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Background: Portal hypertension leads to lethal complications in liver cirrhosis. Oxidative stress induced hepatic vascular dysfunction, which exaggerated vasoconstriction and increases hepatic vascular resistance (HVR). Gut dysbiosis further exacerbates portal hypertension. Fructooligosaccharides are prebiotics with potent antioxidant effect. This study aimed to evaluate the roles of fructooligosaccharides in portal hypertension‐related vascular dysregulation and gut microbiome. Methods: Sprague–Dawley rats received bile duct ligation to induce cirrhosis or sham operation as controls. The rats then randomly received fructooligosaccharides or vehicle for 4 weeks. Experiments were performed on the 29th day after operations. Results: Fructooligosaccharides did not affect portal pressure. Interestingly, fructooligosaccharides significantly attenuated HVR (p =.03). Malondialdehyde, an oxidative stress marker, reduced significantly in the liver in fructooligosaccharides‐treated group. In addition, superoxide dismutase and trolox equivalent antioxidant capacity increased in the treatment group. On the other hand, vasodilatation‐related protein expressions, GTPCH and phospho‐eNOS, enhanced significantly. Fructooligosaccharides had no adverse vasodilatation effects on splanchnic vascular system or porto‐systemic collateral systems. Locomotor function was not affected by fructooligosaccharides. Faecal microbiota analysis showed that Negativicutes, Selenomonadales and Lactobacillus salivarius reduced in the fructooligosaccharides‐treated group. Conclusion: In conclusion, fructooligosaccharides attenuate hepatic vascular dysfunction in cirrhotic rats via at least partly, ameliorate of dysbiosis and oxidative stress. [ABSTRACT FROM AUTHOR]

Objective: To retrospectively evaluate clinical outcomes, including function and pain, of patients after our all arthroscopic "whole layer" rotator cuff repair technique with simultaneous biceps tenodesis procedure; factors influencing results were also evaluated. Given the frequent association of rotator cuff tear with long head of biceps lesion and the need for effective combined treatment strategies, this study aims to evaluate the efficacy of our technique and compare it with established methods. We hypothesized that our technique would significantly improve function and reduce pain in patients with rotator cuff tears and biceps pathology. Methods: This is a retrospective study that included patients older than 20 years who underwent all arthroscopic "whole layer" rotator cuff repair technique with simultaneous biceps tenodesis procedures for concomitant rotator cuff tear and long head biceps pathology, from 2016 to 2020. Patients were evaluated preoperatively and at a minimum of 2 years of follow‐up using the American Shoulder and Elbow Surgeons (ASES) and visual analogue scale (VAS) scores paired t‐tests were used for analysis and statistical significance was set at p < 0.05(two‐tailed). The satisfaction rate and complications were also evaluated. Results: After an average follow‐up of 2.3 years, 118 patients demonstrated significant improvement in both the ASES score (from 36.13 to 95.01, p < 0.001) and VAS score (from 6.81 to 0.89, p < 0.001). Ninety‐four percent of the patients reported satisfaction with the surgical outcome. No complications related to Popeye deformity, biceps cramping pain, or ipsilateral shoulder reoperation were observed. Factors such as age, sex, body mass index (BMI), smoking status, alcohol consumption, hypertension, and diabetes did not influence the results. Patients showed significant improvement in both the ASES and VAS scores (p < 0.001). Conclusion: At a mean follow‐up time of 2.3 years, the all arthroscopic "whole layer" rotator cuff repair technique with simultaneous biceps tenodesis is a therapeutic and efficient procedure. The procedure revealed a satisfactory functional outcome, reduced pain, and minimal complications and reoperations. [ABSTRACT FROM AUTHOR]

High‐fat diet (HFD)‐induced obesity induces peripheral inflammation and hypothalamic pathogenesis linking the activation of astrocytes and microglia. Clinical evidence indicates a positive correlation between obesity and psychiatric disorders, such as depression. The connectivity of the frontal‐striatal (FS) circuit, involving the caudate putamen (CPu) and anterior cingulate cortex (ACC) within the prefrontal cortex (PFC), is known for its role in stress‐induced depression. Thus, there is a need for a thorough investigation into whether chronic obesity‐induced gliosis, characterized by the activation of astrocytes and microglia, in these brain regions of individuals with chronic obesity. The results revealed increased S100β+ astrocytes and Iba1+ microglia in the CPu and ACC of male obese mice, along with immune cell accumulation in meningeal lymphatic drainage. Activated GFAP+ astrocytes and Iba1+ microglia were observed in the corpus callosum of obese mice. Gliosis in the CPu and ACC was linked to elevated cleaved caspase‐3 levels, indicating potential neural cell death by chronic HFD feeding. There was a loss of myelin and adenomatous polyposis coli (APC)+ oligodendrocytes (OLs) in the corpus callosum, an area known to be linked with injury to the CPu. Additionally, reduced levels of aquaporin‐4 (AQP4), a protein associated within the glymphatic systems, were noted in the CPu and ACC, while ciliary neurotrophic factor (CNTF) gene expression was upregulated in these brain regions of obese mice. The in vitro study revealed that high‐dose CNTF causing a trend of reduced astrocytic AQP4 expression, but it significantly impaired OL maturation. This pathological evidence highlights that prolonged HFD consumption induces persistent FS gliosis and demyelination in the corpus callosum. An elevated level of CNTF appears to act as a potential regulator, leading to AQP4 downregulation in the FS areas and demyelination in the corpus callosum. This cascade of events might contribute to neural cell damage within these regions and disrupt the glymphatic flow. [ABSTRACT FROM AUTHOR]

Various digital therapeutic products have been validated and approved since 2017. They have demonstrated efficacy and safety as a new therapeutic modality in various disorders or conditions. Hypertension is a common but serious condition that can be prevented or controlled with lifestyle changes and medicines. Although a digital therapeutic in hypertension is validated and approved in Japan, whether digital therapeutics (DTx) can significantly improve sustainable lifestyle changes is still a controversial topic. Most studies did not discuss the long‐term gain challenges. In this review, the authors discuss the definition of DTx, and analyze the motivation, engagement and adherence challenges of DTx in hypertension. Some ongoing artificial intelligence (AI)‐enabled or cognitive behavioral therapy (CBT)‐based digital interventions and behavioral strategies for implementing sustainable lifestyle changes are identified and analyzed. With AI‐enabled interventions and behavioral strategies, DTx might be one of the effective approaches to make sustainable lifestyle changes. [ABSTRACT FROM AUTHOR]

Rational design of efficient methanol oxidation reaction (MOR) catalyst that undergo non‐CO pathway is essential to resolve the long‐standing poisoning issue. However, it remains a huge challenge due to the rather difficulty in maximizing the non‐CO pathway by the selective coupling between the key *CHO and *OH intermediates. Here, we report a high‐performance electrocatalyst of patchy atomic‐layer Pt epitaxial growth on CeO2 nanocube (Pt ALs/CeO2) with maximum electronic metal‐support interaction for enhancing the coupling selectively. The small‐size monolayer material achieves an optimal geometrical distance between edge Pt−O−Ce sites and *OH absorbed on CeO2, which well restrains the dehydrogenation of *CHO, resulting in the non‐CO pathway. Meanwhile, the *CHO/*CO intermediate generated at inner Pt−O−Ce sites can migrate to edge, inducing the subsequent coupling reaction, thus avoiding poisoning while promoting reaction efficiency. Consequently, Pt ALs/CeO2 exhibits exceptionally catalytic stability with negligible degradation even under 1000 s pure CO poisoning operation and high mass activity (14.87 A/mgPt), enabling it one of the best‐performing alkali‐stable MOR catalysts. [ABSTRACT FROM AUTHOR]

Uneven lithium (Li) metal deposition typically results in uncontrollable dendrite growth, which renders an unsatisfactory cycling stability and coulombic efficiency (CE) of Li metal batteries (LMBs), preventing their practical application. Herein, a novel carbon cloth with the modification of ZnO nanosheets (ZnO@CC) is fabricated for LMBs. The as‐prepared ZnO@CC with a cross‐linked network significantly reduces the local current density, and the design of ZnO nanosheets can promote the uniform deposition of Li metal as lithiophilic sites. As a result, the Li metal anodes (LMAs) based on ZnO@CC (ZnO@CC@Li) enables a long cycle life over 640 hours with a low overpotential of 65 mV at a current density of 4 mA cm−2 with a capacity of 1 mAh cm−2 in the symmetric cell. Moreover, when coupling the ZnO@CC@Li with a LiFePO4 cathode, the assembled full cell exhibits excellent long cycle and rate performance, highlighting its promising practical application prospect. [ABSTRACT FROM AUTHOR]

Formic acid (HCOOH) is a highly energy efficient product of the electrochemical CO2 reduction reaction (CO2RR). Bismuth‐based catalysts have shown promise in the conversion of CO2 to formic acid, but there is still a great need for further improvement in selectivity and activity. Herein, we report the preparation of Bi nanosheets decorated by cerium oxide nanoparticles (CeOx) with high Ce3+/Ce4+ ratio and rich oxygen vacancies. The CeOx nanoparticles affect the electronic structures of bismuth, enhance CO2 adsorption, and thus promote the CO2RR properties of Bi nanosheets. Compared with elemental Bi nanosheets, the hetero‐structured CeOx/Bi nanosheets exhibit much higher activity over a wide potential window, showing a current density of 16.1 mA cm−2 with a Faradaic efficiency of 91.1% at −0.9 V vs. reversible hydrogen electrode. [ABSTRACT FROM AUTHOR]

Overexpression of T‐cell immunoglobulin and mucin‐domain containing‐3 (TIM‐3) on T cells has been observed in smokers. However, whether and how galectin‐9 (Gal‐9)/TIM‐3 signal between T‐regulatory cells (Tregs) and type 17 helper (Th17) cells contributes to tobacco smoke‐induced airway inflammation remains unclear. Here, we aimed to explore the role of the Gal‐9/TIM‐3 signal between Tregs and Th17 cells during chronic tobacco smoke exposure. Tregs phenotype and the expression of TIM‐3 on CD4+ T cells were detected in a mouse model of experimental emphysema. The role of TIM‐3 in CD4+ T cells was explored in a HAVCR2−/− mouse model and in mice that received recombinant anti‐TIM3. The crosstalk between Gal‐9 and Tim‐3 was evaluated by coculture Tregs with effector CD4+ T cells. We also invested the expression of Gal‐9 in Tregs in patients with COPD. Our study revealed that chronic tobacco smoke exposure significantly reduces the frequency of Tregs in the lungs of mice and remarkably shapes the heterogeneity of Tregs by downregulating the expression of Gal‐9. We observed a pro‐inflammatory but restrained phenotypic transition of CD4+ T cells after tobacco smoke exposure, which was maintained by TIM‐3. The restrained phenotype of CD4+ T cells was perturbed when TIM‐3 was deleted or neutralised. Tregs from the lungs of mice with emphysema displayed a blunt ability to inhibit the differentiation and proliferation of Th17 cells. The inhibitory function of Tregs was partially restored by using recombinant Gal‐9. The interaction between Gal‐9 and TIM‐3 inhibits the differentiation of Th17 cells and promotes apoptosis of CD4+ T cells, possibly by interfering with the expression of retinoic acid receptor‐related orphan receptor gamma t. The expression of Gal‐9 in Tregs was reduced in patients with COPD, which was associated with Th17 response and lung function. These findings present a new paradigm that impairment of Gal‐9/Tim‐3 crosstalk between Tregs and Th17 cells during chronic tobacco smoke exposure promotes tobacco smoke‐induced airway/lung inflammation. [ABSTRACT FROM AUTHOR]

Coastal darkening is emerging as a global threat to fringing reefs. While some reef‐building corals exhibit resistance to low‐light environments, the mechanisms behind this resistance, particularly the role of coral hosts, remain inadequately understood. Here, we investigated variations in underwater photosynthetically active radiation (PAR) and employed the Bayesian stable isotope mixing model (MixSIAR) to estimate the contributions of autotrophic (i.e., dissolved inorganic matter, DIM) and heterotrophic sources (i.e., particulate organic matter, POM, and dissolved organic matter, DOM) to the nutrition of the reef coral Galaxea fascicularis on the Luhuitou turbid reef in the northern South China Sea. Our findings revealed that the heterotrophic contribution to coral nutrition increased to 58.5% with decreasing PAR and that the heterotrophic contribution was significantly negatively correlated with δ13C difference between host and symbiont (δ13Ch–s). Moreover, we observed significant seasonal variations in the respective contributions of POM and DOM to coral nutrition, linked to the sources of these nutrients, demonstrating that G. fascicularis can selectively ingest POM and DOM based on their bioavailability to enhance its heterotrophic contribution. This heterotrophic plasticity improved the low‐light resistance of G. fascicularis and contributed to its prominence within coral communities. However, with a low‐light threshold of approximately 3.73% of the surface PAR for G. fascicularis, our results underscore the need for effective strategies to mitigate low‐light conditions on nearshore turbid reefs. In summary, our study highlights the critical role of heterotrophic plasticity in coral responses to natural low‐light environments, suggesting that some reef‐building corals with such plasticity could become dominant or resilient species in the context of coastal darkening. [ABSTRACT FROM AUTHOR]

Aims: Extended fasting–postprandial switch intermitting time has been shown to affect Alzheimer's disease (AD). Few studies have investigated the cerebral perfusion response to fasting–postprandial metabolic switching (FMS) in AD patients. We aimed to evaluate the cerebral perfusion response to FMS in AD patients. Methods: In total, 30 AD patients, 32 mild cognitive impairment (MCI) patients, and 30 healthy control individuals (HCs) were included in the quantification of cerebral perfusion via cerebral blood flow (CBF). The cerebral perfusion response to FMS was defined as the difference (ΔCBF) between fasting and postprandial CBF. Results: Patients with AD had a regional negative ΔCBF in the anterior temporal lobe, part of the occipital lobe and the parietal lobe under FMS stimulation, whereas HCs had no significant ΔCBF. The AD patients had lower ΔCBF values in the right anterior temporal lobe than the MCI patients and HCs. ΔCBF in the anterior temporal lobe was negatively correlated with cognitive severity and cognitive reserve factors in AD patients. Conclusions: AD patients exhibited a poor ability to maintain cerebral perfusion homeostasis under FMS stimulation. The anterior temporal lobe is a distinct area that responds to FMS in AD patients and negatively correlates with cognitive function. [ABSTRACT FROM AUTHOR]

The structure of molecular aggregates is crucial for charge transport and photovoltaic performance in organic solar cells (OSCs). Herein, the intermolecular interactions and aggregated structures of nonfused‐ring electron acceptors (NFREAs) are precisely regulated through a halogen transposition strategy, resulting in a noteworthy transformation from a 2D‐layered structure to a 3D‐interconnected packing network. Based on the 3D electron transport pathway, the binary and ternary devices deliver outstanding power conversion efficiencies (PCEs) of 17.46 % and 18.24 %, respectively, marking the highest value for NFREA‐based OSCs. [ABSTRACT FROM AUTHOR]

The effect of annealing on the mechanical properties, intergranular corrosion (IGC) properties, and microstructure of Al–Mg–Zn alloys is studied. The results show that with the increase of annealing temperature, the strength of the alloy decreases, the elongation increases, and the corrosion resistance firstly increases and then decreases. The alloy exhibits a high corrosion resistance and good mechanical properties when the annealing treatment is 270 °C for 2 h. Meanwhile, the IGC mass loss value is less than 15 mg cm−2. In addition, the ultimate tensile strength, yield strength, and elongation are 416, 250 MPa, and 16.0%, respectively. The T‐Mg32(Al, Zn)49 phases are directly precipitated when annealing at 270 °C for 2 h. After sensitization, T phase gradually grows and coarsens. When the alloy is annealing at 400 °C for 2 h, a part of T phase gradually dissolves in the Al matrix. After sensitization, the Mg atoms with higher supersaturation gradually diffuse to grain boundary by bulk diffusion due to the low dislocation density and form a thin precipitate film, which deteriorates the corrosion resistance of the alloy. The details of corrosion mechanism analysis are as follows. [ABSTRACT FROM AUTHOR]

In order to investigate the adsorption process of malachite green (MG) on gold nanoparticles, a simple gold nanoparticles‐assembled film was prepared as a substrate of surface‐enhanced Raman spectroscopy (SERS), and it was soaked in MG solutions of different concentrations. The kinetic adsorption process was investigated by SERS method and density functional theoretical calculations. When saturated adsorption was achieved, the relationship between the characteristic SERS band signal intensity and the logarithm of solution concentration of MG was consistent with Temkin adsorption isotherm model, where the R2 value was greater than 0.995, and the linear range was 1 × 10−3–1 × 10−7 M. Finally, a SERS quantitative analysis model of the relationship between the adsorption properties of surface species and the bulk concentration was established. According to the electrostatic interaction and co‐adsorption, we proposed the surface adsorption configurations and adsorption process of MG on the nanostructured gold films. [ABSTRACT FROM AUTHOR]

Aims: Left bundle branch block (LBBB) is associated with an increased risk of adverse outcomes for patients with heart failure. The prognosis of LBBB in patients with a preserved ejection fraction (EF) remains controversial. This study investigated the predictive value of T‐wave discordance for the prognosis of patients with LBBB and preserved or mildly reduced EF. Methods and results: We enrolled 707 patients with complete LBBB and left ventricular (LV) EF ≥ 40% observed using electrocardiograms (ECGs) and echocardiograms between January 2010 and December 2018. Their serial ECGs were reviewed during the follow‐up period. The T‐wave pattern was classified as discordant LBBB (dLBBB) or concordant LBBB (cLBBB) according to the 12‐lead ECG T‐wave morphology. The primary outcome was the composite of cardiovascular death or hospitalization for heart failure during a median follow‐up period of 3.1 years. A multivariable Cox regression analysis was used to evaluate the independent predictors of the primary outcome. Patients with dLBBB had more comorbidities, a higher heart rate, a longer QRS and QTc duration, a larger LV end‐systolic volume and left atrial dimension, a lower LVEF, and a higher mitral E/A ratio and E/e′, compared with those with cLBBB. Older age [hazard ratio (HR) = 1.023, 95% confidence interval (CI) = 1.001–1.046, P = 0.023], history of heart failure (HR = 2.440, 95% CI = 1.524–3.905, P = 0.001), chronic kidney disease (HR = 1.917, 95% CI = 1.182–3.110, P = 0.008), larger LV end‐systolic volume (HR = 1.046, 95% CI = 1.017–1.075, P = 0.002), lower LVEF (HR = 0.916, 95% CI = 0.885–0.948, P = 0.001), and presence of dLBBB (HR = 1.63, 95% CI = 1.011–2.628, P = 0.032) were independent predictors of the primary outcome in patients with LBBB and LVEF ≥ 40%. The discordant or concordant T‐wave morphology of LBBB could transform from one subtype to the other in up to 23% of the study population during the follow‐up period, and individuals with persistent or transformed dLBBB faced an increased risk of cardiovascular death or non‐fatal heart failure hospitalization. Conclusions: In patients with LBBB and EF ≥ 40%, dLBBB serves as an independent predictor of a higher risk of cardiovascular death or non‐fatal heart failure hospitalization. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to examine determinants of undernutrition among children under 2 years of age. Design and Methods: A matched case‐control study design was conducted to recruit 300 mothers comprising 100 mothers with an undernourished child (case group) and 200 mothers with a healthy child (control group). Measurements consisted of demographic characteristics of children data, mother's data, household data, mother's knowledge of child undernutrition, mother's knowledge of nutrition, complementary feeding practices, and undernutrition parameters of the children. A conditional logistic regression was used to identify determinants of undernutrition. The risk of undernutrition was estimated by odds ratios (ORs) and 95% confidence intervals (CIs). Statistical significance was defined as any p value of <.05. Results: Findings showed that mother's knowledge of undernutrition (AOR: 0.95; 95% CI: 0.91−0.98), mother's knowledge of nutrition (AOR: 0.90; 95% CI: 0.85−0.96), and mother's knowledge (AOR: 0.78; 95% CI: 0.67−0.91) and behavior of complementary feeding practices (AOR: 0.97; 95% CI: 0.94−0.99) were significant determinants of undernutrition (p <.05). Practice Implications: Mothers with high scores on knowledge of undernutrition, knowledge of nutrition, and knowledge and behaviors of complementary feeding practices would benefit the children under 2 years to reduce the risk of undernutrition. Healthcare professionals (i.e., pediatric nurses and community health nurses) should provide early assessment of knowledge related to undernutrition, nutrition, and complementary feeding practices for mothers with children under 2 years. [ABSTRACT FROM AUTHOR]

Due to the inadequate utilization of data correlation and complementarity in the feature extraction process of multimodal remote sensing images, the paper proposes a deep learning semantic segmentation algorithm based on the Dual Channel Attention Mechanism (DCAM). This algorithm uses U‐Net as the backbone, combining the RGB remote sensing image as one input channel with the Convolutional Block Attention Module to extract colour space features. Simultaneously, it utilizes near‐infrared (NIR) as another input channel with the Self‐Attention Module (SAM) to extract shape space features. Finally, by concatenating the multi‐scale attention features of the RGB remote sensing image channel and the NIR remote sensing image channel, it achieves the correlation and complementarity of contextual features between the two modal remote sensing images. Experimental results on the GID‐15 dataset demonstrate that the DCAM algorithm significantly improves the segmentation accuracy, edge segmentation quality, and object segmentation integrity for various types of targets compared to current mainstream segmentation methods. [ABSTRACT FROM AUTHOR]

The blood brain barrier (BBB) limits the application of most therapeutic drugs for neurological diseases (NDs). Hybrid cell membrane‐coated nanoparticles derived from different cell types can mimic the surface properties and functionalities of the source cells, further enhancing their targeting precision and therapeutic efficacy. Neuroinflammation has been increasingly recognized as a critical factor in the pathogenesis of various NDs, especially Alzheimer's disease (AD). In this study, a novel cell membrane coating is designed by hybridizing the membrane from platelets and chemokine (C–C motif) receptor 2 (CCR2) cells are overexpressed to cross the BBB and target neuroinflammatory lesions. Past unsuccessful endeavors in AD drug development underscore the challenge of achieving favorable outcomes when utilizing single‐mechanism drugs.Two drugs with different mechanisms of actions into liposomes are successfully loaded to realize multitargeting treatment. In a transgenic mouse model for familial AD (5xFAD), the administration of these drug‐loaded hybrid cell membrane liposomes results in a significant reduction in amyloid plaque deposition, neuroinflammation, and cognitive impairments. Collectively, the hybrid cell membrane‐coated nanomaterials offer new opportunities for precise drug delivery and disease‐specific targeting, which represent a versatile platform for targeted therapy in AD. [ABSTRACT FROM AUTHOR]

Breast cancer stands as the predominant malignancy and primary cause of cancer‐related mortality among females globally. Approximately 25% of breast cancers exhibit HER2 overexpression, imparting a more aggressive tumor phenotype and correlating with poor prognoses. Patients with metastatic breast cancer receiving HER2 tyrosine kinase inhibitors (HER2 TKIs), such as Lapatinib, develop acquired resistance within a year, posing a critical challenge in managing this disease. Here, we explore the potential of Artemisia argyi, a Chinese herbal medicine known for its anti‐cancer properties, in mitigating HER2 TKI resistance in breast cancer. Analysis of the Cancer Genome Atlas (TCGA) revealed diminished expression of transmembrane serine protease 2 (TMPRSS2), a subfamily of membrane proteolytic enzymes, in breast cancer patients, correlating with unfavorable outcomes. Intriguingly, lapatinib‐responsive patients exhibited higher TMPRSS2 expression. Our study unveiled that the compounds from Artemisia argyi, eriodictyol, and umbelliferone could inhibit the growth of lapatinib‐resistant HER2‐positive breast cancer cells. Mechanistically, they suppressed HER2 kinase activation by enhancing TMPRSS2 activity. Our findings propose TMPRSS2 as a critical determinant in lapatinib sensitivity, and Artemisia argyi emerges as a potential agent to overcome lapatinib via activating TMPRSS2 in HER2‐positive breast cancer. This study not only unravels the molecular mechanisms driving cell death in HER2‐positive breast cancer cells induced by Artemisia argyi but also lays the groundwork for developing novel inhibitors to enhance therapy outcomes. [ABSTRACT FROM AUTHOR]

This study examines the impact of Notoginsenoside R1 (NGR1), a compound from Panax notoginseng, on the maturation of porcine oocytes and their embryonic development, focusing on its effects on antioxidant levels and mitochondrial function. This study demonstrates that supplementing in vitro maturation (IVM) medium with NGR1 significantly enhances several biochemical parameters. These include elevated levels of glutathione (GSH), nuclear factor erythrocyte 2‐related factor 2 (NRF2) and mRNA expression of catalase (CAT) and GPX. Concurrently, we observed a decrease in reactive oxygen species (ROS) levels and an increase in JC‐1 immunofluorescence, mitochondrial distribution, peroxisome proliferator‐activated receptor‐γ coactivator‐1α (PGC1α) and nuclear NRF2 mRNA levels. Additionally, there was an increase in ATP production and lipid droplets (LDs) immunofluorescence. These biochemical improvements correlate with enhanced embryonic outcomes, including a higher blastocyst rate, increased total cell count, enhanced proliferative capacity and elevated octamer‐binding transcription factor 4 (Oct4) and superoxide dismutase 2 (Sod2) gene expression. Furthermore, NGR1 supplementation resulted in decreased apoptosis, reduced caspase 3 (Cas3) and BCL2‐Associated X (Bax) mRNA levels and decreased glucose‐regulated protein 78 kD (GRP78) immunofluorescence in porcine oocytes undergoing in vitro maturation. These findings suggest that NGR1 plays a crucial role in promoting porcine oocyte maturation and subsequent embryonic development by providing antioxidant levels and mitochondrial protection. [ABSTRACT FROM AUTHOR]

In 2008, sorafenib became the first approved systemic therapeutic agent for advanced HCC. Although its pharmacological efficacy has been established, reimbursement for such a new, high‐cost drug, as well as physicians' awareness and prescription practice, likewise contribute to its clinical effectiveness. We therefore conducted a retrospective study using 38 sorafenib‐eligible, advanced HCC patients when sorafenib was approved but not yet reimbursed as a control and 216 patients during the reimbursed era. Study group showed longer survival at 8.2 months versus the control's 4.9 months (p = 0.0063 hazard ratio: 0.612 [0.431 ~ 0.868], p = 0.0059). Among the 42 (19.4%) patients who survived more than 2 years, 50% had tumor rupture, and all 32 patients with portal vein tumor thrombus and/or extrahepatic metastasis received sorafenib (p = 0.003). Furthermore, during their first 2 years of HCC management, sorafenib had been given in 29.1% of the treatment courses among survivors between 2 and 5 years while it was prescribed in 55.8% among the more than 5 years survivor group (p < 0.001). In conclusion, survival of sorafenib‐eligible HCC patients significantly improved after reimbursement. Patients who underwent longer sorafenib treatment had a survival advantage, except for those with tumor rupture. Reimbursement and awareness of prescriptions for a newly introduced medication therefore improve clinical effectiveness. [ABSTRACT FROM AUTHOR]

Background: Paroxysmal kinesigenic dyskinesia (PKD) is the most prevalent kind type of paroxysmal Dyskinesia, characterized by recurrent and transient episodes of involuntary movements. Most PKD cases were attributed to the proline‐rich transmembrane protein 2 (PRRT2) gene, in which the c.649 region is a hotspot for known mutations. Even though some patients with PKD have been genetically diagnosed using whole‐exome sequencing (WES) and Sanger sequencing, there are still cases of missed diagnoses due to the limitations of sequencing technology and analytic methods on throughput. Methods: Patients meeting the diagnosis criteria of PKD with negative results of PRRT2‐Sanger sequencing and WES were included in this study. Mutation screening and targeted high‐throughput sequencing were performed to analyze and verify the sequencing results of the potential mutations. Results: Six patients with PKD with high mutation ratios of c.649dupC were screened using our targeted high‐throughput sequencing from 26 PKD patients with negative results of PRRT2‐Sanger sequencing and WES (frequency = 23.1%), which compensated for the comparatively shallow sequencing depth and statistical flaws in this region. Compared with the local normal population and other patients with PKD, the mutation ratios of c.649dupC of these six patients with PKD were much higher and also had truncated protein structures and differentially altered mRNA expression. Conclusion: Based on the above studies, we emphasize the routine targeted high‐throughput sequencing of the c.649 site in the PRRT2 gene in so‐called genetic‐testing‐negative patients with PKD, and manually calculate the deletion and duplication mutations depth and ratios to lower the rate of clinical misdiagnosis. [ABSTRACT FROM AUTHOR]

Vascular calcification is a strong predictor of cardiovascular events. Essential metals play critical roles in maintaining human health. However, the association of essential metal levels with risk of aortic arch calcification (AoAC) remains unclear. We measured the plasma concentrations of nine essential metals in a cross‐sectional population and evaluated their individual and combined effects on AoAC risk using multiple statistical methods. We also explored the mediating role of fasting glucose. In the logistic regression model, higher quartiles of magnesium and copper were associated with the decreased AoAC risk, while higher quartile of manganese was associated with higher AoAC risk. The least absolute shrinkage and selection operator penalized regression analysis identified magnesium, manganese, calcium, cobalt, and copper as key metals associated with AoAC risk. The weighted quantile sum regression suggested a combined effect of metal mixture. A linear and positive dose–response relationship was found between manganese and AoAC in males. Moreover, blood glucose might mediate a proportion of 9.38% of the association between manganese exposure and AoAC risk. In summary, five essential metal levels were associated with AoAC and showed combined effect. Fasting glucose might play a significant role in mediating manganese exposure‐associated AoAC risk. [ABSTRACT FROM AUTHOR]

Transition metal phosphides with metallic properties are a promising candidate for electrocatalytic water oxidation, and developing highly active and stable metal phosphide‐based oxygen evolution reaction catalysts is still challenging. Herein, we present a facile ion exchange and phosphating processes to transform intestine‐like CoNiPx@P,N‐C into lotus pod‐like CoNiFePx@P,N‐C heterostructure in which numerous P,N‐codoped carbon‐coated CoNiFePx nanoparticles tightly anchors on the 2D carbon matrix. Meanwhile, the as‐prepared CoNiFePx@P,N‐C enables a core‐shell structure, high specific surface area, and hierarchical pore structure, which present abundant heterointerfaces and fully exposed active sites. Notably, the incorporation of Fe can also induce electron transfer in CoNiPx@P,N‐C, thereby promoting the oxygen evolution reaction. Consequently, CoNiFePx@P,N‐C delivers a low overpotential of 278 mV (vs RHE) at a current density of 10 mA cm−1 and inherits excellent long‐term stability with no observable current density decay after 30 h of chronoamperometry test. This work not only highlights heteroatom induction to tune the electronic structure but also provides a facile approach for developing advanced and stable oxygen evolution reaction electrocatalysts with abundant heterointerfaces. [ABSTRACT FROM AUTHOR]

Introduction: Gestational diabetes mellitus (GDM) is a common medical complication in pregnancy. Moderate‐intensity physical activity during pregnancy can lower the risk of GDM. However, the relationship between moderate‐intensity physical activity and correlated factors among pregnant people at high risk for GDM remains unknown. Methods: A cross‐sectional study was conducted in China. Two hundred fifty‐two participants completed the Pregnancy Physical Activity Questionnaire, Pregnancy Physical Activity Self‐Efficacy Scale, Physical Activity Knowledge Questionnaire, Physical Activity Social Support Scale, 7‐item Generalized Anxiety Disorder Scale, Edinburgh Postnatal Depression Scale, and a sociodemographic data sheet. Structural equation modeling was used to explore the direct and indirect associations between the study variables. Results: A total of 51.6% of the participants did not meet the current physical activity guidelines. Only physical activity self‐efficacy was significantly correlated with moderate‐intensity physical activity. Physical activity self‐efficacy mediated the relationship between moderate‐intensity physical activity and knowledge of physical activity, social support for physical activity, and anxiety symptoms. Furthermore, knowledge of physical activity was also associated with improved moderate‐intensity physical activity mediated by reduced anxiety symptoms and increased physical activity self‐efficacy. Conclusion: Our study revealed a high prevalence of not meeting current physical activity guidelines among pregnant people at high risk for GDM. Physical activity self‐efficacy played an important mediating role in predicting moderate‐intensity physical activity. Future studies should focus on enhancing self‐efficacy to improve moderate‐intensity physical activity for pregnant people at high risk for GDM. [ABSTRACT FROM AUTHOR]

Bacterial infections have emerged as the leading causes of mortality and morbidity worldwide. Herein, we developed a dual‐channel fluorescence "turn‐on" sensor array, comprising six electrostatic complexes formed from one negatively charged poly(para‐aryleneethynylene) (PPE) and six positively charged aggregation‐induced emission (AIE) fluorophores. The 6‐element array enabled the simultaneous identification of 20 bacteria (OD600=0.005) within 30s (99.0 % accuracy), demonstrating significant advantages over the array constituted by the 7 separate elements that constitute the complexes. Meanwhile, the array realized different mixing ratios and quantitative detection of prevalent bacteria associated with urinary tract infection (UTI). It also excelled in distinguishing six simulated bacteria samples in artificial urine. Remarkably, the limit of detection for E. coli and E. faecalis was notably low, at 0.000295 and 0.000329 (OD600), respectively. Finally, optimized by diverse machine learning algorithms, the designed array achieved 96.7 % accuracy in differentiating UTI clinical samples from healthy individuals using a random forest model, demonstrating the great potential for medical diagnostic applications. [ABSTRACT FROM AUTHOR]

The energy barrier between the highest occupied molecular orbital (HOMO) of the emission layer (EML) and the hole transport layer material (HTL) restricts the development of carbon dots (CDs) based light‐emitting diodes (LEDs). Here, the fabrication of red fluorescent CDs (RCDs) by a one‐step solvothermal method is reported. These RCDs have a photoluminescence quantum yield (PLQY) of 47.97% and a full width at half maximum (FWHM) of 26 nm. This study also shows the RCDs‐based LEDs fabrication with Poly(9,9‐dioctylfluorene‐co‐N‐(4‐butylphenyl) diphenylamine (TFB) as HTL. In normal case, these devices are not able to work due to the large interfacial energy barrier between RCDs and TFB. While, the RCDs‐LEDs can overcome through interfacial energy barriers and achieve stable carrier injecting by a simple in situ electric excitation at the current of 50 mA cm−2. This work provides a new strategy to overcome the obstacle of mismatch of interfacial energy levels in the LEDs by an in situ electric excitation. [ABSTRACT FROM AUTHOR]

"Carbon Peak and Carbon Neutrality" is an important strategic goal for the sustainable development of human society. Typically, a key means to achieve these goals is through electrochemical energy storage technologies and materials. In this context, the rational synthesis and modification of battery materials through new technologies play critical roles. Plasma technology, based on the principles of free radical chemistry, is considered a promising alternative for the construction of advanced battery materials due to its inherent advantages such as superior versatility, high reactivity, excellent conformal properties, low consumption and environmental friendliness. In this perspective paper, we discuss the working principle of plasma and its applied research on battery materials based on plasma conversion, deposition, etching, doping, etc. Furthermore, the new application directions of multiphase plasma associated with solid, liquid and gas sources are proposed and their application examples for batteries (e. g. lithium‐ion batteries, lithium‐sulfur batteries, zinc‐air batteries) are given. Finally, the current challenges and future development trends of plasma technology are briefly summarized to provide guidance for the next generation of energy technologies. [ABSTRACT FROM AUTHOR]

The methods for the cross‐coupling of aryl(trialkyl)silanes are long‐standing challenges due to the extreme inertness of C−Si(R3) bond, though the reaction is environmentally friendly and highly regioselective to synthesize biaryls. Herein, we report a copper‐catalyzed cross‐coupling of aryl(trialkyl)silanes and aryl via a radical mechanism. The reaction proceeds efficiently with aryl sulfonium salts as limiting reagents, exhibits broad substrate scope, and provides an important synthetic strategy to acquire biaryls, exemplified by unsymmetrical fluorescence probes and late‐stage functionalization of drugs. Of note, the experimental and theoretical mechanistic studies revealed a radical mechanism where the copper catalyst and CsF play critical roles on the radical generation and desilylation process. [ABSTRACT FROM AUTHOR]

In the development of high‐performance organic solar cells (OSCs), the self‐organization of organic semiconductors plays a crucial role. This study focuses on the precisely manipulation of molecular assemble via tuning alkyl side‐chain topology in a series of low‐cost nonfused‐ring electron acceptors (NFREAs). Among the three NFREAs investigated, DPA‐4, which possesses an asymmetric alkyl side‐chain length, exhibits a tight packing in the crystal and high crystallinity in the film, contributing to improved electron mobility and favorable film morphology for DPA‐4. As a result, the OSC device based on DPA‐4 achieves an excellent power conversion efficiency of 16.67 %, ranking among the highest efficiencies for NFREA‐based OSCs. [ABSTRACT FROM AUTHOR]

Comprehensive Summary: By employing the asymmetric end‐group engineering, an asymmetric nonfused‐ring electron acceptor (NFREA) was designed and synthesized. Compared with the symmetric analogs (NoCA‐17 and NoCA‐18), NoCA‐19 possesses broader light absorption range, more coplanar π‐conjugated backbone, and appropriate crystallinity according to the experimental and theoretical results. The organic solar cells based on J52:NoCA‐19 exhibited a power conversion efficiency as high as 12.26%, which is much higher than those of J52:NoCA‐17 (9.50%) and J52:NoCA‐18 (11.77%), mainly due to more efficient exciton dissociation, better and balanced charge mobility, suppressed recombination loss, shorter charge extraction time, longer charge carrier lifetimes, and more favorable blend film morphology. These findings demonstrate the great potential of asymmetric end‐group engineering in exploring low‐cost and high‐performance NFREAs. [ABSTRACT FROM AUTHOR]

Circular RNAs (circRNAs) play functional roles in rheumatoid arthritis (RA) progression. Fibroblast‐like synoviocytes (RASFs) are the main effectors in RA development. In this study, we explored the function and mechanism of circ_0008410 in RASFs. qRT‐PCR was used to detect the expression of circ_0008410, microRNA‐149‐5p (miR‐149‐5p), and homeodomain‐interacting protein kinase 2 (HIPK2). Cell counting kit‐8, EdU assay, flow cytometry, and transwell assay were performed to evaluate cell proliferation, apoptosis, migration, and invasion. Western blot measured the protein levels of related markers and HIPK2. The levels of IL‐1β, TNF‐α, and IL‐6 were tested by corresponding ELISA kits and Western blot. The combination between miR‐149‐5p and circ_0008410 or HIPK2 was detected by dual‐luciferase reporter assay or RNA immunoprecipitation (RIP) assay. Our data showed that circ_0008410 and HIPK2 were elevated, while miR‐149‐5p was downregulated in RA synovial tissues and RASFs. Circ_0008410 promoted RASF proliferation, migration, invasion, and inflammation while inhibiting apoptosis. MiR‐149‐5p was a target of circ_0008410, and its overexpression could reverse the promoting effects of circ_0008410 on RASF dysfunction. Moreover, miR‐149‐5p could target HIPK2 to suppress RASF proliferation, migration, invasion, and inflammation. Collectively, circ_0008410 promoted RASF dysfunction via miR‐149‐5p/HIPK2, which might provide a potential target for RA therapy. [ABSTRACT FROM AUTHOR]

This paper proposes a high aperture efficiency (AE) small size tensor holographic impedance metasurface (THIMS), which has the ability to create circular polarized (CP) high purity orbital angular momentum (OAM) multi‐beams with flexibly independent control of the individual beam direction, polarization and OAM mode. The tensor unit cell is a cross‐slotted circular patch. We design a THIMS at 14.6 GHz for dual CP OAM beams: Beam‐I (LHCP, l = 1, θ1 = 30°, φ1 = 0°), Beam‐II (RHCP, l = −1, θ2 = 30°, φ2 = 180°). The developed tensor dual CP THIMS has the following advantages: high purity in xoy plane at z = 9.73 λ (λ wavelength, measured purity 88.4% for Beam‐I, and 93.5% for Beam‐II), high AE 25.1%, and small size 5.986 λ × 5.986 λ × 0.0618 λ. The calculated, simulated and measured results agree well. The generated dual CP OAM beams have potential applications for high‐capacity wireless communication, radar high resolution imaging, and rotation velocity measurement. [ABSTRACT FROM AUTHOR]

Higher order hierarchical wrinkle patterns may extend the functionalities and enable new capabilities in the devices created, but current transfer‐based methods are often complex and tedious. This work develops a transfer‐free method to generate hierarchical wrinkle patterns in MXene thin films via controlled deflation of a latex balloon substrate by exploiting its thermal‐elastic properties. This work generates four different wrinkle patterns with varying strain sensitivity: 2D (GF = 0.593), 1D1D (GF = 0.0979), 2D1D (GF = 0.0165), and 2D2D (GF = 0.545). Taking advantage of the small strain response exhibited by the 2D1D electrode, this work fabricates stretchable stain‐insensitive contact sensors where its behavior can be tuned by varying the thickness of the spacer. When the spacer is 0.16 mm thick, the sensor is observed to have a pressure sensitivity of 0.0922, 0.109, and 0.112 kPa−1 at 0%, 25% and 50% stretching states respectively at pressures of <2500 Pa. When the spacer is 0.32 mm thick, the sensor is observed to have a pressure sensitivity of 0.154, 0.185, and 0.233 kPa−1 under 0%, 25% and 50% strain respectively between the pressure range of 2900–5200 Pa. [ABSTRACT FROM AUTHOR]

Developing an artificial visual sensory system requires optoelectronic materials and devices that can mimic the behavior of biological synapses. Organic/polymeric semiconductors have emerged as promising candidates for optoelectronic synapses due to their tunable optoelectronic properties, mechanic flexibility, and biological compatibility. In this review, we discuss the recent progress in organic optoelectronic synaptic materials and devices, including their design principles, working mechanisms, and applications. We also highlight the challenges and opportunities in this field and provide insights into potential applications of these materials and devices in next‐generation artificial visual systems. By leveraging the advances in organic optoelectronic materials and devices, we can envision its future development in artificial intelligence. [ABSTRACT FROM AUTHOR]

Aim: Moral courage among healthcare workers has been extensively studied. However, few studies have been conducted on oncology specialist nurses, who frequently encounter complex moral situations. This study aimed to describe the current situation regarding moral courage and explored its influence on oncology specialist nurses in China. Design: This was an exploratory, descriptive study. Methods: A convenience sample of 390 nurses was conducted from 15 hospitals in Sichuan Province, China, between March and May 2023. Participants were assessed using the Moral Distress Scale‐Revised, Nurses' Moral Courage Scale and the Moral Sensitivity Questionnaire. Results: The results demonstrated that moral courage was negatively associated with moral distress, and positively associated with moral sensitivity. Having a master's degree or above, an intermediate title or senior title, medical ethics training, moral distress or moral sensitivity contributed to explaining 54.1% of the variance in moral courage. Conclusions: Moral courage was associated with several factors. Developing clinical intervention strategies and effective teaching methods will be critical for improving moral courage. No Patient or Public Contribution. [ABSTRACT FROM AUTHOR]

With the changing disease spectrum, atherosclerosis has become increasingly prevalent worldwide and the associated diseases have emerged as the leading cause of death. Due to their fascinating physical, chemical, and biological characteristics, nanomaterials are regarded as a promising tool to tackle enormous challenges in medicine. The emerging discipline of nanomedicine has filled a huge application gap in the atherosclerotic field, ushering a new generation of diagnosis and treatment strategies. Herein, based on the essential pathogenic contributors of atherogenesis, as well as the distinct composition/structural characteristics, synthesis strategies, and surface design of nanoplatforms, the three major application branches (nanodiagnosis, nanotherapy, and nanotheranostic) of nanomedicine in atherosclerosis are elaborated. Then, state‐of‐art studies containing a sequence of representative and significant achievements are summarized in detail with an emphasis on the intrinsic interaction/relationship between nanomedicines and atherosclerosis. Particularly, attention is paid to the biosafety of nanomedicines, which aims to pave the way for future clinical translation of this burgeoning field. Finally, this comprehensive review is concluded by proposing unresolved key scientific issues and sharing the vision and expectation for the future, fully elucidating the closed loop from atherogenesis to the application paradigm of nanomedicines for advancing the early achievement of clinical applications. [ABSTRACT FROM AUTHOR]

Photocatalytic hydrogen evolution coupled with organic oxidation reaction is a promising alternative to water splitting, where the efficiency is limited due to the weak correlation between charge separation and surface redox reactions. Here, employing nickel phthalocyanine (NiPc) for hole extraction, NiPc‐modified carbon dots (CDs) are combined with Cu–In–Zn–S quantum dots (CIZS QDs) toward a profound understanding of electron/hole extraction and surface proton generation and reduction. The optimal hydrogen evolution rate reaches 4.10 mmol g−1 h−1 for CIZS/NiPc–CDs with l‐ascorbic acid for hole consumption, 8.10 times to that of CIZS QDs, which is further promoted to 11.12 mmol g−1 h−1 under electron/hole coextraction with Ni2+ introduction. For benzyl‐alcohol‐oxidation‐coupled H2 evolution, this strategy shows a more dramatic activity enhancement (19.54 times), which is also appliable to methanol‐ or furfuryl‐alcohol‐oxidation coupling systems with state‐of‐the‐art activities. Transient photovoltage spectroscopy and apparent kinetics analysis indicate, for the first time, a light‐induced electrocatalysis effect consistent with the Volmer–Heyrovsky process, which establishes a quasiquantitative basis for balancing charge extraction and surface reactions. [ABSTRACT FROM AUTHOR]

Objective: Circular RNAs (circRNAs), a new subgroup of non‐coding RNAs in the human transcriptome, are crucial in atherosclerosis (AS). Here, a newly identified circRNA circDLGAP4 was demonstrated to be downregulated in oxidized forms of low‐density lipoprotein (ox‐LDL)‐induced HUVECs. Methods: This research adopted ox‐LDL to stimulate human umbilical vein endothelial cells (HUVECs) to mimic AS in vitro. To further validate the protective action of circDLGAP4 in AS, a mouse model of AS was constructed with a high‐fat diet. Functional assays evaluated circDLGAP4 role in AS in vitro and in vivo. Moreover, mechanism assays evaluated association of circDLGAP4/miR‐134‐5p/PTPN4. Results: CircDLGAP4 was induced to promote cell proliferative behavior and autophagy, inhibit apoptotic and inflammatory activities in ox‐LDL‐treated HUVECs, and attenuated endothelial barrier function. CircDLGAP4 regulated PTPN4 by directly targeting miR‐134‐5p. Meanwhile, inhibiting miR‐134‐5p reduced ox‐LDL‐induced cell dysfunction. Knockout of PTPN4 reversed circDLGAP4 overexpression or miR‐134‐5p downregulation in vitro. In addition, reducing circDLGAP4 or overexpressing miR‐134‐5p increased the red atherosclerotic plaque and lesion area of AS mice, reduced autophagy level, and promoted the release of inflammatory cytokines. Conclusion: This study extends the role of circRNA in AS by inducing autophagy and improving endothelial dysfunction in AS via the circDLGAP4/miR‐134‐5p/PTPN4 axis. [ABSTRACT FROM AUTHOR]

Organic solar cells (OSCs) have attracted extensive attention from both academia and industry in recent years due to their remarkable improvement in power conversion efficiency (PCE). However, the Golden Triangle (the balance of efficiency‐stability‐cost) required for large‐scale industrialization of OSCs still remains a great challenge. Here, a new nonfused‐ring electron acceptor (NFREA) BF and its polymerized counterpart PBF were designed and synthesized, and their photovoltaic performance, storage stability and material cost were systematically investigated. When blended with a widely‐used polymer donor PBDB‐T, the PBF‐based all‐polymer solar cell (all‐PSC) displayed a record high PCE of 12.61% for polymerized NFREAs (PNFREAs) with an excellent stability (95.2% of initial PCE after 800 h storage), superior to the BF counterpart. Impressively, PBF‐based all‐PSC possesses the highest industrial figure‐of‐merit (i‐FOM) value of 0.309 based on an efficiency‐stability‐cost evaluation, in comparison to several representative OSC systems (such as PM6:Y6 and PBDB‐T:PZ1). This work provides an insight into the balance of efficiency, stability, and cost, and also indicates that the PNFREAs are promising materials toward the commercial application of OSCs. [ABSTRACT FROM AUTHOR]

Currently, the fabrication of white light emitting diodes (WLEDs) strongly depends on white fluorescent emission materials. The conventional method, which is a direct way from the designed fluorescent emission material to the device, is regarded as a fundamental principle in this field. Here, a brand‐new approach is shown for the design of WLEDs with a simple device‐to‐device transform based on monochromatic carbon dots (CDs). In this work, the WLEDs based on the blue fluorescent CDs achieve the in situ generation of bright white light emission in the device, originating from the oxidation of functional groups involving S element in CDs caused by strong electrical treatment. These CDs‐based WLEDs possess the luminance of 533 cd m−2, Commission Internationale d'Eclairage coordinates located at (0.38, 0.38), a correlated color temperature of 4072 K, and a color render index up to 95. This work opens a brand‐new gate for achieving high‐purity and bright WLEDs through the strategy of transforming from device to device rather than material to device. [ABSTRACT FROM AUTHOR]