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In recent years, there has been an increase in accidents involving vessels colliding with bridge piers. These ship–bridge collisions can result in tragic loss of life and severe damage to the bridge structure. To address this issue, a type of fender pile made of winding-formed glass fiber-reinforced polymer (GFRP) was proposed as a solution. In this article, three- and four-point bending tests were performed to compare and analyze the damage modes and load-carrying capacity of the fender piles at two different winding angles, namely 45° and 75°. Vertical impact test was simulated using ANSYS/LS-DYNA to verify finite element models. The results revealed variations in damage patterns and bending performance of GFRP piles under the two fiber winding angles. The simulation results suggest that GFRP fender piles can effectively increase the impact time of ship–bridge collisions and reduce the collision forces, thereby significantly improving the protection of bridge piers.

The continuous decline in the birth rate can lead to a series of social and economic problems. Accurately predicting the birth rate of a region will help national and local governments to formulate more scientifically sound development policies. This paper proposes a discrete-aware model BRP-Net based on attention mechanism and LSTM, for effectively predicting the birth rate of prefecture-level cities. BRP-Net is trained using multiple variables related to comprehensive development of prefecture-level cities, covering factors such as economy, education and population structure that can influence the birth rate. Additionally, the comprehensive data of China's prefecture-level cities exhibits strong spatiotemporal specificity. Our model leverages the advantages of attention mechanism to identify the feature correlation and temporal relationships of these multi-variable time series input data. Extensive experimental results demonstrate that the proposed BRP-Net has higher accuracy and better generalization performance compared to other mainstream methods, while being able to adapt to the spatiotemporal specificity of variables between prefecture-level cities. Using BRP-Net to achieve precise and robust prediction estimates of the birth rate in prefecture-level cities can provide more effective decision-making references for local governments to formulate more accurate and reasonable fertility encouragement policies. [ABSTRACT FROM AUTHOR]

Objective. To explore the value of the injury severity score (ISS) and the new injury severity score (NISS) for evaluating injuries and predicting complications (pneumonia and respiratory failure) and poor prognoses (in‐hospital tracheal intubation, extended length of hospital stay, ICU admission, prolonged ICU stay, and death) in patients with thoracic trauma. Methods. The data of consecutive patients with thoracic trauma who were admitted to the department of cardiothoracic surgery of a tertiary hospital between January 2018 and December 2021 were retrospectively collected. ISS and NISS were calculated for each patient. The study outcomes were complications and poor prognoses. The differences in ISS and NISS between patients with complications and poor prognoses and patients without the abovementioned conditions were compared using the Mann‒Whitney U test. Discrimination and calibration of ISS and NISS in predicting outcomes were compared using the area under the receiver operating characteristic (ROC) curve (AUC) and Hosmer‒Lemeshow (H‐L) statistic. Results. A total of 310 patients were included. ISS and NISS of patients with complications and poor prognoses were greater than those of patients without complications and poor prognoses, respectively. The discrimination of ISS in predicting pneumonia, respiratory failure, in‐hospital tracheal intubation, extended length of hospital stay, ICU admission, prolonged ICU stay, and death (AUCs: 0.609, 0.721, 0.848, 0.784, 0.763, 0.716, and 0.804, respectively) was not statistically significantly different from that of NISS in predicting the corresponding outcomes (AUCs: 0.628, 0.712, 0.795, 0.767, 0.750, 0.750, and 0.818, respectively). ISS showed better calibration than NISS for predicting pneumonia, respiratory failure, in‐hospital tracheal intubation, extended length of hospital stay, and ICU admission but worse calibration for predicting prolonged ICU stay and death. Conclusion. ISS and NISS are both suitable for injury evaluation. There was no statistically significant difference in discrimination between ISS and NISS, but they had different calibrations when predicting different outcomes. [ABSTRACT FROM AUTHOR]

The environmental factor aryl hydrocarbon receptor (AhR), a key protein connecting the external environmental signals (e.g., environmental endocrine disruptor TCDD) to internal cellular processes, is involved in the activation of peripheral macrophages and inflammatory response in human body. Thus, there is widespread interest in finding compounds to anti‐inflammatory response in macrophages by targeting human AhR. Here, ensemble docking based‐virtual screening was first used to screen a library (~200,000 compounds) against human AhR ligand binding domain (LBD) and 25 compounds were identified as potential inhibitors. Then, 9 out of the 25 ligands were found to down‐regulate the mRNA expression of CYP1A1 (a downstream gene of AhR signaling) in AhR overexpressing macrophages. The most potent compound AE‐411/41415610 was selected for further study and found to reduce both mRNA and protein expressions level of CYP1A1 in mouse peritoneal macrophage. Moreover, protein chip signal pathway analysis indicated that AE‐411/41415610 play a role in regulating JAK–STAT and AKT–mTOR pathways. In sum, the discovered hits with novel scaffolds provided a starting point for future design of more effective AhR‐targeted lead compounds to regulate CYP1A1 expression of inflammatory peritoneal macrophages. [ABSTRACT FROM AUTHOR]

In this study, a HfO2 coating was developed on an Ir matrix using a customized open-tube airflow, cold-wall chemical vapor deposition instrument. The preparation process and structure of the as-prepared coating were investigated to gain insights into its characteristics. The HfO2 coating effectively prevents direct contact between Ir and O, leading to a reduction in the oxidation rate of Ir. Furthermore, defects such as micropores and cracks generated during sealed oxidation erosion contribute to Ir's decelerated oxidation failure. The as-prepared HfO2 coating exhibits low thermal conductivity and a high heat radiation rate, reducing the coating's surface temperature. These characteristics significantly enhance adversity tolerance and increase the working temperature of the coating. Moreover, the as-prepared HfO2 coating can serve as a diffusion barrier, blocking both the direct contact of O with the Ir coating and the diffusion of other elements to the Ir coating. As a result, the rates of diffusion of other elements to the Ir coating are reduced. [ABSTRACT FROM AUTHOR]

A key challenge in aging research is extending lifespan in tandem with slowing down functional decline so that life with good health (healthspan) can be extended. Here, we show that monthly clearance, starting from 20 months, of a small number of cells that highly express p21 Cip1 (p21 high) improves cardiac and metabolic function and extends both median and maximum lifespans in mice. Importantly, by assessing the health and physical function of these mice monthly until death, we show that clearance of p21 high cells improves physical function at all remaining stages of life, suggesting healthspan extension. Mechanistically, p21 high cells encompass several cell types with a relatively conserved proinflammatory signature. Clearance of p21 high cells reduces inflammation and alleviates age-related transcriptomic signatures of various tissues. These findings demonstrate the feasibility of healthspan extension in mice and indicate p21 high cells as a therapeutic target for healthy aging. [Display omitted] • p21 high cells, distinct from p16 high cells, accumulate in various tissues with aging • Intermittent p21 high cell clearance extends both median and maximum lifespans in mice • Intermittent p21 high cell clearance results in sustained health improvement • Intermittent p21 high cell clearance alleviates age-related transcriptomic signatures Wang et al. identify a distinct senescent cell population (p21 high cells) in various tissues with aging. p21 high cells encompass numerous cell types with a conserved proinflammatory signature. Intermittent clearance of p21 high cells reduces inflammation, extends lifespan, and results in sustained benefits to health and physical function in old mice. [ABSTRACT FROM AUTHOR]

Neonicotinoids (NEOs), despite their widespread use as insecticides, exhibit a notable knowledge deficit in regards to their presence in wastewater treatment plants (WWTPs) and their surrounding environments. This study delves into the presence and disposition of 5 NEOs: Thiamethoxam (THM), Clothianidin (CLO), Imidacloprid (IMD), Acetamiprid (ACE), and Thiacloprid (THA) across 3 domestic WWTPs and their receiving waters. Notably, THM, CLO, and ACE were consistently detected in all water and sludge samples, with THM emerging as the most abundant compound in both influent and effluent. Among the 3 WWTPs, WWTP 2, employing a fine bubble oxidation process, achieved the highest removal efficiency, surpassing 68%, in contrast to WWTP 1 (CAST) at 37% and WWTP 3 (A/A/O) at 7%. Biodegradation played a pivotal role in NEO removal, accounting for 36.7% and 68.2% of the total removal in WWTP 1 and WWTP 2, respectively. Surprisingly, in WWTP 3, biotransformation process inadvertently increased ACE and CLO concentrations by approximately 4.1% and 4.5%, respectively. The total NEO concentration in the receiving surface waters ranged from 72.7 to 155.5 ng/L, while sediment concentrations were significantly lower, spanning between 0.10 and 1.53 ng/g. WWTPs serve as both a removal and concentration point for NEOs, thereby significantly influencing their transportation. Additionally, the concentration of most NEOs in the receiving waters progressively increased from upstream to downstream, highlighting the substantial impact of WWTP discharges on natural water environments. This research offers valuable insights into NEO pollution surrounding WWTPs in the Pearl River Delta, ultimately aiding in pollution control and environmental protection decisions., Competing Interests: Declaration of Competing Interest ☒ The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. ☐ The authors declare the following financial interests/personal relationships which may be considered as potential competing interests:, (Copyright © 2024. Published by Elsevier Inc.)

Severe trauma can lead to numerous serious complications, threating the well-being and vitality of the afflicted. The quantity and functionality of PMNs undergo rapid transformations in response to severe trauma, playing a pivotal role in the trauma response. The absence of CCAAT/enhancer-binding protein ε (C/EBPε) profoundly impairs the functionality of polymorphonuclear neutrophils (PMNs), a function of paramount importance in trauma. In this study, by generating mice with C/EBPε knocked out or overexpressed, we substantiate that C/EBPε ensures the restoration of PMN function, enhancing the expression of antimicrobial proteins and thereby promoting trauma recovery. Furthermore, diminished expression of C/EBPε is observed in trauma patients, with levels displaying a negative correlation with ISS and APACHE II scores, suggesting its potential as a prognostic indicator for clinical treatment. Mechanistically, we uncover the upregulation of SIRT1 and the inhibition of P300 participating in the suppression of C/EBPε acetylation, consequently reducing the resilience of mice to trauma. As therapeutic interventions, whether through the sole administration of PMN, NAM treatment, or their combination, all result in an increased survival rate in traumatic mice. In conclusion, our study elucidates the role of C/EBPε in enhancing the resilience to trauma and identifies C/EBPε acetylation as a critical regulatory mechanism, offering potential therapeutic approaches involving PMN transfusion and NAM treatment., (© The Author(s) 2024. Published by Oxford University Press on behalf of the British Society for Immunology. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.)

Introduction: In recent years, hypervirulent Klebsiella pneumoniae (hvKp) has attracted increasing attention. It usually causes liver abscesses, which spread through the bloodstream to other parts such as the eyes, brain, lungs. 5.5% of all paroxysmal sympathetic hyperactivity syndrome are associated with infection, hydrocephalus, brain tumors, and some unknown causes. Younger patients with focal lesions of the brain parenchyma are at higher risk of paroxysmal sympathetic hyperactivity (PSH)., Case Presentation: This case report details the clinical features of Klebsiella pneumoniae diagnosed in a healthy individual. In addition to liver abscesses, bacteremia, and hyperglycemia, there are also brain abscesses, hernias, and postoperative paroxysmal sympathetic hyperactivity, an unexpected association between diseases or symptoms. The patient stabilized after comprehensive treatment, including early drainage of abscesses, rapid pathogen diagnosis, and timely and appropriate antibiotics. At a two-month follow-up, no signs of infection recurrence were noted, and the patient regained neurological function and could participate in regular physical activity., Discussion: Symptoms of Klebsiella pneumoniae infection usually appear gradually, and misdiagnosis is common. When young patients suddenly develop high fever and abscess at a particular site, Klebsiella pneumoniae infection should be considered routine. Paroxysmal sympathetic hyperactivity syndrome caused by infection is rare, but a clinical score (PSH assessment measure, PSH-AM score) should be performed when clinical features appear. Early diagnosis and treatment can improve the prognosis., Competing Interests: No Conflict of Interest is declared, (Copyright (c) 2024 Xuefang Liu, Ning Yu, Huaihai Lu, Yinlong Zhao, Junyu Zhu, Ya Liu.)

Infection is a common medical problem at present. Different pathogens can lead to different infections. Severe infections can ultimately lead to sepsis, resulting in multiple organ dysfunction and the high mortality of patients. Therefore, studying the occurrence and development of severe infections is essential to improve the survival rate of patients. More and more studies have revealed the important role of connection between intestine and liver in infectious diseases. The maintenance of intestinal mechanical barrier and biological barrier function and the regulation of intestinal flora metabolites can reduce infectious liver injury. Bile acids are important metabolites in the liver, which can inhibit the progression of certain infectious intestinal injuries and promote intestinal damage caused by certain pathogens. In this article, the mechanism of action of the intestinal-liver axis in infection was reviewed to find a new target for the treatment of clinical infection.

The interaction of gut microbiota and its metabolites with the host not only plays an important role in maintaining gut homeostasis and host health, but also is a key link in responding to pathogen infections. A thorough understanding of the changes in gut microbiota and its metabolites during infection, as well as their role and mechanism in host defense against infection, is helpful to guide anti-infection treatment. This review focuses on the role of gut microbiota and their metabolites in host defense against bacterial, fungal, and viral infections, and reveals that they can exert anti-infection effects through resistance mechanisms (inducing antimicrobial substances, training immunity, inhibiting pathogen respiration, directly neutralizing pathogens, immune regulation) and tolerance mechanisms (altering energy metabolism patterns of microbiota, cell proliferation and tissue damage repair, maintaining physiological signal transduction in extraintestinal organs, inflammation regulation, maintaining the integrity of the intestinal barrier), and also summarizes measures to regulate gut microbiota against pathogen infections, in order to provide more ideas for novel anti-infection prevention and treatment strategies targeting gut microbiota and its metabolites.

Here, we present the complete genome sequence of Kineothrix sp. MB12-C1 (= BCRC 81406), isolated from the feces of black soldier fly ( Hermetia illucens ) larvae. The genome of strain MB12-C1 was chosen for further species classification and comparative genomic analysis., Competing Interests: The authors declare no conflict of interest.