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Enhancing corrosion resistance is essential for developing efficient electrocatalysts for acidic oxygen evolution reaction (OER). Herein, we report the strategic manipulation of the local compressive strain to reinforce the anti-corrosion properties of the non-precious Co3O4 support. The incorporation of Ru single atoms, larger in atomic size than Co, into the Co3O4 lattice (Ru-Co3O4), triggers localized strain compression and lattice distortion on the Co-O lattice. A comprehensive exploration of the correlation between this specific local compressive strain and electrocatalytic performance is conducted through experimental and theoretical analyses. The presence of the localized strain in Ru-Co3O4 is confirmed by operando X-ray absorption studies and supported by quantum calculations. This local strain, presented in a shortened Co-O bond length, enhances the anti-corrosion properties of Co3O4 by suppressing metal dissolutions. Consequently, Ru-Co3O4 shows satisfactory stability, maintaining OER for over 400 hours at 30 mA cm−2 with minimal decay. This study demonstrates the potential of the local strain effect in fortifying catalyst stability for acidic OER and beyond. Enhancing corrosion resistance is crucial for efficient electrocatalysts in the acidic oxygen evolution reaction. Here, the authors report the strategic manipulation of local compressive strain to improve the anti-corrosion properties of Co3O4, demonstrating stability for over 400 hours at 30 mA cm-2. [ABSTRACT FROM AUTHOR]

Background: Tibial fractures are common and challenging orthopedic injuries that are commonly treated with intramedullary nailing techniques via suprapatellar (SP), parapatellar (PP), and infrapatellar (IP) approaches. This study aimed to provide a comprehensive comparative analysis of the efficacy of different treatment approaches based on clinical outcomes. Methods: We conducted a detailed search in PubMed, Cochrane Library, Embase, and Web of Science for clinical studies comparing suprapatellar, parapatellar, and infrapatellar approaches in intramedullary nailing of tibial fractures. Inclusion criteria included randomized controlled trials and retrospective cohort studies involving patients aged 18 and older, comparing outcomes of these surgical techniques. Exclusion criteria included studies with insufficient data, non-English publications, and those focusing on non-tibial fractures. Results: A total of 15 studies involving 1396 patients were included in meta-analysis. Pooled results indicated that, compared to IP nailing, the SP approach significantly reduced fluoroscopy time (MD = − 35.63, 95% CI − 39.37 to − 31.89, p < 0.001), operative time (MD = − 10.72, 95% CI − 17.30 to − 4.15, p = 0.001), pain scores (SMD = − 1.49, 95% CI − 2.36 to − 0.62, p < 0.001), and improved Lysholm scores (MD = 5.74, 95% CI 3.29 to 8.19, p < 0.001) and malalignment rate (RR = 0.24, 95% CI 0.08 to 0.68, p = 0.008). Quality of life assessments also indicated higher physical component scores for the SP group (MD = 6.68, 95% CI 5.19 to 8.17, p < 0.001). Conclusion: The SP approach provides significant intraoperative and postoperative benefits, reducing surgery time and improving patient outcomes in pain management and knee joint function. These findings support the SP approach as a preferred option for surgical treatment of tibial fractures. [ABSTRACT FROM AUTHOR]

Background and Aims: Physicians are required to spend a significant amount of reading time of magnetically controlled capsule endoscopy. However, current deep learning models are limited to completing a single recognition task and cannot replicate the diagnostic process of a physician. This study aims to construct a multi-task model that can simultaneously recognize gastric anatomical sites and gastric lesions. Methods: A multi-task recognition model named Mul-Recog-Model was established. The capsule endoscopy image data from 886 patients were selected to construct a training set and a test set for training and testing the model. Based on the same test set, the model in this study was compared with the current single-task recognition model with good performance. Results: The sensitivity and specificity of the model for recognizing gastric anatomical sites were 99.8% (95% confidence intervals: 99.7–99.8) and 98.5% (95% confidence intervals: 98.3–98.7), and for gastric lesions were 98.8% (95% confidence intervals: 98.3–99.2) and 99.4% (95% confidence intervals: 99.1–99.7). Moreover, the positive predictive value, negative predictive value, and accuracy of the model were more than 95% in recognizing gastric anatomical sites and gastric lesions. Compared with the current single-task recognition model, our model showed comparable sensitivity, specificity, positive predictive value, negative predictive value, and accuracy (p < 0.01, except for the negative predictive value of ResNet, p > 0.05). The Areas Under Curve of our model were 0.985 and 0.989 in recognizing gastric anatomical sites and gastric lesions. Furthermore, the model had 49.1 M parameters and 38.1G Float calculations. The model took 15.5 ms to recognize an image, which was less than the superposition of multiple single models (p < 0.01). Conclusions: The Mul-Recog-Model exhibited high sensitivity, specificity, PPV, NPV, and accuracy. The model demonstrated excellent performance in terms of parameters quantity, Float computation, and computing time. The utilization of the model for recognizing gastric images can improve the efficiency of physicians' reports and meet complex diagnostic requirements. [ABSTRACT FROM AUTHOR]

As a type of bi-functional device, electrochromic supercapacitors (EC-SCs) have attracted extensive attention in diverse applications such as flexible electronics. However, despite recent encouraging progress, rational design and development of high-performance EC-SC materials with desirable stability remain challenging for practical applications. Here, we propose a fluorination strategy to develop high-performance EC-SC materials with tough hydrogen bonding cross-linked intermolecular polymer network by one-step electrosynthesis of 3-fluorothiophene. The electrosynthesized free-standing poly(3-fluorothiophene) (PFT) films simultaneously achieve high electrochromic performance (optical contrast 42% at 560 nm with reversible color changes between purple and blue), and good capacitance property (290 F·g−1, 1 A·g−1), as well as outstanding cyclic stability (<2% reduction after 20000 cycles). We further demonstrate the fabrication of PFT-based flexible electrochromic supercapacitor devices (FESDs), and the resultant devices can be used to visually monitor the energy storage state in real-time and maintain outstanding stability under mechanical distortion like bending. Such a tough fluorination hydrogen bonding cross-linking strategy may provide a new design concept for high-performance EC-SC materials and reliable FESDs toward practical applications. [ABSTRACT FROM AUTHOR]

Seawater electrolysis using renewable electricity offers an attractive route to sustainable hydrogen production, but the sluggish electrode kinetics and poor durability are two major challenges. We report a molybdenum nitride (Mo2N) catalyst for the hydrogen evolution reaction with activity comparable to commercial platinum on carbon (Pt/C) catalyst in natural seawater. The catalyst operates more than 1000 hours of continuous testing at 100 mA cm−2 without degradation, whereas massive precipitate (mainly magnesium hydroxide) forms on the Pt/C counterpart after 36 hours of operation at 10 mA cm−2. Our investigation reveals that ammonium groups generate in situ at the catalyst surface, which not only improve the connectivity of hydrogen-bond networks but also suppress the local pH increase, enabling the enhanced performances. Moreover, a zero-gap membrane flow electrolyser assembled by this catalyst exhibits a current density of 1 A cm−2 at 1.87 V and 60 oC in simulated seawater and runs steadily over 900 hours. Efficient catalysts for seawater electrolysis are crucial for sustainable hydrogen production but struggle with slow kinetics and low durability. Here, the authors report a molybdenum nitride catalyst that in situ generates ammonium groups, enhancing both performance and stability in natural seawater. [ABSTRACT FROM AUTHOR]

The objective of this study is to investigate the effects of various doses of esketamine on the median effective concentration (EC50) of propofol required for inhibiting body movement during hysteroscopy. Additionally, this research aims to explore the pharmacodynamic interactions between esketamine and propofol. Prospective, double-blind, up-down sequential allocation study. Operating room, post-anesthesia care unit (PACU), and general ward. A total of 90 patients were allocated into three groups in a randomized, double-blinded manner as follows: 0.1 mg/kg esketamine combined with propofol intravenous injection (EP0.1) group, 0.2 mg/kg esketamine combined with propofol intravenous injection (EP0.2) group, 0.3 mg/kg esketamine combined with propofol of intravenous injection (EP0.3) group. For the initial patient in each group, the starting effector target concentration of propofol was set at 4 µg/ml. Each patient received an initial intravenous injection of 0.04 mg/kg midazolam, followed by the administration of the appropriate dose of esketamine. Ten seconds after the esketamine injection, propofol was administered intravenously to achieve the target concentration. In accordance with the sequential method principle, the concentration of propofol for the subsequent patient was adjusted based on the response of the previous patient. Effective inhibition of body movement was defined as the absence of any involuntary body movements throughout the entire surgical process. If the previous patient exhibited body movements, the propofol concentration for the next patient was increased by 0.5 µg/ml; conversely, if no movements were observed, it was decreased by 0.5 µg/ml. The up-down sequential allocation method and probit regression were used to calculate the EC50 of propofol. Hospital Anxiety and Depression Scale-Anxiety (HADS-A) and Depression (HADS-D) score, adverse events, hemodynamic changes, demographic data and clinical characteristics. The EC50 of propofol was 3.849 μg/ml (95% CI: 3.419–4.281) in the EP0.1 group, 3.641 μg/ml (95% CI: 2.807−4.200) in the EP0.2 group, and 3.417 μg/ml (95% CI: 2.845–3.852) in the EP0.3 group. These findings suggest that esketamine can dose-dependently reduce the EC50 of propofol. Esketamine can dose-dependently reduce the EC50 of propofol in hysteroscopy, while concurrently lowering patients' HADS-A and HADS-D scores 24 h post-operation. It is concluded that the optimal dose of esketamine, when combined with propofol for hysteroscopy, is 0.3 mg/kg. [ABSTRACT FROM AUTHOR]

Polydimethylsiloxane (PDMS) is an electron-withdrawing material that is widely used in triboelectric nanogenerators (TENGs). However, PDMS has poor mechanical properties after curing and is easily damaged when subjected to long-term workloads. Thus, the long-term stable operation of TENGs under mechanical deformation cannot be guaranteed. In this work, multiple hydrogen bonds and aromatic disulfide bonds were introduced into PDMS elastomers. These elastomers exhibited high toughness (a tensile strength of 1.91 MPa and an elongation at break of 340%), good recyclability, and room-temperature self-healing properties (healing efficiency of 96.4% in 24 h). Recyclable sandwich-like triboelectric nanogenerators with excellent electrical output performance (13.5 V) and room-temperature self-healing performance (24 h, 98% recovery of self-generating performance) were prepared by utilizing the hydrogen bonding between the PDMS elastomer and MXene. The work reported herein offers theoretical guidance and a compelling strategy for developing high-performance TENG negative friction layers. [ABSTRACT FROM AUTHOR]

Background: SARS-CoV-2 continues to mutate over time, and reports on children infected with Omicron BA.5 are limited. We aimed to analyze the specific symptoms of Omicron-infected children and to improve patient care. Methods: We selected 315 consecutively hospitalized children with Omicron BA.5 and 16,744 non-Omicron-infected febrile children visiting the fever clinic at our hospital between December 8 and 30, 2022. Specific convulsions and body temperatures were compared between the two cohorts. We analyzed potential associations between convulsions and vaccination, and additionally evaluated the brain damage among severe Omicron-infected children. Results: Convulsion rates (97.5% vs. 4.3%, P < 0.001) and frequencies (median: 2.0 vs. 1.6, P < 0.001) significantly differed between Omicron-infected and non-Omicron-infected febrile children. The body temperatures of Omicron-infected children were significantly higher during convulsions than when they were not convulsing and those of non-Omicron-infected febrile children during convulsions (median: 39.5 vs. 38.2 and 38.6 °C, both P < 0.001). In the three Omicron-subgroups, the temperature during convulsions was proportional to the percentage of patients and significantly differed (P < 0.001), while not in the three non-Omicron-subgroups (P = 0.244). The convulsion frequency was lower in the 55 vaccinated children compared to the 260 non-vaccinated children (average: 1.8 vs. 2.1, P < 0.001). The vaccination dose and convulsion frequency in Omicron-infected children were significantly correlated (P < 0.001). Fifteen of the 112 severe Omicron cases had brain damage. Conclusions: Omicron-infected children experience higher body temperatures and frequencies during convulsions than those of non-Omicron-infected febrile children. We additionally found evidence of brain damage caused by infection with omicron BA.5. Vaccination and prompt fever reduction may relieve symptoms. [ABSTRACT FROM AUTHOR]

The CACNA1A gene encodes the alpha-1A subunit of P/Q type voltage-gated calcium channel Cav2.1, which is associated with a broad clinical spectrum and variable symptomatology. While few patients with progressive ataxia caused by CACNA1A missense variants have been reported, here we report three unrelated Chinese patients with progressive ataxia due to de novo missense variants in the CACNA1A gene, including a novel pathogenic variant (c.4999C > G) and a previously reported pathogenic variant (c.4037G > A). Our findings and a systematic literature review show the unique phenotype of progressive ataxia caused by missense variants and enlarge the genetic and clinical spectrum of CACNA1A. This suggests that in addition to routine screening for dynamic mutations, screening for CACNA1A variants is important for clinicians facing patients with progressive ataxia. [ABSTRACT FROM AUTHOR]

Background: This study aims to develop a stacking model for accurately predicting axillary lymph node (ALN) response to neoadjuvant chemotherapy (NAC) using longitudinal MRI in breast cancer. Methods: We included patients with node-positive breast cancer who received NAC following surgery from January 2012 to June 2022. We collected MRIs before and after NAC, and extracted radiomics features from the tumour, peritumour, and ALN regions. The Mann–Whitney U test, least absolute shrinkage and selection operator, and Boruta algorithm were used to select features. We utilised machine learning techniques to develop three single-modality models and a stacking model for predicting ALN response to NAC. Results: This study consisted of a training cohort (n = 277), three external validation cohorts (n = 313, 164, and 318), and a prospective cohort (n = 81). Among the 1153 patients, 60.62% achieved ypN0. The stacking model achieved excellent AUCs of 0.926, 0.874, and 0.862 in the training, external validation, and prospective cohort, respectively. It also showed lower false-negative rates (FNRs) compared to radiologists, with rates of 14.40%, 20.85%, and 18.18% (radiologists: 40.80%, 50.49%, and 63.64%) in three cohorts. Additionally, there was a significant difference in disease-free survival between high-risk and low-risk groups (p < 0.05). Conclusions: The stacking model can accurately predict ALN status after NAC in breast cancer, showing a lower false-negative rate than radiologists. Trial registration number: The clinical trial numbers were NCT03154749 and NCT04858529. [ABSTRACT FROM AUTHOR]

Free flap reconstruction for postoperative tissue defects in oral and maxillofacial tumors is a critical component of reconstructive surgery. Identifying risk factors for flap necrosis is essential for improving surgical outcomes and patient quality of life. A retrospective study was conducted on patients who underwent free flap reconstruction between January 2020 and December 2023. Patients were included if they had comprehensive medical records and at least a six-month follow-up. We excluded those with a history of flap necrosis, uncontrolled systemic diseases, non-adherence to postoperative care, or concurrent malignancy treatments. Data on demographics, comorbidities, flap characteristics, and operative details were collected and analyzed using univariate analysis and logistic regression tests. Univariate analysis did not find a significant correlation between flap necrosis and factors such as hyperlipidemia, lymph node metastasis, or flap type. However, diabetes mellitus, oral infections, and albumin levels below 35 g/L were significantly associated with flap necrosis. Multivariate logistic regression showed diabetes mellitus increased the odds of flap necrosis by approximately ninefold, and oral infection increased it by over tenfold. Diabetes mellitus, oral infection, and low albumin levels are significant risk factors for flap necrosis in free flap reconstruction after oral and maxillofacial surgery. Prompt identification and management of these factors are crucial to mitigate the risk of flap necrosis. [ABSTRACT FROM AUTHOR]

Stylosanthes (stylo) species are commercially important forage and pasture legumes in tropical and subtropical regions, but their vulnerability to chilling and frost remains a challenge. The REVEILLE (RVE) proteins, known as circadian clock components, have been implicated in abiotic stress responses in several plant species. Using RNA-seq analysis, we identified SgRVE1 as a cold-responsive gene in stylos. Further quantitative Real-time PCR analysis confirmed that SgRVE1 was rapidly induced by low temperature in different tissues, including roots, leaves, stems, and flowers. Multiple sequence alignment revealed that SgRVE1 shares a SHAQKFF-class MYB domain with the CCA1 clade of the RVE family. Phylogenetic analysis demonstrated that SgRVE1 clusters within the CCA1 clade and is closely related to AtRVE1. SgRVE1 also shows high sequence identities with three Arachis RVE1 orthologs, ranging from 95 to 96%. Overexpressing SgRVE1 in Arabidopsis thaliana activated AtCBF1,2,3 gene transcription, promoted osmoprotectant accumulation and enhanced cold tolerance. A yeast one-hybrid assay suggests that SgRVE1 binds to two Evening Element (EE) motifs, EE-like (EEL: AATATCT) and Short EE (SEE: AAATATCT), which has been identified in AtCBF1,2,3 promoter sequences. This study provides the first evidence of a RVE gene in stylos and reveals its role in the transcriptional regulation of CBF genes and the cold-responsive mechanism.Key message: SgRVE1 is a cold-responsive gene in stylos. Overexpression of SgRVE1 in Arabidopsis thaliana activates the transcription of AtCBF1,2,3 genes, promotes osmoprotectant accumulation and enhances cold tolerance. [ABSTRACT FROM AUTHOR]

Primary failure of eruption (PFE) is a rare disorder that is characterized by the inability of a molar tooth/teeth to erupt to the occlusal plane or to normally react to orthodontic force. This condition is related to hereditary factors and has been extensively researched over many years. However, the etiological mechanisms of pathogenesis are still not fully understood. Evidence from studies on PFE cases has shown that PFE patients may carry parathyroid hormone 1 receptor (PTH1R) gene mutations, and genetic detection can be used to diagnose PFE at an early stage. PTH1R variants can lead to altered protein structure, impaired protein function, and abnormal biological activities of the cells, which may ultimately impact the behavior of teeth, as observed in PFE. Dental follicle cells play a critical role in tooth eruption and root development and are regulated by parathyroid hormone-related peptide (PTHrP)–PTH1R signaling in their differentiation and other activities. PTHrP–PTH1R signaling also regulates the activity of osteoblasts, osteoclasts and odontoclasts during tooth development and eruption. When interference occurs in the PTHrP–PTH1R signaling pathway, the normal function of dental follicles and bone remodeling are impaired. This review provides an overview of PTH1R variants and their correlation with PFE, and highlights that a disruption of PTHrP–PTH1R signaling impairs the normal process of tooth development and eruption, thus providing insight into the underlying mechanisms related to PTH1R and its role in driving PFE. [ABSTRACT FROM AUTHOR]

Ocean waves and Stokes drift are generated by typhoons. This study investigated the characteristics of ocean waves and wave-induced Stokes drift and their effects during Typhoon Mangkhut using European Centre for Medium-Range Weather Forecasts (ECMWF) ERA5 datasets and observational data. The results revealed that the typhoon generated intense cyclones and huge typhoon waves with a maximum wind speed of 45 m/s, a minimum pressure of 955 hPa, and a maximum significant wave height of 12 m. The Stokes drift caused by typhoon waves exceeded 0.6 m/s, the Stokes depth scale exceeded 18 m, and the maximum Stokes transport reached 6 m2/s. The spatial distribution of 10-m wind speed, typhoon wave height, Stokes drift, Stokes depth, and Stokes transport during the typhoon was highly correlated with the typhoon track. The distribution along the typhoon track showed significant zonal asymmetry, with greater intensity on the right side of the typhoon track than on the left side. These findings provide important insights into the impact of typhoons on ocean waves and Stokes drift, thus improving our understanding of the interactions between typhoons and the ocean environment. This study also investigated the contribution of Stokes transport to the total net transport during typhoons using Ekman-Stokes Numbers as a comparative measure. The results indicated that the ratio of Stokes transport to the total net transport reached up to 50% within the typhoon radius, while it was approximately 30% outside the radius. Strong Stokes transport induced by typhoon waves led to divergence in the transport direction, which resulted in upwelling of the lower ocean as a compensation current. Thus, Stokes transport played a crucial role in the vertical mixing of the ocean during typhoons. The findings suggested that Stokes transport should be paid more attention to, particularly in high latitude ocean regions, where strong winds can amplify its effects. [ABSTRACT FROM AUTHOR]

Solar-driven CO2 reduction to yield high-value chemicals presents an appealing avenue for combating climate change, yet achieving selective production of specific products remains a significant challenge. We showcase two osmium complexes, przpOs, and trzpOs, as CO2 reduction catalysts for selective CO2-to-methane conversion. Kinetically, the przpOs and trzpOs exhibit high CO2 reduction catalytic rate constants of 0.544 and 6.41 s−1, respectively. Under AM1.5 G irradiation, the optimal Si/TiO2/trzpOs have CH4 as the main product and >90% Faradaic efficiency, reaching −14.11 mA cm−2 photocurrent density at 0.0 VRHE. Density functional theory calculations reveal that the N atoms on the bipyrazole and triazole ligands effectively stabilize the CO2-adduct intermediates, which tend to be further hydrogenated to produce CH4, leading to their ultrahigh CO2-to-CH4 selectivity. These results are comparable to cutting-edge Si-based photocathodes for CO2 reduction, revealing a vast research potential in employing molecular catalysts for the photoelectrochemical conversion of CO2 to methane. Solar-driven CO2 conversion to produce solar fuels is an attractive way to harness solar energy and reduce carbon emissions. Here, the authors report two osmium complexes as highly active and selective CO2 reduction catalysts for selective CO2-to-methane conversion on Si-based photocathodes. [ABSTRACT FROM AUTHOR]

Biological structural materials, despite consisting of limited kinds of compounds, display multifunctionalities due to their complex hierarchical architectures. While some biomimetic strategies have been applied in artificial materials to enhance their mechanical stability, the simultaneous optimization of other functions along with the mechanical properties via biomimetic designs has not been thoroughly investigated. Herein, iron oxide/carbon nanotube (CNT)-based artificial nacre with both improved mechanical and electromagnetic interference (EMI) shielding performance is fabricated via the mineralization of Fe3O4 onto a CNT-incorporated matrix. The micro- and nano-structures of the artificial nacre are similar to those of natural nacre, which in turn improves its mechanical properties. The alternating electromagnetic wave-reflective CNT layers and the wave-absorptive iron oxide layers can improve the multiple reflections of the waves on the surfaces of the reflection layers, which then allows sufficient interactions between the waves and the absorption layers. Consequently, compared with the reflection-dependent EMI-shielding of the non-structured material, the artificial nacre exhibits strong absorption-dependent shielding behavior even with a very low content of wave-absorptive phase. Owing to the high mechanical stability, the shielding effectiveness of the artificial nacre that deeply cut by a blade is still maintained at approximately 70%–96% depending on the incident wave frequency. The present work provides a new way for designing structural materials with concurrently enhanced mechanical and functional properties, and a path to combine structural design and intrinsic properties of specific materials via a biomimetic strategy. [ABSTRACT FROM AUTHOR]

Paroxysmal kinesigenic dyskinesia (PKD), the most common type of paroxysmal movement disorder, is characterized by sudden and brief attacks of choreoathetosis or dystonia triggered by sudden voluntary movements. PKD is mainly caused by mutations in the PRRT2 or TMEM151A gene. The exact pathophysiological mechanisms of PKD remain unclear, although the function of PRRT2 protein has been well characterized in the last decade. Based on abnormal ion channels and disturbed synaptic transmission in the absence of PRRT2, PKD may be channelopathy or synaptopathy, or both. In addition, the cerebellum is regarded as the key pathogenic area. Spreading depolarization in the cerebellum is tightly associated with dyskinetic episodes. Whereas, in PKD, other than the cerebellum, the role of the cerebrum including the cortex and thalamus needs to be further investigated. [ABSTRACT FROM AUTHOR]

Spinocerebellar ataxia type 1 (SCA1) is the third most common type of spinocerebellar ataxias in China. CAT interruptions in the pathogenic alleles of SCA1 patients had only been reported by limited documents and there was a lack of data based on the Chinese population. In this study, we detected CAT interrupted pathogenic alleles in SCA1 patients from 4 out of 79 (5.1%) Chinese families. Their total CAG repeats were larger (median 58 vs. 47, p < 0.001) but ages at onset were later (median 46 vs. 38, p = 0.020). The longest uninterrupted CAG repeats could explain 65.4% of the AAO variance, making an increase of 28.0% compared to the total CAG repeats. The interruption pattern was greatly different between Chinese cohort and Caucasian cohort, indicating the effect of race. [ABSTRACT FROM AUTHOR]

Reservoir water fluctuation is the key factor affecting the stability of reservoir landslides. Existing research on the evolution of landslides under cyclic reservoir water fluctuations is limited. However, further research is needed focusing on the evolution of the first-order natural frequency of reservoir landslides. In this study, model tests were conducted to investigate the evolution of the stress, displacement, inclination angle and first-order natural frequency of reservoir landslides under different rates of water level fluctuations during cyclic reservoir water fluctuations. The tests demonstrated that cyclic fluctuations in the reservoir water level resulted in oscillatory increases in the pore water pressure and soil pressure; while, the effective stress exhibited an oscillatory decrease, leading to a reduction in the landslide stability. The landslide displacement and inclination angle exhibited periodic increases, without distinct stages of initial deformation, uniform deformation, or accelerated deformation. Regarding landslide failure below the water surface, the inclination angle was more sensitive than the displacement. Changes in the inclination angle preceded changes in the displacement, making this approach highly suitable for early warning of reservoir landslide instability. Before the occurrence of landslide failure, the development and connection of cracks led to fragmentation of the sliding mass into multiple smaller blocks with reduced masses, resulting in a drastic increase in the first-order natural frequency of the landslide. Changes in the first-order natural frequency preceded changes in the inclination angle and displacement, rendering this approach very suitable for early warning of reservoir landslides. [ABSTRACT FROM AUTHOR]

Oncolytic viruses (OVs) show promise as a cancer treatment by selectively replicating in tumor cells and promoting antitumor immunity. However, the current immunogenicity induced by OVs for tumor treatment is relatively weak, necessitating a thorough investigation of the mechanisms underlying its induction of antitumor immunity. Here, we show that HSV-1-based OVs (oHSVs) trigger ZBP1-mediated PANoptosis (a unique innate immune inflammatory cell death modality), resulting in augmented antitumor immune effects. Mechanistically, oHSV enhances the expression of interferon-stimulated genes, leading to the accumulation of endogenous Z-RNA and subsequent activation of ZBP1. To further enhance the antitumor potential of oHSV, we conduct a screening and identify Fusobacterium nucleatum outer membrane vesicle (Fn-OMV) that can increase the expression of PANoptosis execution proteins. The combination of Fn-OMV and oHSV demonstrates potent antitumor immunogenicity. Taken together, our study provides a deeper understanding of oHSV-induced antitumor immunity, and demonstrates a promising strategy that combines oHSV with Fn-OMV. The potential of oncolytic virus (OV) for cancer therapy is limited by the efficiency of immune response induced. Here the authors show that HSV-1-based OV is capable of triggering ZBP1-mediated PANoptosis resulting in effective tumor growth inhibition. [ABSTRACT FROM AUTHOR]

Quasi-zero stiffness (QZS) vibration isolators show great advantages in low frequency vibration isolation and often developed by compensating the negative stiffness of the bistable structure by linear spring. To overcome the limitation of the bistable property, this paper utilizes linear stiffness (linear spring) and nonlinear stiffness (repulsive magnets) respectively to compensate the general negative stiffness (rhombus structure), and realizes two types of vibration isolators, the QZS-L and QZS-N isolator. Static models are established to characterize the stiffness property and reveal two basic principles for realizing QZS. The realization of QZS in the QZS-L isolator requires large deformation, but it can be achieved under small deformation in the QZS-N system. Both the QZS-L isolator and QZS-N isolator have weak asymmetry in stiffness, which leads to bias in steady-state response. And the former has stronger asymmetry and greater bias. The adjustment method of the QZS-L and QZS-N isolators for different loads is also elaborated separately. A unified dynamic model is established and the displacement transmissibility is derived to evaluate the vibration isolation performance of the two system. The QZS-L isolator is a softening system with a left-shifted resonance peak, while the QZS-N behave as a hardening system with a right-shifted resonance peak. Both isolators have a low resonant frequency and a wide isolation frequency band. Moreover, the initial isolation frequency can become lower when adjusted for larger loads. Comprehensive comparisons and discussions of static characteristics, isolation band, and zero offset are instructive in designing low frequency vibration isolators. [ABSTRACT FROM AUTHOR]

Living fossils are evidence of long-term sustained ecological success. However, whether living fossils have little molecular changes remains poorly known, particularly in plants. Here, we have introduced a novel method that integrates phylogenomic, comparative genomic, and ecological niche modeling analyses to investigate the rate of molecular evolution of Eupteleaceae, a Cretaceous relict angiosperm family endemic to East Asia. We assembled a high-quality chromosome-level nuclear genome, and the chloroplast and mitochondrial genomes of a member of Eupteleaceae (Euptelea pleiosperma). Our results show that Eupteleaceae is most basal in Ranunculales, the earliest-diverging order in eudicots, and shares an ancient whole-genome duplication event with the other Ranunculales. We document that Eupteleaceae has the slowest rate of molecular changes in the observed angiosperms. The unusually low rate of molecular evolution of Eupteleaceae across all three independent inherited genomes and genes within each of the three genomes is in association with its conserved genome architecture, ancestral woody habit, and conserved niche requirements. Our findings reveal the evolution and adaptation of living fossil plants through large-scale environmental change and also provide new insights into early eudicot diversification. [ABSTRACT FROM AUTHOR]

Robots that perform chemical experiments autonomously have been implemented, using the same chemical apparatus as human chemists and capable of performing complex chemical experiments unmanaged. However, most robots in chemistry are still programmed and cannot adapt to diverse environments or to changes in displacement and angle of the object. To resolve this issue, we have conceived a computer vision method for identifying and detecting chemical apparatus automatically. Identifying and localizing such apparatus accurately from chemistry lab images is the most important task. We acquired 2246 images from real chemistry laboratories, with a total of 33,108 apparatus instances containing 21 classes. We demonstrate a Chemical Apparatus Benchmark Dataset (CABD) containing a chemical apparatus image recognition dataset and a chemical apparatus object detection dataset. We evaluated five excellent image recognition models: AlexNet, VGG16, GoogLeNet, ResNet50, MobileNetV2 and four state-of-the-art object detection methods: Faster R-CNN (3 backbones), Single Shot MultiBox Detector (SSD), YOLOv3-SPP and YOLOv5, respectively, on the CABD dataset. The results can serve as a baseline for future research. Experiments show that ResNet50 has the highest accuracy (99.9%) in the chemical apparatus image recognition dataset; Faster R-CNN (ResNet50-fpn) and YOLOv5 performed the best in terms of mAP (99.0%) and AR (94.5%) in the chemical apparatus object detection dataset. [ABSTRACT FROM AUTHOR]

Severe traumatic brain injury (TBI) can result in persistent complications, including circadian rhythm disorder, that substantially affect not only the injured people, but also the mood and social interactions with the family and the community. Pyroptosis in GFAP-positive astrocytes plays a vital role in inflammatory changes post-TBI. We determined whether VX-765, a low molecular weight caspase-1 inhibitor, has potential therapeutic value against astrocytic inflammation and pyroptosis in a rodent model of TBI plus hemorrhagic shock and resuscitation (HSR). A weight-drop plus bleeding and refusion model was used to establish traumatic exposure in rats. VX-765 (50 mg/kg) was injected via the femoral vein after resuscitation. Wheel-running activity was assessed, brain magnetic resonance images were evaluated, the expression of pyroptosis-associated molecules including cleaved caspase-1, gasdermin D (GSDMD), and interleukin-18 (IL-18) in astrocytes in the region of anterior hypothalamus, were explored 30 days post-trauma. VX-765-treated rats had significant improvement in circadian rhythm disorder, decreased mean diffusivity (MD) and mean kurtosis (MK), increased fractional anisotropy (FA), an elevated number and branches of astrocytes, and lower cleaved caspase-1, GSDMD, and IL-18 expression in astrocytes than TBI + HSR-treated rats. These results demonstrated that inhibition of pyroptosis-associated astrocytic activations in the anterior hypothalamus using VX-765 may ameliorate circadian rhythm disorder after trauma. In conclusion, we suggest that interventions targeting caspase-1-induced astrocytic pyroptosis by VX-765 are promising strategies to alleviate circadian rhythm disorder post-TBI. [ABSTRACT FROM AUTHOR]

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Purpose: Vibration impact plays a key role in the process of aircraft damage and runway pavement deterioration. Procedure: Among the objectives of obtaining the variation trend of landing vibration along runway, a simplified aircraft response model (ARM) was established by considering the wing up-lift effect. Then, a third-aircraft vibration equation based on the classical D'Alembert principle was proposed and solved with the help of Duhamel integral. Results: Therefore, the dynamic characteristics of aircraft in different landing periods (touch-down period, deceleration period and taxiing period) were investigated both in time and frequency domains. The outcomes of theoretical analysis were validated by measuring the actual acceleration response of B737–800 aircrafts landing on both rigid and flexible runways. Furthermore, sensitivity analysis was conducted to investigated the influences of several key parameters on aircraft dynamic behavior, namely, the damping coefficient (c) and stiffness coefficient (k) of the main landing gear, effective mass (m), vertical velocity (vv) and acceleration (av) of the aircraft prior to touch-down. Conclusions: The results show that, the proposed ARM is an effective tool in assessing dynamic vibration characteristics of the landing aircraft. Especially during the touch-down period, the calculated variation curve of acceleration is well-matched with the actual measured aircraft vibration data. The vibration impact of an aircraft on runway landing zone is proved to be severer than the other areas, which is agreed with the actual distributions of pavement deteriorations observed in runway management practice. Besides, both c and k are proved to be two key factors affecting aircraft vibration. In addition, ARM is proved to be an effective method for optimizing the landing gear design and a helpful tool for runway management agency to understand the mechanism of runway pavement deterioration. [ABSTRACT FROM AUTHOR]

Purpose and Background: The periodic motion characteristic is crucial for the firing accuracy of the machine gun system. In this study, a demonstrated machine gun system is simplified as a rotating beam system to study its periodic motion characteristic under a multi-pulsed excitation. Unlike the previously rotating beam model, the beam axis and the rotation center are non-collinear. Methods: The nonlinear coupled dynamic model of the system is derived by Rayleigh–Ritz method and Lagrange equation, and the dynamic responses are analyzed using Runge–Kutta method. Based on the computed responses, the effect of rotating radius, beam length, torsional stiffness and damping on system dynamic behavior are analyzed and discussed. Results and Conclusion: Results reveal that increasing the rotating radius and beam length could affect the periodic motion of the system gradually. Increasing the torsional stiffness could enhance the periodic motion characteristic of the rotating beam system. The quasi-periodic motion characterized of the system could be dominated by matching the torsional damping. [ABSTRACT FROM AUTHOR]

Purpose: Fetal growth restriction (FGR) is a common complication characterized by impaired placental function and unfavorable pregnancy outcomes. This study aims to elucidate the expression pattern of miR-181d-5p in FGR placentas and explore its effects on trophoblast fusion. Methods: The expression pattern of miR-181d-5p in human FGR placentas were evaluated using qRT-PCR. Western blot, qRT-PCR, and Immunofluorescence analysis were performed in a Forskolin (FSK)-induced BeWo cell fusion model following the transfection of miR-181d-5p mimic or inhibitor. Potential target genes for miR-181d-5p were identified by screening miRNA databases. The interaction between miR-181d-5p and Luman/CREB3 Recruitment Factor (CREBRF) was determined through a luciferase assay. Moreover, the effect of CREBRF on BeWo cell fusion was examined under hypoxic conditions. Results: Aberrant up-regulation of miR-181d-5p and altered expression of trophoblast fusion makers, including glial cell missing 1 (GCM1), Syncytin1 (Syn1), and E-cadherin (ECAD), were found in human FGR placentas. A down-regulation of miR-181d-5p expression was observed in the FSK-induced BeWo cell fusion model. Transfection of the miR-181d-5p mimic resulted in the inhibition of BeWo cell fusion, characterized by a down-regulation of GCM1 and Syn1, accompanied by an up-regulation of ECAD. Conversely, the miR-181d-5p inhibitor promoted BeWo cell fusion. Furthermore, miR-181d-5p exhibited negative regulation of CREBRF, which was significantly down-regulated in the hypoxia-induced BeWo cell model. The overexpression of CREBRF was effectively ameliorated the impaired BeWo cell fusion induced by hypoxia. Conclusions: Our study demonstrated that miR-181d-5p, which is elevated in FGR placenta, inhibited the BeWo cell fusion through negatively regulating the expression of CREBRF. [ABSTRACT FROM AUTHOR]

Let be a family of graphs. The Turán number of the family ℱ is the maximum number of edges in an n-vertex {H1, ..., Hk}-free graph, denoted by ex(n, ℱ ) or ex(n, {H1,H2, ... Hk}). The blow-up of a graph H is the graph obtained from H by replacing each edge in H by a clique of the same size where the new vertices of the cliques are all different. In this paper we determine the Turán number of the family consisting of a blow-up of a cycle and a blow-up of a star in terms of the Turán number of the family consisting of a cycle, a star and linear forests with k edges. [ABSTRACT FROM AUTHOR]

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Background: The pre-operative non-invasive differential diagnosis of hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (ICC) mainly depends on imaging. However, the accuracy of conventional imaging and radiomics methods in differentiating between the two carcinomas is unsatisfactory. In this study, we aimed to establish a novel deep learning model based on computed tomography (CT) images to provide an effective and non-invasive pre-operative differential diagnosis method for HCC and ICC. Materials and methods: We retrospectively investigated the CT images of 395 HCC patients and 99 ICC patients who were diagnosed based on pathological analysis. To differentiate between HCC and ICC we developed a deep learning model called CSAM-Net based on channel and spatial attention mechanisms. We compared the proposed CSAM-Net with conventional radiomic models such as conventional logistic regression, least absolute shrinkage and selection operator regression, support vector machine, and random forest models. Results: With respect to differentiating between HCC and ICC, the CSAM-Net model showed area under the receiver operating characteristic curve (AUC) values of 0.987 (accuracy = 0.939), 0.969 (accuracy = 0.914), and 0.959 (accuracy = 0.912) for the training, validation, and test sets, respectively, which were significantly higher than those of the conventional radiomics models (0.736–0.913 [accuracy = 0.735–0.912], 0.602–0.828 [accuracy = 0.647–0.818], and 0.638–0.845 [accuracy = 0.618–0.849], respectively. The decision curve analysis showed a high net benefit of the CSAM-Net model, which suggests potential efficacy in differentiating between HCC and ICC in the diagnosis of liver cancers. Conclusions: The proposed CSAM-Net model based on channel and spatial attention mechanisms provides an effective and non-invasive tool for the differential diagnosis of HCC and ICC on CT images, and has potential applications in diagnosis of liver cancers. [ABSTRACT FROM AUTHOR]

Anxiety is reportedly one of the most common mental changes after traumatic brain injury (TBI). Perineuronal nets (PNNs) produced by astrocytes in the lateral hypothalamus (LHA) that surround gamma-aminobutyric acid-ergic (GABAergic) neurons have been associated with anxiety. The potent anti-tumor effects of Spautin-1, a novel autophagy inhibitor, have been documented in malignant melanoma; moreover, the inhibition of autophagy is reported to mitigate anxiety disorders. However, little is known about the ability of spautin-1 to alleviate anxiety. In this study, we sought to investigate whether spautin-1 could alleviate anxiety-like behaviors post-TBI by reducing the loss of PNNs in the LHA. A mild TBI was established in mice through Feeney's weight-drop model. Then, Spautin-1 (20 mmol/2 μl) was immediately administered into the left lateral ventricle. Behavioral and pathological changes were assessed at 24 h, 7 days, 30 days, 31 days and 32 days after TBI by the neurological severity scores (NSS), open field test (OFT), elevated plus-maze (EPM) test, western blot, immunofluorescence assays and electron microscopy. Spautin-1 significantly reversed TBI-induced decreased time in the central zone during OFT and in the open-arm during the EPM test. Spautin-1 also increased PNNs around GABAergic neurons indicated by WFA- plus GAD2- positive A2-type astrocytes and attenuated M1-type microglia in the LHA 32 days after TBI compared to TBI alone. Moreover, compared to mice that only underwent TBI, spautin-1 downregulated autophagic vacuoles, abnormal organelles, the expression of Beclin 1, USP13, phospho-TBK1, and phospho-IRF3 and upregulated the levels of cleaved caspase-3, -7 and -9, but failed to increase TUNEL-positive cells in the LHA at 24 h. Spautin-1 alleviated anxiety-like behavior in mice exposed to mild TBI; this protective mechanism may be associated with decreased PNNs loss around GABAergic neurons via immunologically silent apoptosis induced by the caspase cascade. [ABSTRACT FROM AUTHOR]

Hemorrhagic shock and resuscitation (HSR) can induce severe intestinal damages, thereby leading to sepsis and long-term complications including dysbacteriosis and pulmonary injury. The NOD-like receptor protein 3 (NLRP3) inflammasome facilitates inflammation-associated cell recruitment in the gastrointestinal tract, and participates in many inflammatory bowel diseases. Previous studies have shown that exogenous carbon monoxide (CO) exerts neuroprotective effects against pyroptosis after HSR. We aimed to investigate whether carbon monoxide-releasing molecules-3 (CORM-3), an exogenous CO compound, could attenuate HSR-induced intestinal injury and the potential underlying mechanism.Rats were subjected to a HSR model by bleeding and re-infusion. Following resuscitation, 4 mg/kg of CORM-3 was administered intravenously into femoral vein. At 24 h and 7 d after HSR modeling, the pathological changes in intestinal tissues were evaluated by H&E staining. The intestinal pyroptosis, glial fibrillary acidic protein (GFAP)-positive glial pyroptosis, DAO (diamine oxidase) content, intestine tight junction proteins including zonula occludens-1 (ZO-1) and claudin-1 were further detected by immunofluorescence, western blot and chemical assays at 7 d after HSR. CORM-3 administration led to significantly mitigated HSR-induced intestinal injury, aggravation of intestinal pyroptosis indicated by cleaved caspase-1, IL-1β and IL-18, upregulation of GFAP-positive glial pyroptosis, decreased intensity of ZO-1 and claudin-1 in the jejunum, and increased of DAO in the serum. Nigericin, an agonist of NLRP3, significantly reversed the protective effects of CORM-3. CORM-3 alleviates the intestinal barrier dysfunction in a rodent model of HSR, and the potential mechanism may be associated with inhibition of NLRP3-associated pyroptosis. CORM-3 administration could be a promising therapeutic strategy for intestinal injury after hemorrhagic shock. [ABSTRACT FROM AUTHOR]

Huntington's disease (HD) is an autosomal dominant neurodegenerative disorder caused by CAG expansions in huntingtin (HTT) gene, involving motor, cognitive, and neuropsychiatric symptoms. However, genetic modifiers and CAG repeat instability may lead to variations of clinical manifestations, making diagnosis of HD difficult. In this study, we recruited 229 HD individuals from 164 families carrying expanded CAG repeats of HTT, and analyzed loss of CAA interruption (LOI) on the expanded allele and CAG instability during germline transmission. Sanger sequencing and TA cloning were used to determine CAG repeat length and identify LOI variants. Detailed clinical features and genetic testing results were collected. We identified 6 individuals with LOI variants from 3 families, and all probands presented with earlier motor onset age than predicted onset age. In addition, we also presented 2 families with extreme CAG instability during germline transmission. One family showed an expansion from 35 to 66 CAG repeats, while the other family showed both CAG expansion and contraction in lineal three generations. In conclusion, we present the first document of Asian HD population with LOI variant, and we suggest that for symptomatic individuals with intermediate or reduced penetrance allele or negative family history, HTT gene sequencing should be considered in the clinical practice. Key messages: We screened the loss of CAA interruption (LOI) variant in a Chinese HD cohort and presented the first document of Asian patients with Huntington's disease carrying LOI variant. We identified 6 individuals with LOI variants from 3 families, and all probands presented with earlier motor onset age than predicted onset age. We presented 2 families with extreme CAG instability during germline transmission. One family showed an expansion from 35 to 66 CAG repeats, while the other family showed both CAG expansion and contraction in lineal three generations. We suggest that for symptomatic individuals with intermediate or reduced penetrance allele or negative family history, HTT gene sequencing should be considered in the clinical practice. [ABSTRACT FROM AUTHOR]

Mg2FeH6- and Mg2CoH5-based composites with in situ formed YH3 and Mg2NiH4 nanoparticles were synthesized by ball milling of Mg10YNi + 4Fe (in mole ratio) and Mg10YNi + 4Co powders, respectively, at 4 MPa H2 followed by hydrogenation at 673 K for 60 h under a hydrogen pressure of 7 MPa. It is found that the nanocrystalline YH3 and Mg2NiH4 particles are indeed embedded in Mg2FeH6 and Mg2CoH5 matrixes. The hydrogen desorption rates of Mg2FeH6- and Mg2CoH5-based composites are enhanced compared to those undoped Mg2FeH6 and Mg2CoH5 hydrides, respectively, due to the synergetic catalysis of nanosized YH3 and Mg2NiH4 particles. This finding provides us with an efficient and simple approach for the improvement in hydrogen desorption kinetics of Mg-based hydrogen storage materials. [ABSTRACT FROM AUTHOR]

Using the apparent-magnitude limited active galactic nucleus (AGN) host galaxy sample of the Sloan Digital Sky Survey Data Release 12 (SDSS DR12), we investigate the environmental dependence of the u-r, u-g, g-r, r-i and i-z colors of AGN host galaxies. We divide the whole apparent-magnitude limited AGN sample into many subsamples with a redshift binning size of ∆z = 0.01, and analyze the environmental dependence of all five galaxy colors of subsamples in each redshift bin. It turns out that overall, all five galaxy colors of AGN host galaxies are weakly correlated with the local environment. [ABSTRACT FROM AUTHOR]

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Background: Enhancing the response rate of immunotherapy will aid in the success of cancer treatment. Here, we aimed to explore the combined effect of immunogenic radiotherapy with anti-PD-L1 treatment in immunotherapy-resistant HNSCC mouse models. Methods: The SCC7 and 4MOSC2 cell lines were irradiated in vitro. SCC7-bearing mice were treated with hypofractionated or single-dose radiotherapy followed by anti-PD-L1 therapy. The myeloid-derived suppressive cells (MDSCs) were depleted using an anti-Gr-1 antibody. Human samples were collected to evaluate the immune cell populations and ICD markers. Results: Irradiation increased the release of immunogenic cell death (ICD) markers (calreticulin, HMGB1 and ATP) in SCC7 and 4MOSC2 in a dose-dependent manner. The supernatant from irradiated cells upregulated the expression of PD-L1 in MDSCs. Mice treated with hypofractionated but not single-dose radiotherapy were resistant to tumour rechallenge by triggering ICD, when combined with anti-PD-L1 treatment. The therapeutic efficacy of combination treatment partially relies on MDSCs. The high expression of ICD markers was associated with activation of adaptive immune responses and a positive prognosis in HNSCC patients. Conclusion: These results present a translatable method to substantially improve the antitumor immune response by combining PD-L1 blockade with immunogenic hypofractionated radiotherapy in HNSCC. [ABSTRACT FROM AUTHOR]

A Gram-stain negative, strictly aerobic, and rod-shaped bacterium, designated as strain L182T, was isolated from coastal sediment in Beihai, Guangxi Province, PR China. Colonies of strain L182T were yellow, 2 mm in diameter, round, opaque, smooth and convex after incubation on marine ager at 30 °C for 3 days. Cells were catalase-positive but oxidase-negative. Growth of strain L182T was observed at 4–40 °C (optimum, 25 °C), pH 5.5–10.0 (optimum, pH 5.5–8.0) and with 0–6% (w/v) NaCl (optimum, 0.5–4.0%). The G + C content based on the genome sequence was 36.0%. The only respiratory quinone was MK-6. The main polar lipids included phosphatidylethanolamine, phosphatidylglycerol, one unidentified aminophospholipid, one unidentified glycolipids, four unidentified aminolipids and six unidentified lipids. The major fatty acids (> 10%) were iso-C15:0, iso-C15:1 G and iso-C17:0 3-OH. The 16S rRNA gene sequence similarity between strain L182T and Aestuariibaculum suncheonense SC17T was 98.2%, and the similarities with other type strains of the genus Aestuariibaculum were 96.1–97.2%. The average nucleotide identity and in silicon DNA–DNA hybridization values between the strain L182T and its closely related Aestuariibaculum species were 80.8–85.2% and 22.0–29.5%. According to the above results, Aestuariibaculum lutulentum sp. nov. was proposed as a novel species. The type strain is L182T (= MCCC 1K08065T = KCTC 92530T). [ABSTRACT FROM AUTHOR]

Although patients are undergoing similar lipid-lowering therapy (LLT) with statins, the outcomes of coronary plaque in diabetic mellitus (DM) and non-DM patients are different. Clinical data of 239 patients in this observational study with acute coronary syndrome was from our previous randomized trial were analyzed at 3 years, and 114 of them underwent OCT detection at baseline and the 1-year follow-up were re-anlayzed by a novel artificial intelligence imaging software for nonculprit subclinical atherosclerosis (nCSA). Normalized total atheroma volume changes (ΔTAVn) of nCSA were the primary endpoint. Plaque progression (PP) was defined as any increase in ΔTAVn. DM patients showed more PP in nCSA (ΔTAVn; 7.41 (− 2.82, 11.85) mm3 vs. − 1.12 (− 10.67, 9.15) mm3, p = 0.009) with similar reduction of low-density lipoprotein cholesterol (LDL-C) from baseline to 1-year. The main reason is that the lipid component in nCSA increases in DM patients and non-significantly decreases in non-DM patients, which leads to a significantly higher lipid TAVn (24.26 (15.05, 40.12) mm3 vs. 16.03 (6.98, 26.54) mm3, p = 0.004) in the DM group than in the non-DM group at the 1-year follow-up. DM was an independent predictor of PP in multivariate logistic regression analysis (OR = 2.731, 95% CI 1.160–6.428, p = 0.021). Major adverse cardiac events (MACEs) related to nCSA at 3 years were higher in the DM group than in the non-DM group (9.5% vs. 1.7%, p = 0.027). Despite a comparable reduction in LDL-C levels after LLT, more PP with an increase in the lipid component of nCSA and a higher incidence of MACEs at the 3-year follow-up was observed in DM patients. Trial registration: ClinicalTrials.gov. identifier: NCT02140801. [ABSTRACT FROM AUTHOR]

To explore the potential significance of the reverberation of calcification by comparing both intravascular ultrasound (IVUS) and optical coherence tomography (OCT) measurement post manual coregistration. The reverberation phenomenon is often detected by IVUS for severe calcified lesions post rotational atherectomy (RA), which is thought to be due to the glassy and smooth inner surfaces of calcifications. Because of the poor penetration of IVUS, it is impossible to measure the thickness of calcifications, and the relationship between multiple reverberations and the thickness of calcification lesions has not been reported before. A total of forty-nine patients with severe calcified coronary lesions that were detected by IVUS and OCT simultaneously were enrolled in our retrospective study. If reverberation phenomena were detected by IVUS, intravascular imaging (IVI) data (including distance between the IVUS catheter center and the inner surface of the reverberation signal, the intervals between all adjacent reverberation signals, the number of layers of reverberation in IVUS, and the thickness of the calcification in OCT) were measured at the same position and same direction (each cross-section had 4 mutually perpendicular directions) at 1-mm intervals. The correlation between each reverberation observational value and OCT data was the primary target in this retrospective study, and the correlation between reverberation and calcium crack post predilatation was analyzed in other 15 patients. Four hundred twenty-eight valid observational points were analyzed simultaneously by IVUS and OCT; among them, 300 points had a single layer of reverberation, 83 had double layers of reverberation and 42 had multiple layers (≥ 3 layers) of reverberation by IVUS detection post-RA. Multivariate logistic regression analysis showed that the number of layers of reverberation by IVUS was significantly related to the thickness of calcifications by OCT at the same point and in the same direction (p < 0.001). Single, double, and multiple layers of reverberation in IVUS correspond to median calcification thicknesses (interquartile ranges (IQRs)) of 0.620 mm (0.520–0.720), 0.950 mm (0.840–1.040) and 1.185 mm (1.068–1.373), respectively, by OCT detection. Another 100 points in other 15 patients with integrated IVUS data pre- and post-predilatation showed that only single layer of reverberation was related to calcium crack (p < 0.001). The number of layers of reverberation signal detected by IVUS is positively correlated with the thickness of calcifications measured by OCT post-RA and single layer of reverberation is correlated to calcium crack post-predilatation. [ABSTRACT FROM AUTHOR]

Highlights: Anapparatus with precise controllability and large stiffness was designed to investigate the mechanical behavior of rock grain interface. The fracture toughness and tensile strength of the rock GI are scattered and follow an exponential probability distribution function. The validity of the obtained grain interface strength parameter was verified by a numerical model. [ABSTRACT FROM AUTHOR]

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Psychological distress and posttraumatic stress, including anxiety, severely influence life quality. Previously, we reported that interleukin-18 (IL-18) was involved in pyroptosis-induced emotional changes in a rodent model of hemorrhagic shock and resuscitation (HSR). Here, we aimed to continue our investigation on the role of IL-18 binding protein (IL-18BP), which exhibits excellent anti-inflammatory effects as an IL-18 negative regulator. Mice were administered with an intraperitoneal injection of IL-18BP after HSR exposure and anxiety-like behavior was examined using the open-field test and elevated plus maze test. Moreover, the following variables post-HSR were measured: (1) the activation of astrocytes; (2) pyroptosis-associated factors including cleaved caspase-1, GSDMD, IL-18; (3) the roles of IL-18 receptor (IL-18R)-NOD-like receptor pyrin domain-containing-3 (NLRP3) signal with the application of the NLRP3 specific agonist or astrocyte-specific NLRP3 knockout mice. IL-18BP administration remarkably alleviated HSR-induced anxiety-like behavior, astrocytic activation, and increases in pyroptosis-associated factors, while NLRP3 agonist nigericin partially reversed IL-18BP-induced neuroprotective effects. Astrocyte-specific NLRP3 knockout mice exhibited relatively less anxiety-like behavior. Similarly, IL-18BP exhibited an anti-pyroptosis effect in astrocytes in an in vitro model of low oxygen-glucose deprivation. These findings offer unique perspectives on HSR-induced posttraumatic stress and indicate that inhibition of IL-18R–NLRP3 signal via IL-18BP can attenuate astrocytic activation and pyroptosis, broadening the therapeutic landscape for patients with psychological distress and posttraumatic stress. [ABSTRACT FROM AUTHOR]

Background: Malalignment is a common event during the intramedullary nailing (IMN) of distal tibia fractures (DTFs). Although it is reported that the semi-extended IMN techniques such as suprapatellar (SP) and parapatellar (PP) approaches may be superior in preventing malalignment, the application of these techniques is concerning owing to the intra-articular involvement. We thus developed an extra-articular semi-extended infrapatellar (SEIP) approach which utilizes the infrapatellar (IP) space while maintaining the knee in a semi-extended position. However, there are no studies on the safety and efficacy of SEIP in treating DTFs. Therefore, in this study, the SEIP technique was examined, particularly in terms of the potential alignment improvement of DTFs, and this technique was compared with the traditional hyperflexed infrapatellar (HFIP) procedure.Materials and Methods: This randomized clinical trial (RCT) compared IMN malalignment while correcting extraarticular and nondisplaced intra-articular DTFs between April 2018 and June 2021 using the HFIP and SEIP techniques at a level I trauma center in China. The study participants were clinically and radiographically examined for at least 12 months of follow-ups. Intraoperative fluoroscopy time, operation time, blood loss, hospitalization duration, functional ankle score, and complications were assessed as well.Results: Among the 88 recruited participants, 45 (51%) underwent traditional HFIP IMN and 43 (49%) underwent SEIP IMN. Malalignment occurred in 9 patients (20.0%) from the HFIP cohort and in 2 patients (4.7%) from the SEIP cohort (P value = 0.030). In addition, the SEIP IMN technique significantly reduced the intraoperative fluoroscopy time, operation time, and improved the postoperative ankle function compared to the HFIP IMN technique. However, the intraoperative blood loss, hospitalization duration, infection, delay union, and nonunion remained the same between the two cohorts.Conclusions: In summary, we demonstrated that the SEIP IMN provides markedly enhanced alignment of extraarticular and nondisplaced intra-articular DTFs compared to the traditional HFIP IMN procedure. The described technique represents an effective option for IMN of DTFs.Level Of Evidence: Level 2. Trial registration The Chinese Clinical Trial Registry, ChiCTR2100043673. Registered 26 February 2021, retrospectively registered, http://www.chictr.org.cn/showprojen.aspx?proj=122263. [ABSTRACT FROM AUTHOR]