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With the rapid advancement of information technologies, automated writing evaluation technologies have developed so fast that they can be applied to writing assessments. However, scanty studies have pooled the effects of automated writing evaluation on writing performance. Through a PRISMA protocol-based meta-analysis, this study concludes that automated writing evaluation technologies can significantly reduce anxiety such as writing anxiety and computer anxiety compared with those without the assistance of automated writing evaluation. Automated writing evaluation can also significantly improve writing motivation and second language (L2) writing skills. Educators and designers should highlight how to combine automated writing evaluation with human rating methods and maximize the improvements in L2 writing skills. In the future, artificial intelligence may be integrated into automated writing evaluation to develop advanced automated writing evaluation to address higher-level issues in writing practice.

Teacher feedback is the key to online collaborative discussion. To investigate the effects of different forms of teacher feedback intervention on learners' cognitive and emotional interactions in online collaborative discussion, this study collected collaborative discussion text data of online collaborative learners. Based on the framework of Community of Inquiry theory, naive Bayes algorithm for automatic coding of collaborative discussion text data was adopted. A bivariate (with or without emotion/guidance) experiment was designed based on teacher feedback. The participants of this study were college students (N = 109, average age = 20) of normal major participating in Teaching System Design. They were randomly divided into four experimental groups. In each experimental group, 4-5 people work in a group for collaborative learning. This study adopts quasi experimental research method, and the experiment period is 10 class hours. Reliability analysis, automatic text coding and ANOVA of cognitive-affective variables were used to conduct process mining for the collaborative discussion of four groups of learners by using heuristic mining algorithms. It found that different forms of teacher feedback have different effects on learners' cognitive emotion. Teachers' emotional feedback promotes learners' emotional interaction and cognitive interaction, whiccoch is easier to promote learners' cognitive interaction. Different forms of teacher feedback promote four types of cognitive emotion interaction process. This suggests that the multi-branch type of voice prompt feedback group has the best effect on learners' cognitive and emotional impact.

Abstract Navigating toward destinations with rewards is a common behavior among animals. The ventral tegmental area (VTA) has been shown to be responsible for reward coding and reward cue learning, and its response to other variables, such as kinematics, has also been increasingly studied. These findings suggest a potential relationship between animal navigation behavior and VTA activity. However, the deep location and small volume of the VTA pose significant challenges to the precision of electrode implantation, increasing the uncertainty of measurement results during animal navigation and thus limiting research on the role of the VTA in goal-directed navigation. To address this gap, we innovatively designed and fabricated low-curvature microelectrode arrays (MEAs) via a novel backside dry etching technique to release residual stress. Histological verification confirmed that low-curvature MEAs indeed improved electrode implantation precision. These low-curvature MEAs were subsequently implanted into the VTA of the rats to observe their electrophysiological activity in a freely chosen modified T-maze. The results of the behavioral experiments revealed that the rats could quickly learn the reward probability corresponding to the left and right paths and that VTA neurons were deeply involved in goal-directed navigation. Compared with those in no-reward trials, VTA neurons in reward trials presented a significantly greater firing rate and larger local field potential (LFP) amplitude during the reward-consuming period. Notably, we discovered place fields mapped by VTA neurons, which disappeared or were reconstructed with changes in the path–outcome relationship. These results provide new insights into the VTA and its role in goal-directed navigation. Our designed and fabricated low-curvature microelectrode arrays can serve as a new device for precise deep brain implantation in the future.

Abstract Research on housing inequality has predominantly focused on the differentiation of housing states at specific time points in contemporary China, with minimal attention given to understanding how individuals’ housing states evolve throughout their life course. This study, based on a retrospective survey conducted in Shanghai between 2018 and 2019, investigates the progression of residents’ housing careers and the influence of both ascribed and achieved factors. The findings reveal that individuals from privileged families are secured with advantages and even already become homeowners at the outset of their housing careers. In contrast, the influence of achieved factors takes time to manifest; for instance, educational attainment may not be determinant initially but positively correlates with upward mobility in a later stage, particularly among younger cohorts. Furthermore, it has been found permanent migrants who transferred to local hukou perform well in achieving upward housing mobility. Despite lacking the advantages of ascribed factors, they manage to catch up and even surpass locals through their proactive efforts. This study underscores the significance of adopting a temporal perspective in comprehending housing inequality and also emphasizes the dynamic influence of both ascribed and achieved factors on individuals’ housing outcomes in a restructured housing market.

AIM: To investigate the role of connective tissue growth factor (CTGF) and vascular endothelial growth factor (VEGF) in the protein profile of the aqueous humor in patients with proliferative diabetic retinopathy (PDR) following intravitreal injection of conbercept. METHODS: This study included 72 PDR patients and 8 cataract patients as controls. PDR patients were divided into 3 groups according to the intervals of 3, 5, and 7d between intravitreal conbercept (IVC, 0.5 mg/0.05 mL) injection and pars plana vitrectomy (PPV) performed. Aqueous humor samples were collected before and after IVC and PPV for VEGF and CTGF levels detected with enzyme-linked immunosorbent assay (ELISA). The differential proteomics of 10 patients who underwent PPV surgery 5d after IVC and 8 normal controls was studied, Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis were performed on the data, and the protein interaction network of 23 differential proteins was studied. RESULTS: Post-IVC, VEGF levels decreased and CTGF levels increased significantly in aqueous humor, with the CTGF/VEGF ratio rising significantly at all intervals. Liquid chromatography tandem mass spectrometry (LC-MS/MS) identified differentially expressed proteins between pre- and post-IVC samples. GO and KEGG analyses revealed involvement in immune response, stress response, complement and coagulation cascades, ferroptosis, and PPAR signaling pathways. PPI analysis highlighted key proteins like APOA1, C3, and transferrin (TF). ELISA assay confirmed the differential expression of proteins such as HBA1, SERPINA1, COL1A1, and ACTB, with significant changes in the IVC groups. CONCLUSION: The study demonstrates that IVC effectively reduces VEGF levels while increasing CTGF levels, thereby modifying the CTGF/VEGF ratio, and IVC significantly alters the protein profile in the aqueous humor of patients with PDR. Proteomic analysis reveals that these changes are associated with critical biological pathways and protein interactions involved in immune response, stress response, and cellular metabolism.

AIM: To investigate the involvement of pericyte-Müller glia interaction in retinal damage repair and assess the influence of suppressing the platelet-derived growth factor receptor β (PDGFRβ) signaling pathway in retinal pericytes on photoreceptor loss and Müller glial response. METHODS: Sprague-Dawley rats were exposed to intense light to induce retinal injury. Neutralizing antibody against PDGFRβ were deployed to block the signaling pathway in retinal pericytes through intravitreal injection. Retinal histology and Müller glial reaction were assessed following light injury. In vitro, normal and PDGFRβ-blocked retinal pericytes were cocultured with Müller cell line (rMC-1) to examine morphological and protein expression changes upon supplementation with light-injured supernatants of homogenized retinas (SHRs). RESULTS: PDGFRβ blockage 24h prior to intense light exposure resulted in a significant exacerbation of photoreceptor loss. The upregulation of GFAP and p-STAT3, observed after intense light exposure, was significantly inhibited in the PDGFRβ blockage group. Further upregulation of cytokines monocyte chemoattractant protein 1 (MCP-1) and interleukin-1β (IL-1β) was also observed following PDGFRβ inhibition. In the in vitro coculture system, the addition of light-injured SHRs induced pericyte deformation and upregulation of proliferating cell nuclear antigen (PCNA) expression, while Müller cells exhibited neuron-like morphology and expressed Nestin. However, PDGFRβ blockage in retinal pericytes abolished these cellular responses to light-induced damage, consistent with the in vivo PDGFRβ blockage findings. CONCLUSION: Pericyte-Müller glia interaction plays a potential role in the endogenous repair process of retinal injury. Impairment of this interaction exacerbates photoreceptor degeneration in light-induced retinal injury.

Abstract Background Nitrogen-containing bisphosphonate(N-BP)had been found to inhibit the osteogenic differentiation and calcification in vascular smooth muscle cells (VSMCs), but the mechanism is not clear. We intend to verify that N-BP induces enhancement of OPG expression and inhibition of RANKL expression via inhibition of farnesyl pyrophosphate synthase(FPPS) to inhibit the osteogenic differentiation and calcification in VSMCs. Methods β-glycerophosphate (β-GP) was used to induce the osteogenic differentiation and calcification in VSMCs. VSMCs were treated with N-BP or pretreated with downstream products of farnesyl pyrophosphate synthase(FPPS) in mevalonate pathway, such as farnesol (FOH) or geranylgeraniol (GGOH). Alizarin red S staining and determination of calcium content were used to detect calcium deposition.Western Blotting were used to detect expressions of proteins(OPG and RANKL ) and osteogenic marker proteins (Runx2 and OPN). Results β-GP induced the osteogenic differentiation and calcification in VSMCs, increased RANKL protein expression and had no significant effect on OPG protein expression. With the treatment of N-BP, the expression of OPG protein was increased and expression of RANKL protein was decreased in VSMCs undergoing osteogenic differentiation and calcification. In addition, N-BP reduced the osteogenic marker proteins (Runx2 and OPN) expression and calcium deposition in VSMCs undergoing osteogenic differentiation and calcification. These effects of N-BP on the osteogenic differentiation and calcification in VSMCs were concentration-dependent, which could be reversed by the downstream products of FPPS, such as FOH or GGOH. Conclusion N-BP increases OPG expression and decreases RANKL expression via inhibition of FPPS to inhibit the osteogenic differentiation and calcification in VSMCs.

Abstract Background Overactivated microglia are a key contributor to Parkinson’s disease (PD) by inducing neuroinflammation. CD200R1, a membrane glycoprotein mainly found on microglia, is crucial for maintaining quiescence with its dysregulation linked to microglia’s abnormal activation. We and other groups have reported a decline in CD200R1 levels in several neurological disorders including PD. However, the mechanism regulating CD200R1 expression and the specific reasons for its reduction in PD remain largely unexplored. Given the pivotal role of transcription factors in gene expression, this study aimed to elucidate the transcriptional regulation of CD200R1 and its implications in PD. Methods The CD200R1 promoter core region was identified via luciferase assays. Potential transcription factors were predicted using the UCSC ChIP-seq database and JASPAR. NFKB1 binding to the CD200R1 core promoter was substantiated through electrophoretic mobility shift and chromatin immunoprecipitation assays. Knocking-down or overexpressing NFKB1 validated its regulatory effect on CD200R1. Correlation between decreased CD200R1 and deficient NFKB1 was studied using Genotype-Tissue Expression database. The clinical samples of the peripheral blood mononuclear cells were acquired from 44 PD patients (mean age 64.13 ± 9.78, 43.2% male, median Hoehn-Yahr stage 1.77) and 45 controls (mean age 64.70 ± 9.41, 52.1% male). NFKB1 knockout mice were utilized to study the impact of NFKB1 on CD200R1 expression and to assess their roles in PD pathophysiology. Results The study identified the CD200R1 core promoter region, located 482 to 146 bp upstream of its translation initiation site, was directly regulated by NFKB1. Significant correlation between NFKB1 and CD200R1 expression was observed in human PMBCs. Both NFKB1 and CD200R1 were significantly decreased in PD patient samples. Furthermore, NFKB1-/- mice exhibited exacerbated microglia activation and dopaminergic neuron loss after 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) treatment. Conclusion Our study identified that NFKB1 served as a direct regulator of CD200R1. Reduced NFKB1 played a critical role in CD200R1 dysregulation and subsequent microglia overactivation in PD. These findings provide evidence that targeting the NFKB1-CD200R1 axis would be a novel therapeutic strategy for PD.

Abstract Artificial intelligence has prevailed in all trades and professions due to the assistance of big data resources, advanced algorithms, and high-performance electronic hardware. However, conventional computing hardware is inefficient at implementing complex tasks, in large part because the memory and processor in its computing architecture are separated, performing insufficiently in computing speed and energy consumption. In recent years, optical neural networks (ONNs) have made a range of research progress in optical computing due to advantages such as sub-nanosecond latency, low heat dissipation, and high parallelism. ONNs are in prospect to provide support regarding computing speed and energy consumption for the further development of artificial intelligence with a novel computing paradigm. Herein, we first introduce the design method and principle of ONNs based on various optical elements. Then, we successively review the non-integrated ONNs consisting of volume optical components and the integrated ONNs composed of on-chip components. Finally, we summarize and discuss the computational density, nonlinearity, scalability, and practical applications of ONNs, and comment on the challenges and perspectives of the ONNs in the future development trends.

Abstract Background Lipid management based on cardiovascular risk level is the cornerstone of primary prevention of coronary artery disease (CAD), while the accuracy and adherence of traditional cardiovascular risk stratification have been questioned. Prevention strategies based on imaging screening for atherosclerotic plaques are found to be more objective and adherent in recent studies. This trial aims to investigate the role of coronary computed tomography angiography (CCTA) in guiding the primary prevention of CAD in a randomized controlled design. Methods Approximately 3400 middle-aged asymptomatic community participants will be recruited and randomized in a 1:1 ratio to a traditional cardiovascular risk score-guided (usual care group) or CCTA-guided (CCTA group) strategy. Participants with cardiovascular disease, prior lipid-lowering therapy, CCTA contraindication, or serious diseases that affect life span will be excluded. The intervention strategy includes blood pressure, blood glucose, and lipid management and lifestyle modifications. Blood pressure and glucose targets and lifestyle modification recommendations keep the same in both strategies, while lipid management is personalized based on traditional risk level or CCTA results, respectively. The primary outcome is the proportion of participants taking lipid-lowering medication regularly at both 6 and 12 months. The secondary outcomes include the proportion of participants achieving low-density lipoprotein cholesterol lowering targets at 12 months, mean changes in lipid levels from baseline to 12 months, barriers to adherence, adverse reactions related to CCTA examination, and cardiovascular events. Discussion The study is the first randomized clinical trial to examine the effectiveness of a CCTA-guided versus a traditional risk score-guided primary prevention strategy in an asymptomatic community-based population. Trial registration ClinicalTrials.gov NCT05725096. Registered on 2 February 2023.

Abstract Background Chimeric antigen receptor (CAR)-T therapy has emerged as a promising treatment for hematologic malignancies. However, cytopenia remains one of the most frequent and challenging adverse effects of this therapy. Methods We conducted a retrospective analysis of 26 patients with relapsed/refractory aggressive B-cell lymphoma who received CAR-T therapy at our center. Subsequently, to investigate measures to address cytopenias following CAR-T therapy, we isolated and generated murine CAR-T cells and bone marrow-derived mesenchymal stem cells (MSCs), establishing a murine syngeneic CAR-T therapy model. We assessed the impact of MSC infusion on hematopoietic recovery post-CAR-T therapy by evaluating complete blood count, bone marrow hematopoietic stem cells and their subpopulations, bone marrow histomorphology, and hematopoiesis-related genes. Results All patients experienced cytopenias to varying degrees, with complete lineage involvement in half of the patients. Grade ≥ 3 cytopenias were observed in 88.46% of the patients. CAR-T therapy was associated with a higher incidence of biphasic, late-onset, or prolonged cytopenias. Survival analysis indicated that neutropenia and lymphopenia tended to be associated with better prognosis, whereas thrombocytopenia tended to be related to poorer outcomes. Through animal experiments, we discovered that MSCs infusion boosted HSCs and their long-term subpopulations, enhancing hematopoietic recovery, particularly in the megakaryocyte lineage, and mitigating bone marrow damage. Importantly, both in vitro and in vivo experiments demonstrated that MSCs did not compromise the activity or antitumor efficacy of CAR-T cells. Conclusions Our findings propose MSCs infusion as a promising strategy to address cytopenias, particularly thrombocytopenia, after CAR-T therapy. This approach could help overcome certain limitations of cellular immunotherapy by enhancing hematopoietic recovery without compromising the efficacy of CAR-T cells. Highlights 1 Cytopenia is a frequently observed adverse effect following CAR-T therapy, and it is often characterized by biphasic and prolonged patterns. 2 MSCs play a critical role in promoting hematopoietic recovery and mitigating bone marrow damage in a murine model of CAR-T therapy 3 The activity and antitumor efficacy of CAR-T cells were not impaired by MSCs. Graphical Abstract

Different initial microstructures significantly influence the final microstructures and mechanical properties of the intercritically annealed quenching and partitioning steels. Previous studies have primarily focused on the mechanism for the inheritance of different initial microstructures into the final microstructures, which affects the phase fraction and mechanical properties. However, these studies have overlooked the existence of an inheritance window in the intercritical annealing process. In this study, we investigated the inheritance window and explored the impact of varying initial microstructures on the reverse transformation of austenite, final phase fraction, and mechanical properties. Our findings reveal that the varying initial microstructure exhibits minimal influence on the final microstructure and mechanical properties for short or long annealing times. However, for the intercritical annealing treatment for 60 s, the initial microstructure of martensite with more nucleation sites accelerated the austenite reverse transformation fraction, enhanced the reverse-transformed austenite content, increased the primary martensite content, and improved the yield strength. Conversely, the coil-cooled sample, with initial microstructures consisting of ferrite and pearlite without dissoluble Mn-rich cementites, reduced the austenite reverse transformation rate, decreased the reverse-transformed austenite content, enhanced the ferrite and RA content, and improved ductility.

In this paper, for a bounded linear operator defined on a complex Banach space of infinite dimension, we consider the set of isolated points in its approximate point spectrum, which are eigenvalues of finite multiplicity; this set can be equal to the spectrum of the operator but without its upper semi-Fredholm spectrum, and this relation or equality defines in the literature a new spectral property called the property $ (\omega{ \pi }) $ and is a generalization of the classical a-Weyl theorem. We establish some characterizations and consequences about the property $ (\omega{ \pi }) $, some with topological aspects. Furthermore, we study this property through the Riesz functional calculus. Part of the spectral structure of a linear operator verifying property $ (\omega{ \pi }) $ is described, obtaining some associated properties.

Abstract Background Atmospheric particulate matter (PM) exposure-induced neuroinflammation is critical in mediating nervous system impairment. However, effective intervention is yet to be developed. Results In this study, we examine the effect of β-nicotinamide mononucleotide (NMN) supplementation on nervous system damage upon PM exposure and the mechanism of spatial regulation of lipid metabolism. 120 C57BL/6 male mice were exposed to real ambient PM for 11 days (subacute) or 16 weeks (sub-chronic). NMN supplementation boosted the level of nicotinamide adenine dinucleotide (NAD+) in the mouse brain by 2.04 times. This augmentation effectively reduced neuroinflammation, as evidenced by a marked decrease in activated microglia levels across various brain regions, ranging from 29.29 to 85.96%. Whole brain lipidomics analysis revealed that NMN intervention resulted in an less increased levels of ceramide (Cer) and lysophospholipid in the brain following subacute PM exposure, and reversed triglyceride (TG) and glycerophospholipids (GP) following sub-chronic PM exposure, which conferred mice with anti-neuroinflammation response, improved immune function, and enhanced membrane stability. In addition, we demonstrated that the hippocampus and hypothalamus might be the most sensitive brain regions in response to PM exposure and NMN supplementation. Particularly, the alteration of TG (60:10, 56:2, 60:7), diacylglycerol (DG, 42:6), and lysophosphatidylcholine (LPC, 18:3) are the most profound, which correlated with the changes in functional annotation and perturbation of pathways including oxidative stress, inflammation, and membrane instability unveiled by spatial transcriptomic analysis. Conclusions This study demonstrates that NMN intervention effectively reduces neuroinflammation in the hippocampus and hypothalamus after PM exposure by modulating spatial lipid metabolism. Strategies targeting the improvement of lipid homeostasis may provide significant protection against brain injury associated with air pollutant exposure.

Abstract Thermoelectrics converting heat and electricity directly attract broad attentions. To enhance the thermoelectric figure of merit, zT, one of the key points is to decouple the carrier-phonon transport. Here, we propose an entropy engineering strategy to realize the carrier-phonon decoupling in the typical SrTiO3-based perovskite thermoelectrics. By high-entropy design, the lattice thermal conductivity could be reduced nearly to the amorphous limit, 1.25 W m−1 K−1. Simultaneously, entropy engineering can tune the Ti displacement, improving the weighted mobility to 65 cm2 V−1 s−1. Such carrier-phonon decoupling behaviors enable the greatly enhanced μ W/κ L of ~5.2 × 103 cm3 K J−1 V−1. The measured maximum zT of 0.24 at 488 K and the estimated zT of ~0.8 at 1173 K in (Sr0.2Ba0.2Ca0.2Pb0.2La0.2)TiO3 film are among the best of n-type thermoelectric oxides. These results reveal that the entropy engineering may be a promising strategy to decouple the carrier-phonon transport and achieve higher zT in thermoelectrics.

Abstract HPV-positive and HPV-negative head and neck squamous cell carcinoma (HNSCC) are recognized as distinct entities. There remains uncertainty surrounding the causal effects of smoking and alcohol on the development of these two cancer types. Here we perform multivariable Mendelian randomization (MR) to evaluate the causal effects of smoking and alcohol on the risk of HPV-positive and HPV-negative HNSCC in 3431 cases and 3469 controls. Lifetime smoking exposure, as measured by the Comprehensive Smoking Index (CSI), is associated with increased risk of both HPV-negative HNSCC (OR = 3.03, 95%CI:1.75-5.24, P = 7.00E-05) and HPV-positive HNSCC (OR = 2.73, 95%CI:1.39-5.36, P = 0.003). Drinks Per Week is also linked with increased risk of both HPV-negative HNSCC (OR = 7.72, 95%CI:3.63-16.4, P = 1.00E-07) and HPV-positive HNSCC (OR = 2.66, 95%CI:1.06-6.68, P = 0.038). Smoking and alcohol independently increase the risk of both HPV-positive and HPV-negative HNSCC. These findings have important implications for understanding the modifying risk factors between HNSCC subtypes.

Abstract Cyclo[n]carbons have recently attracted significant attention owing to their geometric and electronic structures remaining largely unexplored in the condensed phase. In this work, we focus on two anti-aromatic cyclocarbons, namely C12 and C20. By designing two fully halogenated molecular precursors both including 4-numbered rings, we further extend the on-surface retro-Bergman ring-opening reaction, and successfully produce C12 and C20. The polyynic structures of C12 and C20 are unambiguously revealed by bond-resolved atomic force microscopy. More importantly, subtly positioning the C20 molecule into an atomic fence formed by Cl clusters allows us to experimentally probe its frontier molecular orbitals, yielding a transport gap of 3.8 eV measured from scanning tunneling spectroscopy. Our work may advance the field by easier synthesis of a series of cyclocarbons via on-surface retro-Bergman ring-opening strategy.

Abstract Near-infrared (NIR) phosphors based on Cr3+ doped garnets present great potential in the next generation of NIR light sources. Nevertheless, the huge searching space for the garnet composition makes the rapid discovery of NIR phosphors with high performance remain a great challenge for the scientific community. Herein, a generalizable machine learning (ML) strategy is designed to accelerate the exploration of innovative NIR phosphors via establishing the relationship between key parameters and emission peak wavelength (EPW). We propose a semi-supervised co-training model based on kernel ridge regression (KRR) and support vector regression (SVR), which successfully establishes an expanded dataset with unlabeled dataset (previously unidentified garnets), addressing the overfitting issue resulted from a small dataset and greatly improving the model generalization capability. The model is then interpreted to extract valuable insights into the contribution originated from different features. And a new type NIR luminescent material of Lu3Y2Ga3O12: Cr3+ (EPW~750 nm) is efficiently screened, which demonstrates a high internal (external) quantum efficiency of 97.1% (38.8%) and good thermal stability, particularly exhibiting promising application in the NIR phosphor-converted LEDs (pc-LED). These results suggest the strategy proposed in this work could provide new viewpoint and direction for developing NIR luminescence materials.

Abstract. Background:. The association and its population heterogeneities between low-density lipoprotein cholesterol (LDL-C) and all-cause and cardiovascular mortality remain unknown. We aimed to examine the dose-dependent associations of LDL-C levels with specific types of cardiovascular disease (CVD) mortality and heterogeneities in the associations among different population subgroups. Methods:. A total of 2,968,462 participants aged 35–75 years from China Health Evaluation And risk Reduction through nationwide Teamwork (ChinaHEART) (2014–2019) were included. Cox proportional hazard models and Fine–Gray subdistribution hazard models were used to estimate associations between LDL-C categories (

Radioisotopes tend to play important roles in many fields, such as industry, healthcare, agriculture, aerospace, etc. Radioisotope production is mainly through accelerators or research reactors, and high flux research reactor is one of the most effective approaches for radioisotope production. The physical basis of preparing radioisotope relies on nuclear reactions occurring in the reactor core, which includes fission, (n,γ), (n,α), and (n,p) reaction, etc. Among them, fission and (n,γ) reaction are most important in the nuclear reactor. For example, the 99Mo could be generated by uranium fission and extracting from the fission products, or through the radiative capture reaction from enriched 98Mo. As for the fission method, the irradiation target is gradually transitioning from high enriched uranium (HEU) target to low enriched uranium (LEU) target due to the requirement of non-proliferation. In this paper, studies on the impacts of different fission targets on radioisotope productions are conducted. Moreover, an optimized study on the radiative capture method is performed to improve the production efficiency. It is concluded that it is advantageous to use radiative capture method to generate radioisotopes in high flux reactor, which helps to improve the specific activity with environmental friendliness.

It is of great interest to overcome the problem of high-temperature oxidation of press-hardened steels (PHS) in press hardening with a cost-effective Cr alloying strategy. Therefore, since Cr is one of the expensive metals, the effect of Cr (Cr ≤ 3 wt%) content on the oxidation resistance of Cr–Si–Mn alloyed steels was investigated. It was found that Cr–Si–Mn alloyed PHS with a Cr content of about 1.5 wt% or less cannot form a continuous Cr2O3 layer during press hardening. However, when the Cr content reaches around 2.5 wt%, the PHS shows excellent oxidation resistance due to the formation of continuous Cr2O3 and amorphous SiO2 layers, as well as an Mn-rich oxide layer. However, further addition of 0.5 wt% could not significantly improve the oxidation resistance of this PHS. Moreover, the increase in Cr content simultaneously enhances the positive role of Si and Mn in high-temperature oxidation resistance. This work provides new insights into the design of the next generation of PHSs with economical and superior performance.

Inflammation can initiate osteolysis, which is the breakdown of bone by fully developed osteoclasts. The compound Oleandrin is recognized for its effects against inflammation and tumors. Our objective was to examine the effects of Oleandrin on osteoclastogenesis and osteolysis, both in vitro and in vivo. In vitro, the impact of Oleandrin on osteoclastogenesis was assessed using CCK-8 assays, TRAP staining, and bone resorption assays. Additionally, a mouse model of osteolysis caused by LPS injection into the calvaria was used to conduct an in vivo investigation, examining bone histomorphology, histology, and immunohistochemistry. In vitro, concentrations of 5 nM and 10 nM of Oleandrin were found to be non-cytotoxic based on the results obtained. In vitro, Oleandrin hindered the osteoclastogenesis and bone resorption induced by RANKL. Oleandrin successfully inhibited the phosphorylation of NF-κB p65 and PI3K p85 in osteolytic tissue, thereby suppressing LPS-induced inflammatory osteolysis in mice calvaria during the in vivo study. Furthermore, the Oleandrin-treated group exhibited a noteworthy decrease in the expression level of NFATc1, which is a crucial controller of osteoclastogenesis. To sum up, our discoveries indicate that Oleandrin could hinder osteoclastogenesis and bone resorption, thereby having the ability to suppress inflammation-induced osteolysis. The underlying mechanism involves the NF-κB/PI3K pathway and inhibition of NFATc1 activation. Therefore, the findings suggest that Oleandrin holds potential as a therapeutic remedy for osteolytic ailments.

Lumbar spinal stenosis is one of the most common causes of low back and leg pain. However, there is a lack of evidence-based guidelines for the treatment of lumbar spinal stenosis with integrated traditional Chinese medicine and western medicine. To standardize the diagnosis and treatment of lumbar spinal stenosis with a combination of traditional Chinese medicine and western medicine, this guideline strictly followed the relevant guiding principles for the development of guidelines both domestically and internationally. A multidisciplinary working group was established. We adopted the GRADE approach to grade the quality of evidence and the strength of recommendation. Finally recommendations on the treatment of lumbar spinal stenosis with integrated traditional Chinese medicine and western medicine were formed, aiming to standardize clinical practice. This guideline is for patients with all degrees of lumbar spinal stenosis.

Background The effective evaluation of scientific and technological achievements in traditional Chinese medicine (TCM) is of great significance in promoting the innovative development of TCM. Previous evaluations of scientific and technological achievements in TCM often used a generalized evaluation method, leading to problems such as inappropriate indicators and limited dimensions, which is not conducive to reflecting the multiple values of achievements in a scientific and comprehensive way. Consequently, there is an urgent need to establish categorized and multi-dimensional evaluation index system for the evaluation of scientific and technological achievements in TCM in the new period. Objective To establish a scientific, categorized, reliable and comprehensive evaluation index system that reflects the principles of TCM and highlights its unique advantages aiming at the scientific and technological achievements in TCM, in accordance with the contemporary requirements for scientific and technological evaluation in China. Methods This study began in November 2022 and was completed in May 2023. A preliminary index framework was developed through literature review and focus group discussions. Delphi expert consultation was then conducted over two rounds to determine the evaluation indexes and points. The hierarchical analysis method was used to calculate the weight of each index. Results The final evaluation index system of scientific and technological achievements in TCM clinical research comprised 10 threshold indicators, 4 primary indicators, 17 secondary indicators, and 17 evaluation points. After testing, the positive coefficient of experts in both rounds of Delphi method implementation was 100%, the authority coefficient was 0.94 and 0.93, respectively. The Kendall's W consistency test for each level of indicators yielded two-tailed significance (P

Due to their high reactivity, volatile organic compounds (VOCs) can engage in physical and chemical reactions with particulate matter in the atmosphere, leading to air pollution. Extended exposure to VOCs may result in various health concerns, including respiratory system problems, neurological effects, skin and eye irritation, and an increased risk of certain cancers. Traditional benchtop mass spectrometers possess the advantages of high sensitivity and rapid analysis capabilities, but the large size typically confines their applications to professional laboratories. To overcome this limitation, portable mass spectrometers are emerging as a new tool for in-situ analysis. In this study, a portable mass spectrometer based on discontinuous atmosphere pressure interface was developed, which combined with a sub-vacuum plasma ionization source. Ion trap, known for its small size and adequate performance, was adopted in this miniaturized mass spectrometer. This portable mass spectrometer features a total weight of about 4.6 kg, with the dimensions of 217 mm×162 mm×106 mm, and operates with a power consumption under 150 W. On this design, a fully metallic solenoid valve was selected as the core component to limit atmospheric pressure, eliminating the need for the rubber tubing used in traditional pinch valves. Compared to traditional pinch valves, this solenoid valve ensures a more stable airflow during experiments. As a result, the repeatability and environmental adaptability of the portable mass spectrometer were improved. A certain delay marked as radio freqency (RF) delay was introduced between the injection and cooling periods, and the RF-delay time was optimized. Frequency scanning mode and amplitude scanning mode were tested in parallel. Despite of a trade-off in size, amplitude scanning offered improved resolution, enabling the differentiation of ions with close mass to charge ratios. After systematic optimization, satisfactory performances in mass resolution and sensitivity were achieved. The mass resolution of the mass spectrometer for dimethyl carbonate was improved to 0.2 u (FWHM), and a sensitivity of 60 μg/m3 for naphthalene was achieved. The capability of mixed VOCs was also validated using dimethyl carbonate and trimethyl phosphate. This mass spectrometer developed in this study, characterized by its high portability and satisfactory performance, is expected to hold great potential for applications in VOCs analysis.

The volatile components of Citri Grandis Exocarpium from Huazhou (CGEH) and Guangxi (CGEG) were analyzed by portable gas chromatography-mass spectrometry (GC-MS) and comprehensive two-dimensional gas chromatography-time-of-flight mass spectrometry (GC×GC-TOF MS) combined with headspace solid-phase microextraction (HS/SPME). Due to its limited separation ability, the portable GC-MS can identify only 8 chemicals in CGEH and 4 chemicals in CGEG and is not able to determine any marker compounds which can distinguish CGEH over CGEG. While the merit of GC×GC-TOF MS is strong separation ability, allowing the identification of 304 chemicals in CGEH and CGEG, of which 261 chemicals are reported for the first time. Among them are 52 compounds only detected in CGEH, 81 ones unique in CGEG, and 171 detected in both CGEH and CGEG. The volatile components in CGEH and CGEG are classified into 17 and 19 types, respectively. The contents of alkene aromatics, hydrocarbons and alcohols in both CGEH and CGEG are relatively high. The principal component analysis (PCA) and orthogonal partial least squares (OPLS-DA) were further performed on the MS data obtained by GC×GC-TOF MS. The results indicated that there is basically no difference from different batches of fruits in the same region, while have obvious differences between CGEH and CGEG. Among these different components, 10 compounds including 3,4-diethyl-1,1'-biphenyl, 1-methyl-4-(1-methylethenyl)-1,2-cyclohexanediol, 1-dodecanol, α-ethylidene-benzeneacetaldehyde, 3,8-dimethyl-undecane, tetradecanal, 2-methyl-tridecane, 5-methyl-2(5H)-furanone, tetraethylene glycol, sabinol in CGEH are screened out with the values of Pearson correlation coefficient |p(corr)|>0.9, |p|>0.06 and variable influence on projection (VIP) value>1.1. On the other hand, several marker compounds, such as cedrane, hibaene, 1,3,5-tris(methylene)-cycloheptane, (E)-longipinane, 1,1,6,6-tetramethylspiro[4.4]nonane, 2-(4a,8-dimethyl-1,2,3,4,4a,8a-hexahydro-2-naphthalenyl)-2-propanol, γ-gurjunene, [1S-(1α,4α,7α)]-1,2,3,4,5,6,7,8-octahydro-1,4,9,9-tetramethyl-4,7-methanoazulene, (2R,5S)-2-methyl-5-(prop-1-en-2-yl)-2-vinyltetrahydrofuran, copaene, spathulenol, β-elemene, sativene, N-[4-bromo-n-butyl]-2-piperidinone, eremophilene, 10α-eremophilane, oleyl alcohol, trifluoroacetate, and selinane are picked up in CGEG. These results proved that GC×GC-TOF MS can identify markers of Citri Grandis Exocarpium, while portable GC-MS can not. These markers can help to distinguish CGEH from others and provide references to quality evaluation of Citri Grandis Exocarpium.

Abstract Background Warm compresses are the routine treatment for Meibomian gland dysfunction (MGD) in daily life, but in order to achieve satisfactory efficacy, the treatment needs to be sustained over a long time, which can have an impact on the patient compliance. A more convenient warm compresses will help improve the patient compliance. Therefore, the purpose of the study is to investigate the efficacy and safety of the disposable eyelid warming masks for treatment of dry eye disease (DED) due to MGD. Methods This was a randomized, controlled, non-masked, two-center clinical trial. One hundred and forty-four patients were treated by the masks or the hot towel twice daily for 12 weeks. Patients were evaluated at baseline, 4-week and 12-week visits for subjective symptoms, objective signs and safety assessments, including ocular symptom scores, ocular surface disease index (OSDI), tear break-up time (BUT), corneal fluorescein staining (CFS), Schirmer I test (SIT), meibum quality, meibum expressibility, and adverse events (AEs). Results A totle of 134 patients were followed in the study. The mean age of the masks group (14 males and 52 females) and the hot towel group (20 males and 48 females) was 43.7 ± 13.5 years and 39.5 ± 13.9 years, respectively. At 4-week visit, there were significant statistical differences in ocular symptom scores, OSDI and CFS between two groups (P

Abstract Background Due to China’s rapid urbanization, many farmers have relocated to urban resettlement regions. There is limited research on the glycemic control of Type 2 diabetes mellitus (T2DM) farmers in these areas. This study examined their blood glucose control and its determinants. Methods This study took place from March 2021 to January 2022 in a resettlement community in Yiwu, Zhejiang Province, China. In the first phase, a quantitative survey of 181 T2DM farmers was conducted using a questionnaire to gather demographic data, blood glucose control status, disease cognition levels, and treatment compliance. Inclusion criteria were migrant workers with ≥ 3 months of residence and local household registration and T2DM patients who met the diagnostic criteria of the Chinese guidelines. In the second phase, qualitative research involved face-to-face, semi-structured interviews with 15 patients with varying blood glucose control levels to analyze their experiences. Results The blood glucose control rate in this particular group was 27.62%, and the average disease cognition score was 2.5 ± 0.75. Many patients (67.96%) had inadequate treatment compliance, specifically in monitoring compliance (4.45 ± 1.92) and regular review compliance (3.58 ± 1.74). Conclusion There is a need for tailored programs to improve glycemic control among resettled farmers. Enhancing disease awareness and treatment compliance through targeted education and support is crucial. Further studies are needed to evaluate different treatment regimens’ impact on glycemic control. Clinical trial number Not applicable.

Abstract The diagnosis of neurodegenerative diseases (NDDs) remains challenging, and existing therapeutic approaches demonstrate little efficacy. NDD drug delivery can be achieved through the utilization of nanostructures, hence enabling multimodal NDD theranostics. Nevertheless, both biomembrane and non-biomembrane nanostructures possess intrinsic shortcomings that must be addressed by hybridization to create novel nanostructures with versatile applications in NDD theranostics. Hybrid nanostructures display improved biocompatibility, inherent targeting capabilities, intelligent responsiveness, and controlled drug release. This paper provides a concise overview of the latest developments in hybrid nanostructures for NDD theranostics and emphasizes various engineering methodologies for the integration of diverse nanostructures, including liposomes, exosomes, cell membranes, and non-biomembrane nanostructures such as polymers, metals, and hydrogels. The use of a combination technique can significantly augment the precision, intelligence, and efficacy of hybrid nanostructures, therefore functioning as a more robust theranostic approach for NDDs. This paper also addresses the issues that arise in the therapeutic translation of hybrid nanostructures and explores potential future prospects in this field.

Abstract There are several gaps in the field of digital inequity in education because it is still in its initial stage. To fill the research gaps, this study has revealed a complex landscape of problems and solutions. The analysis highlights the urgent need to address digital inequity that prevents equal access to educational resources and opportunities. While the challenges are numerous, the solutions are also diverse. Addressing cultural norms and stereotypes that perpetuate gender-based inequity is crucial, along with investing in gender-sensitive technology and infrastructure. Promoting digital literacy among all learners is also essential to empower them in the digital age. By taking a comprehensive approach that combines policy changes, technological advancements, and educational strategies, we can hope to bridge the digital inequity and create a more equitable and inclusive education system. Future research could highlight cross-cultural and cross-contextual studies, longitudinal studies, and integration of multiple methodologies.

Abstract In recent years, museums have become valuable venues for students to develop career awareness outside of school. However, optimizing the educational potential of museums and improving learners’ outcomes presents a significant challenge in museum learning design. This study integrates three main game elements—goals, stories, and role-playing—into museum visits to design a Gamified Learning Activity (GLA). To verify the effectiveness of the GLA, we conducted a quasi-experiment with 66 elementary school students at the Handicraft Museum. Using a mixed-methods approach with convergent parallel design, we collected quantitative data from knowledge tests and qualitative data from DAST (Draw-a-Scientist-Test) and interviews for a comprehensive analysis. The results showed that learners who participated in the GLA paid more attention to the details of the handicrafts, appreciated the craftsmen more, and eliminated stereotypes about the age of craftsmen. This indicates that the GLA not only enhances learners’ acquisition of museum knowledge but also has a profound impact on their non-cognitive aspects, such as career awareness.

Abstract Kitaev interactions, arising from the interplay of frustration and bond anisotropy, can lead to strong quantum fluctuations and, in an ideal case, to a quantum-spin-liquid state. However, in many nonideal materials, spurious non-Kitaev interactions typically promote a zigzag antiferromagnetic order in the d-orbital transition-metal compounds. Here, by combining neutron scattering with muon-spin rotation and relaxation techniques, we provide mechanism insights into the exotic properties of Na2Co2TeO6, a candidate material of the Kitaev model. Below T N, the zero-field muon-spin relaxation rate becomes almost constant (~0.45 μs−1). We attribute this temperature-independent relaxation rate to the strong quantum fluctuations, as well as to the frustrated Kitaev interactions. As the magnetic field increases, neutron scattering data indicate a broader spin-wave excitation at the K-point. Therefore, quantum fluctuations seem not only robust but are even enhanced by the applied magnetic field. Our findings provide valuable hints for understanding the onset of the quantum-spin-liquid state in Kitaev materials.

Abstract Background Fetal inflammatory response syndrome (FIRS) is a systemic inflammatory response caused by the activation of the fetal immune system. The serological diagnostic criterion for fetal inflammatory response syndrome is a cord blood interleukin-6 concentration that exceeds 11 pg/mL, while pathologic evidence indicates the presence of funisitis or chorionic vasculitis. It can affect all systems of the fetus. Alterations in patients’ hematopoietic system are primarily reflected by changes in peripheral blood leukocyte and neutrophil counts. Case presentation We performed placental pathology to identify FIRS and showed two cases of neonatal leukemoid reaction caused by FIRS. These two babies’ alterations in hematopoietic system resolves spontaneously with the inflammation relief, without specific interventions. During the 16‑month and14- month follow‑up period, their motor and intellectual development was normal. Conclusions . Neonatal leukemoid reaction is a reactive disease characterized by abnormal blood parameters similar to those of leukemia, but not leukemia. It is an aberrant hematopoietic response that typically resolves spontaneously with cause relief without requiring specific interventions.

Objective To compare the efficacy of ultrasound-guided femoral nerve block and oral celecoxib for preoperative analgesia in elderly patients with hip fractures. Methods Sixty-eight elderly patients with hip fracture surgery treated at the 908th Hospital of Joint Logistics Support Force from January 2019 to June 2022 were selected and randomly divided into two groups: the experimental group (femoral nerve block) and the control group (oral celecoxib), with 34 cases in each group. The experimental group received a 20 mL 0.3% ropivacaine for femoral nerve block under ultrasound guidance, while the control group was given celecoxib capsules (0.2 g, twice daily). Visual analog scores (VAS) were compared between the two groups at 10 minutes before intervention, 30 minutes after intervention, 2 hours after intervention, and 10 minutes before surgery. Complications such as nausea, vomiting, dizziness, and adverse drug reactions were also recorded. Results There was no significant difference in VAS scores between the two groups before intervention (P＞0.05). In the experimental group, VAS scores gradually decreased over time (P＜0.05). In the control group, VAS scores at each time point after intervention were lower than before intervention, with a higher score 10 minutes before surgery (3.85±1.11) compared to 2 hours after intervention (3.24±1.02). The experimental group had lower VAS scores at all time points after intervention compared to the control group (P＜0.05). The incidence of adverse reactions in the experimental group was lower than that in the control group(17.6% vs41.2%, χ2=4.53，P＜0.05）. Conclusion Both ultrasound-guided femoral nerve block and oral celecoxib can alleviate preoperative pain in elderly patients with hip fractures, but ultrasound-guided femoral nerve block is safer and can sustain pain relief.

Abstract TP53 mutation (TP53-mut) correlates with inferior survival in many cancers, whereas its prognostic role in diffuse large B-cell lymphoma (DLBCL) is still in controversy. Therefore, more precise risk stratification needs to be further explored for TP53-mut DLBCL patients. A set of 2637 DLBCL cases from multiple cohorts, was enrolled in our analysis. Among the 2637 DLBCL patients, 14.0% patients (370/2637) had TP53-mut. Since missense mutations account for the vast majority of TP53-mut DLBCL patients, and most non-missense mutations affect the function of the P53 protein, leading to worse survival rates, we distinguished patients with missense mutations. A TP53 missense mutation risk model was constructed based on a 150-combination machine learning computational framework, demonstrating excellent performance in predicting prognosis. Further analysis revealed that patients with high-risk missense mutations are significantly associated with early progression and exhibit dysregulation of multiple immune and metabolic pathways at the transcriptional level. Additionally, the high-risk group showed an absolutely suppressed immune microenvironment. To stratify the entire cohort of TP53-mut DLBCL, we combined clinical characteristics and ultimately constructed the TP53 Prognostic Index (TP53PI) model. In summary, we identified the truly high-risk TP53-mut DLBCL patients and explained this difference at the mutation and transcriptional levels.

Abstract Background We aimed to explore the impact of adherence to Life’s Simple 7 (LS7) metrics on risk of obstructive sleep apnea (OSA), and the impact of inflammation on the association, in adults in the United States. Methods Data from 13,825 community-dwelling adults aged ≥ 20 years recruited in the National Health and Nutrition Examination Surveys (NHANES) 2005–2008, 2015–2018 was analyzed. The LS7 score was calculated based on the AHA definition of LS7 metrics. The diagnosis of OSA was based on self-reported symptoms of sleep disturbance using a standard questionnaire. The Multivariable Apnea Prediction (MAP) Index score was also calculated to assess the risk of OSA. Log-binominal regression and negative binomial regression were performed to estimate the associations between LS7 and OSA and MAP index, with odds ratios (ORs) and prevalence ratios (PRs) and their 95% confidence intervals (CIs) calculated. Mediation analysis was performed to estimate the mediating effects of inflammatory indicators on the associations. Results A total of 4473 participants (32.4%) had OSA, and the mean MAP index was 0.39. In fully adjusted log-binominal regression models, with total score 8, respectively (P for trend 8, respectively (P for trend

Abstract Childhood overweight/obesity is a serious problem that has not been adequately addressed. As a key factor affecting weight gain, the association between dietary intake with childhood overweight and obesity is still unclear. The objective of this study was to analyze the association between sociodemographic, lifestyle factors and dietary intake with overweight or obesity. We used data from a large cross-sectional National Health and Nutrition Examination Survey (NHANES). The U.S. children aged 6–15 years with both weight data and dietary data were included. For univariate analysis of sociodemographic data, t tests was performed for continuous variables and chi-square tests was performed for discrete variables. Dietary intakes were described by median and quartile, and differences in dietary intake between children with normal weight and children with overweight or obesity were compared by rank sum tests. A modern statistical shrinkage technique, LASSO regression was used to examine the association between dietary intake and childhood obesity. Our study confirms that Hispanic ethnicity, increasing age, passive exposure to smoking, higher protein intake, and higher caffeine intake were positively associated with child overweight or obesity. Additionally, non-Hispanic White race, higher physical activity levels, higher household income, and higher vitamin A intake were negatively associated with child overweight or obesity.

Abstract Follicular lymphoma (FL) exhibits considerable variability in biological features and clinical trajectories across patients. To dissect the diversity of FL, we utilized a Bernoulli mixture model to identify genetic subtypes in 713 pre-treatment tumor tissue samples. Our analysis revealed the existence of five subtypes with unique genetic profiles that correlated with clinicopathological characteristics. The clusters were enriched in specific mutations as follows: CS (CREBBP and STAT6), TT (TNFAIP3 and TP53), GM (GNA13 and MEF2B), Q (quiescent, for low mutation burden), and AR (mutations of mTOR pathway-related genes). The subtype Q was enriched for patients with stage I disease and associated with a lower proliferative history than the other subtypes. The AR subtype was unique in its enrichment for IgM-expressing FL cases and was associated with advanced-stage and more than 4 nodal sites. The existence of subtypes was validated in an independent cohort of 418 samples from the GALLIUM trial. Notably, patients assigned to the TT subtype consistently experienced inferior progression-free survival when treated with immunochemotherapy. Our findings offer insight into core pathways distinctly linked with each FL cluster and are expected to be informative in the era of targeted therapies.

Abstract Sandification can degrade the strength and quality of dolomite, and to a certain extent, compromise the stability of a tunnel's surrounding rock as an unfavorable geological boundary. Sandification degree classification of sandy dolomite is one of the non-trivial challenges faced by geotechnical engineering projects such as tunneling in complex geographical environments. The traditional methods quantitatively measuring the physical parameters or analyzing some visual features are either time-consuming or inaccurate in practical use. To address these issues, we, for the first time, introduce the convolutional neural network (CNN)-based image classification methods into dolomite sandification degree classification task. In this study, we have made a significant contribution by establishing a large-scale dataset comprising 5729 images, classified into four distinct sandification degrees of sandy dolomite. These images were collected from the vicinity of a tunnel located in the Yuxi section of the CYWD Project in China. We conducted comprehensive classification experiments using this dataset. The results of these experiments demonstrate the groundbreaking achievement of CNN-based models, which achieved an impressive accuracy rate of up to 91.4%. This accomplishment underscores the pioneering role of our work in creating this dataset and its potential for applications in complex geographical analyses.

Abstract In this paper, we study the reentrant Hawking–Page transition in the grand canonical ensemble of Gauss–Bonnet AdS spacetime. We find that the four-dimensional Gauss–Bonnet hyperbolic AdS black hole always has a reentrant Hawking–Page transition in the range of electric potential $$0\Phi _{tr}$$ Φ > Φ tr , the Hawking–Page transition disappears. In the spacetime of five and higher dimensional Gauss–Bonnet hyperbolic AdS black hole, the reentrant Hawking–Page transition is solely observed to occur when the electric potential $$\Phi $$ Φ lies between two specific thresholds ( $$\Phi _{c}\Phi _{tr}$$ Φ > Φ tr ). We give the coexistence line, the triple point and critical point of the Hawking–Page transition in the phase diagram of the Gauss–Bonnet hyperbolic AdS black hole. The observed reentrant Hawking–Page transitions and triple points in the context of Gauss–Bonnet hyperbolic AdS black holes may correspond to the phase transitions and triple points in QCD phase diagrams, following the spirit of the AdS/CFT correspondence. To be a complete research, the Hawking–Page transition of d-dimensional charged spherical Gauss–Bonnet-AdS black hole in the grand canonical ensemble is also study in the Appendix, for which there exists a standard Hawking–Page transition with the transition temperature depending on the Gauss–Bonnet constant $$\alpha $$ α .

ABSTRACT Aims/Introduction Diabetes has been related to an increased risk of oral cancer. Nevertheless, the impact of diabetes on the outcome of individuals with oral and oropharyngeal cancer is not clear. In this study, a meta‐analysis was carried out to assess the link between diabetes and the survival of individuals with oral and oropharyngeal cancer. Materials and Methods Relevant cohort studies for the meta‐analysis objective were obtained through searching electronic databases, such as PubMed, Web of Science and Embase. The data were combined using a random effects model that accounted for differences between studies. Results A total of 10 cohorts involving 21,871 patients with oral and oropharyngeal cancer were included. Pooled results suggest that compared with those with normoglycemia, oral and oropharyngeal cancer patients with diabetes were associated with a poor overall survival (hazard ratio 1.69, 95% confidence interval 1.29–2.22, P 0.05). In addition, diabetes was also associated with a poor progression‐free survival of patients with oral and oropharyngeal cancer (hazard ratio 1.61, 95% confidence interval 1.30–1.99, P

Although automatic speech recognition technologies have gained popularity in second language learning, there are still difficulties facing the use of automatic speech recognition in second language learning. Through a bibliometric review and a meta-analysis, this study examines the effects of automatic speech recognition on second language learning. The results of this investigation show that automatic speech recognition technologies can improve second language speaking skills and reduce speaking anxiety, but whether the listening skills can be improved relies on the degree of advancement of the automatic speech recognition technologies. Teachers and students positively evaluate the use of automatic speech recognition technologies in second language learning. Bibliometric analyses reveal the top ten authors, organizations, countries, cited sources, and cited authors, as well as the chronological research trend in the research on the automatic speech recognition used in second language education.

The objective of this study is to examine and compare the impact of serious games and gamification on learning achievement and motivation. The results of the meta-analysis indicate that gamification has a more positive influence on learning achievement and motivation compared to serious games. The analysis reveals that gamification demonstrates a stronger impact on extrinsic motivation than on intrinsic motivation. Serious games have a more positive effect on intrinsic motivation in comparison to extrinsic motivation. The overall outcome suggests that gamification has relatively stronger effects than serious games. While the impact on extrinsic motivation is more significant with both approaches, serious games excel in fostering intrinsic motivation. However, further research is recommended to investigate the specific mechanisms that drive these effects and to identify optimal strategies for implementing serious games and gamification in diverse educational settings.

Maker education can enhance learners' creativity. Design thinking can facilitate the innovative resolution of complex problems. The design thinking literature and most maker teaching modes are limited in their promotion of learning and ability development in various dimensions. Learners have stereotypes about some professions; interventions can help change these stereotypes. This research used quantitative and qualitative analyses to determine the impacts of the design thinking-maker education intervention on primary school students to prove its effectiveness in improving the learners' academic level and in developing their creative tendencies, and whether the design thinking-maker education intervention can help change the learners' stereotypes of engineers. Herein, 136 Year 4 students took a course called Movement of Objects. Traditional instruction and a design thinking-maker education intervention were applied to the control and experimental groups (n = 68 each), respectively. All students underwent an academic pretest and posttest. Stereotypes of engineers were examined through the Draw-an-Engineer Test (DAET). Creative tendencies were investigated through a pretest and posttest questionnaire. Interviews were conducted to obtain course feedback and information on the participants' perceptions of engineers. The significant between-group difference in preexisting knowledge disappeared on the posttest, and the experimental group exhibited a more significant improvement in their academic level (p < 0.01) than did the control group (p < 0.05). Regarding creative tendencies, significant pretest-posttest differences in adventure, curiosity, imagination, and the total score were observed in the experimental group. On the posttest of the DAET, the control group depicted significantly less facial hair but significantly more helmets and symbols of research and knowledge, whereas the experimental group depicted significantly less facial hair but significantly more helmets, symbols, and relevant captions. The design thinking-maker education intervention improved the learners' academic performance, developed their creative tendencies, and changed their stereotypes of engineers.

With the development of information technologies, many learners opt to stay home receiving various forms of online education such as massive open online courses (MOOC). However, many learners and instructors complain that MOOC-based learning effectiveness has been dampened by many factors. Through a meta-analysis using Stata/MP 14.0, this study reveals that MOOC-based learning outcomes can be significantly influenced by eight factors, i.e. behavior intention, learning engagement, students' motivation, perceptions, satisfaction, performance, self-regulation, and social networks across the world. Future research could reveal more influencing factors pivoting on the forum improvements, as well as the effect of social presence on MOOC-based learning outcomes.