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Nowadays, the methods of manufacturing microfluidic mixers were not flexible enough to customize and manufacture special sizes. Hence, a novel electrohydrodynamic jet printing method was proposed to fabricate cross‐scale mold for manufacturing micromixers in one step. Polyvinylpyrrolidone (PVP)/polycaprolactone (PCL) composite ink was prepared, and various printing parameters were investigated for fabricating varieties of 2D structures and 3D regular molds. A cross‐scale spiral mixer was successfully printed, various diameter ratio of 5.6, aspect ratio of 7.2. The PVP/PCL lines were direct printed, size of 66 nm deep and 743 nm wide. The circles were size of 564 nm deep and 7.02 μm wide. The mixing conditions of micromixers with different width ratios were simulated and analyzed; and the better mixing effect of micromixers with width ratio of 2:1 was proved, improved the mixing efficiency by 15.6% compared with micromixer without cross‐scale channels. The cross‐scale micromixers are promising for skin chip sensor and drug metabolite analysis, and the printing method proposed in this paper has great application potential in micro‐electro‐mechanical systems (MEMS). [ABSTRACT FROM AUTHOR]

This study explored the facial impressions of attractiveness, dominance and sexual dimorphism using experimental and computational methods. In Study 1, we generated face images with manipulated morphological features using geometric morphometrics. In Study 2, we conducted eye tracking and impression evaluation experiments using these images to examine how facial features influence impression evaluations and explored differences based on the sex of the face images and participants. In Study 3, we employed deep learning methods, specifically using gradient‐weighted class activation mapping (Grad‐CAM), an explainable artificial intelligence (AI) technique, to extract important features for each impression using the face images and impression evaluation results from Studies 1 and 2. The findings revealed that eye‐tracking and deep learning use different features as cues. In the eye‐tracking experiments, attention was focused on features such as the eyes, nose and mouth, whereas the deep learning analysis highlighted broader features, including eyebrows and superciliary arches. The computational approach using explainable AI suggests that the determinants of facial impressions can be extracted independently of visual attention. [ABSTRACT FROM AUTHOR]

Suppressor of Mek1 (Smek1) is a regulatory subunit of protein phosphatase 4. Genome‐wide association studies have shown the protective effect of SMEK1 in Alzheimer's disease (AD). However, the physiological and pathological roles of Smek1 in AD and other tauopathies are largely unclear. Here, the role of Smek1 in preventing neurodegeneration is investigated in tauopathy. Smek1 is downregulated in the aged human brain. Through single‐cell sequencing, a novel neuronal cluster is identified that possesses neurodegenerative characteristics in Smek1−/− mice. Smek1 deficiency caused markedly more severe motor and cognitive impairments in mice, as well as neuronal loss, gliosis, and tau hyperphosphorylation at major glycogen synthase kinase 3β (Gsk3β) sites. Protein‐protein interaction analysis revealed that the Ran‐binding domain (RanBD) in the N‐terminus of Smek1 facilitated binding with kinesin family member 2A (Kif2a). Depletion of Smek1 resulted in cytoplasmic aggregation of Kif2a, axon outgrowth defects, and impaired mitochondrial axonal trafficking. Downregulation of Kif2a markedly attenuated tau hyperphosphorylation and axon outgrowth defects in shSmek1 cells. For the first time, this study demonstrates that Smek1 deficiency progressively induces neurodegeneration by exacerbating tau pathology and mitochondrial dysfunction in an age‐dependent manner. [ABSTRACT FROM AUTHOR]

Several multi‐hydrogen hydrides have exhibited high critical temperature (Tc) superconductivity, but the requirement for ultrahigh pressures limits their applications. Here, high‐throughput calculations are utilized to investigate the superconductivity in few‐hydrogen metal‐bonded (FHMB) perovskites (PVSKs) AHM3 characterized with perfect ambient‐pressure stability. AHM3 is classified into two groups, d and sp superconductors, and provide three indicators that accurately describe AHM3 superconductivity. i) Tc of d superconductors is positively correlated with the number of unpaired d electrons from M atoms; ii) A suitably sized octahedral interstice of H atom is essential for sp superconductors; iii) The introduction of H will further improve the superconductivity, when the M atom has a lower electronegativity than H. ZnHCr3 and ZnHAl3, perfectly meeting the requirements aforementioned, exhibit the highest Tc of 30 and 80 K among the d and sp superconductors, respectively. The results are helpful for understanding the electron–phonon coupling (EPC) mechanism in few‐hydrogen metal‐bonded perovskites and facilitate realizations of ambient‐pressure high‐Tc superconductivity in hydrides. [ABSTRACT FROM AUTHOR]

The article in MedComm discusses the impact of the androgen-type 2 innate lymphoid cells-dendritic cell axis on sex-associated differences in skin immune responses. The study by Chi et al. reveals that sex hormones and the microbiota influence tissue immune set points and dendritic cell network strength, leading to disparities in susceptibility to diseases between males and females. The research highlights the role of androgen signaling in regulating immune responses and emphasizes the potential for gender-tailored therapeutic approaches in various diseases. The findings underscore the complex interplay between sex hormones, microbiota, and immune cells in shaping tissue immune responses and DC network resilience, offering insights into sex differences in disease susceptibility. [Extracted from the article]

Objectives: The present study aimed to systematically review the studies comparing the accuracy of intraoral scan (IOS) and conventional implant impressions (CI) in completely edentulous patients. Materials and Methods: Electronic searches were performed in PubMed, Embase and Cochrane CENTRAL up to December 1, 2023. Clinical studies and in vitro studies reporting the accuracy of digital full arch impressions were included. The primary outcome is the 3‐dimensional deviations between the study reference models. A risk of bias assessment was performed for clinical studies. A stratified meta‐analysis and a single‐armed meta‐analysis were conducted. Results: A total of 49 studies were included, with 8 clinical studies and 41 in vitro studies. For comparison between IOS and conventional impressions, studies were categorized into two groups based on the different measurement methods employed: RMS and CMM. In studies using RMS, the result favored the IOS in the unparalleled situation with the mean difference of −99.29 μm (95% CI: [−141.38, −57.19], I2 = 81%), while the result was opposite with the mean difference of 13.62 μm (95% CI: [10.97, 16.28], I2 = 26%) when implants were paralleled. For different brands of IOS, the accuracy ranged from 76.11 μm (95% CI: [42.36, 109.86]) to 158.63 μm (95% CI: [−14.68, 331.93]). Conclusions: Accuracy of intraoral scan is clinically acceptable in edentulous arches, especially for unparalleled implants. More clinical studies are needed to verify the present finding. [ABSTRACT FROM AUTHOR]

Comprehensive Summary: Herein, we reported a precise de novo synthesis of chiral 3,4‐dihydroquinazoline frameworks via a one‐pot anionic stereogenic‐at‐cobalt(III) complex‐catalyzed enantioselective Ugi‐azide/Pd‐catalyzed cyclization sequence. This powerful protocol involves 5 components and 2 catalytic systems, delivering chiral 3,4‐dihydroquinazolines with excellent enantioselectivities (up to 94% ee). The preliminary antifungal experiments suggest that both Ugi‐adducts and 3,4‐dihydroquinazolines have great potential in inhibiting plant pathogens such as Trichoderma viride and Fusarium graminearum. [ABSTRACT FROM AUTHOR]

Herein, we report a general copper‐catalyzed method for the tunable oxygenative rearrangement of tetrahydrocarbazoles to cyclopentyl‐bearing spiroindolin‐2‐ones and spiroindolin‐3‐ones. The method demonstrates excellent chemoselectivity, regioselectivity, and product control simply by using the H2O and O2 as oxygen source, respectively. This open‐flask method is safe and simple to operate, and no other chemical oxidants are required. Besides, inspired from the unique pathway of 1, 2‐migration rearrangement, a highly controllable hydroxylation of indoles for the construction of C3a‐hydroxyl iminium indolines was also developed. Mechanistic experiments suggest that a single‐electron transfer‐induced oxidation process is responsible for the tunable selectivity control. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this clinical study was to compare the accuracy of intraoral scan system (IOS) with prefabricated aids and stereophotogrammetry (SPG) compared with open tray implant impression (OI) for complete‐arch implant‐supported fixed dental prostheses (CIFDP). Materials and methods: Patients needing CIFDP were enrolled in this study. OI, reference standard, IOS with prefabricated aids, and SPG were performed for each patient. Distance and angle deviations between all pairs of abutment analogs, root mean square (RMS) errors between the aligned test and reference model, and chairside time were measured. The effect of inter‐abutment distance, jaw (maxilla or mandible), number of implants, and arch length on deviations was analyzed. The mixed effect model was applied to analyze deviations and RMS errors. Results: Fifteen consecutive individuals (6 females and 9 males, 47–77 years old) with 22 arches (9 upper and 13 lower jaws) and 115 implants were included. There was no significant difference in distance deviation comparing SPG and IOS with OI (p >.05). IOS showed a significantly greater angle deviation and RMS errors than SPG (median 0.40° vs. 0.31°, 69 μm vs. 45 μm, p <.01). The inter‐abutment distance was negatively correlated with the accuracy of SPG and IOS (p <.05). The chairside time for IOS, SPG, and OI was 10.49 ± 3.50, 14.71 ± 2.86, and 20.20 ± 3.01 min, respectively (p <.01). Conclusions: The accuracy of SPG and IOS with prefabricated aids was comparable. IOS was the most efficient workflow. [ABSTRACT FROM AUTHOR]

Anther dehiscence is a crucial event in plant reproduction, tightly regulated and dependent on the lignification of the anther endothecium. In this study, we investigated the rapid lignification process that ensures timely anther dehiscence in Arabidopsis. Our findings reveal that endothecium lignification can be divided into two distinct phases. During Phase I, lignin precursors are synthesized without polymerization, while Phase II involves simultaneous synthesis of lignin precursors and polymerization. The transcription factors MYB26, NST1/2, and ARF17 specifically regulate the pathway responsible for the synthesis and polymerization of lignin monomers in Phase II. MYB26‐NST1/2 is the key regulatory pathway responsible for endothecium lignification, while ARF17 facilitates this process by interacting with MYB26. Interestingly, our results demonstrate that the lignification of the endothecium, which occurs within approximately 26 h, is much faster than that of the vascular tissue. These findings provide valuable insights into the regulation mechanism of rapid lignification in the endothecium, which enables timely anther dehiscence and successful pollen release during plant reproduction. [ABSTRACT FROM AUTHOR]

Objectives: To systematically analyze the accuracy of robotic surgery for dental implant placement. Materials and Methods: PubMed, Embase, and Cochrane CENTRAL were searched on October 25, 2023. Model studies or clinical studies reporting the accuracy of robotic surgery for dental implant placement among patients with missing or hopeless teeth were included. Risks of bias in clinical studies were assessed. Meta‐analyses were undertaken. Results: Data from 8 clinical studies reporting on 109 patients and 242 implants and 13 preclinical studies were included. Positional accuracy was measured by comparing the implant plan in presurgery CBCT and the actual implant position in postsurgery CBCT. For clinical studies, the pooled (95% confidence interval) platform deviation, apex deviation, and angular deviation were 0.68 (0.57, 0.79) mm, 0.67 (0.58, 0.75) mm, and 1.69 (1.25, 2.12)°, respectively. There was no statistically significant difference between the accuracy of implants placed in partially or fully edentulous patients. For model studies, the pooled platform deviation, apex deviation, and angular deviation were 0.72 (0.58, 0.86) mm, 0.90 (0.74, 1.06) mm, and 1.46 (1.22, 1.70)°, respectively. No adverse event was reported. Conclusion: Within the limitation of the present systematic review, robotic surgery for dental implant placement showed suitable implant positional accuracy and had no reported obvious harm. Both robotic systems and clinical studies on robotic surgery for dental implant placement should be further developed. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to develop a hybrid multi‐channel network to detect multileaf collimator (MLC) positional errors using dose difference (DD) maps and gamma maps generated from low‐resolution detectors in patient‐specific quality assurance (QA) for Intensity Modulated Radiation Therapy (IMRT). Methods: A total of 68 plans with 358 beams of IMRT were included in this study. The MLC leaf positions of all control points in the original IMRT plans were modified to simulate four types of errors: shift error, opening error, closing error, and random error. These modified plans were imported into the treatment planning system (TPS) to calculate the predicted dose, while the PTW seven29 phantom was utilized to obtain the measured dose distributions. Based on the measured and predicted dose, DD maps and gamma maps, both with and without errors, were generated, resulting in a dataset with 3222 samples. The network's performance was evaluated using various metrics, including accuracy, sensitivity, specificity, precision, F1‐score, ROC curves, and normalized confusion matrix. Besides, other baseline methods, such as single‐channel hybrid network, ResNet‐18, and Swin‐Transformer, were also evaluated as a comparison. Results: The experimental results showed that the multi‐channel hybrid network outperformed other methods, demonstrating higher average precision, accuracy, sensitivity, specificity, and F1‐scores, with values of 0.87, 0.89, 0.85, 0.97, and 0.85, respectively. The multi‐channel hybrid network also achieved higher AUC values in the random errors (0.964) and the error‐free (0.946) categories. Although the average accuracy of the multi‐channel hybrid network was only marginally better than that of ResNet‐18 and Swin Transformer, it significantly outperformed them regarding precision in the error‐free category. Conclusion: The proposed multi‐channel hybrid network exhibits a high level of accuracy in identifying MLC errors using low‐resolution detectors. The method offers an effective and reliable solution for promoting quality and safety of IMRT QA. [ABSTRACT FROM AUTHOR]

To decrease the cadmium (Cd) uptake in rice and study the relationships of phosphorus (P), iron (Fe), and Cd uptakes in rice, the effects of four different tea types (green, black, dark, and white teas) on the P, Fe, and Cd accumulation in rice seedlings were studied. The results showed that only the black and dark teas increased the biomass of rice seedlings. The application of green, black, dark, and white teas increased the photosynthetic pigment content to some extent. Only the black tea increased the shoot P content, and the black, dark, and white teas increased the shoot Fe content. Compared with the control, only the black and dark teas decreased the shoot Cd content by 9.51% and 25.02%. Correlation and gray relational analyses showed that the root Cd content, soil pH value and soil exchangeable Cd concentration were the most closely associated with the shoot Cd content. The principal component and cluster analyses also showed the top three close cluster categories with shoot Cd content were root Cd content, soil exchangeable Cd concentration, and soil pH value. These findings indicate that the application of black and dark teas can promote the growth and decrease the Cd uptake of rice. [ABSTRACT FROM AUTHOR]

Geminal bis(boronates) are versatile synthetic building blocks in organic chemistry. The fact that they predominantly serve as nucleophiles in the previous reports, however, has restrained their synthetic potential. Herein we disclose the ambiphilic reactivity of α‐halogenated geminal bis(boronates), of which the first catalytic utilization was accomplished by merging a formal Heck cross‐coupling with a highly diastereoselective allylboration of aldehydes or imines, providing a new avenue for rapid assembly of polyfunctionalized boron‐containing compounds. We demonstrated that this cascade reaction is highly efficient and compatible with various functional groups, and a wide range of heterocycles. In contrast to a classical Pd(0/II) scenario, mechanistic experiments and DFT calculations have provided strong evidence for a catalytic cycle involving Pd(I)/diboryl carbon radical intermediates. [ABSTRACT FROM AUTHOR]

The 2D ferrovalley semiconductor (FVSC) with spontaneous valley polarization offers an exciting material platform for probing Berry phase physics. How FVSC can be incorporated in valleytronic device applications, however, remain an open question. Here, the concept of metal/semiconductor (MS) contact into the realm of valleytronics is generalized. A half‐valley Ohmic contact is proposed based on FVSC/graphene heterostructure, where the two valleys of FVSC separately forms Ohmic and Schottky contacts with those of graphene, thus allowing current to be valley‐selectively injected through the 'Ohmic' valley while being blocked in the 'Schottky' valley. A theory of contact‐limited valley‐contrasting current injection is developed and such transport mechanism can produce gate‐tunable valley‐polarized injection current. Using RuCl2/graphene heterostructure as an example, a device concept of valleytronic barristor is illustrated, where high valley polarization efficiency and sizable current on/off ratio, can be achieved under experimentally feasible electrostatic gating conditions. These findings uncover contact‐limited valley‐contrasting current injection as an efficient mechanism for valley polarization manipulation, and reveals the potential of valleytronic MS contact as a functional building block of valleytronic device technology. [ABSTRACT FROM AUTHOR]

Carbon coating layers have been found to improve the catalytic performance of transition metals, which is usually explained as an outcome of electronic synergistic effect. Herein we reveal that the defective graphitic carbon, with a unique interlayer gap of 0.342 nm, can be a highly selective natural molecular sieve. It allows efficient diffusion of hydrogen molecules or radicals both along the in‐plane and out‐of‐plane direction, but sterically hinders the diffusion of molecules with larger kinetic diameter (e.g., CO and O2) along the in‐plane direction. As a result, poisonous species lager than 0.342 nm are sieved out, even when their adsorption on the metal is thermodynamically strong; at the same time, the interaction between H2 and the metal is not affected. This natural molecular sieve provides a very chance for constructing robust metal catalysts for hydrogen‐relevant processes, which are more tolerant to chemical or electrochemical oxidation or CO‐relevant poisoning. [ABSTRACT FROM AUTHOR]

Background: Serum iron, an essential component of hemoglobin (Hb) synthesis in vivo, is a crucial parameter for evaluating the body's iron storage and metabolism capacity. Iron deficiency leads to reduced Hb synthesis in red blood cells and smaller red blood cell volume, ultimately resulting in iron‐deficiency anemia. Although serum iron cannot independently evaluate iron storage or metabolism ability, it can reflect iron concentration in vivo and serve as a good predictor of iron‐deficiency anemia. Therefore, exploring the influence of different serum iron levels on anemia and diagnosing and treating iron deficiency in the early stages is of great significance for patients with lung cancer. Aim: This study aims to explore the related factors of cancer‐related anemia (CRA) in lung cancer and construct a nomogram prediction model to evaluate the risk of CRA in patients with different serum iron levels. Methods: A single‐center retrospective cohort study was conducted, including 1610 patients with lung cancer, of whom 1040 had CRA. The relationship between CRA and its influencing factors was analyzed using multiple linear regression models. Lung cancer patients were divided into two groups according to their serum iron levels: decreased serum iron and normal serum iron. Each group was randomly divided into a training cohort and a validation cohort at a ratio of 7:3. The influencing factors were screened by univariate and multivariate logistic regression analyses, and nomogram models were constructed. The area under the receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis (DCA) were used to evaluate the models. Results: CRA in lung cancer is mainly related to surgery, chemotherapy, Karnofsky Performance Status (KPS) score, serum iron, C‐reactive protein (CRP), albumin, and total cholesterol (p < 0.05). CRA in lung cancer patients with decreased serum iron is primarily associated with albumin, age, and cancer staging, while CRA in lung cancer patients with normal serum iron is mainly related to CRP, albumin, total cholesterol, and cancer staging. The area under the ROC curve of the training cohort and validation cohort for the prediction model of lung cancer patients with decreased serum iron was 0.758 and 0.760, respectively. Similarly, the area under the ROC curve of the training cohort and validation cohort for the prediction model of lung cancer patients with normal serum iron was 0.715 and 0.730, respectively. The calibration curves of both prediction models were around the ideal 45° line, suggesting good discrimination and calibration. DCA showed that the nomograms had good clinical utility. Conclusion: Both models have good reliability and validity and have significant clinical value. They can help doctors better assess the risk of developing CRA in lung cancer patients. CRP is a risk factor for CRA in lung cancer patients with normal serum iron but not in patients with decreased serum iron. Therefore, whether CRP and the inflammatory state represented by CRP will further aggravate the decrease in serum iron levels, thus contributing to anemia, warrants further study. [ABSTRACT FROM AUTHOR]

Backgrounds: Distal pancreatectomy fistula risk score (D‐FRS) and DISPAIR‐FRS has not been widely validated for predicting postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP). Methods: We retrospectively analysed 104 patients undergoing DP. The predictive value of the D‐FRS and DISPAIR‐FRS were compared. Risk factors associated with POPF were investigated by multivariate analysis. Results: Of the 104 patients, 23 (22.1%) were categorized into the POPF group (all grade B). The areas under the ROC (AUCs) of the D‐FRS (preoperative), D‐FRS (intraoperative), and DISPAIR‐FRS were 0.737, 0.809, and 0.688, respectively. Stratified by the D‐FRS (preoperative), the POPF rates in low‐risk, intermediate‐risk, and high‐risk groups were 5%, 22.6%, and 36.4%, respectively. By the D‐FRS (intraoperative), the POPF rates in low‐risk, intermediate‐risk, and high‐risk groups were 8.8%, 47.1%, and 47.4%, respectively. By the DISPAIR‐FRS, the POPF rates in low‐risk, intermediate‐risk, and extreme‐high‐risk groups were 14.8%, 23.8% and 62.5%, respectively. Body mass index and main pancreatic duct diameter were independent risk factors of POPF both in preoperative (P = 0.014 and P = 0.033, respectively) and intraoperative (P = 0.015 and P = 0.039) multivariate analyses. Conclusion: Both the D‐FRS (preoperative), D‐FRS (intraoperative), and DISPAIR‐FRS has good performance in POPF prediction after DP. The risk stratification was not satisfactory in current Asian cohort. [ABSTRACT FROM AUTHOR]

Since the prediction of multi‐hydrogen high‐temperature superconductor by Ashcroft in 2004, many possible candidates have been proposed, e.g., LaH10 showing the highest superconducting transition temperature (Tc) around 250–260 K at 170‐200 GPa hitherto. However, this pressure is too large to be taken into practical use. To address this challenge, it proposes a few‐hydrogen metal‐bonded perovskite superconductor, MgHCu3, by combining a novel design idea with first‐principles calculations. Different from multi‐hydrogen hydrides, whose high Tc relies on extreme pressure, the metallic bond in few‐hydrogen superconductor MgHCu3 improves the structural stability and ductility at atmospheric pressure. Here, the small amount of hydrogen is found to be vital for Tc. After the incorporation of hydrogen, the electron–phonon coupling constant of MgHCu3 is increased to 0.83, which is larger than that of the well‐known MgB2. Moreover, the anisotropy of MgHCu3 also plays an important role in enhancing Tc. Based on the Migdal‐Eliashberg theory, it predicts that the phonon‐mediated metal‐bonded perovskite MgHCu3 is a superconductor with Tc of 42 K. The first predicted ternary metal‐bonded perovskite, MgHCu3, enriches the family of perovskite and will promote further investigation on few‐hydrogen superconductors under atmospheric pressure. [ABSTRACT FROM AUTHOR]

Aim: To compare the implant accuracy, safety and morbidity between robot‐assisted and freehand dental implant placement. Materials and Methods: Subjects requiring single‐site dental implant placement were recruited. Patients were randomly allocated to freehand implant placement and robot‐assisted implant placement. Differences in positional accuracy of the implant, surgical morbidity and complications were assessed. The significance of intergroup differences was tested with an intention‐to‐treat analysis and a per‐protocol (PP) analysis (excluding one patient due to calibration error). Results: Twenty patients (with a median age of 37, 13 female) were included. One subject assigned to the robotic arm was excluded from the PP analysis because of a large calibration error due to the dislodgement of the index. For robot‐assisted and freehand implant placement, with the PP analysis, the median (25th–75th percentile) platform global deviation, apex global deviation and angular deviation were 1.23 (0.9–1.4) mm/1.9 (1.2–2.3) mm (p =.03, the Mann–Whitney U‐test), 1.40 (1.1–1.6) mm/2.1 (1.7–3.9) mm (p <.01) and 3.0 (0.9–6.0)°/6.7 (2.2–13.9)° (p =.08), respectively. Both methods showed limited damage to the alveolar ridge and had similar peri‐ and post‐operative morbidity and safety. Conclusions: Robot‐assisted implant placement enabled greater positional accuracy of the implant compared to freehand placement in this pilot trial. The robotic system should be further developed to simplify surgical procedures and improve accuracy and be validated in properly sized trials assessing the full spectrum of relevant outcomes. [ABSTRACT FROM AUTHOR]

Herein, we report an unprecedented skeletal rearrangement reaction of tetrahydro‐β‐carbolines enabled by copper‐catalyzed single‐electron oxidative oxygenation, in which H2O and O2 act as oxygen sources to generate a unique 2‐hydroxyl‐3‐peroxide indoline intermediate. The synthetic reactivity of 2‐hydroxyl‐3‐peroxide indoline species was demonstrated by a unique multi‐step bond cleavage and formation cascade. Using a readily available copper catalyst under open‐air conditions, highly important yet synthetically difficult spiro[pyrrolidone‐(3,1‐benzoxazine)] products were obtained in a single operation. The synthetic utility of this methodology is demonstrated by the efficient synthesis of the natural products donaxanine and chimonamidine, as well as the 3‐hydroxyl‐pyrroloindoline scaffold, in just one or two steps. [ABSTRACT FROM AUTHOR]

The quality of captured images is compromised by foggy weather, resulting in poor performance of detection networks. To mitigate this issue, researchers have attempted to employ domain adaptation techniques. However, a significant difference between the domains can create difficulties in the adaptation process, resulting in unstable training procedures and less‐than‐optimal outcomes. A self‐attention‐based progressive domain adaptive object detection framework is proposed to address this issue. We solved this problem by building an intermediate domain through physical synthesis. Moreover, the domain features of different levels are aligned in the feature space to achieve a better domain adaptation effect. In addition, we add a plug‐and‐play attention module to enhance the feature discriminability in the shallow feature extraction stage. Our method performs better than the existing state‐of‐the‐art techniques in synthetic and real‐world datasets, according to the experimental results. © 2023 Institute of Electrical Engineer of Japan and Wiley Periodicals LLC. [ABSTRACT FROM AUTHOR]

A recent study published in Cancer Cell explores the impact of microbial signals on tumor behavior, specifically through interleukin-17A (IL-17A) signaling. The study reveals that the deficiency or blockade of enteric IL-17RA leads to gut dysbiosis, which in turn promotes the growth of tumors in remote locations. IL-17A, primarily derived from T-helper 17 (Th17) cells, plays a role in the host's defense against microbes and is also implicated in autoimmune disorders and cancer. The study suggests that investigating the regulation of IL-17A signaling by microorganisms could provide insights for improving IL-17A-targeting interventions in cancer treatment. [Extracted from the article]

Medical abortion is a common medical procedure that women choose to terminate an unwanted pregnancy, but it often brings post‐abortion complications. Danggui (Angelica sinensis Radix)–Yimucao (Leonuri Herba), as a herbal pair (DY) in clinical prescriptions of traditional Chinese medicine, is often used in the treatment of gynecological diseases and has the traditional functions of tonifying the blood, promoting blood circulation, removing blood stasis and regulating menstruation. In this study, serum lipidomics were adopted to dissect the mechanism of DY in promoting recovery after medical abortion. A total of 152 differential metabolites were screened by lipidomics. All metabolites were imported into MetaboAnalyst for analysis, and finally key metabolic pathways such as glycerophospholipid metabolism, linoleic acid metabolism and pentose and glucuronate interconversions were enriched. Our results indicated that metabolic disorders in abortion mice were alleviated by DY through glycerophospholipid metabolism, while prostaglandin and leukotriene metabolites might be the key targets of DY to promote post‐abortion recovery. [ABSTRACT FROM AUTHOR]

Background: Despite undergoing a single ablation, many patients with paroxysmal atrial fibrillation (PAF) experience a gradually increasing recurrence rate. This study aims to examine the relationship between left atrial appendage emptying velocity (LAAeV) and filling velocity (LAAfV) profiles and 3‐year recurrence of AF after ablation. Methods: We conducted a prospective study of 658 consecutive PAF patients who underwent their first ablation between January 2018 and December 2019. We collected the clinical and echocardiographic characteristics of the patients. LAAeV and LAAfV were obtained from a transesophageal echocardiogram (TEE) before catheter ablation. Patients were followed at regular intervals to monitor for the primary outcome of AF recurrence. Results: After a median follow‐up period of 35.3 months (range, 10.7–36.3), 288 patients (43.8%) experienced AF recurrence after catheter ablation. Patients who experienced AF recurrence had decreased LAAeV and LAAfV (LAAeV: 56.5 ± 21.2 vs. 59.6 ± 20.7 cm/s, p =.052; LAAfV: 47.5 ± 17.9 vs. 51.7 ± 18.2, p =.003). Kaplan–Meier analysis showed that patients in the low LAAeV (<55 cm/s) group had a poorer event‐free survival rate than those in the high LAAeV (≥55 cm/s) group (log‐rank p =.012). Patients with LAAfV <48 cm/s had a significantly higher risk of AF recurrence than those with LAAfV ≥48 cm/s (log‐rank p =.003). In the multivariable model, low LAAfV pre‐ablation in TEE‐guided was significantly independently associated with 3‐year recurrence after single radiofrequency ablation in patients with PAF, along with LA dimension and duration of AF. Conclusion: This study found an independent association between low LAAfV pre‐ablation in TEE‐guided and 3‐year recurrence after single radiofrequency ablation in patients with PAF. [ABSTRACT FROM AUTHOR]

Advanced Organic Chemical Materials Co‐constructed Mechanically bonded amphiphiles (MBAs), also known as mechanically interlocked molecules (MIMs), have emerged as an important kind of functional building block for the construction of artificial molecular machines and soft materials. Herein, a novel MBA, i. e., bistable [2]rotaxane H2 was designed and synthesized. In the solution state, H2 demonstrated pH and metal ion‐responsive emissions due to the presence of a distance‐dependent photoinduced electron transfer (PET) process and the fluorescence resonance energy transfer (FRET) process, respectively. Importantly, the amphiphilic feature of H2 has endowed it with unique self‐assembly capability, and nanospheres were obtained in a mixed H2O/CH3CN solvent. Moreover, the morphology of H2 aggregates can be tuned from nanospheres to vesicles due to the pH‐controlled shuttling motion‐induced alternation of H2 amphiphilicity. Interestingly, larger spheres with novel pearl‐chain‐like structures from H2 were observed after adding stoichiometric Zn2+. In particular, H2 shows pH‐responsive emissions in its aggregation state, allowing the visualization of the shuttling movement by just naked eyes. It is assumed that the well‐designed [2]rotaxane, and particularly the proposed concept of MBA shown here, will further enrich the families of MIMs, offering prospects for synthesizing more MIMs with novel assembly capabilities and bottom‐up building dynamic smart materials with unprecedented functions. [ABSTRACT FROM AUTHOR]

The development of simple‐to‐operate methods for the preparation of indolizidine derivatives are of great importance. A mild one‐pot protocol for the [3+2] cycloaddition of isoquinolinium/pyridinium ylides and electron‐deficient alkenes using NaBH3CN as reductant has been developed. The protocol has a broad substrate scope (more than 40 examples) and provides various novel hexahydroindolizidine derivatives in high yields and excellent diastereoselectivities (up to >20/1). [ABSTRACT FROM AUTHOR]

High thermal conductivity polymeric dielectrics with advanced dielectric properties are urgently demanded in various applications. In this study, a series of thermoplastic polyesters containing different content of fluorine and mesogenic unit in main chains are synthesized utilizing polycondensation. The preferred orientation of liquid crystal can effectively inhibit phonon scattering, and the introduction of fluorine can reduce the polarizability of the polymer and increase the free volume. By introducing the biphenyl mesogenic unit and fluorine into the main chain, its thermal conductivity has been increased to 0.425 Wm−1k−1 from 0.183 Wm−1k−1(the polymer without liquid crystal element), which is 132% higher than that of the liquid crystal polymer without fluorine. In addition, the dielectric constant of polyester decreased to 2.97, and the dielectric loss drops to 8.74 × 10−4. The influence mechanism of two ways on its thermal and dielectric properties is explored. Good thermal conductivity and excellent dielectric properties make potential in the thermal management system and flexible electronics. [ABSTRACT FROM AUTHOR]

Aims: This study aims to provide representative information on heart failure (HF) patients in China, especially older adults aged ≥75 years. We aim to clarify the age‐related discrepancies in performance measures and the modifying effect of age on the impact of HF patients' characteristics on clinical outcomes. Methods and results: All HF patients admitted into five tertiary and four secondary hospitals of the Capital Medical University were divided into two groups according to age: 1419 (53.3%) were <75 years, and 1244 (46.7%) were ≥75 years. Older HF patients were more likely to be women, with higher left ventricular ejection fraction, with co‐morbidities including chronic obstructive pulmonary disease/asthma, anaemia, chronic kidney disease, stroke/transient ischemic attack (TIA), atrial fibrillation/atrial flutter, hypertension, and coronary artery disease, while obesity, diabetes mellitus, hypercholesterolaemia and valvular heart disease were more prevalent among younger HF patients. Left ventricular ejection fraction assessment was performed in a similar proportion of patients in the younger and older groups (81.7% vs. 80.5%, P = 0.426), while B‐type natriuretic peptide/N terminal pro brain natriuretic peptide was tested in a lower proportion in the younger group (84.8% vs. 89%, P = 0.001). At discharge, HF with reduced ejection fraction patients were less likely to receive beta‐blockers, angiotensin‐converting enzyme inhibitors/angiotensin II receptor blockers, or combined beta‐blockers and angiotensin‐converting enzyme inhibitors/angiotensin II receptor blockers therapy in the older group (49.74% vs. 63.2%, P = 0.002; 52.9% vs. 64.7%, P = 0.006; and 28.57% vs. 45.5%, P < 0.001, respectively) but were equally likely to receive mineralocorticoid receptor antagonists in the two age groups (80.8% vs. 84.1%, P = 0.322). Older patients with HF had higher risk of in‐hospital and 1 year mortality (2.7% vs. 1.3%, P = 0.011; 21.7% vs. 12.5%; P < 0.001, respectively). Higher body mass index was associated with better outcomes in both age groups. New York Heart Association functional class IV and estimated glomerular filtration rate < 60 mL/min/1.73 m2 were independent predictors of 1 year mortality. The associations between patients' characteristics and risk of mortality were not modified by age. Conclusions: HF patients aged ≥75 years had distinct clinical profiles, received worse in‐hospital therapies and experienced higher in‐hospital and 1 year mortality. [ABSTRACT FROM AUTHOR]

The study aimed to assess the functional and aesthetic outcomes of abdominal full‐thickness skin grafts (FTSGs) in paediatric postburn digital and palmar flexion contractures. The digital and palmar functions and aesthetics of 50 children who met the criteria were evaluated at pre‐operation, the 3rd‐ and 12th‐month post‐operation, respectively. In the evaluation, the Vancouver Scar Scale (VSS), total active movement (TAM), and Jebsen–Taylor Hand Function Test (JHFT) were used. The contralateral, unaffected hand served as the criteria for functional recovery. The complications of donor sites were observed, and the take rate of skin grafts was calculated. The VSS scores at the 3rd and 12th months post‐operation were lower than those before the operation. The TAM of each finger was improved at the 3rd and 12th months post‐operation, compared with that before the operation. There was a significant difference in the time to complete the JHFT between the affected hand and the unaffected at the 3rd month post‐operation, but no significant difference between them at the 12th month post‐operation. The excellent and good take rate of the skin grafts was 90.00%.No donor site complications were observed. The abdominal FTSGs are effective in repairing paediatric digital and palmar scar contractures, with satisfying functional and aesthetic results, especially in large defects after scar release and resection. [ABSTRACT FROM AUTHOR]

Moreover, Paxlovid use had an effect on CAT scores >=10 in the subgroup of elderly patient group, male patient group, without vaccine received group, the non-COPD group, and the non-diabetes group. There were 456 patients without Paxlovid treatment and 178 patients treated with Paxlovid. Multivariate logistic analysis indicated that when controlled for age, Paxlovid use during hospitalization (OR: 0.383, 95% CI: 0.178-0.823, I p i = 0.014) could reduce the risk of CAT >=10 in COVID-19 patients (Table S3). [Extracted from the article]

A series of polyvinyl alcohol (PVA) composite films containing different hydrogen bond acceptors 4,4′‐dihydroxydiphenyl (BP), 1,1′‐biphenyl‐4,4′‐diyl dihexanoate (DHB) and benzene‐1,3,5‐triyl tribenzoate (TBB) were prepared by casting method. Due to the existence of strong intermolecular interaction, the highest in‐plane thermal conductivity of the above films is 1.298 Wm−1 K−1, which is about 65% higher than pure PVA films. Fourier Transform infrared spectroscopy (FT‐IR) and wide‐angle X‐ray diffraction (WXAD) demonstrated that the TBB acts as a thermal bridge to enhance the internal interaction force and make the internal structure more regular. Strong molecular contact forces were demonstrated by mechanical tensile testing. The thermal expansion rate of the system was explored through molecular dynamics. Thermal expansion experiments proved that hydrogen bond can effectively reduce the free volume. Molecular dynamics simulations were also performed in this work. The number and density of hydrogen bonds inside different polymers were calculated, and the phonon thermal transport was quantitatively analyzed. The thermal bridge and intermolecular contact force were discovered to effectively restrict the molecular chain's activity and reduce its free volume. The results of the experiments and molecular dynamics reveal that strong intermolecular interactions and thermal bridges can significantly improve polymer intrinsic thermal conductivity. [ABSTRACT FROM AUTHOR]

Objectives: Multiple generations of medical robots have revolutionized surgery. Their application to dental implants is still in its infancy. Co‐operating robots (cobots) have great potential to improve the accuracy of implant placement, overcoming the limitations of static and dynamic navigation. This study reports the accuracy of robot‐assisted dental implant placement in a preclinical model and further applies the robotic system in a clinical case series. Materials and Methods: In model analyses, the use of a lock‐on structure at robot arm‐handpiece was tested in resin arch models. In a clinical case series, patients with single missing teeth or edentulous arch were included. Robot‐assisted implant placement was performed. Surgery time was recorded. Implant platform deviation, apex deviation, and angular deviation were measured. Factors influencing implant accuracy were analyzed. Results: The in vitro results showed that with a lock‐on structure, the mean (SD) of platform deviation, apex deviation, and angular deviation were 0.37 (0.14) mm, 0.44 (0.17) mm, and 0.75 (0.29)°, respectively. Twenty‐one patients (28 implants) were included in the clinical case series, 2 with arches and 19 with single missing teeth. The median surgery time for single missing teeth was 23 (IQ range 20–25) min. The surgery time for the two edentulous arches was 47 and 70 min. The mean (SD) of platform deviation, apex deviation, and angular deviation was 0.54 (0.17) mm, 0.54 (0.11) mm, and 0.79 (0.22)° for single missing teeth and for 0.53 (0.17) mm, 0.58 (0.17) mm, and 0.77 (0.26)° for an edentulous arch. Implants placed in the mandible had significantly larger apex deviation than those in the maxilla. Conclusion: Cobot‐assisted dental implant placement showed excellent positional accuracy and safety in both the in vitro study and the clinical case series. More technological development and clinical research are needed to support the introduction of robotic surgery in oral implantology. Trial registered in ChiCTR2100050885. [ABSTRACT FROM AUTHOR]

High thermal conductivity liquid crystal polymer has become a hot topic in electronic device research. Herein, we introduce a series of thermotropic liquid crystals synthesized by diphenyl diol, m‐phthalic acid, and 5‐hydroxyisophthalic acid. The intermolecular forces are tuned by adjusting the ratio (0, 20%, 40%, 60%, 80%, 100%) of monomers containing hydrogen bond donors in copolymers. The formation and dissociation of hydrogen bonds are analyzed from the red shift and blue shift of infrared spectra at variable temperatures. The thermal conductivity is increased to 0.31 Wm−1 k−1. Meanwhile, its mechanical properties and thermal stability have improved significantly. A sharp increment of 2120% in tensile strength was observed, the maximum tensile strength is 17.39 MPa. While Young's modulus increased from 0.26 to 1.224 GPa. The increase in intermolecular forces is the main reason for this result. Moreover, X‐ray single‐crystal diffraction, polarizing microscope, differential scanning calorimetry, and thermogravimetric analysis (TGA) were also analyzed to further explore the thermal conduction mechanism. The formation of hydrogen bonds makes the linear polymer chain segments undergo reversible cross‐linking, which affects their crystallization behavior and provides more thermal conduction pathways. By controlling the number of hydrogen bond donors to control the cross‐linking density, the thermal conductivity and mechanical properties can be greatly improved. [ABSTRACT FROM AUTHOR]

This study proposes a modified cellular automaton to simulate passenger ship fire evacuation. A fire dynamics simulator (FDS) is used to simulate the firing process for the passenger ship. The generated carbon monoxide (CO) concentration, temperature, and visibility are converted into equivalent lengths and input to the equivalent field of the modified cellular automaton. The fire field is applied to keep the evacuees away from the fire. And game theory is adopted to solve the conflict in the choice of route for evacuees. With or without fire on the passenger ship, three different evacuees' densities are used to study the influence of different proportions of evacuees who are familiar with exits during the evacuation time. The positions of exits are also studied. The results show that when the fire release rate increases from 3000 to 8000 kW s−2 for the same evacuation scenario, the earliest time that evacuees are in danger is 50% earlier. The impact of fire on evacuees is greater than that of evacuees' density. In the case of two close exits or exits close to the bulkheads, the congestion near exits is obvious and has the greatest effect on the evacuation time of the high evacuees' density. [ABSTRACT FROM AUTHOR]

Background: Acquired perforating dermatosis (APD) is a rare skin condition characterized by degenerated materials eliminated from the dermis. Several retrospective studies on APD have been reported; however, few data are available on Chinese APD and their features on dermoscopy and reflective confocal microscope (RCM) assays. Objective: The aim of this study was to retrospectively evaluate the clinical and histopathologic data of 37 acquired perforating dermatosis cases, and assess their features on dermoscopy and RCM. Methods: Thirty‐seven APD patients were retrospectively enrolled in our study. We characterized the clinical histopathological features, concomitant diseases, treatment responses, and the dermoscopy and RCM findings. Results: Pruritus was the most common symptom, with the lower extremities as the most predilection sites (86.5%, n = 32; 91.9%, n = 34, respectively). Concomitant diseases were found in 34 patients (92.6%), among which diabetes mellitus was the most common, followed by thyroid nodules, allergic dermatosis, and chronic renal insufficiency. Dermoscopy and RCM assays were performed in 11 patients. The typical RCM images were hyperreflective cord‐like structures from the epidermis to dermis. Dermoscopy features of fully developed lesions showed central ulceration with peripheral hairpin‐like or loop‐like capillaries with characteristic garland arrangements. Conclusion: APD is an uncommon skin disorder associated with various systemic conditions in Chinese individuals. Thyroid disorders are an overlooked complication and may play an important role in the development of APD. The results of this study indicate that noninvasive dermoscopy and RCM examination are helpful in the rapid diagnosis and early intervention of APD. [ABSTRACT FROM AUTHOR]

The quantum coherence of a two‐qubit system in which each qubit is coupled to its own hierarchical environment is studied. The effect of the hierarchical environment is explored in order to improve the coherence effectively. It is discovered that the dynamics of coherence can be manipulated by the number N of the second‐layer cavities (mn$m_{n}$), the coupling strengths Ω0, Ω, κ, respectively for the qubit‐cavity (m0), nearest‐neighbor, and m0‐mn$m_{n}$ cavities. It depends also on the decay rate Γ of second‐layer cavities. Furthermore, an effective scheme for enhancing coherence is proposed by using weak measurement and weak measurement reversal. The explicit conditions of the optimal measurement strengths to improve the coherence comparatively are derived. It is seen that the final stable value of the coherence is independent of the number N of second‐layer cavities but is related to the weak measurement strength m when the coupling strength between two nearest‐neighbor cavities is taken into account. [ABSTRACT FROM AUTHOR]

Although waterborne polyurethane pressure‐sensitive (PSA) has achieved great progress, achieving robust effective adhesion on the wet substrate surface is still challenging. Herein, we developed a humidity‐insensitive waterborne polyurethane pressure‐sensitive adhesive through the modification of bio‐based castor oil and 3‐aminopropyl triethoxysilane (APTES) as the end‐capper. Improved bonding property on wet substrate via drainage of hydrophobic groups led to better humidity‐insensitive adhesiveness. The results exhibited exceptional bonding performance (∼3.3N/25 mm) on the moist surface of the steel in the environment with a humidity of 100 % RH (Relative Humidity). Especially, the 180° peel forces of siloxane‐terminated castor oil‐based waterborne polyurethane (SCWPU) respectively enhanced by 13.33 % and 73.68 % compared with the blank sample when the air humidity increased from 50 % RH to 100 % RH. Silicone had the advantages of low surface energy, good heat resistance and good oxidation resistance. The heat resistance could be improved by introducing silicone into waterborne polyurethane. Tested by the TGA, the SCWPU3 PSA demonstrated great thermal stability (THRI=144.32 °C). Besides, the PSA also exhibited low water absorption (20.6 %), and eligible viscoelasticity properties. These findings provided an impetus for the development of humidity‐insensitive PSA. [ABSTRACT FROM AUTHOR]

Developing materials with a combination of superior properties such as hydrophobicity and low dielectric is very challenging. This work proposes a design strategy based on the synergistic effect of silicon fluorine to fabricate fluorous silicon materials with excellent hydrophobicity and dielectric properties. Perfluoropolyethyl propionate polysiloxane (PEPS) with different grafting ratios was synthesized by the reaction of polymethylhydrosiloxane (PMHS) and perfluoropolyethyl methacrylate (PPM) hydrosilane. The self‐crosslinking perfluoropolyether methyl propionate polysiloxane (PFSP) coating with good hydrophobicity and low dielectric was prepared by further introducing triethoxyvinylsilane (TOVS) into the PEPS and condensing. The fluorine content of two interfaces (film PET and film air) of PFSP‐4 film was analyzed by XPS, and it was found that the fluorine content of the film air interface was 46.19% and that of the film PET interface was 17.3%. With the increase of perfluoropolyether content in PFSP, fluorine‐containing groups migrate to the coating surface, which is more conducive to enhancing the hydrophobicity of the coating. The results indicate that the film has excellent hydrophobicity with a high water contact angle of up to 117° due to the introduction of PPM. In addition, the dipole moment of perfluoropolyether methyl methacrylate is 2.27, which is lower than that of methyl. Therefore, the introduction of a large number of perfluoropolyether bonds effectively reduces the polarity of the material, which is beneficial to its low dielectric properties. The dielectric constant of PFSP‐4 is 2.4, which is 33% lower than that of a fluorine‐free silicone coating. The results show that the self‐crosslinking perfluoropolyether methacrylate polysiloxane coating has excellent hydrophobicity and low dielectric properties, so it has a feasible application prospect in the electronic industry. [ABSTRACT FROM AUTHOR]

A matrix‐assisted laser desorption/ionization mass spectrometry imaging (MALDI MSI) assisted genome mining strategy was developed for the discovery of glycosyltransferase (GT) from the root of Platycodon grandiflorum. A di‐O‐glycosyltransferase PgGT1 was discovered and characterized that is capable of catalyzing platycoside E (PE) synthesis through the attachment of two β‐1,6‐linked glucosyl residues sequentially to the glucosyl residue at the C3 position of platycodin D (PD). Although UDP‐glucose is the preferred sugar donor for PgGT1, it could also utilize UDP‐xylose and UDP‐N‐acetylglucosamine as weak donors. Residues S273, E274, and H350 played important roles in stabilizing the glucose donor and positioning the glucose in the optimal orientation for the glycosylation reaction. This study clarified two key steps involved in the biosynthetic pathway of PE and could greatly contribute to improving its industrial biotransformation. [ABSTRACT FROM AUTHOR]

Aim: To evaluate outcome measures and methods of assessment in clinical studies on bone augmentation/preservation procedures for the placement of dental implants. Materials and Methods: A systematic search was performed on three databases from January 2011 to April 2021 to identify clinical studies reporting on any type of bone augmentation/preservation procedure. The outcomes that have been used to assess efficacy or performance in each study were registered and assigned to different domains (group of outcomes). The review followed the Preferred Reporting Items for Systematic Review and Meta‐Analyses statement. Results: Seven‐hundred and eighty‐three publications were included. Only 81.8% of the papers had a clear definition of their primary outcome. The rate of complications (59.3%), implant survival (58.2%), 3D radiographic bone gain/change (30%), marginal bone level (MBL; 29%), and histological outcomes (25.5%) were the most frequently reported outcome domains. The most commonly used primary outcome was 3D radiographic bone gain/change (25.8%), followed by implant survival (13.0%). Patient‐reported outcome measures (PROMs) were reported in 15.7% of studies. Differences in the reported outcomes were observed among different types of bone preservation/augmentation interventions (i.e., alveolar ridge preservation, immediate implants, horizontal and/or vertical ridge augmentation, and sinus floor augmentation). Conclusion: Within the past decade, great heterogeneity was observed among the outcomes considered in studies evaluating bone preservation/augmentation procedures. Three‐dimensional radiographic bone gain/change was the most routinely reported main outcome variable, while PROMs were rarely reported. [ABSTRACT FROM AUTHOR]

The original description of Natrix leonardi (currently Rhabdophis leonardi) by Frank Wall in 1923, based on a specimen from the "Upper Burma Hills," lacked important morphological details that have complicated the assignment of recently collected material. Furthermore, although the holotype was never lost, its location has been misreported in one important taxonomic reference, leading to further confusion. We report the correct repository of the holotype (Natural History Museum, London), together with its current catalog number. We also describe key features of that specimen that were omitted from the original description, and provide new details on the morphology of the species, including sexual dichromatism unusual for the genus, based upon specimens from southern Sichuan, China. Rhabdophis leonardi is distinguished from its congeners by the following characters: 15 or 17 DSR at midbody and 6 supralabials; distinct annulus around the neck, broad and red in males, and narrow and orange with a black border in females; dorsal ground color light green or olive; some lateral and dorsal scales possessing black edges, the frequency of black edges gradually increasing from anterior to posterior, forming irregular and ill‐defined transverse black bands; eye with prominent green iris; black ventral spots with a red edge, most numerous at midbody but extending halfway down the length of the tail. In southwestern China, this species is frequently found at 1730–2230 m elevation. It has been documented to prey upon anuran amphibians, including toads. A recently published phylogenetic analysis showed this species to be deeply nested with the genus Rhabdophis, as a member of the R. nuchalis Group. That analysis also revealed the existence of two closely related but geographically distinct subclades in the molecular analysis, one of which may represent an unnamed taxon. [ABSTRACT FROM AUTHOR]

Breast‐conserving surgery (BCS) is the predominant treatment approach for initial breast cancer. However, due to a lack of effective methods evaluating BCS margins, local recurrence caused by positive margins remains an issue. Accordingly, radiation therapy (RT) is a common modality in patients with advanced breast cancer. However, while RT also protects normal tissue and enhances tumor bed doses to improve therapeutic effects, current radiosensitizers cannot meet these urgent clinical needs. To address this, a novel self‐assembled multifunctional nanoprobe (NP) gadolinium (Gd)–diethylenetriaminepentaacetic acid–human serum albumin (HSA)@indocyanine green–Bevacizumab (NPs‐Bev) is synthesized to improve the efficacy of fluorescence‐image‐guided BCS and RT. Fluorescence image guidance of the second near infrared NP improves complete resection in tumor‐bearing mice and accurately discriminates between benign and malignant mammary tissue in transgenic mice. Moreover, targeting tumors with NPs induces more reactive oxygen species under X‐ray radiation therapy, which not only increases RT sensitivity, but also reduces tumor progression in mice. Interestingly, self‐assembled NPs‐Bev using HSA, the magnetic resonance contrast agent and Bevacizumab‐targeting vascular growth factor A, which are clinically safe reagents, are safe in vitro and in vivo. Therefore, the novel self‐assembled NPs provide a solid precision therapy platform to treat breast cancer. [ABSTRACT FROM AUTHOR]

Aim: To evaluate the relative efficacy and confidence in the precision of the results of different surgical interventions for immediate implant placement in the anterior area. Materials and Methods: Electronic searches were performed in PubMed, Embase, and Cochrane CENTRAL. Randomized controlled trials comparing different surgical techniques in anterior jaws for type 1 implant placement were included. Outcome measures included implant survival (primary outcome), buccal bone thickness (BBT) reduction, and mid‐facial soft tissue recession (MSTR). Risks of bias assessment, network meta‐analysis (NMA), sensitivity analysis, and quality‐of‐evidence assessment were performed. Results: Twenty‐two studies reporting on 948 subjects and 5 surgical interventions were included. Fourteen early failures were reported. Compared with open‐flap surgery without tissue augmentation (F‐N) and looking at BBT preservation, NMA showed that there was moderate confidence that flapless surgery with hard tissue augmentation (FL‐HTA) was better than flapless surgery without tissue augmentation (FL‐N) or open‐flap surgery with hard tissue augmentation (F‐HTA) (mean difference –0.8 mm, 95% confidence interval: −1.1 to −0.5 mm; −0.6 mm, −0.9 to −0.4 mm; and −0.5 mm, −0.7 to −0.3 mm, respectively). There was moderate confidence that flapless surgery with hard and soft tissue augmentation (FL‐HTA&STA) could significantly prevent MSTR compared with FL‐HTA (−0.5 mm, −0.7 to −0.3 mm) and FL‐N (−0.6 mm, −1.2 to −0.04 mm). However, there was no significant additional benefit in BBT with the FL‐HTA&STA approach compared to the FL‐HTA approach (−0.30 mm, −0.81 to 0.21 mm). Conclusions: For immediate implant placement in the anterior areas, the FL‐HTA approach better preserves BBT (moderate confidence); adding STA improves the stability of the mid‐facial soft tissue level (moderate confidence) but at the expense of BBT (low confidence). [ABSTRACT FROM AUTHOR]