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Background: The incidence of pediatric hospitalizations has significantly increased since the spread of the omicron variant of COVID-19. Changes of characteristics in respiratory and neurological symptoms have been reported. We performed a retrospective, cross-sectional study to characterize the MRI change in children with an emphasis on the change of cerebral vasculatures. Methods: We retrospectively collected clinical and MRI data of 31 pediatric patients with neurological symptoms during the acute infection and abnormalities on MRI during the outbreak of omicron variant from April 2022 to June 2022 in Taiwan. The clinical manifestations and MRI abnormalities were collected and proportion of patients with vascular abnormalities was calculated. Results: Among 31 pediatric patients with post-COVID-19 neurological symptoms, MRI abnormalities were observed in 15 (48.4%), predominantly encephalitis/encephalopathy (73.3%). Notable MRI findings included focal diffusion-weighted imaging (DWI) hyperintensity in cerebral cortex and thalamus, diffuse cortical T2/DWI hyperintensity, and lesions in the medulla, pons, cerebellum, and splenium of corpus callosum. Vascular abnormalities were seen in 12 (80%) patients with MRI abnormalities, mainly affecting the middle cerebral arteries. The spectrum of neurological manifestations ranged from seizures to Alice in Wonderland syndrome, underscoring the diverse impact of COVID-19 on pediatric patients. Conclusion: A high proportion of vascular abnormalities was observed in pediatric patients with neurological involvements, suggesting that vascular involvement is an important mechanism of neurological manifestations in omicron variant infection.

In this study, we introduced a novel approach by using natural calcium phosphate-based ceramic whitlockite as the matrix, natural silicon-based ceramic wollastonite fiber as the secondary phase, and desktop-level DLP 3D printing as the fabrication method to develop an all-natural ceramic porous bone scaffold with excellent mechanical, degradable, biomineralization, and cell responses. The results demonstrated that, at a solid loading of 75 wt% and a sintering temperature of 1000 °C, the compressive strength of the whitlockite porous scaffold reached 20.0 MPa. With the incorporation of wollastonite fiber, the compressive strength of the composite ceramic scaffold further increased to 31.0 MPa, achieving a top-tier level for desktop-level DLP-printed porous ceramic bone scaffolds. This mechanical enhancement effect was mainly attributed to the grain refinement effect of WF on whitlockite and the fiber reinforcement effect of WF. Additionally, the degradation rate of the composite ceramic scaffold increased with higher WF content, attributed to the rapid degradation rate of WF and the microstructural changes in the whitlockite matrix induced by WF doping. Furthermore, the biomineralization capability and cellular response of the composite ceramic scaffold were enhanced with WF doping, due to the improved degradation ability promoting the release of calcium, phosphate, and silicon ions. This study further validates the applicability of desktop-level DLP for fabricating ceramic bone scaffolds and provides evidence of the potential of all-natural ceramic whitlockite/WF as bone scaffold materials.

Background: Quercetin (QU) plays an important role in treating periodontitis; however, the mechanism through which microRNAs regulate Th17 cell differentiation has not been determined. Methods: QU was administered intragastrically to periodontitis rats once a day for one month. The morphology of alveolar bone was observed by micro-CT, gingival tissue structure was observed by HE staining, IL-6, TNF-α, IL-17A, RORγt, FOXP3 and IL-10 were detected by immunohistochemical staining, and Th17 and Treg cells in the peripheral blood were detected by flow cytometry. CD4+T cells were induced to differentiate into Th17 cells in vitro. Cell viability was determined by CCK8, and IL-17A and RORγt were detected by qPCR. Th17 cells were detected by flow cytometry, microRNA sequencing and bioinformatics analysis were used to screen key microRNAs, the phenotypic changes of Th17 cells were observed after overexpressed microRNAs via mimics. TargetScan database, in situ hybridization, and dual-luciferase reporter experiment were used to predict and prove target genes of microRNAs. The phenotype of Th17 cells was observed after overexpression of microRNA and target gene. Results: Compared with periodontitis group, the distance from cementoenamel junction(CEJ) to alveolar bone(AB) was decreased, the structure of gingival papilla was improved, IL-6, TNF-α, IL-17, and RORγt were downregulated, FOXP3 and IL-10 were upregulated, the proportion of Th17 decreased and Treg increased in peripheral blood after QU treatment. Compared with Th17 cell group, mRNA levels of IL-17A and RORγt were decreased, and proportion of Th17 cells was significantly lower in the coculture group. MiR-147–5p was low in control group, upregulated in Th17 cell group, and downregulated after QU intervention, it's eight bases were inversely related to 3′UTR of Clip3, miR-147–5p with Clip3 were co-located in cells of periodontal tissue. Compared with those in Th17-mimicsNC + QU cells, the mRNA levels of RORγt and IL-17A upregulated, and proportion of Th17 cells increased in Th17-miR-147–5p + QU cells. The miR-147–5p mimics inhibited the luciferase activity of the WT Clip3 3′UTR but had no effect on the Mut Clip3 3′UTR. Clip3 was significantly downregulated after the overexpression of miR-147–5p. Mimics transfected with miR-147–5p reversed the decrease in the proportion of Th17 cells induced by QU, while the overexpression of Clip3 antagonized the effect of miR-147–5p and further reduced the proportion of Th17 cells. Moreover, the overexpression of miR-147–5p reversed the decreases in the mRNA levels of IL-17 and RORγt induced by QU treatment, while pcDNA3.1 Clip3 treatment further decreased the mRNA levels of IL-17 and RORγt. Conclusion: QU reducing inflammatory response and promoting alveolar bone injury and repair, which closely relative to inhibit the differentiation of CD4+T cells into Th17 cells by downregulating miR-147–5p to promote the activation of Clip3.

Regarded as the most promising treatment modality for retinal degenerative diseases, retinal pigment epithelium cell replacement therapy holds significant potential. Common retinal degenerative diseases, including Age-related Macular Degeneration, are frequently characterized by damage to the unit comprising photoreceptors, retinal pigment epithelium, and Bruch's membrane. The selection of appropriate tissue engineering materials, in conjunction with retinal pigment epithelial cells, for graft preparation, can offer an effective treatment for retinal degenerative diseases. This article presents an overview of the research conducted on retinal pigment epithelial cell tissue engineering, outlining the challenges and future prospects.

The influences of heat treatment on the microstructure, element distribution, precipitation behaviour, mechanical properties, and corrosion resistance of S600E sorbitic stainless steel were studied. The influence of heat treatment on the precipitation kinetics of Cr23C6 was analysed through theoretical calculations. The results showed that the compositional nonuniformity of the hot-rolled experimental steel was eliminated with increasing solution temperature. The proportion of high-angle boundaries increased and the tempered sorbite structure coarsened with increasing tempering temperature. The main precipitated phases in the sorbitic stainless steel included large-sized Cr23C6 distributed along the grain boundaries and Nb and Ti carbides uniformly distributed within the grains. The temperatures with the fastest precipitation of M23C6 and MX phases were 870 °C and 950 °C, respectively, and the precipitation of MX could suppress the concentrated precipitation of Cr23C6 at the grain boundaries. By regulating the heat treatment process, the grain boundary area in the tempered sorbite structure was increased, the dissolution of Cr23C6 was promoted, and the precipitation kinetics of Cr23C6 were reduced, which suppressed the concentrated precipitation of Cr23C6 at the grain boundaries. Therefore, the mechanical properties and chloride pitting corrosion resistance of S600E sorbitic stainless steel were improved.

In this paper, the non-weldable precipitation-hardened superalloy Inconel 738 thin-wall parts were fabricated by laser directed energy deposition (LDED). The influence of post heat treatments including solution and aging heat treatments on the microstructures and mechanical properties of LDED-manufactured IN738 parts were investigated. The research results show that the phase composition of as-built and heat-treated IN738 alloys consisted of γ/γ’ and MC carbide. The microstructure of as-built IN738 alloy included fine columnar dendrites with a strong fibre texture parallel to the build direction. The smallest size of γ′ precipitates in the matrix led to the highest hardness value. By applying the post-heat treatment of 1120°C-2h+850°C-24 h, intense dislocation lines formed the network around the cuboidal γ′ precipitates. Moreover, the elongation of transverse and longitudinal tensile specimens reached the highest value of 26% and 17.4% respectively. With the increase of solution temperature, the fine columnar dendrites gradually enlarged along the direction vertical to the building direction. When the solution temperature increased to 1270 °C, the elongation of samples decreased obviously due to the enlarged columnar grains and the disappearance of dislocation network.

Introduction: Surgical ventricular reconstruction (SVR) is an alternative therapeutic approach in patients with refractory heart failure (HF), but residual remodeling after SVR limits the improvement of HF. Recently, we reported that SVR may act as an environmental cue to reactivate endogenous proliferation of cardiomyocytes; however, it is unclear whether enhancing endogenous cardiomyocyte regeneration further improves HF after SVR. Objectives: We aimed to explore whether circular RNAs (circRNAs) would involved in SVR and their mechanisms. Methods: Male C57BL/6 mice were subjected to myocardial infarction (MI) or sham surgery. Four weeks later, MI mice with a large ventricular aneurysm underwent SVR or a second open-chest operation only. Echocardiography and histological analysis were used to evaluate heart function, cardiac remodeling, and myocardial regeneration. Sequencing of circular RNAs, RNA immunoprecipitation, RNA pulldown, and luciferase reporter assay were used to explore the underlying mechanisms. Results: SVR markedly attenuated cardiac remodeling and induced cardiomyocyte regeneration, as evidenced by positive staining of Ki-67, phospho-histone H3 (pH3), and Aurora B in the plication zone, but significant residual remodeling still existed in comparison with the sham group. Sequencing results showed that SVR altered the expression profile of cardiac circRNAs, and circMap4k2 was identified as the most upregulated one. After characterizing circMap4k2, we noted that overexpression of circMap4k2 significantly promoted proliferation of cardiomyocytes in cultured neonatal rat cardiomyocytes and silencing of circMap4k2 significantly inhibited it; similar results were obtained in SVR-treated MI mice but not in MI mice without SVR treatment. Residual cardiac remodeling after SVR was further attenuated by circMap4k2 overexpression. CircMap4k2 bound with miR-106a-3p and inhibited cardiomyocyte proliferation by targeting a downstream effector of the antizyme inhibitor 1 (Azin1) gene. Conclusions: CircMap4k2 acts as an environmental cue and targets the miR-106a-3p/Azin1 pathway to increase cardiac regeneration in the plication zone and attenuate residual remodeling after SVR.

In this paper, it was found for the first time that with Sr addition in Al–Si–Mg–Ce alloy, the morphology of eutectic (Si) can be modified from branch to fine fibrous, while the bulk-like Al2Si2Ce phase may replace the elongated needle-like one. Moreover, Mg was observed to segregate along the (Al)/Al2Si2Ce interface and Sr was found to concentrate in the interior of Al2Si2Ce phase. Such heterostructured Sr–Al2Si2Ce was also supported by first-principles calculations. The synergistic morphology modification of eutectic (Si) and Al2Si2Ce phases by Sr addition stimulated the simultaneous improvement in strength and ductility in Al–Si–Mg–Ce alloy.

Background: Real-world vaccine effectiveness following the third dose of vaccination against SARS-CoV-2 remains less investigated among people with HIV (PWH). Methods: PWH receiving the third dose of BNT162b2 and mRNA-1273 (either 50- or 100-μg) were enrolled. Participants were followed for 180 days until the fourth dose of COVID-19 vaccination, SARS-CoV-2 infection, seroconversion of anti-nucleocapsid IgG, death, or loss to follow-up. Anti-spike IgG was determined every 1–3 months. Results: Of 1427 participants undergoing the third-dose COVID-19 vaccination, 632 (44.3%) received 100-μg mRNA-1273, 467 (32.8%) 50-μg mRNA-1273, and 328 (23.0%) BNT162b2 vaccine and the respective rate of SARS-CoV-2 infection or seroconversion of anti-nucleocapsid IgG was 246.1, 280.8 and 245.2 per 1000 person-months of follow-up (log-rank test, p = 0.28). Factors associated with achieving anti-S IgG titers >1047 BAU/mL included CD4 count 200 copies/mL (aOR, 0.27; 95% CI, 0.09–0.80), having achieved anti-spike IgG >141 BAU/mL within 3 months after primary vaccination (aOR, 3.69; 95% CI, 2.68–5.07), receiving BNT162b2 vaccine as the third dose (aOR, 0.20; 95% CI, 0.10–0.41; reference, 100-μg mRNA-1273), and having previously received two doses of mRNA vaccine in primary vaccination (aOR, 2.46; 95% CI, 1,75-3.45; reference, no exposure to mRNA vaccine). Conclusions: PWH receiving different types of the third dose of COVID-19 vaccine showed similar vaccine effectiveness against SARS-CoV-2 infection. An additional dose with 100-μg mRNA-1273 could generate a higher antibody response than with 50-μg mRNA-1273 and BNT162b2 vaccine.

Introduction: Sessile plants engage in trade-offs between growth and defense capacity in response to fluctuating environmental cues. MYB is an important transcription factor that plays many important roles in controlling plant growth and defense. However, the mechanism behind how it keeps a balance between these two physiological processes is still largely unknown. Objectives: Our work focuses on the dissection of the molecular mechanism by which GhMYB33 regulates plant growth and defense. Methods: The CRISPR/Cas9 technique was used to generate mutants for deciphering GhMYB33 functions. Yeast two-hybrid, luciferase complementary imaging, and co-immunoprecipitation assays were used to prove that proteins interact with each other. We used the electrophoretic mobility shift assay, yeast one-hybrid, and luciferase activity assays to analyze GhMYB33 acting as a promoter. A β-glucuronidase fusion reporter and 5′ RNA ligase mediated amplification of cDNA ends analysis showed that ghr-miR319c directedly cleaved the GhMYB33 mRNA. Results: Overexpressing miR319c-resistant GhMYB33 (rGhMYB33) promoted plant growth, accompanied by a significant decline in resistance against Verticillium dahliae. Conversely, its knockout mutant, ghmyb33, demonstrated growth restriction and concomitant augmentation of V. dahliae resistance. GhMYB33 was found to couple with the DELLA protein GhGAI1 and bind to the specific cis-elements of GhSPL9 and GhDFR1 promoters, thereby modulating internode elongation and plant resistance in V. dahliae infection. The ghr-miR319c was discovered to target and suppress GhMYB33 expression. The overexpression of ghr-miR319c led to enhanced plant resistance and a simultaneous reduction in plant height. Conclusion: Our findings demonstrate that GhMYB33 encodes a hub protein and controls the expression of GhSPL9 and GhDFR1, implicating a pivotal role for the miR319c-MYB33 module to regulate the trade-offs between plant growth and defense.

The application of ductile rock bolts has been a crucial method for solving the problems of large deformations, energy absorption and stability control issues in deep rock masses. To study the anchoring mechanism of the key expansive structure, this paper proposes a novel type of bolt — the Ductile-Expansion bolt, and conducts research on anchoring mechanics, energy absorption characteristics, and failure modes of the bolt. In addition, this paper defines the concept of load-volume ratio of metal rock bolts and proves the Ductile-Expansion bolt is capable of better improving the unit volume bearing capacity of the bolt material. Furthermore, laboratory and field tests verify the Ductile-Expansion bolt had better anchoring effect than the traditional rebar bolt, with the expansion structure favorably enhancing the ductility and energy absorption performance of the bolt. Finally, this paper microscopically analyzes the crack propagation and distribution morphology of the bolts by establishing a 3D coupled numerical model based on FDM-DEM. Numerical results illustrate the interface at the variable diameter of the Ductile-Expansion bolt serves as the transition zone between high and low stress levels. The expansion structure can impose radial compression on the medium around the bolt, which can improve the bolt anchorage performance.

Background: The SARS-CoV-2 virus has been a global public health threat since December 2019. This study aims to investigate the neurological characteristics and risk factors of coronavirus disease 2019 (COVID-19) in Taiwanese children, using data from a collaborative registry. Methods: A retrospective, cross-sectional, multi-center study was done using an online network of pediatric neurological COVID-19 cohort collaborative registry. Results: A total of 11160 COVID-19-associated emergency department (ED) visits and 1079 hospitalizations were analyzed. Seizures were the most common specific neurological symptom, while encephalitis and acute disseminated encephalomyelitis (ADEM) was the most prevalent severe involvement.In ED patients with neurological manifestations, severe neurological diagnosis was associated with visual hallucination, seizure with/without fever, behavior change, decreased GCS, myoclonic jerk, decreased activity/fatigue, and lethargy. In hospitalized patients with neurological manifestations, severe neurological diagnosis was associated with behavior change, visual hallucination, decreased GCS, seizure with/without fever, myoclonic jerk, fatigue, and hypoglycemia at admission. Encephalitis/ADEM was the only risk factor for poor neurological outcomes at discharge in hospitalized patients. Conclusion: Neurological complications are common in pediatric COVID-19. Visual hallucination, seizure, behavior change, myoclonic jerk, decreased GCS, and hypoglycemia at admission are the most important warning signs of severe neurological involvement such as encephalitis/ADEM.

Background: diabetices foot ulcer (DFU) are serious complications. It is crucial to detect and diagnose DFU early in order to provide timely treatment, improve patient quality of life, and avoid the social and economic consequences. Machine learning techniques can help identify risk factors associated with DFU development. Objective: The aim of this study was to establish correlations between clinical and biochemical risk factors of DFU through local foot examinations based on the construction of predictive models using automated machine learning techniques. Methods: The input dataset consisted of 566 diabetes cases and 50 DFU risk factors, including 9 local foot examinations. 340 patients with Class 0 labeling (low-risk DFU), 226 patients with Class 1 labeling (high-risk DFU). To divide the training group (consisting of 453 cases) and the validation group (consisting of 113 cases), as well as preprocess the data and develop a prediction model, a Monte Carlo cross-validation approach was employed. Furthermore, potential high-risk factors were analyzed using various algorithms, including Bayesian BYS, Multi-Gaussian Weighted Classifier (MGWC), Support Vector Machine (SVM), and Random Forest Classifier (RF). A three-layer machine learning training was constructed, and model performance was estimated using a Confusion Matrix. The top 30 ranking feature variables were ultimately determined. To reinforce the robustness and generalizability of the predictive model, an independent dataset comprising 248 cases was employed for external validation. This validation process evaluated the model's applicability and reliability across diverse populations and clinical settings. Importantly, the external dataset required no additional tuning or adjustment of parameters, enabling an unbiased assessment of the model's generalizability and its capacity to predict the risk of DFU. Results: The ensemble learning method outperformed individual classifiers in various performance evaluation metrics. Based on the ROC analysis, the AUC of the AutoML model for assessing diabetic foot risk was 88.48 % (74.44–97.83 %). Other results were found to be as follows: 87.23 % (63.33 %–100.00 %) for sensitivity, 87.43 % (70.00 %–100.00 %) for specificity, 87.33 % (76.66 %–95.00 %) for accuracy, 87.69 % (75.00 %–100.00 %) for positive predictive value, and 87.70 % (71.79 %–100.00 %) for negative predictive value. In addition to traditional DFU risk factors such as cardiovascular disorders, peripheral artery disease, and neurological damage, we identified new risk factors such as lower limb varicose veins, history of cerebral infarction, blood urea nitrogen, GFR (Glomerular Filtration Rate), and type of diabetes that may be related to the development of DFU. In the external validation set of 158 samples, originating from an initial 248 with exclusions due to missing labels or features, the model still exhibited strong predictive accuracy. The AUC score of 0.762 indicated a strong discriminatory capability of the model. Furthermore, the Sensitivity and Specificity values provided insights into the model's ability to correctly identify both DFU cases and non-cases, respectively. Conclusion: The predictive model, developed through AutoML and grounded in local foot examinations, has proven to be a robust and practical instrument for the screening, prediction, and diagnosis of DFU risk. This model not only aids medical practitioners in the identification of potential DFU cases but also plays a pivotal role in mitigating the progression towards adverse outcomes. And the recent successful external validation of our DFU risk prediction model marks a crucial advancement, indicating its readiness for clinical application. This validation reinforces the model's efficacy as an accessible and reliable tool for early DFU risk assessment, thereby facilitating prompt intervention strategies and enhancing overall patient outcomes.

Summary: Background: Since 1992, when recombinant hepatitis B vaccine was introduced in China, government health officials have used nationally representative serological surveys to monitor progress in prevention and control of hepatitis B. In 2020, we conducted the fourth seroepidemiological survey, which for the first time included medical evaluation of the clinical status of HBsAg positive subjects over the age of 15 and their medical management. We report survey results in comparison with the three previous surveys. Methods: Consistent with previous national surveys, the 2020 survey used a stratified, three-stage cluster random sampling method to select for evaluation 1-69-year-olds in 120 national disease surveillance points. Blood samples were tested for HBsAg, anti-HBV surface antigen (anti-HBs), and anti-HBV core antigen (anti-HBc) in the National Hepatitis Laboratory of the Institute for Viral Disease Control and Prevention of China CDC. HBsAg positive subjects aged ≥15-year were evaluated for evidence of liver disease, and through face-to-face questionnaire-based survey, we determined the healthcare management cascade of HBV-infected individuals. Findings: HBsAg prevalence in 1–69-year-olds was 5.86%; in children 1–4 years of age, seroprevalence was 0.30%; 75 million people were living with HBV nationwide. Among HBsAg-positive individuals 15 years and older, expert medical examination found that 78.03% were HBsAg carriers with no evidence of liver damage, 19.63% had chronic HBV with liver enzyme abnormalities, 0.84% had evidence of cirrhosis, and 0.15% had evidence of liver cancer. 59.78% of HBsAg + individuals were aware that they were positive before the survey, 30 million were unaware; 38.25% of those who knew they were positive (17 million) had medical indications for antiviral treatment, and 17.33% of these individuals (3 million) were being treated with antivirals. Interpretation: The decline in HBsAg prevalence in the general population, from 9.72% in 1992 to 5.86% in 2020, and in 1–4-year-olds from 9.67% in 1992 to 0.30% in 2020, shows progress that continues on track toward WHO targets for prevention of new infections. Implementation of acceptable strategies to identify infected individuals and offer long-term medical monitoring and management will be important to prevent complications from hepatitis B infection and for meeting WHO cascade-of-care targets. Funding: The study was funded by the Major Science and Technology Special Project of China’s 13th 5-Year Plan (grant no. 2017ZX10105015); Central finance-operation of public health emergency response mechanism of Chinese Center for Disease Control and Prevention (131031001000200001, 102393220020010000017).

ABSTRACT: Duck Tembusu virus (DTMUV) of the Orthoflavivirus genus poses a significant threat to waterfowl aquaculture. Nonstructural protein 1 (NS1), a multifunctional glycoprotein, exists in various oligomeric forms and performs diverse functions. The greasy finger (GF) region within NS1 of other flaviviruses has been shown to be a crucial component of the hydrophobic protrusion aiding in anchoring NS1 to the endoplasmic reticulum (ER). However, detailed studies on the role of the GF region in viral proliferation in vitro and the biological properties of NS1 remain scarce. A series of recombinant DTMUV (rDTMUV) with mutations in the GF region, including NS1-F158A, G159A, F160A, G161A, V162A, L163A, F160R, multipoint mutations (GF-4M), or regional deletions (ΔGF), were rescued using a DNA-based reverse genetics system. Only 5 rDTMUV variants (G159A, F160A, G161A, V162A, and L163A) could be rescued successfully, and these mutations were found to impair replication, reduce virulence, and decrease plaque size, as shown by growth kinetics, duck embryo virulence, and plaque assays, respectively. Upon examining NS1 expression by western blot, we discovered that secreted NS1 (sNS1) presented in large quantities in the supernatant of cells infected with rDTMUV-NS1-G159A, whereas intracellular NS1 was less abundant. These mutations also impacted the primary forms and secretion rates of NS1 in cases of overexpression by western blot and indirect ELISA. Exception for F160A and G161A, which showed decreased secretion rates, all other mutations increased sNS1 expression, with the most pronounced increase observed in F158A and ΔGF, and rDTMUV with these mutations can't be rescued. Co-localization studies of NS1 with the ER demonstrated that the ΔGF mutation attenuated NS1 anchoring to the ER, thereby inhibiting its intracellular residence and promoting secretion. Although these effects vary between flaviviruses, our data reveal that the GF region of NS1 is crucial for viral proliferation and NS1 secretion.

The optimal corticosteroids dose in patients with coronavirus disease 2019 (COVID-19) requiring high oxygen remains unknown. In this retrospective study of patients with COVID-19 requiring high oxygen and receiving corticosteroids, the efficacy, safety, and duration of high-dose treatment were evaluated. The primary outcome was all-cause mortality during follow-up. Safety outcomes included infection, gastrointestinal bleeding, and venous thromboembolic events. 210 patients were included, with 126 in Group A (corticosteroids at a equivalent dose 5 days). The all-cause mortality risk was lower in Group C but higher in Group B than in Group A. Safety outcomes did not differ significantly, except for Group C, which had the highest venous thromboembolism rate. Our results suggest that high-dose corticosteroids for a longer course decrease mortality with comparable safety outcome.

Based on system theory and the configuration perspective, this study uses the panel data-based qualitative comparison (PD-QCA) method in R and the panel data of the energy systems of China and the ‘Belt and Road’ countries from 1998 to 2020 to analyze the driving factors that affect the green development of energy systems in various countries and the configuration effect on the vertical axis of time and its synergistic promotion path. The research results show that： (1) the driving factors for the green development of the energy systems in various countries are characterized by multiple synergies and the same goals. Factors such as the energy supply side, demand side and basic development level cannot be the necessary conditions for the green development of the energy structure alone, and it is necessary to give full play to the synergy among various factors; (2) in the sufficiency analysis, seven configuration paths are found for collaboratively driving the green development of the energy system, which can be further refined into energy supply-driven, supply-demand-driven, demand-technology-driven and supply-demand-technology-driven paths; (3) capital input, the labour supply level, government support, technological innovation and the environmental regulation level constitute the core driving factors of the green development of energy systems, and there is a potential substitution relationship between capital input and environmental regulation levels.；(4) In the temporal dimension, the Chow breakpoint test verified that the countries along the “Belt and Road Initiative” had a sense of green development to energy after 2013; in the spatial dimension, the implementation effects of each collaborative path showed obvious regional applicability differences.

Summary: Understanding the adaptability of the motor cortex in response to bilateral motor tasks is crucial for advancing our knowledge of neural plasticity and motor learning. Here we aim to investigate the dynamic lateralization of contralateral-projecting corticospinal neurons (cpCSNs) during such tasks. Utilizing in vivo two-photon calcium imaging, we observe cpCSNs in mice performing a “left-right” lever-press task. Our findings reveal heterogeneous populational dynamics in cpCSNs: a marked decrease in activity during ipsilateral motor learning, in contrast to maintained activity during contralateral motor learning. Notably, individual cpCSNs show dynamic shifts in engagement with ipsilateral and contralateral movements, displaying an evolving pattern of activation over successive days. It suggests that cpCSNs exhibit adaptive changes in activation patterns in response to ipsilateral and contralateral movements, highlighting a flexible reorganization during motor learning This reconfiguration underscores the dynamic nature of cortical lateralization in motor learning and offers insights for neuromotor rehabilitation.

In this study, CuCr50 alloys were prepared by aluminum thermal reduction-high frequency refining process, and the properties were improved through hot forging and heat treatment. With increasing deformation, large Cr particles were spheroidized and refined, significantly improving the performance of the alloy. When the deformation exceeds 27%, the conductivity reaches 17.73 MS/m, the hardness reaches 116.5 HB, and the density reaches 7.91 g/cm3. After solution at 975 °C for 1h and aging at 550 °C for 4h, the conductivity of the CuCr50 alloy further increased to 19.63 MS/m, the hardness reaches 121.5 HB. Compared with the as-cast alloy, the conductivity, hardness and density are increased by 71.07%, 18.81% and 2.99%, respectively. In the 5% deformed CuCr50 alloy the precipitates of nanoscale Cr particles formed a co-lattice with the copper matrix. In the 14% deformed CuCr50 alloy, nanoscale Cr particles precipitated and dispersed in the Cu matrix, and the relationship between the precipitated Cr phase and the Cu matrix was incoherent. The amount of precipitated Cr phase in the 27% deformed CuCr50 alloy had a semi-coherent relationship with the Cu matrix, the orientations of Cu(2‾00)//Cr(110). The hardness enhancement is mainly attributed to grain refinement and density increase, and the conductivity enhancement is mainly attributed to Cr particle precipitation after aging treatment.

High entropy amorphous alloys (HE AMs) have attracted extensive interest lately due to their superior magnetocaloric properties. However, the critical behavior and mechanical properties have received less research, which restricts their applications. This work presented a comprehensive investigation of the magnetocaloric effect (MCE), critical behavior, and mechanical performance of quinary Gd20Dy20Er20Al20M20 (M = Fe, Co, Ni) HE AMs. All samples exhibited distinct spin glass-like behavior below TC and competitive MCE around hydrogen liquefaction temperature range. Excellent MCE was achieved by the HE AMs through a second-order phase transition from paramagnetic state to ferromagnetic state at 79 K for Fe, 41 K for Co, and 36 K for Ni. Among them, the maximum magnetic entropy change (-ΔSM)max of Gd20Dy20Er20Al20Co20 amorphous alloys was 9.59 J kg−1 K−1 under 0–5 T. Furthermore, RC and RCP of Gd20Dy20Er20Al20Fe20 amorphous alloys were respectively 519 J kg−1 and 613 J kg−1, larger than that of most RE-based amorphous alloys. For all samples, the critical behavior of the phase transition approached the mean field model, and this responded to the long-range ordering of the magnetic interaction. The bending plasticity of Gd20Dy20Er20Al20M20 (M = Fe, Co, Ni) HE AMs were 0.78, 1.03, 0.89, respectively. The adjustable Tc, large (-ΔSM), high RCP, and outstanding mechanical properties suggested Gd20Dy20Er20Al20M20 (M = Fe, Co, Ni) HE AMs may find utility as magnetic refrigerants in low-temperature applications.

Polyurethane grouting materials are widely utilized in dam restoration projects due to their advantages of early strength, rapid formation, high expansion and excellent impermeability. With the increasing complexity of the service environment, polyurethane grouting materials in practical engineering are influenced by factors such as ambient temperature, humidity, and external loads. These influences can lead to the emergence of damage cracks within and on the surface of the materials, which subsequently accelerate the propagation into macroscopic cracks, resulting in the deterioration of material properties. Consequently, this negatively impacts the effectiveness of the grouting repair. In this paper, the impact of service ambient temperature and humidity on the cracking process and fracture properties of polyurethane grouting materials were studied by three-point bending test. The findings revealed that the ambient temperature and humidity had insignificant influence on the failure morphology of polyurethane grouting materials, which consistently exhibited a flat and smooth surface. And the slight plastic deformation occurred around the pore edges in high temperature. With the increase of ambient temperature, degradation of the polyurethane matrix ensued, resulting in a decline in load-bearing capacity, fracture toughness, and fracture energy, accompanied by increased flexural strain. Notably, the brittleness of polyurethane became more pronounced at lower temperatures. The humidity environment slightly reduced the fracture toughness and fracture energy of polyurethane grouting materials.

Background: Mycoplasma genitalium is an emerging etiology of sexually transmitted infections (STIs) with increasing resistance to antimicrobials. Surveillance on the epidemiology of M. genitalium infection and antimicrobial resistance is warranted. Methods: Between September 2021 and August 2023, people with HIV (PWH) and people without HIV (PWoH) at risk of STIs were screened for M. genitalium infection using a multiplex polymerase-chain-reaction assay of specimens collected from the rectum, urethra, oral cavity, and vagina. The prevalences of resistance-associated mutations (RAMs) of M. genitalium to fluoroquinolones, macrolides, and tetracycline were investigated. Results: During the 2-year study period, 1021 participants were enrolled, including 531 PWH and 490 PWoH. Overall, 83 (8.1%) and 34 (7.6%) participants had M. genitalium infection at baseline and during follow-up, respectively, with the rectum being the most common site of detection (61.5%). With the first course of antimicrobial treatment, 27 of 63 (42.9%) participants with M. genitalium infection were cured during follow-up, including 24 of 58 (41.4%) who received doxycycline monotherapy. The prevalence of RAMs to macrolides, fluoroquinolones, and tetracyclines at baseline were 24.3%, 22.4%, and 7.9%, respectively. Though PWH had more M. genitalium infection (10.2% vs 5.9%, p = 0.01), a higher rate of RAMs to macrolides (41.0% vs 14.7%, p

Using undercooling technology combined with melt purification of glass and recirculation overheating, different undercoolings were successfully obtained for Cu60Ni38Co2 alloy samples. Applying high speed photography technique, the physical process of undercooled solidification was observed and relationship between undercooling and solidification rate was analyzed. Experimental results indicate the critical undercoolings exist in the structure evolution process. Electron backscatter diffraction (EBSD) analysis was applied to characterize the Cu60Ni38Co2 alloy sample with a maximum undercooling of 255K, revealing grain orientation and the corresponding orientation difference distribution. In addition, transmission electron microscopy (TEM) showed high density dislocation networks. Combining EBSD and TEM data analysis, an important conclusion was drawn: recrystallization is the main factor for grain refinement at high undercooling. This finding is of great significance for a deeper understanding of the structure evolution in the physical process of undercooled alloys.

In this paper, the similarity criterion and dimensionless conversion method combined with the elasticity condition and Hooke's law are used to derive the functional relationship of the maximum effective value of the vibration velocity between the prototype pump and the model pump. The seawater circulation pump of a nuclear power plant is used as the prototype pump, and the model pump is obtained by performance conversion and choosing the appropriate scale, and the vibration state of the model pump under different flow rates is measured and analyzed. The vibration data of the model pump through the function relationship to find out the vibration parameters of the prototype model pump, and compare with the vibration data of the seawater circulation pump in reality. It can be seen that with the increase of flow rate, the maximum effective value of the vibration velocity of both model and prototype decreases and then increases, and the relative error is small, the maximum value is 7.7757%. Therefore, it can be considered that the functional relationship of model pump converted to prototype pump derived in this paper can be used to analyze the vibration of the actual seawater circulation pump of coastal nuclear power plant.

Background: The RECOVERY trial demonstrated that the use of dexamethasone is associated with a 36% lower 28-day mortality in hospitalized patients with COVID-19 on invasive mechanical ventilation. Nevertheless, the optimal timing to start dexamethasone remains uncertain. Methods: We conducted a quasi-experimental study at National Taiwan University Hospital (Taipei, Taiwan) using propensity score matching to simulate a randomized controlled trial to receive or not to receive early dexamethasone (6 mg/day) during the first 7 days following the onset of symptoms. Treatment was standard protocol-based, except for the timing to start dexamethasone, which was left to physicians’ decision. The primary outcome is 28-day mortality. Secondary outcomes include secondary infection within 60 days and fulfilling the criteria of de-isolation within 20 days. Results: A total of 377 patients with COVID-19 were enrolled. Early dexamethasone did not decrease 28-day mortality in all patients (adjusted odds ratio [aOR], 1.03; 95% confidence interval [CI], 0.97–1.10) or in patients who required O2 for severe/critical disease at admission (aOR, 1.05; 95%CI, 0.94–1.18); but is associated with a 24% increase in superinfection in all patients (aOR, 1.24; 95% CI, 1.12–1.37) and a 23% increase in superinfection in patients of O2 for several/critical disease at admission (aOR, 1.23; 95% CI, 1.02–1.47). Moreover, early dexamethasone is associated with a 42% increase in likelihood of delayed clearance of SARS-CoV-2 virus (adjusted hazard ratio, 1.42; 95% CI, 1.01–1.98). Conclusion: An early start of dexamethasone (within 7 days after the onset of symptoms) could be harmful to hospitalized patients with COVID-19.

Background: Patients with hematological malignancies (HM) were at a high risk of developing severe disease from coronavirus disease 2019 (COVID-19). We aimed to assess the clinical outcome of COVID-19 in hospitalized patients with HM. Methods: Adult patients with HM who were hospitalized with a laboratory-confirmed COVID-19 between May, 2021 and November, 2022 were retrospectively identified. Primary outcome was respiratory failure requiring mechanical ventilation or mortality within 60 days after hospitalization. We also analyzed associated factors for de-isolation (defined as defervescence with a consecutive serial cycle threshold value > 30) within 28 days. Results: Of 152 eligible patients, 22 (14.5%) developed respiratory failure or mortality in 60 days. Factors associated with developing respiratory failure that required mechanical ventilation or mortality included receipt of allogeneic hematopoietic stem-cell transplantation (allo-HSCT) (adjusted hazards ratio [aHR], 5.10; 95% confidence interval [CI], 1.64–15.85), type 2 diabetes mellitus (aHR, 2.47; 95% CI, 1.04–5.90), lymphopenia at admission (aHR, 6.85; 95% CI, 2.45–19.15), and receiving

Background: The prognosis for people living with HIV (PLWH) who develop lymphomas has been greatly improved by combination antiretroviral therapy (cART) and anti-CD20 monoclonal antibodies. However, real-world clinical data on this patient group in Asia are limited. Methods: Treatment outcomes were retrospectively examined for 104 PLWH with lymphomas between 2000 and 2019. The cohort comprised five PLWH with Hodgkin lymphoma (HL) and 99 with non-Hodgkin lymphomas, including 61 with diffuse large B-cell lymphoma (DLBCL), 19 with Burkitt lymphoma (BL), nine with primary central nervous system lymphoma (PCNSL) and ten with other subtypes. Results: The 5-year overall survival (OS) rates were as follows: HL (100%), PCNSL (76.2%), other subtypes (60.0%), BL (57.4%), and DLBCL (55.6%). Individuals who achieved complete response (CR) to front-line therapies had a significantly better 5-year OS rate than those without (96.2% vs. 17.8%, p

Acidic mine drainage (AMD) is one of the primary pollutants from abandoned mines. This type of pollution is characterized by its extensive area, prolonged duration, and challenging detection process, especially in karst region with intricate hydrological systems, thereby posing a significant threat to the sustainable development of the economy. This paper focuses on the pollution of acidic mine water in the karst region of Southwest China and adopts a comprehensive watershed pollution management strategy. Considering the unique hydrogeological structure of the karst mines, the active water cycle, and the sensitivity and fragility of the ecological environment, this study proposes a set of acid mine drainage pollution control methods based on hydrogeological structures. These include “zonal management, one policy per mine; source control, pollution reduction; and end-of-pipe treatment, standard discharge.” This study applies coal mine water prevention and control techniques to environmental management, developing a series of source control methods including “filling, isolating, blocking, intercepting, draining, and controlling”. It also integrates physical, chemical, and biological methods for the end-of-pipe treatment of acidic mine water. This approach has been successfully applied to the management of acidic mine drainage in the Yudong River basin in Kaili, Guizhou. Long-term monitoring of the ''three-fields and four-water” revealed that rainfall significantly influences mine water quality. The study identified a “U-tube effect” whereby mine water exacerbates the pollution of karst water, leading to the development of a comprehensive prevention and control strategy termed the “three blocking (obstruction) and one guarantee” project. A comparative analysis of total iron content in the basin before and after treatment demonstrated a marked reduction, from 97.8mg/L to less than 0.3mg/L. This study provides a typical example for the prevention, control, and management of acid water pollution in karst areas across the watershed, and can serve as a reference for similar pollution management efforts.

Using the improved Quasi-Analytical Algorithm (QAA) and Landsat data, we documented the long-term changes in water clarity of the 17 largest lakes in the Middle-Lower Yangtze Plain from 1984 to 2023. A comprehensive dataset with over 4600 water clarity maps, reconstructed from 2511 Landsat series images, was compiled. The water clarity changes of these 17 lakes have a clear seasonal variation pattern, with the highest in summer and the lowest in winter. Over the past 40 years, water clarity of 59 % lakes shows a downward trend, with Junshan Lake showing the highest decrease rate of −0.0231 m/yr. 41 % lakes water clarity are showing an upward trend. From 1984 to 1990, the highest average ZSD (Secchi disk depth) values were recorded in Changhu Lake, Junshan Lake, Honghu Lake, Futou Lake, and Gehu Lake. These lakes, however, experienced the most significant declines compared to period from 2021 to 2023. Chaohu Lake, Taihu Lake, Caizi Lake, and Nanyi Lake, which had the lowest average ZSD during 1984–1990, showed the most substantial increases. Analyzing the monthly distribution of water level and ZSD data reveals that water clarity exhibits different seasonal variations in relation to water levels. The comprehensive dataset and analysis provide a crucial scientific basis for informed water resource management and policy-making in the region.

The effect of A. mongolicum Regel bulb powder (AMRP) supplementation on the flavour of beef from Angus calves has not been investigated thus far. We used GC–IMS and untargeted lipidomics techniques to examine the volatile compound and lipid metabolic profiles and reveal the effects of dietary AMRP supplementation on the flavour of beef. A total of 6 characteristic volatile compounds and 30 key lipid compounds were identified in the AMRP treatment group. AMRP promoted the release of triglycerides and phosphatidylinositols from beef and accelerated the production of volatile compounds such as ethyl acetate, 1-penten-3-one, and tetrahydrofurane, and the production of these three characteristic volatile compounds was significantly correlated with the UFAs in triglycerides according to correlation analysis. In summary, dietary AMRP supplementation had a positive effect on the flavour of beef, and these findings provide a theoretical basis for the development and utilisation of AMRP as a feed additive.

During conventional highway construction, quality control and acceptance (QC/QA) are based on limited spot tests of material density at random locations which may not comprehensively represent the entire compacted area and are vulnerable to potential biases. Based on roller-integrated positive maximum kinetic energy increment detection technique with real-time kinematic global positioning systems, this research adopted kinetic energy compaction value (KECV) as a real-time monitoring index for the highway compaction quality, and subsequently proposed an KECV-based assessment method to estimate the compaction quality of subgrade and pavement materials. Additionally, a global interpolation method (Green spline) was adopted to obtain estimates for both KECVs and compaction quality at any location on the work area, enabling the analysis of the passing rate of compaction quality for the entire work area. A case study on the Hengyong highway project in China indicates a highly linear correlation between the KECV and the compaction parameters, the compactness of LLL silt, and the relative density of cement-stabilized macadam; therefore, it can serve as a reliable index for monitoring compaction quality. Assessment of compaction quality on the entire work area can be fast and continuously achieved using the proposed method, which can effectively overcome the above limitation of conventional testing, timely feedback compaction information to avoid quality defects, and availably improve the construction quality of highways.

Bulb rot of lily (Lilium brownii var. viridulum), caused by Fusarium commune, is a serious soilborne disease of lily plants. In this study, several bacterial isolates were obtained from the rhizosphere of healthy lily plants and evaluated for biocontrol potential. Among the obtained isolates, GX1 had the highest level of antifungal activity in vitro, inhibiting the growth of F. commune by 52.0 %, relative to the control (CK). The isolate was identified as Bacillus velezensis based on its morphology and 16S rRNA and gyrB gene sequence analysis. The fermentation broth of GX1 after 12 d of fermentation at 25 °C (pH 7) exhibited strong antifungal activity. A crude lipopeptide extracts of GX1 fermentation broth was as effective (50.3 %) at inhibiting the mycelial growth of F. commune as living cultures of GX1. GX1 possesses fenD, bmyB, srfAA and bacA antimicrobial peptide (AMP) genes, which may be the primary source of its antifungal activity. GX1 significantly reduced the disease severity index of lily bulb rot in pot experiments, indicating that B. velezensis GX1 has substantial potential for the biological control of lily bulb rot.

Background: As the most common primary malignant bone tumor in children and adolescents, osteosarcoma currently lacks an effective clinical cure. Focal adhesion plays a crucial role in tumor invasion, migration, and drug resistance by mediating communication between the extracellular matrix and tumor cells. This study investigated the prognostic features and immunotherapeutic relevance of focal adhesion pathway-related genes in osteosarcoma to aid in the development of new therapeutic options. Methods: We obtained mutational, transcriptomic, gene expression, and clinical data of osteosarcoma patients from the Gene Expression Omnibus (GEO) and Therapeutically Applicable Research to Generate Effective (TARGET) databases. Differentially expressed genes were screened, followed by the Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Ontology (GO) analyses. Kaplan-Meier survival analysis was performed for genes related to the focal adhesion pathway, and multivariate Cox regression analysis was employed to construct a prognostic signature model. Genes such as SIGLEC15, TIGIT, CD274, HAVCR2, PDCD1, CTLA4, and LAG3 were extracted from the TARGET and CCLE databases for osteosarcoma patients and osteosarcoma cell lines, respectively，to observe the expression of immune checkpoint-related genes. Finally, qRT-PCR was used to verify the expression of these immune checkpoint-related genes in osteosarcoma cell lines. Results: In our study, 376 samples were analyzed, including 369 osteosarcoma samples and 7 normal tissue samples. We identified 50 up-regulated and 28 down-regulated differentially expressed genes. Among these, 10 Candidate genes relative to focal Adhesion were selected， and CAV1, ZYX, and ITGA5 were found to have a significant prognostic role based on survival analysis of osteosarcoma samples from the TARGET database. A predictive signature model related to the focal adhesion signaling pathway was constructed using these genes, and the AUCs of the 1-year, 3-year, and 5-year ROC curves were 0. 647, 0. 712, and 0. 717, respectively. The overall survival (OS) rate of osteosarcoma patients with high-risk scores was poorer than those with low-risk scores. Then, samples were divided into two subgroups based on the expression of the three genes, revealing significant differences in the expression of certain immune checkpoint-related genes between the subgroups. Additionally, above three genes and immune checkpoint-related genes in osteosarcoma cell lines were extracted from the CCLE database, showing high expression levels in eight osteosarcoma cell lines. We observed that CD274 and PDCD1LG2 were highly expressed in some osteosarcoma cell lines. Finally, the expression of CAV1, ZYX, ITGA5, CD80, CD274, and PDCD1LG2 in osteosarcoma cell lines was verified by qRT-PCR. Conclusions: Our study validated the prognostic role of three focal adhesion pathway-related genes (ZYX, CAV1, and ITGA5) in patients with osteosarcoma and constructed a prognostic signature model associated with the focal adhesion signaling pathway. We identified significant differences in the expression of multiple immune checkpoint-related genes among subgroups defined by the three genes. Additionally, CD274 and PDCD1LG2 showed higher expression in osteosarcoma cell lines characterized by these genes. These findings may aid in the selection of effective immunotherapy for specific osteosarcoma patients.

Hexafluoroisobutylene (HFIB) is an important compound widely used in semiconductor lithography materials, refrigerants, fluorine coatings, and pharmaceutical intermediates in the fluorination industry. Owing to its toxicity, the occupational exposure in the workplace, especially for pregnant woman is the concern and there is still lack of the data of HFIB toxicity on pregnancy and fetal development. Here, for the first time, we investigated the effects of HFIB on pregnant rats and fetal development. The pregnant rats were exposed to different doses of HFIB (0 ppm, 27.2 ppm, 53.5 ppm, 105.6 ppm) via whole-body inhalation for the period of organogenesis, which from implantation (gestation day 5) to the day prior to scheduled caesarean section (gestation day 19). The results showed that the pregnant rats exposed to 105.6 ppm HFIB displayed systemic toxicity, including a decrease in body weight and food consumption, as well as tracheal inflammation, pulmonary interstitial inflammation and renal tubular swelling. Moreover, reduced fetal and placental weights, delayed ossification, and a reduced number of ossification centers were observed in fetuses delivered by pregnant rats exposed to 105.6 ppm. These effects were attributed to severe maternal weight loss. In addition, it would be useful to note that no whole-body, visceral or skeletal congenital malformations were observed. However, HFIB exposure at 53.5 ppm showed no significant adverse effects on pregnant rats and fetuses. These findings demonstrate that 105.6 ppm HFIB is a toxic concentration, while 53.5 ppm HFIB is the no-observed-adverse-effect concentration (NOAEC) for both pregnancy and fetal development. This study for the first time to provide evidence for the health risk of HFIB exposure on pregnancy and fetal development.

Two-component room temperature vulcanizing silicone adhesive RTV566 with a lower elastic modulus has been widely used in precision optomechanical products such as remote sensors and aerospace infrared cameras. However, the silicone adhesive is of poor manufacturability due to its extremely high viscosity, and the bonded joint usually exhibits low bonding strength and requires a long curing time. This paper investigates a way to improve both the adhesion strength and curing efficiency of Invar alloy and optical glass with RTV566 through single-lap experiments. It is found that adding small amounts of acetone and water can significantly reduce the viscosity, enhance the bonding strength, and shorten the curing time. The viscosity can be reduced by 63.4 % and the bonding strength can be improved by 136.4 % with the weight ratio of adhesive to acetone being 20:2. Moreover, a little amount of water in the weight ratio of 100:10:0.1 (adhesive: acetone: water) can shorten the curing time from 7 days to 4 days without harms to the bonding strength and elastic modulus. As to the mechanism, the silicone adhesive can be dissolved by acetone and its sulfuration reaction can be enhanced by water, resulting in good manufacturability and high curing efficiency. This work contributes a novel and easy-to-use method to greatly improve the performances of the bonding process of precision optical structures.

Group communication and collaborative shopping models are favoured by consumers, so research on group opinion has attracted the attention of businesspeople. Based on the dual-process model (DW model), interaction rules for developing consumer opinions are constructed, and the influence of factors such as group structure, sponsor characteristics, and sub-opinions on collaborative shopping is investigated via numerical simulations. The results show that the group structure of consumers is closely related to the success of the joint purchase. The sponsor influences the development of the sub-options of the group, which can split the original convergent and consistent opinions, and the sub-options of the group can split within a specific range. The conclusions can provide theoretical support for businesspeople to successfully carry out collaborative shopping and promote the vigorous development of social commerce.

Inhibiting cholinesterase (ChE) such as AChE and BChE is thought to be one of the most effective treatments for Alzheimer’s disease (AD) and dementia. In the present work, a new facile method for (1S,4S)-4-(3,4-dichlorophenyl)-n-methyl-1,2,3,4-tetrahydronaphthalen-1-amine based analogues 4 (a–p) in good yield (66–93 %) were synthesized by refluxing demethylsertraline (2) with different aldehydes and ketones 3 (a–p). The newly synthesized analogues 4 (a–p) were characterized by physical and spectroscopic techniques for instance FTIR, LR-MS and HR-MS. The synthesized demethylsertraline based analogues 4 (a–p) were examined for their biological activities against acetylcholinesterase (AChE) and butyrylcholinesterase (BChE). In case of AChE activity, electron donating substituents have shown more inhibition as 4–hydroxyphenyl– (4b, IC50, 0.98 ± 0.99 µM) and 3,4–dimethoxyyphenyl– (4c, IC50, 1.0 ± 0.98 µM) and exhibited excellent binding affinity. In case of BChE activity, 4e consisting of electron withdrawing substituent has shown potent inhibition (1.26 ± 0.34 µM). Similarly, 4i and 4n depicted good inhibition with IC50 values 1.66 ± 0.78 µM and 1.66 ± 0.98 µM respectively as they possess weakly donating substituents. The structure activity relationship of BChE inhibition has shown opposite trend than AChE inhibition. It has been scrutinized that strong electron donating substituent decrease the BChE inhibitory activities whereas electron withdrawing groups greatly enhance the enzyme inhibition activity. In silico study of the synthesized compounds 4 (a–p) of the series was carried out. Compound 4b demonstrated excellent interaction with AChE compare with Eserine (standard) with a score of 6228 and an ACE value of –101.33 kcal/mol. Compound 4e demonstrated potent interaction with BChE compare with Eserine (standard) with a score of 6028 and ACE value of –258.53 kcal/mol. Compound 4b has the potential to serve as a lead molecule in medication development for Alzheimer’s disease treatment.

Background: The role of environmental factors, particularly air pollutants, in the prevalence of sarcopenia remains unclear. Objectives: This study explored the relationship between the prevalence of sarcopenia and prolonged exposure to air pollutants, and investigated potential interactions with genetic susceptibility and inflammation. Methods: Data from 408,117 people at baseline and 35,060 participants in the longitudinal analysis in the UK Biobank were used in this prospective cohort study. Utilizing land use regression models, air pollutants (nitrogen dioxide (NO2), nitric oxides (NOx), and particulate matter with aerodynamic diameters of ≤2.5 μm (PM2.5) and ≤10 μm (PM10) were estimated and classified into quartiles. Alterations in body composition were among the secondary results. Results: Lastly, 3353 people (0.8 %) developed sarcopenia. Higher levels of air pollutants were linked to an increased prevalence of sarcopenia after controlling for confounding variables (highest vs lowest quartile: NOx, OR, 1.21 [95 % CI, 1.16–1.26]; NO2, OR, 1.22 [95 % CI, 1.16–1.27]; PM2.5, OR, 1.17 [95 % CI, 1.12–1.22]; PM10, OR, 1.15 [95 % CI, 1.10–1.20]; all P

The pregnane X receptor (PXR)/nuclear factor-kB (NF-kB) signaling pathway plays a critical role in regulating toxin-induced inflammation and apoptosis in mammals. Whether dietary curcumin (CUR) can prevent copper (Cu)-induced liver injury via this signaling pathway remains to be established in aquatic animals. Juvenile largemouth bass (Micropterus salmoides) were exposed to dietary Cu and CUR treatments for 8 weeks. The results showed that chronic Cu exposure induced oxidative stress, causing liver function damage and liver injury. Cu exposure stimulated inflammation by regulating nf-kb and pro-inflammatory genes such as tnfα and il-1β and promoted apoptotic signals in the liver by modulating bcl2 and casp3 mRNA levels. In addition, Pearson correlation analysis verified that inflammatory and apoptotic responses were important indicators of Cu-induced liver injury. CUR attenuated stress responses by enhancing the antioxidant system. Importantly, CUR significantly stimulated PXR mRNA and protein levels in the Cu + CUR group and suppressed NF-κB activation to inhibit the inflammatory and apoptotic signaling cascade. These results suggest that CUR may be an effective activator of PXR in teleost fishes, exerting cytoprotective effects on Cu-induced liver injury via a PXR-mediated NF-κB repression mechanism. In conclusion, this study is the first to demonstrate that CUR may act as a potent PXR ligand that exerts hepatoprotective effects against Cu-induced liver injury. The findings shed light on the specific regulatory role of the PXR/NF-κB signaling pathway in liver pathogenesis and its potential as a therapeutic target in teleost fishes.

In the realm of active distribution networks, the Inverter Interfaced Distributed Generator (IIDG) poses a challenge with its diverse non-linear fault outputs stemming from varied control strategies and objectives. This presents a dilemma, balancing computational precision and speed in short-circuit current calculation. To address this issue, a novel methodology is proposed, utilizing a Graph Attention Network (GAT)-based model. This model is designed for rapid and precise computation of IIDG fault outputs, thereby enhancing the efficiency of the iterative calculation process. Integration of the superposition theorem significantly boosts the efficiency of short-circuit current calculation in active distribution networks. Moreover, the proposed approach successfully overcomes common problems, such as reduced accuracy and non-convergence, often encountered due to the dynamic nature of network structures. The utility and adaptability of this method are illustrated through various examples, showcasing its ability to accommodate networks with unknown structures and increased branch circuits, while ensuring consistent and reliable computational results.

Botanical pesticides are one of the most promising alternatives to synthetic insecticides for green pest management. However, their efficacies must be further improved to meet real needs. Here we designed a nanoscale camptothecin (CPT) encapsulated in a star polycation (SPc) and determined its bioactivity against a devastating agricultural pest, Spodoptera frugiperda. The self-assembly of CPT/SPc complex was mainly driven by hydrogen bonding and Van der Waals forces to decrease the particle size from 789 to 298 nm. With the help of SPc, the contact angle of CPT decreased from 116° to 92° on maize leaves, and its retention was increased from 5.53 to 11.97 mg/cm2. The stability of SPc-loaded CPT was also improved in an alkaline environment, which is beneficial for its acting in lepidopteran insect guts. The CPT/SPc complex had stronger larvicidal activity and ovicidal activity against S. frugiperda than CPT alone, led to more complex transcriptomic changes in larvae, and had obvious adverse impacts on the activities of two digestive enzymes. Our findings demonstrated that the encapsulation of CPT by SPc-based nanodelivery system enabled better insecticidal activities against S. frugiperda, which holds great promise for the development of more efficient and sustainable pest control strategies to meet the demands of modern crop protection.

With potato starch (PS) and corn starch (CS) as the controls, the structure and physicochemical properties of grain amaranth starch (GAS) and its binding with dihydromyricetin were investigated in this study. The results indicated that GAS granules were small in size (3.21 ± 0.13 μm) and had a low amylose content (11.57 ± 0.91%). GAS exhibited low paste clarity, solubility, and swelling power, but demonstrated good freeze-thaw stability and resistance to retrogradation. Although the pasting temperature of GAS was high (75.88 ± 0.03 °C), its peak viscosity, breakdown viscosity, and setback viscosity were significantly lower than those of PS and CS. GAS was classified as A-type starch, with a high molecular weight and broad distribution (Mw, 3.96 × 107 g/mol; PDI, 2.67). For its chain length distribution, chain B1 had the highest proportion (50.09%), while chain B3 had the lowest proportion (13.50%). The complexation of GAS with dihydromyricetin effectively enhanced its ABTS and DPPH free radical scavenging capacities.

In urban areas, variations in the functional usage of buildings or their clusters directly influence the 2D/3D morphology of buildings which can lead to changes in the ventilation potential (VP) at different heights, but there is a lack of refined quantitative relationship analysis between 3D building form parameters (BFPs) and VP at different heights within a certain urban area. The objective of our study is to obtain simulated wind field data from different heights, considering distances from roads, and transverse and longitudinal sections. We employ partial correlation analysis, simple correlation analysis, and Geographic detectors to uncover the extent and mechanisms of the influence of BFPs on the ventilation effectiveness of neighborhoods in a major urban center in China, specifically Nanjing. The findings demonstrate that, at all heights, there is an inverse relationship between wind speed and building density (BD), with the location of higher wind speed generally aligning with the intersection points. The correlation coefficients between BD and simulated wind speed are 0.040 (1.5 ​m), −0.475 (10 ​m), and −0.314 (30 ​m), while the correlation coefficients between building height (BH) and simulated wind speed are 0.237. However, no significant correlation is observed between floor area ratio (FAR) and simulated wind speed. Geographic detector analysis reveals differences in the correlation between BFPs and simulated wind speed at different heights within various building functional areas. Our study provides some practical information for urban planners and designers to carry out wind sensitivity and adaptation planning and urban design.

Background and objective: Robot-assisted radical prostatectomy (RARP) is widely used because of the many advantages of a robotic approach. The da Vinci Si robot is one of the most commonly used surgical robot systems, but it may be associated with higher costs owing to the use of consumable surgical supplies. Our aim was to conduct a preliminary investigation of the capability of the MP1000 system for RARP. Methods: In this prospective, multicentre, single-blinded study, we randomly assigned 42 patients scheduled to undergo RARP between April and September 2021 to a da Vinci Si group (control) or an MP1000 group (intervention). Patients underwent RARP performed using the assigned robotic system and were followed up at 3-mo intervals. The primary outcome was the rate of conversion to open/laparoscopic surgery. Secondary outcomes were installation and operation times, intraoperative blood loss, postoperative surgical margin status, hospital stay, incontinence, complications, safety indicators, and surgeon ergonomics. Key findings and limitations: All procedures were successfully completed without conversion to open/laparascopic surgery or major complications. Secondary outcomes, including oncological and ergonomic indicators, did not differ significantly between the groups over the study period. One patient in the control group experienced dysuria (Clavien-Dindo grade 3). No patients had incontinence at 3 mo. A limitation of the study is the small sample size. Conclusions and clinical implications: RARP with the MP1000 system is feasible, safe, and effective in the management of localised prostate cancer. Patient summary: We assessed the effectiveness and safety of the new MP1000 robot system for robot-assisted removal of the prostate in comparison to the da Vinci Si robot. We found no difference in effectiveness or safety among 42 patients with prostate cancer who were assigned randomly to one of the two systems. We conclude that the MP1000 is a suitable robot for this surgery.

Background: Carbapenem-resistant Klebsiella pneumoniae (CRKP) poses a substantial healthcare challenge. This study assessed the in vitro efficacy of selected antibiotic combinations against CRKP infections. Methods: Our research involved the evaluation of 40 clinical isolates of CRKP, with half expressing Klebsiella pneumoniae carbapenemase (KPC) and half producing Metallo-β-lactamase (MBL), two key enzymes contributing to carbapenem resistance. We determined the minimum inhibitory concentrations (MICs) of four antibiotics: eravacycline, tigecycline, polymyxin-B, and ceftazidime/avibactam. Synergistic interactions between these antibiotic combinations were examined using checkerboard and time-kill analyses. Results: We noted significant differences in the MICs of ceftazidime/avibactam between KPC and MBL isolates. Checkerboard analysis revealed appreciable synergy between combinations of tigecycline (35%) or eravacycline (40%) with polymyxin-B. The synergy rates for the combination of tigecycline or eravacycline with polymyxin-B were similar among the KPC and MBL isolates. These combinations maintained a synergy rate of 70.6% even against polymyxin-B resistant isolates. In contrast, combinations of tigecycline (5%) or eravacycline (10%) with ceftazidime/avibactam showed significantly lower synergy than combinations with polymyxin-B (P

A new weathering steel suitable for low salinity conditions was developed in this paper. The corrosion evolution of test steel under simulated tropical marine atmosphere was studied by alternating dry/wet corrosion tests, electrochemical techniques, morphology characterization and component analysis. It was indicated that the relative corrosion performance ratio of Mo-alloyed Ni-advanced weathering steel is superior to that of 3Ni steel due to the adsorption of Mo's oxide by NiFe2O4 in the rust layer. This interaction prevents NiFe2O4 from disintegrating, enhances the density of the rust layer, and improves its protecti0ve properties.

The liquid lead-bismuth cooled fast reactor has been in a single-phase, low-pressure, and high-temperature state for a long time during operation. Considering the requirement of calculation efficiency for long-term transient accident calculation, based on a homogeneous hydrodynamic model, one-dimensional heat conduction model, coolant flow and heat transfer model, neutron kinetics model, coolant and material properties model, this study used the fully implicit difference scheme algorithm of the convection-diffusion term to solve the basic conservation equation, to develop the transient analysis program NUSOL-LMR 2.0 for the lead-bismuth fast reactor system. The steady-state and typical design basis accidents (including reactivity introduction, loss of flow caused by main pump idling, excessive cooling, and plant power outage accidents) for the ABR have been analyzed. The results are compared with the international system analysis software ATHENA. The results indicate that the developed program can stably, accurately, and efficiently predict the transient accident response and safety characteristics of the lead-bismuth fast reactor system.

Background: Yunnan Baiyao (YNBY), a traditional Chinese medicine, is renowned for its anti-inflammatory properties. Recent studies have suggested that YNBY plays a significant role in inhibiting osteoclast differentiation and autophagy, which are essential processes in inflammation and bone resorption associated with periodontitis. However, the precise relationship between autophagy and the mechanism by which YNBY inhibits osteoclastogenesis remains unexplored.The primary objective of this study was to investigate the inhibitory effects of YNBY on the process of osteoclastogenesis and its potential in preventing inflammatory bone loss. Methods: The animals were subjected to sacrifice at intervals of 2, 4, and 6 weeks postintervention whilst under deep anaesthesia, and specimens were subsequently collected. The specimens were subjected to hematoxylin and eosin (HE) staining, in addition to tartrate-resistant acid phosphatase (TRAP) staining and subsequently imaged employing a digital scanner. The confirmation of osteoclast (OC) differentiation and autophagic flux was achieved through various techniques, including western blotting, transmission electron microscopy (TEM), TRAP staining, pit formation assay, and immunofluorescence. Results: The microcomputed tomography images provided evidence of the effective inhibition of alveolar bone absorption at 2, 4, and 6 weeks following YNBY treatment. Additionally, the histomorphometric evaluations of tissue segments stained with HE and TRAP, which involved measuring the distance between the alveolar bone crest (ABC) and cementoenamel junction (CEJ) and quantifying TRAP-positive OCs, yielded comparable results to those obtained through computed tomography analysis. YNBY treatment resulted in a decrease in the CEJ–ABC distance and inhibition of OC differentiation. Furthermore, in vitro studies showed that the autophagy modulators rapamycin (RAP) and 3-methyladenine (3-MA) significantly affected OC differentiation and function. YNBY attenuated the impact of RAP on the differentiation of OCs, autophagy-related factor activation, and bone resorption. Conclusions: We hypothesise that YNBY suppresses the differentiation of OC and bone resorption by blocking autophagy. This study reveals that targeting autophagy might be a new alternative treatment methodology for periodontitis treatment.