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The performance of refractory high-entropy alloys (RHEAs) is closely related to the content of their constituent elements, which makes compositional exploration through traditional trial-and-error methods a challenging and time-consuming endeavour, with the goal of developing an alloy that exhibits both high ductility and high specific yield strength. A dataset of the alloys' performance parameters was established by applying first-principles and molecular dynamics calculations. The combination of the aforementioned dataset with the solid solution strengthening (SSH) model and the D (γs/γusf) parameter enabled the construction of a highly accurate strength-ductility prediction model for the alloys through the use of an XGBoost algorithm. The model was employed to predict the compositions of two novel RHEAs and their mechanical properties were verified by experiments. The predicted results are in general agreement with the trends of the experimental data. The Ti35V35Nb10Mo20 alloy exhibiting excellent comprehensive performance, achieving a specific yield strength of 149.55 kPa m3/kg, which is 10.97% higher than that of traditional equiatomic alloy, and a compressive strain exceeding 50%. In conclusion, this work presents an effective alloy design strategy, offering a new approach for the future design of high-performance RHEAs.

Fused silica glass, known for its exceptional physical and chemical properties, is widely used across diverse industries. Cerium oxide (CeO2), a common polishing abrasive, is extensively employed in polishing fused silica surfaces. Studies have revealed that chemical reactions occur on fused silica surfaces during polishing processes with CeO2 abrasives. While these chemical reactions have been studied in the context of chemical-mechanical polishing on fused silica surfaces, the chemical impacts of employing a small, compliant polishing tool on fused silica surfaces remain unclear. In this study, we use CeO2 abrasive and alumina (Al2O3) abrasive as polishing slurries and utilize a bonnet tool to polish fused silica surfaces. Through a comparative analysis of the removal efficiency of the tool influence function, alterations in surface hardness, and the sub-surface damage layer, we found that the primary factor governing material removal is the chemical reactions between CeO2 and fused silica. These reactions effectively soften the fused silica molecule layers and contribute to rapid material removal. This research fills the knowledge gap regarding the chemical effects during bonnet polishing with CeO2 abrasive. It offers valuable insights for efficient material removal control in the context of bonnet polishing fused silica surfaces. These insights will also be applicable to other computer-controlled polishing processes for fused silica glass utilizing CeO2 slurry.

Sepsis, a life-threatening medical condition, manifests as new or worsening organ failures due to a dysregulated host response to infection. Many patients with sepsis have manifested a hyperinflammatory phenotype leading to the identification of inflammatory modulation by corticosteroids as a key treatment modality. However, the optimal use of corticosteroids in sepsis treatment remains a contentious subject, necessitating a deeper understanding of their physiological and pharmacological effects. Our study conducts a comprehensive review of randomized controlled trials (RCTs) focusing on traditional corticosteroid treatment in sepsis, alongside an analysis of evolving clinical guidelines. Additionally, we explore the emerging role of artificial intelligence (AI) in medicine, particularly in diagnosing, prognosticating, and treating sepsis. AI's advanced data processing capabilities reveal new avenues for enhancing corticosteroid therapeutic strategies in sepsis. The integration of AI in sepsis treatment has the potential to address existing gaps in knowledge, especially in the application of corticosteroids. Our findings suggest that combining corticosteroid therapy with AI-driven insights could lead to more personalized and effective sepsis treatments. This approach holds promise for improving clinical outcomes and presents a significant advancement in the management of this complex and often fatal condition.

In current genomic research, the widely used methods for predicting antimicrobial resistance (AMR) often rely on prior knowledge of known AMR genes or reference genomes. However, these methods have limitations, potentially resulting in imprecise predictions owing to incomplete coverage of AMR mechanisms and genetic variations. To overcome these limitations, we propose a pan-genome-based machine learning approach to advance our understanding of AMR gene repertoires and uncover possible feature sets for precise AMR classification. By building compacted de Brujin graphs (cDBGs) from thousands of genomes and collecting the presence/absence patterns of unique sequences (unitigs) for Pseudomonas aeruginosa, we determined that using machine learning models on unitig-centered pan-genomes showed significant promise for accurately predicting the antibiotic resistance or susceptibility of microbial strains. Applying a feature-selection-based machine learning algorithm led to satisfactory predictive performance for the training dataset (with an area under the receiver operating characteristic curve (AUC) of > 0.929) and an independent validation dataset (AUC, approximately 0.77). Furthermore, the selected unitigs revealed previously unidentified resistance genes, allowing for the expansion of the resistance gene repertoire to those that have not previously been described in the literature on antibiotic resistance. These results demonstrate that our proposed unitig-based pan-genome feature set was effective in constructing machine learning predictors that could accurately identify AMR pathogens. Gene sets extracted using this approach may offer valuable insights into expanding known AMR genes and forming new hypotheses to uncover the underlying mechanisms of bacterial AMR.

The objective of this study was to investigate the influences of integrated solution and aging treatment (SAT) on the compressive properties of laser powder bed fusion (LPBF) Corrax maraging stainless steel lattices. Cubic and face-centered cubic with Z-axis strut (FCCZ) lattices were produced and used to formulate two types of functionally-graded material (FGM) lattices. The lattices with FGM directions parallel and vertical to the stress were designated as FGM-P and FGM-V lattices, respectively. The compressive performances and fracture mechanisms were identified experimentally by digital image correction and theoretically by finite element analysis.The results show that SAT can significantly increase the specific strengths of these lattices by 34–42 %. The compressive performances and fracture mode of the FGM-V sample principally corresponded to the rule of mixture. However, the FGM-P sample did not follow the rule of mixture because its deformation concentrated only in the cubic-dominated regions. Moreover, the SEAs of the cubic and FGM-P samples were respectively improved by 30 % and 19 % by SAT, given their higher compressive strength and stable stress–strain curve. SAT can be applied to further extend the future application of these materials as cost-effective, high-performance lightweight structural materials.

This study investigates the microstructure and tensile properties of vacuum-brazed joints of Ti–48Al–2Cr–2Nb (Ti4822) and Ti–22Al–25Nb (Ti2AlNb) intermetallic alloys using Ti-based filler metals, with and without the addition of Zr element. Detailed microstructural characterization of the brazed joints was conducted using Electron Backscatter Diffraction and Transmission Electron Microscopy, identifying various phases and their distributions. The tensile properties were tested at room temperature and at 650 °C, revealing the influence of Zr on the mechanical performance of the joints. The results demonstrated that the microstructure of joints brazed with Zr-containing filler metals exhibited a layered structure with brittle Zr-enriched intermetallic compounds, limiting their mechanical properties. Conversely, Zr-free filler metals yielded more homogeneous and ductile microstructures, significantly improving tensile strength and elongation. The Zr-free joints obtained after holding at 980 °C for 60 min exhibits the highest tensile strength, reaching 368.23 MPa at room-temperature and 293.46 MPa at 650 °C, respectively. These findings provide valuable insights for optimizing brazing processes and filler metal compositions to enhance the performance of TiAl-based intermetallic alloy joints.

To improve the tribological properties of polyurethane (PU) based water-lubricated bearings specifically under severe conditions, expanded graphite/paraffin (EG/paraffin) is synthesized as self-lubricating additives and incorporated into the polyurethane matrix. The tribological performance of the PU-EG/paraffin composites at dry and water-lubricated conditions is investigated systemically. Results show that the friction coefficient of PU-EG/paraffin composites can reach a minimum value of 0.18 and 0.08 under dry and water lubricating conditions, respectively, with a reduction of 77% and 62% compared to that of pure PU. Meanwhile, the wear rate of these composites also exhibits a significant decrease under both conditions. The wear surface morphology indicates that a lubricating film can be formed by paraffin or paraffin-water emulsion between the friction pairs, thereby significantly enhancing the lubrication state under dry and water lubricating conditions, respectively. The present work puts forward a practical and effective approach for manufacturing self-lubricating water-lubricated bearing materials.

In this study, nanotwinned Cu (NT-Cu) and SiO2 hybrid joints were fabricated at 200 °C and subjected to thermal cycling tests (TCTs) up to 2000 cycles for the reliability evaluation. It is intriguing that the measured electrical resistance of the Cu–Cu joints decreased as the cycle number increased. Interfacial microstructure analyses were carried out by plan-view and cross-sectional scanning transmission electron microscope (STEM) to analyze the evolution of microstructures at the bonding interfaces and correlate with the increase in the electrical conductivity. Results showed that the bonding quality and conductivity of the NT-Cu/SiO2 hybrid joints were enhanced after the TCTs. The electrical resistance of the joints decreased by 18% after 2000 temperature cycles. Plan-view STEM images indicate the boning interface consisted of numerous discrete nanoscale voids for the as-fabricated Cu–Cu joints, and they merged into larger voids of approximately 100 nm in diameter through Ostwald ripening mechanism during thermal cycling. Furthermore, grain growth also occurred in the interface, resulting in excellent bonding interfaces.

Gold–Platinum (Au–Pt) alloy demonstrates considerable promise as a material for spacecraft proof mass, due to its ultra-low magnetic susceptibility. This study systematically investigates the effect of heat treatment on the microstructure evolution, magnetic properties, and mechanical performance of the Au72Pt28 alloy. The results indicate that the Pt-rich phase can be precipitated by discontinuous precipitation (DP) and continuous precipitation (CP) reactions. There is a competition between the two precipitation behaviors of Pt-rich phase, which is closely related to their diffusion path. With increasing ageing time and temperature, the discontinuous precipitates gradually coarsen and extend from grain boundaries into grain interior, while the Pt-rich phase nanoparticles precipitated by CP reaction uniformly distribute in the grain interior. Besides, the volume fraction of Pt-rich phase gradually increases, resulting in the increase of magnetic susceptibility. The coarsening of discontinuous precipitates is the main reason for the decrease in the nanoindentation hardness, and it increases rapidly due to a large number of intragranular Pt-rich phase nanoparticles.

Objective: To explore the application of enhanced recovery after surgery (ERAS) in the perioperative period of lung transplantation. Methods: We retrospectively collected the clinical data of 27 lung transplant patients who underwent ERAS during the perioperative period, while 12 lung transplant patients receiving routine treatment served as controls. General information was collected, including the specific implementation plan of ERAS, the incidence of complications and survival rate during the perioperative period (0.05). The perioperative survival of the ERAS group was 81.5%, which was higher than the control group (66.7%), but there is no statistically significant difference. Comparison of post-extubation NRS scores, the ERAS group had lower NRS scores at 12 h (5.30 ± 0.14 vs 6.25 ± 0.75), 24 h (3.44 ± 0.64 vs 5.58 ± 0.9), 48 h (2.74 ± 0.66 vs 4.08 ± 0.79) and 72 h (1.11 ± 0.80 vs 2.33 ± 0.49) than the control group, the difference was statistically significant (p0.05). Conclusion: The ERAS can be applied to lung transplant patients to relieve postoperative pain, shorten postoperative tube time, and shorten postoperative stay. Perioperative pulmonary rehabilitation exercises are beneficial to reducing the occurrence of postoperative pulmonary complications.

Two circularly polarized antenna arrays, which reduce two redundant OAM modes, are proposed in this paper. One antenna array is composed of 8 right-handed circularly polarized (RHCP) antennas and radiates OAM mode l in x component, OAM mode l in y component and OAM mode (l+1)in z component. The other antenna array has 8 left-handed circularly polarized (LHCP) antennas and transmits OAM mode l in x component, OAM mode l in y component and OAM mode (l−1)in z component. The RHCP and LHCP antenna arrays produce OAM waves with fewer redundant OAM modes compared to the traditional single-direction antenna array. The feed excitations of the two circularly polarized antenna arrays have the same feeding system, which includes power dividers and phase shifters. The reflection coefficient parameters, radiation patterns and phase distributions are measured to display the radiated characteristics of the two proposed methods. Both the simulation and the experimental results demonstrate the effectiveness of the proposed methods.

Inescapable stressful events often precipitate long-term alterations in emotion-related behaviors and poor sleep quality, with anxiety being a prevalent associated disorder. The defensive burying behavior of rodents is a response to imminent threats that becomes markedly pronounced in response to anxiety. However, the neural foundations of defensive burying behavior and etiology of anxiety remain largely unknown. In this study, we established a model employing object binding to elicit increased burying behavior in mice, thereby enhancing fear resolution and subsequently reducing anxious behaviors. Notably, the mice that associated shock with an object exhibited less object exploration and the zona incerta (ZI) neurons showed higher calcium activity during object exploration as compared to the Shock only mice. Although the calcium activity in ZI neurons of the Object mice was identical to the Shock only mice, the Object mice exhibited more burying behavior. Furthermore, the time spent in the center of the open-field test was directly proportional to the duration of burying behavior. Chemogenetic activation of ZI neurons extended the burying time and concomitantly ameliorated anxiety-like behavior. Importantly, chemogenetic enhancement of projection from ZI neurons to the ventral periaqueductal gray (vPAG), a brain region that plays a critical role in autonomic function, normalizes anxious behavior without influencing burying behavior. Collectively, these findings systematically reveal the functions and underlying mechanisms of the ZI-vPAG circuit in controlling behaviors akin to anxiety, offering significant insights into ZI's role in the pathophysiology of anxiety disorders.

Bevacizumab is widely used in various clinical indications, but investigations into its optimal dosage for treating CNS metastases remain limited. The BEEP regimen, comprising bevacizumab, etoposide, and cisplatin, has recently demonstrated promising clinical outcomes for patients with breast cancer brain metastasis (BCBM) or leptomeningeal metastasis (LM). This study aimed to evaluate the exposure-response relationship of bevacizumab in BCBM patients and to explore the improved CNS penetration of chemotherapy by bevacizumab with LM patients. Twenty-two BCBM patients and six LM patients receiving the BEEP regimen were enrolled. For BCBM patients, blood samples were drawn at trough level of cycles 1 and 6 to investigate the association between bevacizumab concentrations and clinical outcomes. For LM patients, plasma and cerebrospinal fluid (CSF) concentrations of bevacizumab and etoposide were measured to investigate the enhancement of etoposide penetration provided by bevacizumab. Concentration evaluation revealed that bevacizumab plasma concentrations substantially varied between individuals. Additionally, concentrations increased after 6 cycles, indicating bevacizumab accumulation during treatment. Although bevacizumab concentrations did not associate with therapeutic response and progression-free survival, patients with higher bevacizumab concentrations exhibited longer overall survival (adjusted HR 0.78; p = 0.039). Furthermore, a positive correlation was observed between time-weighted average concentration of plasma bevacizumab and CSF penetration of etoposide on day 2 (post-bevacizumab) relative to day 1 (pre-bevacizumab) (r = 0.83; p = 0.042). These findings offer valuable insights into the application of therapeutic drug monitoring of bevacizumab to improve survival outcomes in BCBM patients. Further studies are warranted to determine the optimal bevacizumab concentration.

Ecological networks play a crucial role in balancing conservation and development, with notable dependencies on spatial scale, particularly within specific scale ranges. However, there is limited research on the factors influencing the reliability of ecological source information transmission across multi-scales. To address this issue, we integrated a multi-scale analysis framework based on previous studies and examined landscape scales ranging from 102 to 105 km2 across four extents, utilizing a 30 m base resolution and six additional grain sizes. This study was conducted in two regions with distinct geographical features: the Yangtze River Delta Region (YRDR) and the Loess Plateau Region (LPR). We employed Morphological Spatial Pattern Analysis (MSPA) and Comprehensive Evaluation (CE) methods to identify ecological sources across different extents and grain sizes, while analyzing the influence of various factors on information transmission. Key findings include: (1) At the landscape level, among all factors, including extents and grain sizes, the influence of geographical features on ecological source information transmission is significant, and it is greater than that of the methods. (2) A comparison between plains and plateaus reveals significant differences in the changes of ecological source information, even exhibiting opposite characteristics. (3) Among the two methods used, the MSPA method demonstrates greater stability when the extent changes, while the CE method exhibits greater stability when the grain size changes. Additionally, the results obtained by applying constraints at different scales are more stable than those without such constraints. This study reveals the mechanisms of ecological source information transmission across scales, underscoring the necessity and urgency of further research within different scale ranges. It also emphasizes that accurately identifying ecological sources is essential for determining critical biodiversity conservation areas and guiding decision-makers in formulating effective conservation strategies and land-use planning.

Sheep and goat meat products are becoming increasingly popular among consumers due to their unique flavor derived from intramuscular fat (IMF), which contributes to formation of the distinctive odor. However, there is currently a dearth of reviews on the impact of IMF on the flavor of sheep and goat meat. The present review aims to discuss the relationships between IMF and flavor through lipid composition and fatty acid (FA) distribution, provide an overview of characteristic flavor compounds affecting the flavor of sheep and goat meat, and shed light on the impacts of pre-mortem and post-mortem factors on meat flavor attributed to changes in FAs and flavor compounds. Controlling pre-mortem practices and adjusting post-mortem harvesting methods are key factors in shaping and/or driving the flavor of sheep and goat meat products. This review enhances the comprehensive understanding of the impact of IMF on the flavor of sheep and goat meat.

Obesity-related glomerulopathy (ORG) represents an escalating public health with no effective treatments currently available. Abnormal lipid metabolism and lipid droplet deposition in the kidneys are key contributors to ORG. Cyanidin-3-glucoside (C3G) has shown potential in regulating lipid metabolism and may offer reno-protective effects; however, its therapeutic efficacy and underlying mechanisms in ORG remain unclear. An ORG mouse model was established, followed by an 8-week C3G intervention. The mice were divided into three groups: normal control (CT) group, ORG group, and C3G treatment group. Fecal 16S rRNA sequencing, metabolomics of feces-serum-kidney, and kidney single-cell RNA sequencing (scRNA-seq) were performed to investigate the effects and mechanisms of C3G. Compared to CT mice, ORG mice exhibited elevated serum CHO, TG, Cys-C, UACR, urinary Kim-1, and NAG levels, along with glomerular hypertrophy and tubular injury. These biochemical and pathological indicators improved following C3G treatment. Fecal 16S analysis revealed reduced gut microbiota diversity in ORG mice compared to CT mice, while C3G intervention increased gut microbiota diversity. Metabolic profiling of feces, serum, and kidney indicated reprogramming of glycerophospholipid metabolism in ORG mice, ameliorated by C3G treatment. Further analysis demonstrated that abnormal glycerophospholipid metabolites correlated with blood lipids, urinary protein, urinary tubular injury markers, and gut microbiota, specifically Lachnospiraceae and Blautia. Additionally, scRNA-seq analysis identified activation of the PPARγ/CD36 pathway in proximal tubule cells (PTCs) of ORG mice. C3G improved abnormal glycerophospholipid metabolism and alleviated injury in PTCs by inhibiting the PPARγ/CD36 pathway. C3G reduces lipid droplet accumulation in the PTCs of ORG mice by modulating the gut microbiota and inhibiting the PPARγ/CD36 pathway. These findings offer new insights and therapeutic targets for ORG.

Summary: Background: Although numerous prognostic scores have been developed for patients with cirrhosis after Transjugular intrahepatic portosystemic shunt (TIPS) placement over years, an accurate machine learning (ML)-based model remains unavailable. The aim of this study was to develop and validate a ML-based prognostic model to predict survival in patients with cirrhosis after TIPS placement. Methods: In this retrospective study in China, patients diagnosed with cirrhosis after TIPS placement from 2014 to 2020 in our cohort were included to develop a ML-based model. Patients from the other two tertiary hospitals between 2016 and 2022 were as external validation cohort. The random forest (RF) model was built using 7 selected features via the least absolute shrinkage and selection operator (LASSO) regression, and subsequent 10-fold cross-validation was performed. Findings: A total of 400 patients in our cohort were included (median age and interquartile range, 59 (50, 66); 240 men). Two hundred and eighty patients made up the training set and 120 were in the testing set, and 346 patients were included in the external validation cohort. Seven attributes were selected: Na, ammonia (Amm), total bilirubin (Tb), albumin (Alb), age, creatinine (Cr), and ascites. These parameters were included in a new score named the RF model. The accuracy, precision, recall, and F1 Score of the RF model were 0.84 (95% CI: 0.76, 0.91), 0.84 (95% CI: 0.77, 0.91), 0.99 (95% CI: 0.95, 1.00), 0.91 (95% CI: 0.81, 0.10) in the testing set, and 0.88 (95% CI: 0.84, 0.91), 0.89 (95% CI: 0.85, 0.92), 0.99 (95% CI: 0.97, 1.00), 0.93 (95% CI: 0.85, 0.97) in the validation cohort, respectively. The calibration curve showed a slope of 0.875 in the testing set and a slope of 0.778 in the external validation cohort, suggesting well calibration performance. The RF model outperformed other scoring systems, such as the (Child-Turcotte-Pugh score) CTP, (model for end-stage liver disease) MELD, (sodium MELD) MELD-Na, (Freiburg index of post-TIPS survival) FIPS and (Albumin-Bilirubin) ALBI, showing the highest (area under the curve) AUC of 0.82 (95% CI: 0.72, 0.91) and 0.7 (95% CI: 0.60, 0.79) in predicting 1-year survival across the testing set and external validation cohort. Interpretation: This study developed a RF model that better predicted 1-year survival for patients with cirrhosis after TIPS placement than the other scores. Funding: National Natural Science Foundation of China (grant numbers 81900552 and 82370628).

Blue honeysuckle (Lonicera caerulea L.) serves as a significant reservoir of polyphenol compounds. This impact of ultrasonication processing on the bioaccessibility of blue honeysuckle fruit puree during in vitro digestion was evaluated. The polyphenol compounds, antioxidant capacity and antiproliferative activity were measured, with a particular focus on determining the total proanthocyanidin content of the puree during digestion. The results revealed that the U300 W treatment significantly increased antioxidant content and enhanced the stability of antioxidant capacity, leading to stronger antiproliferative activity. A total of 33 compounds, including 14 phenolic acids, 5 flavanols, 1 flavanol-3-ol, 1 flavanone alcohol, 3 flavanones, 1 flavanone, and 8 non– polyphenols were found in both untreated and ultrasonicated puree during in vitro digestion. The untreated puree contained 22 compounds, while the ultrasonicated puree contained 33. Compared to untreated samples, ultrasonicated samples contained significantly higher levels of loganic acid, dihydrokaempferol, kaempferol derivatives, and plantagoside. Except for vanillic acid, citric acid, protocatechuic acid, and luteolin-4′-O-glucoside, the polyphenols showed a decreasing trend during oral-gastric-small intestinal-colon digestion. The U500 W ultrasonicated fruit puree exhibited the strongest antiproliferative activity. Overall, the results demonstrated that ultrasonication has the potential to enhance the bioaccessibility of antioxidant compounds and the antiproliferative activity of blue honeysuckle fruit puree.

Primary angiosarcoma of the breast (PBA), comprising less than 1% of all malignant breast tumors, presents challenges in both diagnosis and management. Given the unclear pathogenesis, consensus on the optimal treatment for primary angiosarcoma is lacking. Surgery remains the mainstay of management, while the role of adjuvant therapies remains controversial. Here, we present a case of primary angiosarcoma in a teenager with thalassemia. Following complete surgical excision, the patient could not to complete the full course of chemotherapy due to an intolerable side effect. Nonetheless, the patient remained free of recurrence or metastasis during the 1-year follow-up period. This case underscores the importance of thorough tumor removal in the management of primary angiosarcoma, emphasizing the need for interdisciplinary collaboration to refine treatment strategies and customize optimal approaches for individual patients. We also comprehensively reviewed a large body of literature and relevant data on the epidemiology, molecular mechanisms, and clinical treatment of PBA, in order to provide a better understanding of this disease.

Mesoderm induction is a crucial step for vascular cell specification, vascular development and vasculogenesis. However, the cellular and molecular mechanisms underlying mesoderm induction remain elusive. In the present study, a chemically-defined differentiation protocol was used to induce mesoderm formation and generate functional vascular cells including smooth muscle cells (SMCs) and endothelial cells (ECs) from human induced pluripotent stem cells (hiPSCs). Zebrafish larvae were used to detect an in vivo function of interleukin 10 (IL10) in mesoderm formation and vascular development. A three dimensional approach was used to create hiPSC-derived blood vessel organoid (BVO) and explore a potential impact of IL10 on BVO formation. A murine model hind limb ischemia was applied to investigate a therapeutic potential of hiPSC-derived cells treated with or without IL10 during differentiation. We found that IL10 was significantly and specifically up-regulated during mesoderm stage of vascular differentiation. IL10 addition in mesoderm induction media dramatically increased mesoderm induction and vascular cell generation from hiPSCs, whereas an opposite effect was observed with IL10 inhibition. Mechanistic studies revealed that IL10 promotes mesoderm formation and vascular cell differentiation by activating signal transducer and activator of transcription 3 signal pathway. Functional studies with an in vivo model system confirmed that knockdown of IL10 using morpholino antisense oligonucleotides in zebrafish larvae caused defective mesoderm formation, angiogenic sprouting and vascular development. Additionally, our data also show IL10 promotes blood vessel organoid development and enhances vasculogenesis and angiogenesis. Importantly, we demonstrate that IL10 treatment during mesoderm induction stage enhances blood flow perfusion recovery and increases vasculogenesis and therapeutic angiogenesis after hind limb ischemia. Our data, therefore, demonstrate a regulatory role for IL10 in mesoderm formation from hiPSCs and during zebrafish vascular development, providing novel insights into mesoderm induction and vascular cell specifications.

In this study, molecular dynamics (MD) simulations are employed to investigate the interactions between point defects and grain boundaries (GBs) in tungsten. Firstly, the segregation energy of vacancies (Vs) and self-interstitial atoms (SIAs) to GBs is examined. The results indicate that both Vs and SIAs tend to segregate towards GBs. Notably, the different types of GBs exhibit varying attraction to Vs and SIAs. The interaction radius is applied to investigate the degree of segregation, which is a significant index of GBs’ attraction to Vs and SIAs. The segregation radius of SIAs is typically larger than that of Vs. High-angle grain boundaries (HAGBs) show strong segregation for SIAs, facilitating the aggregation at GBs. Additionally, elastic theory is applied to qualitatively discuss the factors influencing the segregation energy distribution. The differences in atomic free volume caused by hydrostatic stress and the lattice distortion induced by point defects lead to Vs and SIAs occupying different sites. Finally, the nudged elastic band (NEB) method is employed to study the migration of Vs and SIAs near GBs, revealing that migration energy barriers for Vs and SIAs in GBs are much lower than in bulk. GBs facilitate the migration of point defects. Low-angle grain boundaries (LAGBs) present a higher energy barrier for V migration. Vs tend to occupy the compressive region, while SIAs tend to occupy the tensile region. Particularly, in comparison to Vs, SIAs are more likely to segregate to GBs due to higher binding energy, wider interaction radius, and extremely lower diffusion energy barrier. This provides some insights into the segregation and migration of point defects in GBs.

Vitiligo is an immune memory skin disease. T-cell factor 1 (TCF1) is essential for maintaining the memory T-cell pool. There is an urgent need to investigate the characteristics of peripheral memory T-cell profile and TCF1+ T-cell frequencies in patients with vitiligo. In this study, 31 patients with active vitiligo (AV), 22 with stable vitiligo (SV), and 30 healthy controls (HCs) were included. We measured circulating memory and TCF1+ T-cell frequencies using flow cytometry. The Spearman's rank test was used to evaluate the correlation between cell frequencies and disease characteristics. Receiver operating characteristic curves (ROC) were constructed to investigate the discriminative power of the cell subpopulations. Circulating CD4+ and CD8+ terminally differentiated effector memory T-cell (TEMRA) frequencies were significantly higher in the AV group than in HCs (P

Summary: Background: The worldwide geographical and temporal variation in the prevalence of diabetes represents a challenge, but also an opportunity for gaining etiological insights. Encompassing the bulk of East Asians, a large and distinct proportion of the world population, China can be a source of valuable epidemiological insights for diabetes, especially in early life, when pathophysiology begins. We carried out a nationwide, epidemiological survey of Prevalence and Risk of Obesity and Diabetes in Youth (PRODY) in China, from 2017 to 2019, to estimate the population-based prevalence of diagnosed pediatric diabetes and screen for undiagnosed pediatric type 2 diabetes (T2D). Methods: PRODY was a nation-wide, school population-based, cross-sectional, multicenter survey by questionnaire, fasting urine glucose test and simple oral glucose tolerance test (s-OGTT), among a total number of 193,801 general-population children and adolescents (covered a pediatric population of more than 96.8 million), aged 3–18, from twelve provinces across China. The prevalence of the self-reported pediatric diabetes, the proportion of subtypes, the crude prevalence of undiagnosed T2D and prediabetes in general juvenile population and the main risk factors of type 1 (T1D) and type 2 (T2D) diabetes had been analyzed in the study. Findings: The prevalence of all self-reported pediatric diabetes was estimated at 0.62/1000 (95% CI: 0.51–0.74), with T1D at 0.44/1000 (95% CI: 0.35–0.54) and T2D at 0.18/1000 (95% CI: 0.13–0.25). For undiagnosed T2D, the crude prevalence was almost ten-fold higher, at 1.59/1000, with an estimated extra 28.45/1000 of undiagnosed impaired glucose tolerance (IGT) and 53.74/1000 of undiagnosed impaired fasting glucose (IFG) by s-OGTT screening. Maternal diabetes history is the major risk factors for all subtypes of pediatric diabetes in China. Interpretation: The PRODY study provides the first population-based estimate of the prevalence of pediatric diabetes China and reveals a magnitude of the problem of undiagnosed pediatric T2D. We propose a practical screening strategy by s-OGTT to address this serious gap. Funding: The National Key Research and Development Programme of China, Key R&D Program of Zhejiang, the National Natural Science Foundation of China and the Zhejiang Provincial Key Disciplines of Medicine, Key R&D Program Projects in Zhejiang Province.

Proliferative vitreoretinopathy(PVR) is a type of fibrotic eye disease with a poor clinical prognosis. Increasing evidence has shown that the primary pathological mechanism of PVR is the epithelial-mesenchymal transition(EMT) of retinal pigment epithelium(RPE) cells. Histone deacetylase 3(HDAC3) is a crucial enzyme involved in regulating the acetylation level of proteins. Several studies have reported associations between HDAC3 levels and EMT in various tumors; however, the specific effect of HDAC3 on PVR remains largely unknown. The current study found that HDAC3 was highly expressed in both human PVR membranes and experimental PVR. In vivo, silencing HDAC3 in RPE cells reduced their ability to develop experimental PVR through suppression of EMT. In vitro, inhibition of HDAC3 in RPE cells suppressed EGF-mediated cell proliferation, migration, and EMT. Additionally, overexpression of HDAC3 in RPE cells promoted cell proliferation, migration, and EMT. Mechanistically, the results of chromatin immunoprecipitation(ChIP) and luciferase assays revealed a direct binding of the transcription factor MAZ to the promoter region of HDAC3, thereby promoting its transcription. Furthermore, It was demonstrated that HDAC3 facilitated EMT by interacting with AKT and contributing to its deacetylation. In summary, our findings indicated the involvement of HDAC3 in the EMT of RPE cells, as well as its role in PVR through the regulation of the AKT pathway. These results suggested that targeting HDAC3 could be a potential strategy for preventing and treating PVR.

The aggregation-caused quenching (ACQ) rationale has been employed to improve the fluorescence imaging accuracy of nanocarriers by precluding free probe-derived interferences. However, its usefulness is undermined by limited penetration and low spatiotemporal resolution of NIR-I (700–900 nm) bioimaging owing to absorption and diffraction by biological tissues and tissue-derived autofluorescence. This study aimed to develop ACQ-based NIR-II (1000–1700 nm) probes to further improve the imaging resolution and accuracy. The strategy employed is to install highly planar and electron-rich julolidine into the 3,5-position of aza-BODIPY based on the larger substituent effects. The newly developed probes displayed remarkable photophysical properties, with intense absorption centered at approximately 850 nm and bright emission in the 950–1300 nm region. Compared with the NIR-I counterpart P2, the NIR-II probes demonstrated superior water sensitivity and quenching stability. ACQ1 and ACQ6 exhibited more promising ACQ effects with absolute fluorescence quenching at water fractions above 40% and higher quenching stability with less than 2.0% fluorescence reillumination in plasma after 24 h of incubation. Theoretical calculations verified that molecular planarity is more important than hydrophobicity for ACQ properties. Additionally, in vivo and ex vivo reillumination studies revealed less than 2.5% signal interference from prequenched ACQ1, in contrast to 15% for P2.

With increasing local conflicts worldwide, studying the impact response of body armor is crucial for enhancing soldier survival rates. However, there is still insufficient understanding of the back bulge expansion patterns, the impact waves transmission features, and blunt injury assessing method of body armor. To investigate these problems deeply, the three-dimensional digital image correlation method and numerical models were employed to reveal the ballistic response mechanism of ceramic/ultra-high-molecular-weight polyethylene (UHMWPE) composite body armor impacted by 7.62 mm rifle bullet. This study built theoretical function for the bulge expansion, revealed the wave transmission mechanism and fractures in both materials and their interaction. Firstly, the experiment revealed that the back-face bulge transverse expansion velocity exhibits a double exponential decrease. Secondly, the contour of back-face bulges consistently demonstrated excellent hyperbolic characteristics at various moments. Thirdly, the average Viscous Criterion (VC) and Blunt Criterion (BC) values were 5.37 and 0.95, corresponding to Abbreviated Injury Scale (AIS) values of 6 and 4. Fourthly, the simulation revealed that the ceramics transverse and radial cracks seems primarily induced by shear stress xy; ceramics conical cracks occurring at the boundaries of equivalent stress seems primarily induced by stress in x and y directions. Fifthly, numerical results revealed that the velocity of compression waves within the laminate increases over time in the impact direction and consistent with ceramic velocity impacted on the laminate. These findings lead to experimental and theoretical advances in the impact response mechanism of composite body armor and provide index for improving the protective performance.

Amid escalating localized conflicts worldwide, the elucidation of the mechanisms and quantification blunt trauma the emergency services and military personnel confronted becomes imperatively. However, the understanding of bullet-induced bulge formation on the laminate's back face, impact wave propagation, and consequent trauma assessment methods remains incomplete. This study applies 3-dimension digital image correlation (3D-DIC) method to reveals these phenomena by utilizing a lead-core bullet traveling at 334.93 m/s to impact an ultra-high molecular weight polyethylene (UHMWPE) laminate. The results show that the initial transverse propagation velocity of bulge profile is 24.79% smaller than the theoretical calculation, which indicates the reduction caused by cohesive matrix. The transverse wave demonstrates a double exponential attenuation pattern, which could be decomposed into two single exponential attenuation curves. The bulge profile shows hyperbolic pattern, which reveals the stability of the bulge shape and the temporal evolution pattern. Increasing the laminate-body gap leads to a decline in Blunt Criterion (BC) and the Abbreviated Injury Scale (AIS) values reduce from 2 to 0 correspondingly. The numerical model confirms the compression wave velocity as 1447.77 ± 123.10 m/s in the thickness direction and 9542.86 ± 3087.75 m/s in the fiber direction. These findings reveals and quantified the propagation patterns of back bulge and compressive wave, and thus could provide data-driven insights to improve body armor performance and blunt trauma assessment for individual soldiers.

Background/Purpose: Congenital nephrotic syndrome (CNS) is one of the important causes of end-stage kidney disease in children. Studies on the genotype, phenotype, and clinical outcome in infants with CNS caused by genetic mutations are scarce. Methods: We analyzed the genetic background, clinical manifestations, treatment response, and prognosis of pediatric patients with CNS in Taiwan. Results: Fifteen infants with CNS were enrolled, and 11 patients of median age 21 (interquartile range 3∼44) days caused by genetic mutations from 10 unrelated families were included in the study. Of the eleven patients, 9 had extra-renal manifestations including microcephaly, facial dysmorphism, and skeletal anomalies. More than two-thirds of the patients had disease onset before 1 month of age. Diffuse meningeal sclerosis was the most common histological characteristic. Whole exome sequencing followed by direct Sanger sequence revealed mutations in OSGEP (R247Q), WT1 (R366H and R467Q), LAMB2 (Q1209∗ and c. 5432–5451 19 bp deletion), NUP93 (D302V), and LAGE3 (c.188+1G > A). Three of the variants were novel. Corticosteroids and/or immunosuppressants were administered in 2 patients, but both were refractory to treatment. During the mean 3.5 years of follow-up, all but two died of uremia and sepsis. The two survivors reached end-stage kidney disease and required peritoneal dialysis, and one of them underwent uneventful renal transplantation. Conclusion: The majority of patients with CNS in Taiwan were caused by OSGEP followed by WT1 mutation. R247Q is the hotspot mutation of OSGEP in Taiwan. CNS patients in Taiwan suffer from significant morbidity and mortality.

Background: Refractive errors, particularly myopia, are the leading visual disorders worldwide, significantly affecting the quality of life (QOL) even after correction. This scoping review focuses on health-related quality of life (HRQOL) measurements for children and adolescents with refractive errors. Main text: We explored generic and disease-specific HRQOL tools, examining their content, psychometric properties, and the impact of various interventions on QOL. Two English databases—PubMed, Embase, and one Chinese database, CNKI, were searched for relevant studies published from January 2001 to October 2023. Inclusion criteria encompassed studies using standardized instruments to assess the QOL of children aged 0–18 with refractive errors. The review compares prevalent HRQOL measurements, analyzes children's refractive error assessments, and discusses intervention effects on patient QOL. Conclusions: The study underlines the necessity of developing disease-specific QOL instruments for very young children and serves as a practical guide for researchers in this field. The findings advocate for a targeted approach in HRQOL assessment among the pediatric population, identifying critical gaps in current methodologies.

Purpose: To study the clinical effectiveness of the topical application of tranexamic acid in hand tendon release. Methods: This was a randomized controlled trial conducted after receiving approval from the local ethics committee according to guidelines from the Helsinki Declaration. Eighty patients who underwent hand tendon release operation in our hospital from January 2021 to December 2022 were included and randomly divided into 2 groups. Patients in the tranexamic acid group (40 cases) received intraoperative topical application of 2 g of tranexamic acid after tendon release, while patients in the conventional group (40 cases) did not receive topical application of tranexamic acid during operation. The operation time, perioperative hemoglobin changes, total blood loss, incidence of early postoperative complications, and total active movement (TAM) before surgery and 6 months after surgery were compared between the 2 groups. The continuous variable which follows normal distribution expressed by mean ± SD and used t-test to compare between groups. Meanwhile, categorical variables were used by Chi-square test, and a p

Exploring efficient, low-cost electrocatalysts is critical for improving the efficiency of water splitting reactions. Noble-metal-based oxides exhibit high activities in the oxygen evolution reaction (OER). However, their high cost and the lack of natural resources hinder their practical application. Therefore, in this study, we successfully synthesized an FeCoNiMgB high-entropy boride powder via a facile chemical reduction method for use as an OER catalyst in an alkaline medium. The FeCoNiMgB powder, with an ultrathin fluffy cotton structure, exhibited an excellent OER catalytic performance, affording an overpotential of 268 mV at a current density of 10 mA/cm2 and a low Tafel slope of 42.9 mV/dec; this performance was superior to those of FeCoNiB, FeNiMgB, CoNiMgB, FeCoMgB, and commercial RuO2. The FeCoNiMgB powder also displayed remarkably stable catalytic properties for >72 h with no clear evidence of degradation. Finally, using theoretical calculations, the excellent OER performance of FeCoNiMgB was verified in terms of its adsorption and charge transfer energies and covalence. The performance and stability of FeCoNiMgB were equivalent or superior to those of several nanostructured catalysts, and thus, this study provided valuable insight into the design of efficient high-entropy boride materials.

Purpose: This study aims to assess whether dual anti-HER2 therapy with trastuzumab and pertuzumab increases early cardiac toxicity compared to trastuzumab alone in breast cancer (BC) patients receiving postoperative radiation therapy (RT). Methods: Consecutive operable BC patients receiving postoperative RT and trastuzumab with or without pertuzumab between January 2017 and September 2020 at seven tertiary hospitals in China were retrospectively reviewed. Cardiac examinations included echocardiography, electrocardiogram (ECG), NT-proBNP, and cTnI at baseline before RT and during the follow-up. The cardiac event is any new-onset symptomatic heart disease or abnormality in the cardiac examination after RT. Results: In total, 681 patients were enrolled in the analysis, of whom 567 were treated with trastuzumab-alone and 124 patients received dual anti-HER2 therapy. The median follow-up was 11 months. Multivariate analysis showed that left-sided breast cancer (HR 2.38; 95%CI 1.65–3.44, p 50 years is an independent risk factor for developing LVDD (HR 5.16; 95%CI 1.17–22.73, P-value = 0.030). Dosimetric analysis showed that patients who developed subclinical cardiac events had increased mean heart dose (412.0 ± 249.6 vs. 347.2 ± 242.6 cGy, P-value = 0.010). Among right-sided patients or patients receiving anthracycline-based chemotherapy, the dual-targeted cohort had a higher risk of developing ECG abnormalities compared to the trastuzumab-only cohort. Conclusion: Compared with trastuzumab-only, dual anti-HER2 therapy does not increase early cardiac toxicity in combination with postoperative RT in BC patients. Cardiac radiation exposure remains the primary risk factor for early toxicity.

Ferroptosis is a novel type of programmed cell death caused by excessive iron-dependent lipid peroxidation. According to various studies, there may be a link between ferroptosis and lipid metabolism. However, few studies have been reported on the lipid metabolism of ferroptosis in acute myeloid leukemia (AML). Here, we analyzed the relationship between lipid metabolism and ferroptosis in AML cells to explore new clinical treatment strategies. This study found that 12 fatty acids were significantly changed in acute myeloid leukemia cell ferroptosis, including dihomo-γ-linolenic acid (DGLA), arachidonic acid (AA), docosahexaenoic acid (DHA), etc. Exogenous DGLA substantially increases the sensitivity to ferroptosis and induces ferroptosis alone in AML cells. In addition, acyl-CoA synthetase long-chain family member 4 (ACSL4) knockout significantly inhibited DGLA-induced AML cells ferroptosis, and ACSL4 regulates DGLA-associated lipid synthesis to affect the sensitivity of AML cells to ferroptosis. Collectively, our studies indicate that a DGLA-enriched diet significantly restricted the growth of leukemia cells as well as induced ferroptosis in vivo.

The development of highly effective bifunctional catalysts for n-hexadecane hydroisomerization is still essential to produce second-generation biodiesel. Herein, a Pt-Pd/ZSM-22-G (abbreviated as Pt-Pd/Z22-G) bimetallic catalyst was prepared by employing a room temperature electron reduction (RTER) method with glow discharge as the electron source. As a contrast, a series of Pt/Z22-H, Pd/Z22-H and Pt-Pd/Z22-H catalysts were prepared by the conventional hydrogen reduction method. The Pt-Pd/Z22-G catalyst reveals more exposed metal sites, larger CMe/CH+ values and an enhanced distribution of Pt-Pd(111) facets compared with the Pt/Z22-H, Pd/Z22-H and Pt-Pd/Z22-H catalysts. These modifications are originated from the stronger electron interactions and the smaller metal nanoparticles because of the effects of highly energetic reducing electrons. The n-hexadecane hydroisomerization results show that the iso-hexadecane yield over the Pt-Pd/Z22-G catalyst is 82.9%, which is the highest among four investigated catalysts in this work. This phenomenon occurs because more exposed Pt-Pd(111) facets and larger CMe/CH+ ratios are beneficial for the adsorption and hydrogenation of iso-alkene intermediates at metal sites to increase the iso-alkanes yield based on density functional theory (DFT) calculations. Furthermore, the iso-alkanes yield over the Pt-Pd/Z22-G catalyst also keeps steady after long-term tests for 120 h because of the limited metal aggregation and carbon deposition.

This study aimed to modify plant protein mixture to improve their functionality and digestibility by limited hydrolysis. Soy protein isolate and corn zein were mixed at the ratio of 5:1 (w/w), followed by limited hydrolysis using papain from 15 to 30 min. The structural characteristics, in vitro digestibility, and functional properties were evaluated. Also, DPPH radical scavenging activity was determined. The results indicated that the molecular weight of different modified samples was largely reduced by limited hydrolysis, and the proportion of random coil was significantly increased. Furthermore, the solubility, foaming, emulsifying and water-holding capacity of hydrolyzed protein mixture were significantly improved, which were close to those of whey protein isolate. In vitro digestibility after 30-min limited hydrolysis was remarkably elevated. In addition, the hydrolyzed protein mixture exhibited a higher antioxidant activity than those of untreated proteins. Overall, limited hydrolysis of protein mixture led to improved digestibility, functionality and antioxidant activity.

Accumulating evidence suggests that M2-polarized tumor-associated macrophages (TAMs) play a crucial role in cancer progression, making them a promising target for therapy. This study explored the molecular mechanisms by which Platycodon grandiflorum regulates M2 polarization of TAMs to exert anti-tumor effects. UPLC-MS identified the chemical composition and blood-absorbed components. Immunohistochemistry and Western blot detected TAM infiltration and proliferation pathways, while q-RT-PCR measured M2 macrophage marker expression. Our findings showed that PR reduces melanoma weight, inhibits the mTOR pathway, and suppresses M2-polarized macrophages. PR downregulates JAK2 and p-STAT3, promotes JAK2 degradation, and enhances ubiquitination. Molecular docking indicated strong affinities between Platycodin D components and JAK2/STAT3, highlighting PR’s potential in regulating TAMs and offering new clinical insights.

Ridge–furrow with plastic film mulching (RFPFM) is quite successful under dryland agriculture. However, its suitability for sunflower (Helianthus annuus L.) production with different plastic film mulching techniques such as ridge–furrow fully covered with plastic film mulching (FM) and half mulching (HM), in combination with appropriate nitrogen (N) fertilizer management remains uncertain. The current research investigated the performance of sunflower crop under three planting patterns (HM, FM and CP, i.e., conventional planting on flat land without plastic film mulching) and two N doses (120 and 240 kg N ha–1) in northwest China. The objectives were to evaluate the soil hydrothermal conditions, crop performance, water productivity (WP), N harvest index (NHI) and seed yield, under different combinations of these treatments. The results showed that both HM and FM had 1.8 °C higher topsoil temperature during seedling stage and soil moisture (+21 % and +30 %) during the whole growth stage, respectively, when compared to CP. The favorable hydrothermal conditions under HM and FM accelerated the seedling emergence and shortened the crop growth duration by nearly 5 days, and further improved seed yield (+23 and +33 %), WP (+26 and +36 %), and N uptake (+20 and +24 %), compared to CP. A comparison between FM and HM treatments did not show a significant increase in WP or yield for the former, despite improved soil hydrothermal conditions. In addition, increasing N application rate from 120 to 240 kg N ha–1 did not lead to a consistent and significant effect on total N uptake, WP and seed yield. Overall, the present study suggests that HM, when coupled with a reduced N dose, can replace FM in sunflower production. This approach reduces the use of plastic film and N fertilizer, while efficiently conserving water, enhancing WP and improving seed yield of sunflower under dry and semi–humid conditions.

Metal-organic frameworks (MOFs) offer innovative solutions to the limitations of traditional oral drug delivery systems through their unique combination of metal ions and organic ligands. This review systematically examines the structural properties and principles of MOFs, setting the stage for their application in drug delivery. It discusses various classes of MOFs, including those based on zirconium, iron, zinc, copper, titanium, aluminum, potassium, and magnesium, assessing their drug-loading capacities, biocompatibility, and controlled release mechanisms. The effectiveness of MOFs is illustrated through case studies that highlight their capabilities in enhancing drug solubility, providing protection against the harsh gastrointestinal environment, and enabling precise drug release. The review addresses potential challenges, particularly the toxicity concerns associated with MOFs, and calls for further research into their biocompatibility and interactions with biological systems. It concludes by emphasizing the potential of MOFs in revolutionizing oral drug delivery, highlighting the critical need for comprehensive research to harness their full potential in clinical applications.

Carbon uptake by vegetation plays a vital role in the global carbon cycle. Annual gross primary productivity (AGPP) represents the total amount of carbon compounds produced by vegetation photosynthesis over a year and is a crucial metric for quantifying vegetation carbon uptake. Although some theories have been developed to explain the spatiotemporal variation in AGPP, they often overlook the seasonal differences in photosynthesis across vegetation phenological periods. This gap highlights the need for a more reasonable representation of vegetation phenology in AGPP modelling. Therefore, we developed a novel theoretical AGPP model that decomposes AGPP into detailed vegetation phenological periods (green-up, maturation, and senescence) and investigated the effects of climatic factors on the seasonal components of AGPP. Compared with existing models, our model considers the length of the multiple vegetation phenological periods, rather than just the length of the carbon uptake period. When evaluated against flux tower data, our model outperformed the comparative model, with a higher determination coefficient and lower root mean square error. The analysis also demonstrated that the developed model can reproduce spatial and temporal variations in satellite-based global AGPP. In addition, we identified distinct differences in the responses of AGPP's seasonal components to climatic factors: shortwave radiation predominantly affected the seasonal component of AGPP during senescence, air temperature during green-up, and vapor pressure deficit during maturation. Our study proposes a potential mechanism for AGPP estimation and highlights the importance of accurately representing vegetation phenology in AGPP modelling.

Introduction: While ambient formaldehyde (HCHO) concentrations are increasing worldwide, there was limited research on its health effects. Objectives: To assess the association of long-term exposure to ambient HCHO with the risk of respiratory (RESP) mortality and the associated mortality burden in China. Methods: Annual and seasonal RESP death and tropospheric HCHO vertical columns data were collected in 466 counties/districts across China during 2013–2016. A difference-in-differences approach combined with a generalized linear mixed-effects regression model was employed to assess the exposure-response association between long-term ambient HCHO exposure and RESP mortality risk. Additionally, we computed the attributable fraction (AF) to gauge the proportion of RESP mortality attributable to HCHO exposure. Results: This analysis encompassed 560,929 RESP deaths. The annual mean ambient HCHO concentration across selected counties/districts was 8.02×1015 ± 2.22×1015 molec.cm−2 during 2013–2016. Each 1.00×1015 molec.cm−2 increase in ambient HCHO was associated with a 1.61 % increase [excess risk (ER), 95 % confidence interval (CI): 1.20 %, 2.03 %] in the RESP mortality risk. The AF of RESP mortality attributable to HCHO was 12.16 % (95 %CI:9.33 %, 14.88 %), resulting in an annual average of 125,422 (95 %CI:96,404, 153,410) attributable deaths in China. Stratified analyses suggested stronger associations in individuals aged ≥65 years old (ER=1.87 %, 95 %CI:1.43 %, 2.32 %), in cold seasons (ER=1.00 %, 95 %CI:0.56 %, 1.44 %), in urban areas (ER=1.65 %, 95 %CI:1.15 %, 2.16 %), and in chronic obstructive pulmonary disease patients (ER=1.95 %, 95 %CI:1.42 %, 2.48 %). Conclusions: This study suggested that long-term HCHO exposure may significantly increase the risk of RESP mortality, leading to a substantial mortality burden. Targeted measures should be implemented to control ambient HCHO pollution promptly.

The sharing of pathological data is highly important in various applications, such as remote diagnosis, graded diagnosis, illness treatment, and specialist system development. However, ensuring reliable, secure, privacy-preserving, and efficient sharing of pathological data poses significant challenges. This paper presents a novel solution that leverages blockchain technology to ensure reliability in pathological data sharing. Additionally, it employs conditional proxy re-encryption (C-PRE) and public key encryption with equality test technology to control the scope and preserve the privacy of shared data. To assess the practicality of our solution, we implemented a prototype system using Hyperledger Fabric and conducted evaluations with various metrics. We also compared the solution with relevant schemes. The results demonstrate that the proposed solution effectively meets the requirements for pathological data sharing and is practical in production scenarios.

With the global warming crisis looming, the question of how to advance green total factor productivity (GTFP) has become an important concern confronting many developing countries. Although existing studies have demonstrated that total human capital can improve GTFP, the research has neglected to consider the influence of local higher education expenditure (LHEE), and no research has examined how LHEE spatially affect GTFP. Therefore, based on spatial economics theory, this study explores the spatial autocorrelation of LHEE and GTFP in China's 30 provinces from 2004 to 2021, employing a spatial Durbin model to analyze the spillover effect and influence mechanism of LHEE on GTFP. The results reveal that LHEE and GTFP exhibit positive global spatial autocorrelation. LHEE primarily improves GTFP and its subcomponents through spillover effects. The positive spillover effects in the three regions of China are significantly higher than the direct effects, whereas the direct effects in the eastern and central regions are positive but insignificant. Furthermore, LHEE promotes GTFP by advancing green technological innovation. The findings provide valuable insights to help policymakers address sustainable development goal 4 and develop synergistic regional GTFP growth policies to establish sustainable societies worldwide.

The electrochemical behavior and corrosion induced mechanical degradation of biodegradable Zn–2Cu–0.03Li alloy were in detail investigated. The results indicated that the corrosion product film presented an increasing corrosion resistance, while the localized corrosion induced by microgalvanic effect was intensified. Corrosion pits, as the typical defect, acted as the crack initiation sites and accelerated the fracture process of the Zn–2Cu–0.03Li alloy. Accordingly, the fracture mode transformed from ductile to brittle failure. Significant loss in ultimate tensile strength and elongation of the alloys occurred due to strong stress concentration at corrosion pit, threatening the mechanical reliability after implantation.

The principle of Fourier Transform Infrared (FTIR) spectroscopy is based on atoms vibration and rotation, and it has become a universal and widely used spectral methodology to detect the internal molecular structures in all kinds of fields. Numerous review articles related to the applications of FTIR spectroscopy have been published in recent years. In addition, more and more scientists are aware the significance role of sample preparation to improve our life quality in life science. However, the application of FTIR spectroscopy in sample preparation hasn't been summarized. Thus, in the current paper, the application of FTIR spectroscopy in sample preparation was reviewed with the focuses on characterization of separation materials including both solid sorbents and liquid extractants, and the extraction mechanisms involved in the separation towards different targets including inorganic molecules such as rare earth elements, organic molecules such as phenolics, pharmaceuticals and illicit-drugs, and biomacromolecules of DNA and proteins. We believe that the current paper will be interested for the researchers in food science, forensic medicine, clinical medicine, environmental analysis and analytical chemistry.

Purpose: Acute kidney injury (AKI) is one of the most common functional injuries observed in trauma patients. However, certain trauma medications may exacerbate renal injury. Therefore, the early detection of trauma-related AKI holds paramount importance in improving trauma prognosis. Methods: Qualified datasets were selected from public databases, and common differentially expressed genes related to trauma-induced AKI and hub genes were identified through enrichment analysis and the establishment of protein-protein interaction (PPI) networks. Additionally, the specificity of these hub genes was investigated using the sepsis dataset and conducted a comprehensive literature review to assess their plausibility. The raw data from both datasets were downloaded using R software (version 4.2.1) and processed with the ''affy'' package19 for correction and normalization. Results: Our analysis revealed 585 upregulated and 629 downregulated differentially expressed genes in the AKI dataset, along with 586 upregulated and 948 downregulated differentially expressed genes in the trauma dataset. Concurrently, the establishment of the PPI network and subsequent topological analysis highlighted key hub genes, including CD44, CD163, TIMP metallopeptidase inhibitor 1, cytochrome b-245 beta chain, versican, membrane spanning 4-domains A4A, mitogen-activated protein kinase 14, and early growth response 1. Notably, their receiver operating characteristic curves displayed areas exceeding 75%, indicating good diagnostic performance. Moreover, our findings postulated a unique molecular mechanism underlying trauma-related AKI. Conclusion: This study presents an alternative strategy for the early diagnosis and treatment of trauma-related AKI, based on the identification of potential biomarkers and therapeutic targets. Additionally, this study provides theoretical references for elucidating the mechanisms of trauma-related AKI.

Artemisia argyi leaf polysaccharide (AALPs) were prepared through ultrasound-assisted extraction (UAE), and their antifatigue activities were evaluated. Extraction was optimized using response surface methodology (RSM), which yielded the following optimal UAE conditions: ultrasonication power of 300 W, extraction temperature of 51 °C, liquid:solid ratio of 20 mL/g, and ultrasonication time of 47 mins. The above optimal conditions resulted in the maximum extraction rate of 10.49 %. Compared with hot water extraction (HWE), UAE supported higher yields and total sugar, uronic acid, and sulfate contents of AALPs. Meanwhile, AALP prepared through UAE (AALP-U) exhibited higher stability due to its smaller particle size and higher absolute value of zeta potential than AALP prepared through HWE (AALP-H). In addition, AALP-U demonstrated stronger antioxidant activity than AALP-H. In forced swimming tests on mice, AALP-U could significantly prolong swimming time with a dose-dependent effect, increase liver and muscle glycogen levels, and improve other biochemical indices, thus showing great potential for application in functional food.

Summary: Background: The E1A-associated protein p300 (p300) has emerged as a promising target for cancer therapy due to its crucial role in promoting oncogenic signaling pathways in various cancers, including prostate cancer. This need is particularly significant in prostate cancer. While androgen deprivation therapy (ADT) has demonstrated promising efficacy in prostate cancer, its long-term use can eventually lead to the development of castration-resistant prostate cancer (CRPC) and neuroendocrine prostate cancer (NEPC). Notably, p300 has been identified as an important co-activator of the androgen receptor (AR), highlighting its significance in prostate cancer progression. Moreover, recent studies have revealed the involvement of p300 in AR-independent oncogenes associated with NEPC. Therefore, the blockade of p300 may emerge as an effective therapeutic strategy to address the challenges posed by both CRPC and NEPC. Methods: We employed AI-assisted design to develop a peptide-based PROTAC (proteolysis-targeting chimera) drug that targets p300, effectively degrading p300 in vitro and in vivo utilizing nano-selenium as a peptide drug delivery system. Findings: Our p300-targeting peptide PROTAC drug demonstrated effective p300 degradation and cancer cell-killing capabilities in both CRPC, AR-negative, and NEPC cells. This study demonstrated the efficacy of a p300-targeting drug in NEPC cells. In both AR-positive and AR-negative mouse models, the p300 PROTAC drug showed potent p300 degradation and tumor suppression. Interpretation: The design of peptide PROTAC drug targeting p300 is feasible and represents an efficient therapeutic strategy for CRPC, AR-negative prostate cancer, and NEPC. Funding: The funding details can be found in the Acknowledgements section.

Objective and rationale: The prevalence of depression among older adults residing in nursing homes has risen. While physical activity interventions based on the self-determination theory have been shown to reduce depressive symptoms among students and middle-aged adults, research in nursing home residents is scarce. This study aimed to investigate whether physical activity can alleviate depressive symptoms in nursing home residents over an extended period. Methods: Between September 2020 and August 2021, 46 nursing home residents in Shenyang were randomly assigned to either a control group (n = 23) or an intervention group (n = 23). The control group followed a standard physical activity programme, whereas the intervention group underwent a programme based on self-determination theory. Both groups were monitored for 24 weeks post-intervention. Depression scores were assessed using the Geriatric Depression Scale, sociodemographic data collected via a self-designed questionnaire, cognitive function evaluated using the Mini-Mental State Examination, and weight and body fat measured using the Omron KARADA Scan Body Composition and Scale. Results: Depression scores were measured at five time points: baseline (T0), weeks 12 (T1), and 24 (T2) of the intervention, and weeks 12 (T3) and 24 (T4) during follow-up. Both groups exhibited a trend of decline by more than five points. The intervention group demonstrated more favourable pre-to-post changes in depression scores compared to the control group. Conclusions: A physical activity intervention based on self-determination conceptual framework has been proven to be effective for nursing home residents with depressive symptoms, also aiding in the maintenance of their physical activity levels. This study offers a theoretical foundation for the development of intervention programmes by researchers and identifies potential intervention strategies for caregivers in nursing homes. Trial Registration: The Chinese Clinical Trial Registry (ChiCTR2200060598) (June 5, 2022).

Introduction: Lacrimal gland adenoid cystic carcinoma (LGACC) is characterized by a high rate of recurrence, perineural invasion, and propensity for distant metastasis, resulting in poor prognosis. This case report aimed to highlight the diagnostic and therapeutic challenges of LGACC, underscore the importance of resectioning the tumor as completely as possible for the first time, adhere to postoperative adjuvant therapy, and provide detailed insights into its surgical and diagnostic management that may not be extensively covered in large case series and meta-analyses. Case presentation: A 34-year-old man presented with progressive left eye proptosis for 4 months. Initial evaluation and imaging led to a high suspicion of LGACC, which was confirmed after an eye-sparing excision of the left orbital tumor. The patient declined to undergo postoperative radiotherapy, which was recommended after the surgery. Thus, despite surgical intervention, the patient experienced tumor recurrence 3 months post-surgery, leading to orbital exenteration. Pathological examination confirmed the presence of poorly differentiated LGACC.This time the patient underwent postoperative radiotherapy, as recommended. However, despite local control, the patient developed an intracranial metastasis within a year. Conclusion: LGACC presents significant diagnostic and therapeutic challenges owing to its insidious onset, lack of specific symptoms, and high potential for recurrence and metastasis. Thus, this case emphasizes the need for early diagnosis, aggressive treatment, and adherence to postoperative adjuvant therapy to improve patient outcomes. Future research should focus on understanding the pathogenesis of LGACC and on developing standardized diagnostic and treatment protocols to enhance patient prognosis and survival.