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Semiconductor heterojunctions have garnered extensive interest in photocatalytic hydrogen generation, yet the limited light absorption and charge transfer efficiencies still restrict the photocatalytic performance. The topological insulator has unique surface states and high‐mobility electrons, demonstrating the significant potential for enhancing photocatalysis. Herein, a ternary photocatalyst based on a topological insulator, in which CdS and ZnS nanoparticles are grown on Bi2Se3 nanotube, is prepared for efficient photocatalysis driven by topological surface state for the first time. Under simulated solar light irradiation, the CdS/ZnS/Bi2Se3 nanotubes display a robust photocatalytic hydrogen production rate of 7.13 mmol h−1 g−1, which is 69.2 times of CdS and comparable to many CdS‐based photocatalysts. The unique hollow structure, topological surface state of Bi2Se3, and cooperative bandgap excitations of the three components endow the hybrids with wide light response to harvest solar energy. Meanwhile, the multichannel charge transfer facilitated by topological surface state and internal electric fields within the hybrids effectively suppresses the recombination of the photogenerated charge carriers. This mechanism maintains a high concentration of stable electrons on Bi2Se3, resulting in highly efficient hydrogen production. This work provides a new inspiration for designing heterojunction photocatalysts based on topological insulators for high‐efficiency solar‐driven energy conversion. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Methods Results Conclusion Open skin wounds increase the risk of infections and can compromise health. Therefore, applying medications to promote healing at the injury site is crucial. In practice, direct drug delivery is often difficult to maintain for a long time due to rapid absorption or wiping off, which reduces the efficiency of wound healing. Consequently, the development of bioactive materials with both antibacterial and wound‐healing properties is highly desirable.This study synthesized liposomes loaded with glycyrrhizic acid (GA) and asiaticoside (AS) by film dispersion‐ultrasonication method, which were then incorporated into a GelMA solution and cross‐linked by ultraviolet light to form a bioactive composite hydrogel for wound dressings.This hydrogel is conducive to the transport of nutrients and gas exchange. Compared with GelMA hydrogel (swelling rate 69.8% ± 5.7%), the swelling rate of GelMA/Lip@GA@AS is lower, at 52.1% ± 1.0%. GelMA/Lip@GA@AS also has better compression and rheological properties, and the in vitro biodegradability is not significantly different from that of the collagenase‐treated group. In addition, the hydrogel polymer has a stable drug release rate, good biocompatibility, and an angiogenic promoting effect. In vitro experiments prove that, at concentrations of 0.5, 1, 2, and 3 mg/mL, GelMA/Lip@GA@AS can inhibit the growth of Staphylococcus aureus.We synthesized GelMA/Lip@GA@AS hydrogel and found it possesses advantageous mechanical properties, rheology, and biodegradability. Experimental results in vitro showed that the bioactive hydrogel could efficiently release drugs, exhibit biocompatibility, and enhance angiogenesis and antimicrobial effects. These results suggest the promising application of GelMA/Lip@GA@AS hydrogel in wound‐dressing materials. [ABSTRACT FROM AUTHOR]

Stimuli‐responsive materials exhibiting exceptional room temperature phosphorescence (RTP) hold promise for emerging technologies. However, constructing such systems in a sustainable, scalable, and processable manner remains challenging. This work reports a bio‐inspired strategy to develop RTP nanofiber materials using bacterial cellulose (BC) via bio‐fermentation. The green fabrication process, high biocompatibility, non‐toxicity, and abundant hydroxyl groups make BC an ideal biopolymer for constructing durable and stimuli‐responsive RTP materials. Remarkable RTP performance is observed with long lifetimes of up to 1636.79 ms at room temperature. Moreover, moisture can repeatedly quench and activate phosphorescence in a dynamic and tunable fashion by disrupting cellulose rigidity and permeability. With capabilities for repeatable moisture‐sensitive phosphorescence, these materials are highly suitable for applications such as anti‐counterfeiting and information encryption. This pioneering bio‐derived approach provides a reliable and sustainable blueprint for constructing dynamic, scalable, and processable RTP materials beyond synthetic polymers. [ABSTRACT FROM AUTHOR]

Over the past years, the application potential of ferroelectric nanomaterials with unique physical properties for modern electronics is highlighted to a large extent. However, it is relatively challenging to fabricate inorganic ferroelectric nanomaterials, which is a process depending on a vacuum atmosphere at high temperatures. As significant complements to inorganic ferroelectric nanomaterials, the nanomaterials of molecular ferroelectrics are rarely reported. Here a low‐cost room‐temperature antisolvent method is used to synthesize free‐standing 2D organic–inorganic hybrid perovskite (OIHP) ferroelectric nanosheets (NSs), that is, (CHA)2PbBr4 NSs (CHA = cyclohexylammonium), with an average lateral size of 357.59 nm and a thickness ranging from 10 to 70 nm. This method shows high repeatability and produces NSs with excellent crystallinity. Moreover, ferroelectric domains in single NSs can be clearly visualized and manipulated using piezoresponse force microscopy (PFM). The domain switching and PFM‐switching spectroscopy indicate the robust in‐plane ferroelectricity of the NSs. This work not only introduces a feasible, low‐cost, and scalable method for preparing molecular ferroelectric NSs but also promotes the research on molecular ferroelectric nanomaterials. [ABSTRACT FROM AUTHOR]

Background: CircRNA‐encoded proteins (CEPs) are emerging as new players in health and disease, and function as baits for the common partners of their cognate linear‐spliced RNA encoded proteins (LEPs). However, their prevalence across human tissues and biological roles remain largely unexplored. The placenta is an ideal model for identifying CEPs due to its considerable protein diversity that is required to sustain fetal development during pregnancy. The aim of this study was to evaluate circRNA translation in the human placenta, and the potential roles of the CEPs in placental development and dysfunction. Methods: Multiomics approaches, including RNA sequencing, ribosome profiling, and LC‐MS/MS analysis, were utilised to identify novel translational events of circRNAs in human placentas. Bioinformatics methods and the protein bait hypothesis were employed to evaluate the roles of these newly discovered CEPs in placentation and associated disorders. The pathogenic role of a recently identified CEP circPRKCB119aa in preeclampsia was investigated through qRT‐PCR, Western blotting, immunofluorescence imaging and phenotypic analyses. Results: We found that 528 placental circRNAs bound to ribosomes with active translational elongation, and 139 were translated to proteins. The CEPs showed considerable structural homology with their cognate LEPs, but are more stable, hydrophobic and have a lower molecular‐weight than the latter, all of which are conducive to their function as baits. On this basis, CEPs are deduced to be closely involved in placental function. Furthermore, we focused on a novel CEP circPRKCB119aa, and illuminated its pathogenic role in preeclampsia; it enhanced trophoblast autophagy by acting as a bait to inhibit phosphorylation of the cognate linear isoform PKCβ. Conclusions: We discovered a hidden circRNA‐encoded proteome in the human placenta, which offers new insights into the mechanisms underlying placental development, as well as placental disorders such as preeclampsia. Key points: A hidden circRNA‐encoded proteome in the human placenta was extensively identified and systematically characterised.The circRNA‐encoded proteins (CEPs) are potentially related to placental development and associated disorders.A novel conserved CEP circPRKCB119aa enhanced trophoblast autophagy by inhibiting phosphorylation of its cognate linear‐spliced isoform protein kinase C (PKC) β in preeclampsia. [ABSTRACT FROM AUTHOR]

This article presents a study on a new genetic rearrangement that is linked to a condition called PRPF31-associated retinitis pigmentosa (RP). RP is a genetic eye disorder that causes the degeneration of certain cells in the retina, leading to vision problems. The researchers discovered a specific deletion on chromosome 19 that includes the PRPF31 gene, which is associated with RP. They also observed reduced levels of PRPF31 in RP patients. This research offers valuable insights into the genetic causes of RP and could potentially contribute to the development of targeted treatments. Additionally, the study explores a specific mechanism called Alu/Alu-mediated rearrangement (AAMR) that is responsible for this genetic rearrangement. [Extracted from the article]

2D ferroelectric materials with out‐of‐plane polarization are crucial for future nanoscale logic devices due to the increasing demand for energy‐efficient architectures in artificial intelligence. However, only a few 2D out‐of‐plane ferroelectrics are confirmed experimentally. As an important branch of ferroelectrics, organic–inorganic hybrid perovskite ferroelectrics show flexible structures, making them eligible for constructing multifunctional materials. Here, a 2D organic–inorganic hybrid perovskite ferroelectric (6‐BHA)2CdBr4 (6‐BHA is 6‐bromohexylamine) is designed, which crystallizes in polar point group Cc. It experiences the reversal phase transition at 317.8 K and possesses multiaxial ferroelectric properties. More interestingly, it exhibits a large spontaneous polarization value of 3.26 µC cm−2 in out‐of‐plane direction of the film compared with typical 2D ferroelectrics. Moreover, an inverter based on (6‐BHA)2CdBr4 is fabricated, which serves as a proof of concept for the feasibility for logic‐in‐memory devices. This work not only enriches the family of molecular ferroelectrics but also shows the potential to create the next generation of in‐memory computing devices, nanoelectronics devices, and ultra‐high‐density memories. [ABSTRACT FROM AUTHOR]

Single‐metal atomic sites and vacancies can accelerate the transfer of photogenerated electrons and enhance photocatalytic performance in photocatalysis. In this study, a series of nickel hydroxide nanoboards (Ni(OH)x NBs) with different loadings of single‐atomic Ru sites (w‐SA‐Ru/Ni(OH)x) were synthesized via a photoreduction strategy. In such catalysts, single‐atomic Ru sites are anchored to the vacancies surrounding the pits. Notably, the SA‐Ru/Ni(OH)x with 0.60 wt % Ru loading (0.60‐SA‐Ru/Ni(OH)x) exhibits the highest catalytic performance (27.6 mmol g−1 h−1) during the photocatalytic reduction of CO2 (CO2RR). Either superfluous (0.64 wt %, 18.9 mmol g−1 h−1; 3.35 wt %, 9.4 mmol−1 h−1) or scarce (0.06 wt %, 15.8 mmol g−1 h−1; 0.29 wt %, 21.95 mmol g−1 h−1; 0.58 wt %, 23.4 mmol g−1 h−1) of Ru sites have negative effect on its catalytic properties. Density functional theory (DFT) calculations combined with experimental results revealed that CO2 can be adsorbed in the pits; single‐atomic Ru sites can help with the conversion of as‐adsorbed CO2 and lower the energy of *COOH formation accelerating the reaction; the excessive single‐atomic Ru sites occupy vacancies that retard the completion of CO2RR. [ABSTRACT FROM AUTHOR]

Introduction: Allergic rhinitis (AR) is one of the leading allergic diseases worldwide. Allergen immunotherapy (AIT) induces persistent specific allergen tolerance to achieve remission of the symptoms in AR patients. We creatively conducted the intra‐cervical lymphatic immunotherapy (ICLIT) for AR patients. However, the underlying molecular mechanism of immune cell response of AIT in AR remains elusive. Method: To investigate the transcriptome profile in AR patients who underwent ICLIT, we comprehensively investigated the transcriptional changes in B cells from peripheral blood mononuclear cells of AR patient by single‐cell RNA sequencing. Immunoglobulins and relative key gene, which influences the B cell differentiation, was demonstrated. The biomarkers' association with different types of tumors was investigated. Results: Naive B cells, germinal center B cells, activated memory B cells, and memory B cells constituted the B cells subsets. The expression of IGHE, IGHGs, IGHA, IGHD, and IGHM from memory B cells was validated. Pseudotime analysis further indicated the dynamic change from the expression of the immunoglobulins in the memory B cells, suggesting that ITGB1 may contribute to the differentiation procedure of memory B cells. The cell–cell communication among these immune cells demonstrated the significantly enhanced CD23, BTLA signaling after ICLIT in AR patient. ITGB1 was upregulated in 13 tumors and downregulated in six others. High ITGB1 expression was linked to poor prognosis in eight types of tumors. ITGB1 expression showed correlations with tumor mutation burden, tissue purity, and microsatellite instability in different types of tumors. Discussion: ITGB1 was demonstrated as a potential biomarker for AR patients after ICLIT and is significant in identifying immune infiltration in tumor tissue and predicting tumor prognosis. [ABSTRACT FROM AUTHOR]

Polymer‐based room‐temperature phosphorescence (RTP) materials show promising applications in anti‐counterfeiting. To further realize multiscale and/or multimodal anti‐counterfeiting, it is highly desirable to develop polymeric afterglow materials with multiple security features. Herein, a facile strategy is presented to endow polymeric afterglow materials with ultralong lifetime, wide color‐tunability, persistent near‐infrared (NIR) luminescence, and good water solubility via constructing non‐traditional phosphorescence resonance energy transfer (PRET) and two‐step sequential resonance energy transfer systems. Specifically, the 1‐bromocarbazole derivatives with ultralong blue‐color RTP property act as the energy donor while traditional dyes with red/NIR luminescence act as the energy acceptor. By simply regulating the doping composition and concentration of these non‐traditional energy transfer systems, persistent and multicolor organic afterglow covering from the visible to NIR region is successfully realized. Notably, compared to the single‐step PRET, the two‐step sequential resonance energy transfer has the unique advantages of higher transfer efficiency of triplet excitons from the initial donor, a wider range of color‐tunability mediated by the intermediary acceptor, and enhanced delayed fluorescence efficiency of the final acceptor. Finally, these water‐soluble polymeric afterglow materials with ultralong lifetime, wide color‐tunability, and persistent NIR luminescence show great potential applications in advanced anti‐counterfeiting and information security technologies. [ABSTRACT FROM AUTHOR]

Solar water evaporation is an emerging technology for drinkable water generation, while it remains a challenge to develop materials and device for efficient water evaporation and collection. Herein, dual‐plasmonic Ti3C2Tx/CuSe two‐dimensional (2D)/2D hybrids are prepared for high‐efficiency solar water evaporation and a hydrophilic device is designed for efficient water collection. The Ti3C2Tx/CuSe hybrids, which monocrystalline CuSe ultrathin nanosheets are chemically bonded with Ti3C2Tx nanosheets, show efficient photothermal conversion owing to the plasmon‐coupling‐induced strong light absorption and fast charge transfer in the 2D/2D interface. By transferring the hybrids on a cotton piece, the Ti3C2Tx/CuSe membrane displays over 95% of solar light absorption, a stable evaporation rate of 1.893 kg m−2 h−1, and solar‐to‐vapor efficiency of 99.13% under one‐sun irradiation. The membrane can also treat water with more than 20 wt% salinity due to the rich microchannel for ion diffusion. Furthermore, a water evaporation device, which the cambered roof is painted with hydrophilic SiO2, is designed for efficient water collection. The treated roof can efficiently reduce the optical loss and transfer the vapor condensation, leading to a high average freshwater generation of 16.4 kg m−2 in a daily (10 h) natural light irradiation, much higher than other reported devices. [ABSTRACT FROM AUTHOR]

With outstanding advantages of chemical synthesis, structural diversity, and mechanical flexibility, molecular ferroelectrics have attracted increasing attention, demonstrating themselves as promising candidates for next‐generation wearable electronics and flexible devices in the film form. However, it remains a challenge to grow high‐quality thin films of molecular ferroelectrics. To address the above issue, a volume‐confined method is utilized to achieve ultrasmooth single‐crystal molecular ferroelectric thin films at the sub‐centimeter scale, with the thickness controlled in the range of 100–1000 nm. More importantly, the preparation method is applicable to most molecular ferroelectrics and has no dependency on substrates, showing excellent reproducibility and universality. To demonstrate the application potential, two‐dimensional (2D) transitional metal dichalcogenide semiconductor/molecular ferroelectric heterostructures are prepared and investigated by optical spectroscopic method, proving the possibility of integrating molecular ferroelectrics with 2D layered materials. These results may unlock the potential for preparing and developing high‐performance devices based on molecular ferroelectric thin films. [ABSTRACT FROM AUTHOR]

If buyers are asymmetric in terms of their operating costs, researchers and managers broadly agree that the supplier can optimize her/his own profit by offering the more efficient buyer a higher price. In this paper, we develop a game theoretical model to investigate the interaction between one supplier and two asymmetric buyers within a supply chain. We formulate buyers' operating costs as a function of their process innovation levels, which implies that they can reduce the unit operating cost via investments in process innovation in the long run. Our research demonstrates that the uniform wholesale price (UWP) is always preferred over the buyer‐specific wholesale price by the supplier because of the effect of innovation stimulation. The optimal timing of pricing is contingent on the level of market demand variance. If two buyers have the same ability to reduce their operating costs via process innovation, the UWP strategy forms a win‐win situation to the supplier and two buyers. Our results provide the supplier with suggestions regarding when to adopt the UWP strategy and how to enhance downstream innovation performance within the supply chain. [ABSTRACT FROM AUTHOR]

Objective: Treatment indication of maternal subclinical hypothyroidism (SCH) is undetermined, despite the wide administration of levothyroxine for maternal overt hypothyroidism (OH). This study aimed to evaluate the therapeutic effect of levothyroxine for maternal SCH and OH in real‐world practice, with a focus on early child neurodevelopment. Design: Prospective cohort study. Patients and Measurements: Pregnant women diagnosed with SCH at the first antenatal visit were enroled and compared to those diagnosed with OH. Thyroid follow‐ups were conducted during pregnancy. Early child neurodevelopment was assessed using the Gesell Development Diagnosis Scale (GDDS) at 1, 3, 6, 12 and 24 months of age. Results: From January 2012 to December 2013, a total of 442 pregnant women were included in final analysis, among whom 194 and 248 were assigned to the SCH and OH groups, respectively. The percentage of levothyroxine therapy at the first antenatal visit was significantly lower in the SCH group than that in the OH group (91.24% vs. 97.58%, p <.01), with a similar treatment rate at delivery (99.4% vs. 100%, p >.05). Notably, GDDS scores were lower in the SCH group than those in the OH group at 6 months to 2 years of age, which was confirmed by subgroup analyses and sensitivity analyses. Conclusions: Children born with maternal SCH demonstrated slightly lower neuropsychological scores at 6 months to 2 years of age compared to those with maternal OH in the clinical practice. The therapeutic effect of maternal SCH on the child neurodevelopment requires further exploration. [ABSTRACT FROM AUTHOR]

Stable operation of sustainable Zn–air batteries (ZABs) has attracted considerable attention, but it remains a huge challenge to achieve temperature‐adaptive and fast‐charging ZABs. The poor Zn|electrolyte interface and the sluggish charging kinetic are the major obstacles. Here, high‐performance ZABs are constructed by designing polarized zincophilic solid‐state electrolyte (SSE) with the unique solvation interaction of Zn2+ with ethylene glycol (EG), and atomic Mo site cathode catalyst. On the one hand, the modulation of the solvation structure of Zn2+ ions by partial substitution of H2O with EG inhibits Zn dendrite growth and parasitic reactions, leading to the improvement of the Zn|electrolyte interface. Moreover, the polarized terminal groups in SSE are strongly coordinated with Zn/H2O, which exerts a profound influence on Zn|electrolyte interface stability and low‐temperature properties. On the other hand, atomic Mo incorporated α‐Co(OH)2 mesoporous nanosheets decrease the overpotential of oxygen evolution reaction via strong electronic interaction. Consequently, the assembled aqueous ZABs exhibit ten‐time fast‐charging ability and remarkable cycling stability. Moreover, the assembled solid‐state ZABs show unprecedented stability (1400 cycles at 5 mA cm−2) and high energy efficiency at −40 °C. [ABSTRACT FROM AUTHOR]

To better understand the trends of influenza and the impact of public health and social measures (PHSMs) implemented during the coronavirus disease 2019 (COVID‐19) period in Chongqing, China. Data from the China Influenza Surveillance Information System from January 2017 to June 2022 were extracted. Epidemiological characteristics (influenza‐like illness [ILI] and ILI%) and virological characteristics (influenza positive rate and circulating (sub)types) of influenza were described and compared between the pre‐COVID‐19 period and the COVID‐19 period. Our survey showed that the implementation of PHSMs during the COVID‐19 period had a positive impact on reducing influenza transmission. However, influenza activity resurged in 2021–2022 as the PHSMs were eased. Children under 5 years old constituted the highest proportion of ILI cases. The overall influenza positive rate was 23.70%, with a higher rate observed during the pre‐COVID‐19 period (31.55%) compared to the COVID‐19 period (13.68%). Influenza virus subtypes co‐circulated and the predominant subtype varied each year, with influenza A subtypes predominated in 2018/2019, while influenza B/Victoria lineage dominated in 2020/2021. PHSMs are effective measures to mitigate the spread of influenza. The findings underscore the need for bolstering monitoring systems, advocating influenza vaccination, and implementing practical PHSMs to strengthen prevention and control measures against influenza. [ABSTRACT FROM AUTHOR]

Host‐associated microbiota can significantly impact host fitness. Therefore, naturally occurring variations in microbiota may influence the health and persistence of their hosts. This finding is particularly important in reintroduced animals, as they typically experience habitat changes during translocations. However, little is known about how microbiomes are altered in response to conservation translocation. Here, we accessed the gut microbiome of Przewalski's horse (Equus przewalskii) populations in China from three nature reserves (i.e. Xinjiang Kalamaili Nature Reserve, KNR; Dunhuang Xihu National Nature Reserve, DXNNR; and Anxi Extreme‐arid Desert Nature Reserve, AENR) using 16s rRNA gene and metagenome sequencing. The results showed that the microbial composition and function differed significantly across locations, while a subset of core taxa was consistently present in most of the samples. The abundance of genes encoding microbe‐produced enzymes involved in the metabolism of carbohydrates, especially for glycoside hydrolases, was significantly higher in open‐spaced KNR populations than in more confined AENR individuals. This study offers detailed and significant differential characters related to the microbial community and metabolic pathways in various reintroduced sites of Przewalski's horse, which might provide a basis for future microecological and conservation research on endangered reintroduced animals. [ABSTRACT FROM AUTHOR]

The rational design and construction of efficient and inexpensive bifunctional oxygen electrocatalysts are highly desirable for the development of rechargeable Zn–air batteries (ZABs). Although single‐atom Fe sites anchored on N‐doped carbon catalysts (Fe1/NC) ensure high oxygen reduction reaction activity, their unitary atomically dispersed active center faces difficult condition in catalyzing oxygen evolution reaction simultaneously. Herein, a composite catalyst containing heterointerface between Fe1/NC and selenides ((Fe,Co)Se2) is constructed. The obtained (Fe,Co)Se2@Fe1/NC exhibits extremely narrow potential gap of 0.616 V and remarkable stability in alkaline media, outperforming the benchmark catalysts (Pt/C+RuO2: 0.720 V). Experimental results and density functional theory calculations reveal that heterointerface between Fe1/NC and (Fe,Co)Se2 accelerates the electron transfer and provides more moderate adsorption sites, which endow (Fe,Co)Se2@Fe1/NC with extremely high bifunctional oxygen catalytic activity. This study not only provides a superior bifunctional catalyst for ZABs, but also enriches the application of single‐atom catalysts in multifunctional energy storage and conversion devices. [ABSTRACT FROM AUTHOR]

Introduction: Subclinical hypothyroidism (SCH) during pregnancy is reported to have detrimental impact on pregnancy and child development. However, its treatment indications require further investigation in different thyroid peroxidase antibody (TPOAb) status. Material and methods: This was a secondary analysis of a Chinese prospective cohort in a real‐world setting. Pregnant women with gestational SCH were enrolled at the first antenatal visit and grouped by TPOAb positivity. Child neurodevelopment was assessed by the Gesell development diagnosis scale (GDDS) at one, three, six, 12, and 24 months of age. Subgroup analyses and sensitivity analyses were also conducted. Clinical trial registration: ClinicalTrials.gov NCT01744743. Results: From January 2012 to December 2013, a total of 171 participants were enrolled, including 116 of SCH with TPOAb negative (SCH‐TPOAb [−]) and 55 of SCH with TPOAb positive (SCH‐TPOAb [+]). Compared to women in the SCH‐TPOAb (+) group, those in the SCH‐TPOAb (−) group had lower thyroid‐stimulating hormone (TSH) levels at enrollment and 12–16+6 gestational weeks, and unexpectedly higher TSH levels at 30–34+6 gestational weeks and delivery, with a correspondingly lower levothyroxine dosage throughout pregnancy (all p < 0.05). Offspring in the SCH‐TPOAb (−) group displayed lower GDDS scores at one year old than did their counterparts (adjusted p < 0.05), which was possibly related to the worse thyroid function control of maternal SCH‐TPOAb (−). No statistically significant difference was found in the GDDS assessments of children at one, three, six, and 24 months of age. These results were also confirmed in subgroup analyses stratified by maternal thyroid characteristics at enrollment, namely TSH levels, free levothyroxine (T4) levels, and anti‐thyroglobulin antibody (TgAb) status, as well as in sensitivity analyses excluding participants with no levothyroxine treatment at enrollment. Conclusions: In the current clinical practice, infants born to mothers with SCH‐TPOAb (−) displayed slightly lower neurodevelopmental scores at one year old than did those born to mothers with SCH‐TPOAb (+) but this difference was not seen at two years. [ABSTRACT FROM AUTHOR]

Anterior gradient‐2 (AGR2) is crucial to breast cancer progression. However, its role in the tumor immune microenvironment remains unclear. RNA sequencing expression profiles and associated clinical information were downloaded from The Cancer Genome Atlas and Gene Expression Omnibus databases, respectively. The AGR2 expression patterns were verified using clinical samples of breast cancer. Based on single‐cell transcriptomic data, AGR2 expression patterns were identified and cell communication analysis was carried out. Furthermore, the roles of AGR2 in breast tumor progression were explored by a series of functional experiments. We found that DNA methylation was an important mechanism for regulating the expression patterns of AGR2. Patients with AGR2 low expression displayed an immune "hot" and immunosuppressive phenotype characterized by high abundance of tumor immune cell infiltration and increased enrichment scores for transforming growth factor‐β (TGF‐β) and epithelial–mesenchymal transition pathways, whereas patients with AGR2 high expression showed an opposite immunologic feature with a lack of immune cell infiltration, suggestive of an immune "cold" and desert phenotype. Moreover, single‐cell analysis further revealed that AGR2 in malignant cells alters cell–cell interactions by coordinating cytokine–chemokine signaling and immune infiltration. Notably, two immunotherapy cohorts revealed that AGR2‐coexpressed genes could serve as prognostic indicators of patient survival. In conclusion, AGR2 could promote breast cancer progression by affecting the tumor immune microenvironment. Patients with AGR2 low expression could be suitable for combination treatment with immune checkpoint inhibitor agents and TGF‐β blockers. Therefore, this study provides a theoretical foundation for developing a strategy for personalized immunotherapy to patients with breast cancer. [ABSTRACT FROM AUTHOR]

Comprehensive Summary: The brightness of fluorescent agents directly determines the imaging performance as required. Among various fluorophores, small organic species are promising given its exact purity/composition and excellent processibility. However, chromophores with planar geometry may suffer from the undesirable aggregation‐caused quenching (ACQ) phenomenon. Encouragingly, luminogens showing aggregation‐induced emission (AIE) features are preferable as the aggregates which are the most common used state. In this review, we mainly focus on the strategies employed for boosting the brightness of AIE‐active luminogens (AIEgens). From molecule to morphology levels, approaches that regulate electronic transition processes of the molecule or the packing extent of aggregates in order to confine molecular motion, reduce π‐π stacking, disrupt fluorophore‐water interactions, etc., are presented. In the end, the current challenges and perspectives are briefly discussed. We anticipate that this review will stimulate new insights and more efforts for the advancement of ultrabright AIEgens. [ABSTRACT FROM AUTHOR]

BACKGROUND: Chitosan (CS) and tripolyphosphate (TPP) can be combined in the development of a material with synergistic properties and promising potential for the conservation of food products. In this study, ellagic acid (EA) and anti‐inflammatory peptide (FPL)‐loaded CS nanoparticles (FPL/EA NPs) were prepared using the ionic gelation method and optimal preparation conditions were obtained through a single factor design. RESULTS: The synthesized nanoparticles (NPs) were characterized using a scanning electron microscope (SEM), Fourier‐transform infrared spectroscopy (FTIR), X‐ray diffraction (XRD), and differential scanning calorimetry (DSC). Nanoparticles were spherical, with an average size of 308.33 ± 4.61 nm, a polydispersity index (PDI) of 0.254, a zeta potential of +31.7 ± 0.08 mV, and a high encapsulation capacity (22.16 ± 0.79%). An in vitro release study showed that EA/FPL had a sustainable release from FPL/EA NPs. The stability of the FPL/EA NPs was evaluated for 90 days at 0, 25, and 37 °C. Significant anti‐inflammatory activity of FPL/EA NPs was verified by nitric oxide (NO) and tumor necrosis factor‐α (TNF‐α) reduction. CONCLUSION: These characteristics support the use of CS nanoparticles to encapsulate EA and FPL and improve their bioactivity in food products. © 2023 Society of Chemical Industry. [ABSTRACT FROM AUTHOR]

Single‐atom Fe‐N‐C (denoted as Fe1‐N‐C) catalysts exhibit inadequate bifunctional activities to conquer the sluggish oxygen reduction and evolution reaction (ORR/OER), hindering their practical applications in rechargeable Zn‐air batteries (ZABs). Here, by employing Fe1‐N‐C hollow nanorods as ORR‐active support, OER‐active NiFe‐layered double hydroxide (NiFe‐LDH) nanodots are evenly decorated through a spatially confined process to form NiFe‐LDH/Fe1‐N‐C heterostructure hollow nanorods with abundant accessible catalytic sites. The NiFe‐LDH/Fe1‐N‐C heterostructure not only enhances the ORR activity of pristine Fe1‐N‐C but also realizes efficient bifunctional ORR/OER activity in one monolithic catalyst. Theoretical calculations reveal that introducing NiFe‐LDH nanodots results in donation of electrons to the Fe1‐N‐C matrix and thus lowers the Fe‐d band center of the Fe‐N4 sites, dramatically narrowing the energy barriers of the ORR rate‐limiting steps. As a result, NiFe‐LDH/Fe1‐N‐C nanorods deliver remarkable ORR activity with a half‐wave potential of 0.90 V versus reversible hydrogen electrode, surpassing bare Fe1‐N‐C and commercial Pt/C. Impressively, the integrated NiFe‐LDH/Fe1‐N‐C catalysts show outstanding bifunctional performance with a small overpotential gap of only 0.65 V. The liquid‐state ZABs with NiFe‐LDH/Fe1‐N‐C as an air‐cathode catalyst deliver a peak power density of 205 mW cm−2 and long‐term cycling stability of up to 400 h. [ABSTRACT FROM AUTHOR]

Multiblock copolymers are envisioned as promising materials with enhanced properties and functionality compared with their diblock/triblock counterparts. However, the current approaches can construct multiblock copolymers with a limited number of blocks but tedious procedures. Here, we report a thioester‐relayed in‐chain cascade copolymerization strategy for the easy preparation of multiblock copolymers with on‐demand blocks, in which thioester groups with on‐demand numbers are built in the polymer backbone by controlled/living polymerizations. These thioester groups further serve as the in‐chain initiating centers to trigger the acyl group transfer ring‐opening polymerization of episulfides independently and concurrently to extend the polymer backbone into multiblock structures. The compositions, number of blocks, and block degree of polymerization can be easily regulated. This strategy can offer easy access to a library of multiblock copolymers with ≈100 blocks in only 2 to 4 steps. [ABSTRACT FROM AUTHOR]

The clinical applications of transcatheter arterial embolization (TAE) conversion therapy combined with hepatectomy have been severely restricted by ill‐defined tumoral boundaries and miniscule hidden lesions. Fluorescent surgical navigation is a promising method for overcoming these barriers. However, sufficient delivery of the fluorescent probe into the tumor region after long‐term TAE is challenging due to blockade of the tumor‐supplying artery. Here, a super‐stable homogeneous intermix formulating technology (SHIFT) to physically mix lipiodol and indocyanine green (ICG) formulation (SHIFT and ICG) for fluorescent surgical navigation after long‐term TAE conversion therapy is provided. Through the retrospective study of 45 clinical liver cancer patients, it is found that SHIFT and ICG formulation have excellent tumor deposition effect and safety. During surgical resection after long‐term TAE conversion therapy, SHIFT and ICG could clearly identify in real time the full tumor regions and boundaries and had a high signal‐to‐normal tissues ratio—even the indistinguishable satellite lesions could be identified with a strong fluorescence intensity. Meanwhile, SHIFT and ICG could improve operative, anesthetic, and postoperative variables associated with postoperative complications. This simple and effective SHIFT could provide precise fluorescent navigation for surgical resection following long‐term embolization therapy in clinical practice and has great potential for a translational pipeline. [ABSTRACT FROM AUTHOR]

Aims: New thrombectomy strategies have emerged recently. Differences between posterior circulation stroke management via aspiration and stent retriever remain to be evaluated. We compared the safety and efficacy of aspiration and stent retriever in treating posterior circulation stroke. Methods: Three databases (PubMed, Embase, and Cochrane Library) were systematically searched for studies comparing aspiration and stent retriever in patients with posterior circulation stroke. The modified Newcastle‐Ottawa scale was used to assess the risk of bias. A random‐effects model was used. Results: Fifteen cohort studies with 1451 patients were included. Pooled results showed a significant difference in total complication (odds ratio [OR] 0.48, 95% confidence interval [CI] [0.30, 0.76], p = 0.002). successful recanalization (1.85, [1.30, 2.64], p = 0.0006), favorable outcome (1.30, [1.02, 1.67], p = 0.04), procedure duration (−22.10, [−43.32, −0.88], p = 0.04), complete recanalization (4.96, [1.06, 23.16], p = 0.009), and first‐pass effect (2.59, [1.55, 4.32], p = 0.0003) between the aspiration and stent retriever groups, and in favor of aspiration. There was no significant difference in the outcomes of rescue therapy (1.42, [0.66, 3.05], p = 0.37) between the two groups. Conclusion: Patients with posterior circulation stroke receiving treatment with aspiration achieved better recanalization, first‐pass effect, and shorter procedure time. Aspiration may be more secure than a stent retriever. [ABSTRACT FROM AUTHOR]

Organic ultralong room‐temperature phosphorescence (RTP) materials have promising applications in anti‐counterfeiting. To improve the encryption level, the exploration of organic materials with tunable solid‐state long persistent luminescence is in urgent need. Herein, a series of organic ultralong RTP polymeric systems are prepared by doping versatile indolocarbazole isomers into the poly(vinyl alcohol) (PVA) matrix. Notably, the doping film 11,12‐ICz@PVA exhibits excellent RTP property with an ultralong lifetime of 2.04 s and a high phosphorescence quantum yield of 44.1%. Theoretical calculations reveal that this excellent RTP property can be attributed to the strong electrostatic attraction resulting from the synergistic double hydrogen‐bond between the isomer 11,12‐ICz and PVA matrix. More impressively, color‐tunable and time‐dependent long persistent luminescence is successfully achieved through efficient phosphorescence energy transfer between the indolocarbazole isomers with ultralong blue RTP emissions and commercially available fluorescent dyes with emission colors ranging from green to red doped into the PVA matrix. Besides, diversified encryption patterns are fabricated to demonstrate the promising applications of these water‐soluble doping PVA systems with tunable solid‐state persistent luminescence in advanced anti‐counterfeiting technology. [ABSTRACT FROM AUTHOR]

A new parent-report measure was used to examine parents' person and process responses to children's math performance. Twice over a year from 2017 to 2020, American parents (N = 546; 80% mothers, 20% other caregivers; 62% white, 21% Black, 17% other) reported their responses and math beliefs; their children's (Mage  = 7.48 years; 50% girls, 50% boys) math adjustment was also assessed. Factor analyses indicated parents' person and process responses to children's math success and failure represent four distinct, albeit related, responses. Person (vs. process) responses were less common and less likely to accompany views of math ability as malleable and failure as constructive (|r|s = .16-.23). The more parents used person responses, the poorer children's later math adjustment (|β|s = .06-.16). [ABSTRACT FROM AUTHOR]

Background: We aimed to evaluate anorectal function of normal infants and children through three dimension high‐definition anorectal manometry (3D ARM) to fill the research blank in this area. Methods: From November 2014 to January 2019, 104 normal infants and children among patients who underwent 3D ARM were divided into four groups according to age (≤1 month; >1 month to ≤1 year; >1 year to ≤4 years and >4 years) and reviewed. The following parameters were performed: the length of anorectal high‐pressure zone (HPZ), the resting pressure of HPZ (HPZ‐rest), the squeezing pressure of HPZ (HPZ‐sqze), recto‐anal inhibitory reflex (RAIR), and pressure distribution of the anal canal. Graphpad Prism 7.0 software was used for statistical analysis. Results: HPZ, HPZ‐rest, and HPZ‐sqze increased with age. There were differences in HPZ‐rest and HPZ‐sqze between the groups (p < 0.05). Sex had a significant effect on HPZ, but not on HPZ‐rest and HPZ‐sqze. The HPZ of males was higher than that of females among those ≤1 month old (p < 0.05). RAIR (‐) was found in 17 patients (16%) for whom Hirschsprung's disease were excluded by biopsy, and these patients had regular defecation during follow‐up. Most of the patients (85%) older than 1 year had a symmetric anal pressure distribution during the contracting period (p < 0.05). Conclusions: Anal canal function parameters gradually increased with age in normal infants and children which demonstrated the important role of age in evaluation, and these parameters can provide a reference for postoperative evaluation of anal canal function. [ABSTRACT FROM AUTHOR]

Exploring bioelectroanalysis and bioelectrocatalysis in non‐aqueous systems are essential for bridging the gap between laboratorial and industrial scale. Bioelectrodes based on carbon nanomaterials, such as carbon nanotubes and graphene, have been designed and fabricated with biocompatible surface functionalities. This review presents recent advances in regulation of a biocompatible microenvironment of enzyme electrodes in non‐aqueous systems. We summarize the modification strategies to facilitate electron transfer and promote enrichment of hydrophobic analytes. We focus on the mining and modification for robust oxidoreductases from extremophiles to explore the biosensors in extreme conditions. Challenges and future prospects for bioelectrodes in non‐aqueous systems are discussed. [ABSTRACT FROM AUTHOR]

To evaluate the outcome and prognostic significance of CEBPA mutations among pediatric acute myeloid leukemia (AML) from TARGET dataset. A total of 1803 pediatric patients who were diagnosed with AML were classified into two groups based on the CEBPA status by using a retrospective cohort study method from September 1996 to December 2016. The incidence of CEBPA mutations was 18%. CEBPA mutations were significantly associated with elder age (p < 0.001), higher WBC (p = 0.004), higher proportion of peripheral blood blast (p < 0.001), normal karyotype (p < 0.001), low risk (p < 0.001) and higher complete remission induction rates (p < 0.05). Overall, CEBPA mutations patients had a significantly better 5‐year EFS (p < 0.001) and OS (p < 0.001) compared to CEBPA wild‐type patients, and this favorable impact was maintained even in the presence of FLT3/ITD mutations. Stem cell transplantation had no significant impact on the survival of patients with coexistence of CEBPA and FLT3/ITD mutations. Multivariate analysis demonstrated that mutated CEBPA were an independent favorable indicators of better outcome in terms of EFS (p = 0.007) and OS (p = 0.039). Our study demonstrate mutated CEBPA have an excellent outcome in pediatric AML patients. Furthermore, pediatric AML patients with coexistence of CEBPA and FLT3/ITD mutation appear to have favorable prognoses and might not required stem cell transplantation. [ABSTRACT FROM AUTHOR]

Summary: This paper investigates the adaptive fuzzy output feedback fault‐tolerant tracking control problem for a class of switched uncertain nonlinear systems with sensor faults and actuator faults. Both the faults considered are unknown, the existing schemes fail to solve the control problem. In this paper, an adaptive estimation coefficient is introduced to mitigate the effects of sensor faults, then a state observer is constructed to estimate unmeasured states and mitigate the effects of actuator faults. Fuzzy logic systems are employed to approximate the unknown nonlinear functions. By the backstepping technique and the Lyapunov function method, an adaptive fuzzy output feedback fault‐tolerant controller is designed. It is proven that the proposed control scheme with average dwell time constraints can guarantee that all states of the closed‐loop system are semi‐global uniformly ultimately bounded and the tracking error can converge to a small neighborhood of zero. Finally, a simulation example is given to show the effectiveness of the proposed scheme. [ABSTRACT FROM AUTHOR]

At present, liver fibrosis is a major challenge of global health. When hepatocyte regeneration cannot compensate for hepatocyte death, it will develop into liver fibrosis in chronic liver disease. Initially, collagen produced by myofibroblasts plays a role in maintaining liver integrity, but excessive collagen accumulation can inhibit the residual liver function, leading to liver failure. At present, many scientists are actively looking for drugs to alleviate liver fibrosis. In the current study, we investigated the potential role of uridine in the treatment of liver fibrosis (uridine is a plant/animal‐derived pyrimidine nucleoside, therefore uridine can also be ingested and absorbed by the body, accompanied by the process of food intake). For this, we systematically studied the effect of uridine on CCl4‐induced liver fibrosis in vitro and in vivo through a series of technologies, such as Western blot, laser confocal scanning microscope, ELISA and immunohistochemistry. The experimental results showed that uridine can effectively reduce the accumulation of collagen in liver. Furthermore, uridine can improve the activity of liver cells and alleviate CCl4‐induced liver injury. Furthermore, uridine can significantly alleviate the risk factors caused by hepatic stellate cell activation, uridine treatment significantly down‐regulated the expression of α‐SMA, collagen type‐I and fibronectin. In conclusion, the current research shows that uridine can alleviate CCl4‐induced liver fibrosis, suggesting that uridine can be used as a potential drug to alleviate liver fibrosis. [ABSTRACT FROM AUTHOR]

Glioma is the predominant brain malignancy and is correlated with high mortality and severe morbidity. The transcription factor limb‐bud and heart (LBH) has been reported to be involved in the development of several cancers, although its role in glioma development remains elusive. Here, we examined the effect of LBH on glioma progression. The expression of LBH was increased in glioma samples from The Cancer Genome Atlas database, and upregulation of LBH was observed to be correlated with the poor survival of glioma patients. We also report that expression of LBH was elevated in clinical glioma tissues compared to adjacent normal tissues, and was also enhanced in glioma cell lines. LBH promotes proliferation and inhibits cell cycle arrest and apoptosis in glioma cells. In addition, LBH increased the migration and invasion of glioma cells in vitro. Moreover, tumorigenicity analysis revealed that LBH could promote the tumor growth of glioma cells in vivo. In conclusion, our findings suggest that LBH contributes to glioma progression in vitro and in vivo. Our findings provide new insights into the mechanism by which LBH promotes the development of glioma, improving our understanding of the correlation between LBH with cancer. LBH may have potential as a target for glioma therapy. [ABSTRACT FROM AUTHOR]

Growth hormone (GH) exhibited the important biological activities in the mesenchymal stem cell (MSCs). However, the cellular behavior and properties of GH/GHR in MSCs remain unclear. A series of experiments (such as confocal laser scanning microscope [CLSM] and Western‐blot) were performed to systematically investigate the cellular behavior of GH/GHR in MSCs, and the results showed that GH/GHR not only internalized into the cytoplasm, but also transported into the cell nuclei of MSCs. Furthermore, we studied the molecular mechanism by which GH/GHR internalized into cell, and the results indicated that clathrin plays more important role in the process of GHR internalization. More importantly, it can be found that nuclear‐targeted GHR has the important biological functions in MSCs, which could promote MSCs proliferation. We further revealed the molecular mechanism by which nuclear‐localized GHR regulates MSCs proliferation, and found that nuclear‐targeted GHR enhanced the phosphorylation of STAT5, and the activated STAT5 initiates the transcription of CyclinD1, after which, the complex of CyclinD1 and CDK4 further phosphorylates Rb, and the activated Rb releases E2F1, the released E2F1 ultimately realizes the biological function of GH promoting cell proliferation. In short, in the current study，we used MSCs as a model to study the cellular behavior and properties of GH/GHR, and found that GH/GHR can internalize into cell cytoplasm and transport into the cell nuclei. Further work showed that nuclear GHR could drive cell proliferation via GHR/STAT5/CyclinD1 signaling pathway. The current research has laid an important foundation for further study on the regulatory effect of GH on MSCs. [ABSTRACT FROM AUTHOR]

Uranium is an important nuclear fuel and the risk of human exposure to uranium increases as increasing amounts of uranium‐containing waste enter the environment due to the rapid growth of nuclear power. Therefore, rapid, sensitive, and portable uranium detection is a promising approach to effectively control and monitor uranium contamination. To achieve this goal, abundant oxygen‐ and nitrogen‐containing groups were introduced to molybdenum oxide quantum dot (MoOx QDs) surfaces with dopamine (DA) modification. Due to the excellent coordination ability of oxygen‐ and nitrogen‐containing groups with uranium, the obtained DA‐functionalized MoOx QDs (DA‐MoOx QDs) showed a strong binding affinity for uranium and sensitivity was increased nearly 1000‐fold compared with MoOx QDs alone. The limit of detection was 3.85 nM, which is higher than most of the reported nanomaterials. Moreover, the DA‐MoOx QD‐based method showed high selectivity and uranium could be clearly detected under masking with ethylenediaminetetraacetic acid even when the concentration of other metal ions was 100‐fold higher than that of uranium, showing a very promising method for uranium contamination control and monitoring. [ABSTRACT FROM AUTHOR]

Organic phosphors exhibiting room‐temperature phosphorescence (RTP) in amorphous phase are good candidates for optoelectronic and biomedical applications. In this proof‐of‐concept work, a rational strategy to activate wide‐color ranged and persistent RTP from amorphous films by embedding electron‐rich organic phosphor into electron‐deficient matrix polyacrylonitrile (PAN) is presented. Through tailoring noncovalent interactions between the electron‐deficient PAN matrix and electron‐rich organic phosphors, an ultralong lifetime of 968.1 ms is obtained for doped film TBB‐6OMe@PAN. Control experiments conducted on the polymers polymethyl methacrylate (PMMA) and polystyrene (PS) without electron‐withdrawing groups, and organic phosphors containing electron‐withdrawing groups indicate that the persistent RTP of doped films may be triggered by strong electrostatic interactions between electron‐deficient PAN and electron‐rich organic phosphor. Further theoretical calculations including electrostatic potential distributions, binding energies, and energy decomposing analysis demonstrate that both electrostatic and dispersion interactions between electron‐deficient PAN and electron‐rich organic phosphor are responsible for the activation of persistent RTP of doped films. In addition, the doped film TBB‐6OMe@PAN still maintains brightness even after soaking in water for 12 weeks. This excellent water resistance not only is favorable for future applications but also demonstrates an advantage of electrostatic and dispersion interactions over hydrogen bonding interactions. [ABSTRACT FROM AUTHOR]

Aims: The purpose of this study is to examine the safety and efficacy of eltrombopag as first‐line treatment for thrombocytopenia among paediatric patients after haematopoietic stem cell transplantation (HSCT). Methods: Forty‐three childhood patients with thrombocytopenia after HSCT who received eltrombopag were retrospectively analysed. Result: Eltrombopag was began at the median of 27 days after HSCT and lasted for 24 days. Thirty‐five children responded to eltrombopag therapy, and the cumulative platelet recovery rate was 88.9%. The cumulative incidence of platelet recovery was lower (83.9 vs 100%; P =.035) in patients with decreased numbers of megakaryocytes before starting eltrombopag than in those with normal. Factors associated with a significantly elevated response to eltrobopag from univariate analysis were donor type. Results from the multiple regression analysis found that weight (hazard ratio [HR] = 0.7, 95% confidence interval [CI] 0.5–0.9, P =.022), platelet engraftment time (HR = 1.0, 95%CI 1.0–1.0, P =.012) and bone marrow megakaryocytes (HR = 8.0, 95%CI 1.5–43.3, P =.016) before starting eltrombopag were the independent risk factors. Based on Youden's index algorithm in the receiver‐operating characteristic curve, the optimal cut‐off value of the maintenance dose of eltrombopag in predicting nonresponders was 4 mg/kg. The area under the receiver‐operating characteristic curve was 0.923 with sensitivity of 97.8%, specificity of 87.9%, positive predictive value of 72.3%, and negative predictive value of 92%. None of the paediatric patients stopped using eltrombopag due to side effect or intolerability. Conclusion: Eltrombopag is effective and safe in paediatric patients with thrombocytopenia after HSCT. The number of megakaryocytes in bone marrow before eltrombopag treatment may serve as a predictor of the response to eltrombopag. We recommend that the maintenance dose of eltrombopag should not exceed 4 mg/kg/d. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the association between placental blood perfusion and the occurrence of macrosomia at birth.Methods: This was a prospective cohort study including women with singleton pregnancies that aimed to measure placental blood perfusion using three-dimensional (3D) power Doppler ultrasonography in the second and third trimester. We acquired three indices of placental blood flow, including vascularization index (VI), flow index (FI), vascularization flow index (VFI), along with routine two-dimensional (2D) biometric measurements, including abdominal circumference (AC) and estimated fetal weight (EFW). Pregnancy outcomes were divided into two groups: newborns with a normal birth weight and those with macrosomia. We then compared all of the recorded variables between these two groups. We also determined the predictive efficiency of each variable using receiver-operating characteristic (ROC) curves.Results: The placental 3D power Doppler indices, including VI and FI, were significantly higher in the third trimester of pregnancies developing macrosomia, but not during the second trimester, as compared to those with a normal birth weight. ROC curves analysis for third-trimester VI and FI suggested a slight ability to predict macrosomia; this was also the case for AC and EFW. Interestingly, VI showed high sensitivity and low specificity, while FI showed low sensitivity and high specificity; this was also the case for AC and EFW.Conclusions: Three-dimensional power Doppler ultrasound indices were significantly higher during the third-trimester for pregnancies developing macrosomia. However, these indices had only moderate ability to predict macrosomia. [ABSTRACT FROM AUTHOR]

Objective: A submucosal injection is usually required to improve the efficacy and safety of endoscopic submucosal dissection (ESD) and endoscopic mucosal resection (EMR). This study aimed to evaluate the performance of 3.3% sodium carboxymethyl starch (Na‐CMS) solution, a novel submucosal injection solution, for ESD and EMR. Methods: Na‐CMS, normal saline (NS) and two commercially available agents (sigMAVisc and Eleview) were injected into the esophageal submucosa of randomly grouped pigs. The level of submucosal elevation was examined. Subsequently, ESD or EMR procedures using 3.3% Na‐CMS or NS as submucosal injections were performed in the gastrointestinal tract of the pigs. Results: Submucosal elevation was significantly higher and more sustained in the 3.3% Na‐CMS group than in the controls (P < 0.05). The volume required for ESD or EMR was significantly lower in the 3.3% Na‐CMS group than in the NS group (ESD: 12.21 ± 4.09 mL vs 28.25 ± 8.02 mL, P < 0.001; EMR: 3.99 ± 1.98 mL vs 7.15 ± 3.67 mL, P = 0.001). The ESD resection time was significantly shorter in the 3.3% Na‐CMS group than in the NS group (16.58 ± 7.30 min vs 25.29 ± 11.89 min, P = 0.004). Hemorrhage after ESD in the 3.3% Na‐CMS group was less severe than that in the NS group (P = 0.006). Conclusion: 3.3% Na‐CMS is an effective, safe and low‐cost submucosal injection solution and holds promise as preferable agent for submucosal injection in ESD and EMR procedures. [ABSTRACT FROM AUTHOR]