes with different levels of expertise. The aim of this scoping review is to gather and discuss the latest advances in the impact of expertise on motor variability during sports-related tasks. A search encompassing three databases, Medline, SportDiscus, and Academic Search Complete, was performed. Our research methodology included three core themes: motor variability, laboratory instruments, and sports. Motor variability metrics (e.g., standard deviation and approximate entropy) and laboratory instruments (e.g., motion capture system, EMG, and force plate) were compiled. Athletes' expertise was defined by the time of deliberate practice, the performance results, or the level in which they performed. Overall, 48 of the 59 included studies determined that higher-skilled athletes had lesser motor variability than lower-skilled athletes. This difference in motor variability between skill levels was present within individual athletes (intra-individual) and between athletes (inter-individual). This result was independent of the criteria used to define expertise, the type of instrumentation used, and the metrics used to quantify motor variability., (© 2024 The Author(s). Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.)

Background: Lymph node metastasis (LNM) occurs in 20-25% of patients with T2 colorectal cancer (CRC). Identification of risk factors for LNM in T2 CRC may help identify patients who are at low risk and thereby potential candidates for endoscopic full-thickness resection. We examined risk factors for LNM in T2 CRC with the goal of establishing further criteria of the indications for endoscopic resection., Methods: MEDLINE, CENTRAL, and EMBASE were systematically searched from inception to November 2023. Studies that investigated the association between the presence of LNM and the clinical and pathological factors of T2 CRC were included. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Certainty of evidence (CoE) was assessed using the GRADE approach., Results: Fourteen studies (8349 patients) were included. Overall, the proportion of LNM was 22%. The meta-analysis revealed that the presence of lymphovascular invasion (OR, 5.5; 95% CI 3.7-8.3; high CoE), high-grade tumor budding (OR, 2.4; 95% CI 1.5-3.7; moderate CoE), poor differentiation (OR, 2.2; 95% CI 1.8-2.7; moderate CoE), and female sex (OR, 1.3; 95% CI 1.1-1.7; high CoE) were associated with LNM in T2 CRC. Lymphatic invasion (OR, 5.0; 95% CI 3.3-7.6) was a stronger predictor of LNM than vascular invasion (OR, 2.4; 95% CI 2.1-2.8)., Conclusions: Lymphovascular invasion, high-grade tumor budding, poor differentiation, and female sex were risk factors for LNM in T2 CRC. Endoscopic resection of T2 CRC in patients with very low risk for LNM may become an alternative to conventional surgical resection., Trial Registration: PROSPERO, CRD42022316545., (© 2024. The Author(s) under exclusive licence to Japan Society of Clinical Oncology.)

Precision endoscopy in the management of colorectal polyps and early colorectal cancer has emerged as the standard of care. It includes optical characterization of polyps and estimation of submucosal invasion depth of large nonpedunculated colorectal polyps to select the appropriate endoscopic resection modality. Over time, several imaging modalities have been implemented in endoscopic practice to improve optical performance. Among these, image-enhanced endoscopy systems and magnification endoscopy represent now well-established tools. New advanced technologies, such as endocytoscopy and confocal laser endomicroscopy, have recently shown promising results in predicting the histology of colorectal polyps. In recent years, artificial intelligence has continued to enhance endoscopic performance in the characterization of colorectal polyps, overcoming the limitations of other imaging modes. In this review we retrace the path of precision endoscopy, analyzing the yield of various endoscopic imaging techniques in personalizing management of colorectal polyps and early colorectal cancer., (© 2023 Japan Gastroenterological Endoscopy Society.)

Abstract  A fatal case of intentional poisoning with two antiarrhythmic agents, pilsicainide, a pure sodium channel blocker, and atenolol, a selective β1 blocker, is presented. A woman in her twenties was found dead at home and empty pill packages of pilsicainide, atenolol, and aspirin were found near by. Hesitation marks were found on the wrist, and strong fibrous degeneration was observed in the cardiomyocytes of the sinoatrial node. The blood concentrations of pilsicainide and atenolol were 7.83 and 4.94 μg/ml, respectively, both far above the reported therapeutic levels. According to these results, we concluded that death was due to cardiac arrhythmia caused by poisoning with pilsicainide and atenolol. This is the first report of fatal poisoning attributable to an overdose of the combination of these two antiarrhythmic drugs. [ABSTRACT FROM AUTHOR]

The low-energy electronic properties of the new superconductors BaPtSb and BaPtAs with an ordered honeycomb network are investigated in the normal phase, where the former compound is a candidate for time-reversal symmetrybreaking superconductors. By means of the first-principles calculation, we show that there exist two-dimensional cylinder-like Fermi surfaces around the kz axis and one outer spherelike Fermi surface around the K and KA points in both compounds, which are mainly composed of Pt 5d and Sb 5p=As 4p electrons. We construct low-energy effective models, which are well described by using three bands consisting of two Pt 5d orbitals and one Sb 5p=As 4p orbital. By evaluating susceptibilities using effective models, we find that dominant contributions to those susceptibilities result from the outer spherelike Fermi surface. Whereas out-of-plane fluctuations are enhanced in both compounds in the higher-temperature region, in-plane fluctuations become dominant in the very low-temperature region in BaPtSb owing to a better nesting condition in the kz = 0 plane from the outer spherelike Fermi surface. These fluctuations yield instabilities to ordered states, such as superconductivity, and might be associated with the occurrence of the superconducting state with time-reversal symmetry breaking in BaPtSb. [ABSTRACT FROM AUTHOR]

A compact full C-band external cavity wavelength tunable laser is proposed. The cavity contains a fixed etalon and makes use of a liquid-crystal-based tunable mirror. The measurement results show a tuning range of 35 nm with fiber coupled power of more than 15 dBm. The sidemode suppression ratio is higher than 50 dB over the whole range and the relative intensity noise is below -148 dB/Hz. The linewidth is in worst case 700 kHz. [ABSTRACT FROM PUBLISHER]

Abstract: We have recently shown that including the blood flow from the lateral thoracic artery (LTA) in addition to the thoracoacromial artery in the pectoralis major muscle musculocutaneous (PMMC) flap (bipedicle PMMC flap) can increase the perfusion of the flap. We also developed the concept of the supercharged PMMC flap, in which the LTA included in the flap was once cut and anastomosed to a cervical artery under a microscope. It is an effective solution to maintain the additional blood flow from the LTA, when the length of the LTA is compromised for reconstruction. The mandibular reconstruction of an oral cancer patient was performed with a supercharged PMMC flap. Intraoperative indocyanine green angiography was performed in a single pedicle, bipedicle, and supercharged conditions, and the videos were analyzed with a quantitative assessment system of perfusion using some parameters. As a result, blood supply from the LTA was essential for flap survival in this patient, and supercharging from the cervical artery improved flap perfusion compared with the perfusion in the bipedicle condition. The supercharged PMMC flap can resolve the compromise of pedicle length and be also hemodynamically advantageous, thus making the reconstruction more reliable than the conventional technique., Competing Interests: Conflicts of interest and sources of funding: This study received funding from institutional sources only., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Objectives: Lymphovascular invasion (LVI) is a critical risk factor for lymph node metastasis (LNM), which requires additional surgery after endoscopic resection of T1 colorectal cancer (CRC). However, the impact of additional staining on estimating LNM is unclear. This systematic review aimed to evaluate the impact of additional staining on determining LNM in T1 CRC., Methods: We searched five electronic databases. Outcomes were diagnostic odds ratio (DOR), assessed using hierarchical summary receiver operating characteristic curves, and interobserver agreement among pathologists for positive LVI, assessed using Kappa coefficients (κ). We performed a subgroup analysis of studies that simultaneously included a multivariable analysis for other risk factors (deep submucosal invasion, poor differentiation, and tumor budding)., Results: Among the 64 studies (18,097 patients) identified, hematoxylin-eosin (HE) and additional staining for LVI had pooled sensitivities of 0.45 (95% confidence interval [CI] 0.32-0.58) and 0.68 (95% CI 0.44-0.86), specificities of 0.88 (95% CI 0.78-0.94) and 0.76 (95% CI 0.62-0.86), and DORs of 6.26 (95% CI 3.73-10.53) and 6.47 (95% CI 3.40-12.32) for determining LNM, respectively. In multivariable analysis, the DOR of additional staining for LNM (DOR 5.95; 95% CI 2.87-12.33) was higher than that of HE staining (DOR 1.89; 95% CI 1.13-3.16) (P = 0.01). Pooled κ values were 0.37 (95% CI 0.22-0.52) and 0.62 (95% CI 0.04-0.99) for HE and additional staining for LVI, respectively., Conclusion: Additional staining for LVI may increase the DOR for LNM and interobserver agreement for positive LVI among pathologists., (© 2023 The Authors. Digestive Endoscopy published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society.)

Introduction: Fibrosis is a typical pathological characteristic in IgG4-RD patients and often irreversible. There exists a lack of suitable markers for detection of earlier onset of fibrosis in various organs in IgG4-RD patients. Hence, this study aims at analysing ambispectively the myofibroblasts and the pro-fibrotic cytokines, IFN gamma and IL-33 involved in IgG4-RD associated fibrosis in South Asian patients., Method: Archived biopsy samples of definite/probable/possible cases of IgG4-RD, classified according to diagnostic criteria, taken from patients who attended the OPD and IPD of our tertiary care centre during January 2015-January 2020 were chosen for this study. The paraffin sections were examined qualitatively for fibrosis and the excessive collagen deposition by Hematoxylin & Eosin and Masson's Trichrome staining. Also, the presence of alpha-Smooth muscle actin (α-SMA) expressing myofibroblasts and the involvement of pro-fibrotic cytokines (IFN-gamma, IL-33) were assessed by Immunohistochemistry and scored semi-quantitatively (+mild, ++moderate, +++ severe). Serum IL-33 levels were analysed by indirect Elisa (R & D Systems)., Results: Myofibroblasts were present in 10/12 biopsy samples, in moderate levels in 4 (33%) and very high levels (+++) in 3 (25%) of the patients. IFN-gamma was expressed at low levels in 6 (50%) and absent in 6 (50%). All patients showed IL-33 expression with very high levels in tissue (6, 50%), as well as in serum samples., Conclusion: The findings of this study reinforce the role of myofibroblasts and profibrotic cytokines like IL-33 in fibrosis of Ig4-RD patients, pointing to their potential as earlier predictive markers of onset and extent of fibrosis., (© 2024. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR).)

Several advanced imaging techniques are now available for endoscopists managing inflammatory bowel disease (IBD) patients. These tools, including dye-based and virtual chromoendoscopy, probe-based confocal laser endomicroscopy and endocytoscopy, are increasingly innovative applications in clinical practice. They allow for a more in-depth and refined evaluation of the mucosal and vascular bowel surface, getting closer to histology. They have demonstrated a remarkable ability in assessing intestinal inflammation, histologic remission, and predicting relapse and favorable long-term outcomes. In addition, the future application of molecular endoscopy to predict biological drug responses has yielded preliminary but encouraging results. Furthermore, these techniques are crucial in detecting and characterizing IBD-related dysplasia, assisting endoscopic mucosal resection and submucosal dissection towards a surgery-sparing approach. Artificial intelligence (AI) holds great potential in this promising landscape, as it can provide an objective and reproducible assessment of inflammation and dysplasia. Moreover, it can improve the prediction of outcomes and aid in subsequent therapeutic decision-making. This review aims to summarize the promising role of state-of-the-art advanced endoscopic techniques and related AI-enabled models for managing IBD, paving the way for precision medicine., (© 2023 The Authors. Digestive Endoscopy published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society.)

Background: The personalized treatments of T1 colorectal cancer (CRC) remains controversial. We compared the long-term outcomes of T1 CRC patients after endoscopic resection (ER) and surgery, and evaluated the risk factors for the long-term prognosis., Methods: T1 CRCs after resection at the Cancer Hospital, Chines Academy of Medical Sciences from June 2011 to November 2021 were reviewed. High-risk factors included positive resection margin, poor differentiation, deep submucosal invasion (DSI ≥ 1000 μm), lymphovascular invasion and intermediate/high tumor budding. Comparative analyses were conducted based on three treatment methods: follow-up after ER (Group A), additional surgery after ER (Group B) and initial surgery (Group C). The primary endpoints included recurrence-free survival (RFS) and overall survival (OS). Cox proportional hazard regression models were constructed to identify risk factors for RFS and OS., Results: A total of 528 patients were enrolled (173 patients in Group A, 102 patients in Group B, 253 patients in Group C). The 3-year RFS, 5-year RFS, 3-year OS, and 5-year OS rates were 96.7%, 94.7%, 99.1%, and 97.8%, respectively. In the absence of other high-risk factors, RFS (P = 0.321) and OS (P = 0.155) of patients with DSI after ER were not inferior to those after surgery. Multivariate analyses identified sex (HR 0.379; 95% CI 0.160-0.894), Charlson comorbidities index (CCI) (HR 3.330; 95% CI 1.571-7.062), margin (HR 8.212; 95% CI 2.325-29.006), and budding (HR 3.794; 95% CI 1.686-8.541) as independent predictive factors of RFS, and identified CCI (HR 10.266; 95% CI 2.856-36.899) as an independent predictive factor of OS., Conclusion: The long-term outcomes of ER are comparable to those of surgery in T1 CRC patients with DSI when other high-risk factors are negative. Resection margin, tumor budding, sex, and CCI may be the most important long-term prognostic factors for T1 CRC patients., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

The gut microbiota changes greatly at the onset of disease, and the importance of intestinal bacteria has been highlighted. The gut microbiota also changes greatly with aging. Aging causes skin dryness, but it is not known how changes in the gut microbiota with aging affects the expression of genes that are important for maintaining skin function. In this study, we investigated how age-related changes in gut microbiota affect the expression of genes that regulate skin function. The gut microbiotas from young mice and aged mice were transplanted into germ-free mice (fecal microbiota transplantation [FMT]). These recipient mice were designated FMT-young mice and FMT-old mice respectively, and the expression levels of genes important for maintaining skin function were analyzed. The dermal water content was significantly lower in old mice than that in young mice, indicating dry skin. The gut microbiota significantly differed between old mice and young mice. The water channel aquaporin-3 (Aqp3) expression level in the skin of FMT-old mice was significantly higher than that in FMT-young mice. In addition, among the genes that play an important role in maintaining skin function, the expression levels of those encoding ceramide-degrading enzyme, ceramide synthase, hyaluronic acid-degrading enzyme, and Type I collagen were also significantly higher in FMT-old mice than in FMT-young mice. It was revealed that the gut microbiota, which changes with age, regulates the expression levels of genes related to skin function, including AQP3., (© 2023 Japanese Dermatological Association.)

Organic semiconductors have great potential to revolutionize electronics by enabling flexible and eco-friendly manufacturing of electronic devices on plastic film substrates. Recent research and development led to the creation of printed displays, radio-frequency identification tags, smart labels, and sensors based on organic electronics. Over the last 3 decades, significant progress has been made in realizing electronic devices with unprecedented features, such as wearable sensors, disposable electronics, and foldable displays, through the exploitation of desirable characteristics in organic electronics. Neverthless, the down-scalability of organic electronic devices remains a crucial consideration. To address this, efforts are extensively explored. It is of utmost importance to further develop these alternative patterning methods to overcome the downscaling challenge. This review comprehensively discusses the efforts and strategies aimed at overcoming the limitations of downscaling in organic semiconductors, with a particular focus on four main areas: 1) lithography-compatible organic semiconductors, 2) fine patterning of printing methods, 3) organic material deposition on pre-fabricated devices, and 4) vertical-channeled organic electronics. By discussing these areas, the full potential of organic semiconductors can be unlocked, and the field of flexible and sustainable electronics can be advanced., (© 2023 Wiley-VCH GmbH.)

The endeavor to develop high-performance electrochemical energy applications has underscored the growing importance of comprehending the intricate dynamics within an electrode's structure and their influence on overall performance. This review investigates the complexities of electrode-ionomer interactions, which play a critical role in optimizing electrochemical reactions. Our examination encompasses both microscopic and meso/macro scale functions of ionomers at the electrode-ionomer interface, providing a thorough analysis of how these interactions can either enhance or impede surface reactions. Furthermore, this review explores the broader-scale implications of ionomer distribution within porous electrodes, taking into account factors like ionomer types, electrode ink formulation, and carbon support interactions. We also present and evaluate state-of-the-art techniques for investigating ionomer distribution, including electrochemical methods, imaging, modeling, and analytical techniques. Finally, the performance implications of these phenomena are discussed in the context of energy conversion devices. Through this comprehensive exploration of intricate interactions, this review contributes to the ongoing advancements in the field of energy research, ultimately facilitating the design and development of more efficient and sustainable energy devices., (© 2023 Wiley-VCH GmbH.)

Although Xenopus Laevis is the most widely used model amphibian, skeletal development of its vertebral column has not been well illustrated so far. The mode of vertebral column development in anurans has been classified into two modes: perichordal and epichordal. Xenopus vertebral column formation is believed to follow the epichordal mode, but this aspect has been underemphasized, and illustrative examples are currently unavailable to the scientific community. This study documents the entire process of vertebral column formation in X. laevis, from the initial neural arch formation to the completion of metamorphosis. These images reveal that the neural arch arises from the dorsal lamina and lateral pedicle primordia, with no strict adherence to an anteroposterior sequence. Unlike other species, Xenopus centrum primordia exclusively form at the expanded ventral margins of neural arches, rather than from the cartilaginous layer surrounding the notochord. These paired centrum primordia then fuse at the ventral midline, dorsal to the notochord, and subsequently the notochord degenerates. This mode of centrum formation differs from the traditional epichordal mode, indicating that Xenopus might have lost the ability to form a cartilaginous layer around the notochord. Instead, the neural arch's ventral margin appears to have evolved to incorporate centrum precursor cells at its base, thereby forming a centrum-like structure compensating for the absence of a true centrum. It is widely accepted that postsacral vertebrae lack centra, only possessing neural arches, and eventually fuse with the hypochord to form the urostyle. However, we have shown that the paired ventral ends of the postsacral vertebrae also fuse at the midline to form a centrum-like structure. This process might extend to the trunk region during centrum formation. In addition to these findings, we offer evolutionary insights into the reasons why Xenopus retains centrum primordia at the base of neural arches., (© 2023 Wiley Periodicals LLC.)

Alkaline-based electrochemical devices, such as anion exchange membrane (AEM) fuel cells and electrolyzers, are receiving increasing attention. However, while the catalysts and membrane are methodically studied, the ionomer is largely overlooked. In fact, most of the studies in alkaline electrolytes are conducted using the commercial proton exchange ionomer Nafion. The ionomer provides ionic conductivity; it is also essential for gas transport and water management, as well as for controlling the mechanical stability and the morphology of the catalyst layer. Moreover, the ionomer has distinct requirements that differ from those of anion-exchange membranes, such as a high gas permeability, and that depend on the specific electrode, such as water management. As a result, it is necessary to tailor the ionomer structure to the specific application in isolation and as part of the catalyst layer. In this review, an overview of the current state of the art for anion exchange ionomers is provided, summarizing their specific requirements and limitations in the context of AEM electrolyzers and fuel cells., (© 2023 The Authors. Advanced Materials published by Wiley-VCH GmbH.)

We have developed a 1310-nm uncooled electroabsorption modulator integrated light source (EML) with an AlGaInAs multiple quantum well (MQW) active/absorption stripe, which was simultaneously grown using the narrow-stripe selective MOVPE technique and was buried with an Fe-doped InP. The Al-content MQW oxidation was effectively inhibited by using the same technique. An experiment-based evaluation of the device's performance revealed that by only changing the modulation bias voltage linearly with temperature, it was possible to achieve 10-Gb/s penalty-free operation at up to 85°C over a 23-km single-mode fiber. [ABSTRACT FROM PUBLISHER]

A wide-band wavelength-selectable light source module having an integrated multiwavelength locker has been developed. An eight-distributed-feedback (DFB) arrayed monolithic light source was designed to have 40-nm tunable range in the L-band by covering 5 nm per DFB laser diode. A uniquely designed etalon-based wavelength locker achieved very stable operation and uniform locking performance for all channels. Wavelength variation in the short term at room temperature was much less than 1 pm and the locked wavelength stayed within +/-5 pm when the case temperature of the module was varied from -20°C to 65°C. [ABSTRACT FROM PUBLISHER]

Spin gapless semiconductor (SGS) has attracted much attention since its theoretical prediction, while concrete experimental hints are still lacking in the relevant Heusler alloys. Here in this work, by preparing the series alloys of Mn2CoGa1−xAlx (x = 0, 0.25, 0.5, 0.75, and 1), we identified the vanishing of the anomalous Hall effect in the ferromagnetic Mn2CoGa (or x = 0.25) alloy in a wide temperature interval, accompanying with growing contribution from the ordinary Hall effect. As a result, comparatively low carrier density (1020 cm−3) and high carrier mobility (150 cm2/V s) are obtained in the Mn2CoGa (or x = 0.25) alloy in the temperature range of 10–200 K. These also lead to a large dip in the related magnetoresistance at low fields. However, in a high Al content, although the magnetization behavior is not altered significantly, the Hall resistivity is, instead, dominated by the anomalous one, just analogous to that widely reported in Mn2CoAl. The distinct electrical-transport behavior of x = 0 and x = 0.75 (or 1) is presently understood by their possible different scattering mechanism of the anomalous Hall effect due to the differences in the atomic order and conductivity. Our work can expand the existing understanding of the SGS properties and offer a better SGS candidate with higher carrier mobility that can facilitate the application in the spin-injected related devices. [ABSTRACT FROM AUTHOR]

The present study examined how humans use the target information provided immediately before the onset of motor output to prepare the initial motor command in the target force production task. Twenty healthy individuals participated in this study. A target cursor indicating the target force. and a force cursor indicating the force produced with index finger flexion were presented, and participants produced force in response to the appearance of the force cursor so that it moved toward the target cursor as fast as possible. The rate of force development in a time window of 0-100 ms after the onset of force development, representing the intensity of the initial motor command without online feedback adjustment, was measured. The present findings support the hypotheses that humans use the target in formation provided immediately before the onset of motor output to prepare the initial motor command, and they simultaneously prepare the initial motor command for the intermediate of multiple potential targets using the information of targets provided in previous trials. Another hypothesis, that humans use the information of the target or motor process of the trial immediately before the current trial to prepare the initial motor command, was not supported. [ABSTRACT FROM AUTHOR]

The connection between the long-range antiferromagnetic order in cuprates and the high-temperature superconductivity is a scientific problem that has yet to be solved after nearly four decades. The properties and difficulties of describing nickelate superconductors are similar to those of cuprates. Recently, Fowlie et al. [Nat. Phys. 18, 1043 (2022)] aimed to detect the antiferromagnetic order in R1−xSrxNiO2 (R = Nd, Pr, La; x ∼ 0, 0.2) films by using the muon spin rotation (μSR) technique. The research group reported the presence of short-range antiferromagnetic order in every nickelate studied. Here, our goal was to prove that this interaction is present in the nickelate films. We did this by analyzing the temperature dependent resistivity, ρ(T), data from the research group. Global ρ(T) data fits to the advanced Bloch–Grüneisen model showed that each of the R1−xSrxNiO2 compounds can be characterized by a unique power-law exponent, p (where p = 2 for the electron–electron scattering, p = 3 for the electron–magnon scattering, and p = 5 for the electron–phonon scattering), and global characteristic temperature, Tω (which has the meaning of the Debye temperature at p = 5). We found that p = 2.0 in Nd- and Pr-based compounds and p = 1.3 for La-based compounds. The latter value does not have any interpretation within established theoretical models. We also analyzed ρ(T) data for Nd1–xSrxNiO2 (0.125 ≤ x ≤ 0.325) reported by Lee et al. [Nature 619, 288 (2023)]. Our analysis of nickelates led us to conclude that a new theoretical model is needed to describe ρ(T) in materials exhibiting a short-range antiferromagnetic order. [ABSTRACT FROM AUTHOR]

This study entailed the synthesis of a solid solution of BaPtAs and BaPtSb, both of which crystallize in the hexagonal structure with a space group \(P\bar{6}m2\) (\(D_{3h}^{1}\) , No. 187). The structure comprised Pt(As/Sb) ordered honeycomb and Ba triangular networks that were alternately stacked along the c-axis, wherein the spatial inversion symmetry was broken. Magnetization and specific heat measurements revealed that the solid solution BaPt(As1−xSbx) exhibited a peak in the x dependence of the superconducting transition temperature Tc. However, the lattice parameters increased monotonically with increasing x, and the electronic specific heat coefficient and Debye temperature were almost independent of x. The origin of the non-monotonic variation of Tc(x) was examined. [ABSTRACT FROM AUTHOR]

This review is the first to focus on transmembrane transporters derived from aromatic foldamers, with most studies reported over the past decade. These foldamers have made significant strides in mimicking the essential functions of natural ion channel proteins. With their aromatic backbones rigidified by intramolecular hydrogen bonds or differential repulsive forces, this innovative family of molecules stands out for its structural diversity and functional adaptability. They achieve efficient and selective ion and molecule transport across lipid bilayers via carefully designed helical structures and tunable large cavities. Recent developments in this field highlight the transformative potential of foldamers in therapeutic applications and biomaterial engineering. Key advances include innovative molecular engineering strategies that enable highly selective ion transport by fine-tuning structural and functional attributes. Specific modifications to macrocyclic or helical foldamer structures have allowed precise control over ion selectivity and transport efficiency, with notable selectivity for K+, Li+, H+ and water molecules. Although challenges remain, future directions may focus on more innovative molecular designs, optimizing synthetic methods, improving membrane transport properties, integrating responsive designs that adapt to environmental stimuli, and fostering interdisciplinary collaborations. By emphasizing the pivotal role of aromatic foldamers in modern chemistry, this review aims to inspire further development, offering new molecular toolboxes and strategies to address technological and biological challenges in chemistry, biology, medicine, and materials science. [ABSTRACT FROM AUTHOR]

Polymer-electrolyte fuel cells operating at a temperature above 100 °C would markedly reduce issues associated with water management in the cell and allow for a simplified system design. Available electrolytes such as fluoropolymers grafted with sulfonic acid groups or phosphoric acid either rely on the presence of water or they suffer from sluggish kinetics of the oxygen reduction reaction. Here, with experiments and atomistic simulations, we analysed vibrational spectra of the protic ionic liquid diethylmethylammonium triflate ([DEMA][TfO]) as an alternative electrolyte, with the aim to understand the statistical distribution of cations and anions in the electrolyte and the interaction of the H-bond with the surroundings. We present a comprehensive analysis of the infrared (IR) spectrum of [DEMA][TfO]. Special attention is given to understanding the high-frequency modes above 2500 cm−1, which exhibit a double peak feature in the experiment. While this feature can generally be attributed to the N–H vibrations of the cation, the precise mechanism behind the double peak was unclear. In this manuscript we managed to explain the nature of the double distribution, being influenced by different orientations between the DEMAs and TFOs. The correct assignment of observed vibrational modes is enabled by simulations of the ionic liquid as an infinitely extended fluid. [ABSTRACT FROM AUTHOR]

Introduction: We previously found that self-guided Virtual Reality Exposure Therapy (VRET) improved Public Speaking Anxiety (PSA) and reduced heartrate. Elevated heartrate characterises social anxiety and the self-guided VRET seemed to reduce heartrate. Thus, receiving continuous biofeedback about physiological arousal during the VRET could help socially anxious individuals to manage their anxiety. The present study aimed to determine whether biofeedback enhances the responsiveness of VRET. Methods: Seventy-two individuals with high self-reported social anxiety were randomly allocated to VRET-plus-biofeedback (n=38; 25 completers) or VRET-alone (n=35; 25 completers). Three hour-long VRET sessions were delivered over two consecutive weeks. During each session, participants delivered a 20-minute public speech in front of a virtual audience. Results: Participants in the VRET-plus-biofeedback group received biofeedback on heartrate and frontal alpha asymmetry (FAA) within the virtual environment and were asked to lower their arousal accordingly. Participants in both groups completed psychometric assessments of social anxiety after each session and at one-month follow-up. PSA improved by the end of treatment and overall social anxiety improved one month after the VRET across both groups. The VRET-plus-biofeedback group showed a steadier reduction in FAA in the first VRET session and a greater reduction in self-reported arousal across the two sessions than the VRET-alone group. Conclusion: Biofeedback can steady physiological arousal and lower perceived arousal during exposure. The benefits of self-guided VRET for social anxiety are sustained one month after therapy. [ABSTRACT FROM AUTHOR]

Background: Our previous small-sample study indicated that serum levels of interleukin enhancer binding factor 2 (ILF2) may have the potential for gastric cancer (GC) detection. The present study was conducted to further validate the diagnostic value of serum ILF2 protein for GC. Methods: Serum specimens and clinical data were collected from patients with GC (n = 99) or benign gastric disease (BGD) (n = 49) and healthy controls (HC) (n = 51). Serum ILF2 levels were measured using enzyme-linked immunosorbent assay. The diagnostic performance of ILF2 was evaluated using the area under the receiver operating characteristic curve (AUC). The independence and synergy of ILF2 in GC diagnosis were analyzed by modeling with conventional blood indicators. Results: The median serum ILF2 level was higher in the GC group (227.8ng/mL) than in the BGD group (72.0ng/mL) and the HC group (56.8ng/mL) (p < 0.001), and no significant difference across GC subgroups. The AUCs of ILF2 were 0.915 (95%CI 0.873–0.957) for GC vs. HC, 0.854 (95%CI 0.793–0.915) for GC vs. BGD, 0.885 (95%CI 0.841–0.929) for GC vs. BGD + HC, and 0.888 (95% CI 0.830–0.945) for TNM I stage GC vs. BGD + HC, outperforming conventional blood indicators (corresponding AUCs ranging from 0.641 to 0.782). ILF2 was independent of and synergistic with conventional blood indicators in GC diagnosis, and a simple diagnostic model based on ILF2 and red blood cell count improved the diagnostic performance, with positive rates of approximately 90% in various subgroups of GC. Conclusions: Serum ILF2 protein is a novel and potential serum biomarker for the detection of GC, especially for early GC. [ABSTRACT FROM AUTHOR]