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Web3.0, often cited to drastically shape our lives, is ubiquitous. However, few literatures have discussed the crucial differentiators that separate Web3.0 from the era we are currently living in. Via a thorough analysis of the recent blockchain infrastructure evolution, we capture a key invariant featuring the evolution, based on which we provide the first academic definition for Web3.0. Our definition is not the only way of understanding Web3.0, yet, it captures the fundamental and defining trait of Web3.0, and meanwhile it is has two desirable properties. Under this definition, we articulate three key infrastructural enablers for Web3.0: individual blockchains, federated or centralized platforms capable of publishing verifiable states, and an interoperability platform to hyperconnect those state publishers. While innovations in all categories are necessary to fully enable Web3.0, in this paper, we present a design for the third enabler, namely HyperService, that delivers interoperability and programmability across heterogeneous blockchains and state publishers. HyperService is powered by two innovative designs: a developer-facing programming framework that allows developers to build cross-chain applications in a unified programming model; and a secure blockchain-facing cryptography protocol that provably realizes those applications on blockchains. We implement a prototype of HyperService in 62,000 lines of code to demonstrate its practicality, usability, and scalability.

In this study we fabricated highly oxidized graphene oxides (GO) to reduce the optical bulk absorption, and to achieve a low-loss GO/silicon hybrid optical waveguide. The highly oxidized GO was fabricated using triple amount of oxidants and elongated oxidizing time via a modified Hummers’ method, together with post ozone treatment to effectively break down the C = C pi-conjugation network. The high oxidation degrees of GO were confirmed by a wide interlayer spacing (1.26 nm) in XRD patterns and a high fraction of oxygenated carbon (61.57%) observed in XPS spectra. Integrating a GO thin film on top of a silicon ring resonator revealed an extra optical loss of 1.2 dB/cm, while this value reduced to 0.8 dB/cm in a GO grating covered silicon strip waveguide. The resulting GO/silicon hybrid waveguide grating provided an extinction ratio of up to 35 dB at Bragg wavelength. We further demonstrated GO/silicon hybrid waveguide moire gratings to provide dual stopbands with a controllable stopband interval from 2.5 to 20 nm. All results validate the promising optical properties of such GO material for low-loss heterogeneous integration on silicon-on-insulator.

Objective To develop a convolutional neural network (CNN) model for the detection, precise anatomical localization (right 1-12th and left 1-12th) and classification (fresh, healing and old fractures) of rib fractures automatically, and to compare the performance with the experienced radiologists. Materials and methods A total of 640 rib fracture patients with 340,501 annotations were retrospectively collected from three hospitals. They consisted of a classification training dataset (n = 482), a localization training dataset (n = 30), an internal testing dataset (n = 90) and an external testing dataset (n = 38). RetinaNet with rib localization postprocessing and the result merging technique were employed to structure the CNN model. ROC curve, free-response ROC curve, AUC, precision, recall, and F1-score were calculated to choose the better option between model I (training classification and localization data together) and model II (adding an additional classification model to model I). Results The detection and classification performance of rib fractures was better in model II than in model I. The sensitivity of localization reached 97.11% and 94.87% on the right and left ribs, respectively. In the external dataset with different CT scanner and slice thickness, model II showed better diagnostic performance. Moreover, the CNN model was superior in diagnosing fresh and healing fractures to 5 radiologists and consumed shorter diagnosis time. Conclusions Our CNN model was capable of detection, precise anatomical localization, and classification of rib fractures automatically.

Vegetables and fruits had antioxidant capacity. Fermented grapes had a higher content of anthocyanins and flavonoids, and reduced skin wrinkles. There were not more clinical studies on whether fermented grapes with fruit and vegetable extracts had anti-aging and anti-inflammatory activities. The current study used fermented grapes beverages made from fermented grapes combined with fruit and vegetable extracts to explore anti-aging and anti-inflammatory. 60 subjects were recruited and divided into a placebo and another fermented grape drinks group. The subjects drank 50 ml , 1 bottle a day for 8 week. After drinking for 8 weeks, a skin test and blood inflammatory factor analysis were performed. Compared to the placebo group, skin brightness, moisture, elasticity was significantly increased by 3.6%, 4.9%, 5.4%, respectively. Fermented grape drinks decreased skin spots, and wrinkles by 7.0%, and 19.0%, respectively. TNF-¦A (Tumor Necrosis Factor) and IL-6 (Interleukin-6) expression were decreased, also, as a function of fermented grape drinks intakes. This study indicated that fermented grapes combined with fruit and vegetable extracts can significantly improve the brightness, moisture, elasticity, wrinkles, pores, and decrease TNF-¦A and IL-6 expression.

Purpose Population aging was a global trend, and the most obvious thing after aging was the change in skin appearance. Therefore, the active ingredients that delay skin aging were particularly noticed. Past studies had pointed out that Chinese herbal extracts can improve skin elasticity, reduce wrinkles and melanin precipitation. The purpose of this paper is to explore whether combining hydrolyzed collagen with Chinese herbal extracts can improve skin conditions and achieve anti-inflammatory effects. Design/methodology/approach Fifty subjects were randomly divided into collagen or placebo groups, and one bottle of collagen or placebo drink was used every day for four weeks, after which skin and inflammatory factors were tested. Findings In comparison with the baseline results, the skin parameters were improving after four-week intervention. In addition, the IL-6, IL-8, TNF-a were significantly decreased and tissue inhibitor matrix metalloproteinase 1 (TIMP-1) was increased after four-week hydrolyzed collagen intervention. Originality/value This study showed that hydrolyzed collagen combined with Chinese herbal extracts can improve the condition of the skin, and can also reduce inflammatory associated factors, thereby achieving anti-aging effects.

To determine clinical performance of the single-target SARS-CoV-2 orf 1 ab reverse transcription-insulated isothermal PCR (RT-iiPCR) assay, the positive percentage agreement between this assay and a laboratory real-time RT-PCR assay was 96.8% (30 of 31; 95% confidence interval [CI], 90.5%-100%) and the negative percentage agreement was 97.1% (67 of 69; 95% CI, 93.1%-100%).

This study aimed to investigate the value and feasibility of combining fractional anisotropy (FA) values from diffusion tensor imaging (DTI) and total kidney volume (TKV) for the assessment of kidney function in chronic kidney disease (CKD). Fifty-one patients were included in this study. All MRI examinations were performed with a 3.0 T scanner. DTI was used to measure FA values, and TKV was obtained from DTI and T2-weighted imaging (T2WI). Patients were divided into three groups (mild, moderate, severe) according to eGFR, which was calculated with serum creatinine. Differences in the FA values of the cortex and medulla were analysed among the three groups, and the relationships of FA values, TKV, and the product of the FA values and TKV with eGFR were analysed. Receiver operating characteristic (ROC) curve analysis was used to compare the diagnostic efficiency of the FA values, TKV, and the product of the FA values and TKV for kidney function in different CKD stages. Medullary FA values (m-FA), TKV, and the product of the m-FA values and TKV (m-FA-TKV) were significantly correlated with eGFR (r = 0.653, 0.685, and 0.797, respectively; all P

Background There is on one hand sufficient evidence showing strong association between resilience and self-rated successful aging. On the other hand, strength training could contribute the cultivation of resilience among older adults. Therefore, the current study aims to examine the effectiveness of resistance training on resilience among Chinese older adults in Hong Kong. Methods This study will apply a three-group, double blinded (outcome assessors and data analysts), randomized controlled trial (RCT) to examine the effectiveness of the interventions on resilience, functional fitness, and health related quality of life immediately after a 16-week intervention, as well as the residual effects 12 weeks after completion of the interventions. Discussion It is expected that resistance training is promising or even superior to aerobic training in the improvement of resilience. Given the limited evidence on the literature, it is urgently needed to explore the effects of resistance training on the improvement of resilience in older adults. Findings of the current study can contribute to the development of effective resistant training programs for the promotion of resilience among older adults. Trial registration The trial is registered at the ClinicalTrials.gov PRS (Trial ID: NCT04690465; Date of First Posted: 30/12/2020).

Acupuncture therapy is one of the main modalities of treatment in Traditional Chinese Medicine (TCM). Based on different symptoms of the patient, needling or massaging is applied to the corresponding acupuncture points to relieve the symptoms. However, given the large number of acupuncture points and the complexity of their specifities, it is difficult for one to remember the location and function of each acupuncture point without extensive training. In this work, through the use of augmented reality (AR), the acupuncture points can be displayed directly on the image of human body. Compared to existing acupoint probe devices that work by measuring the skin conductivity, our solution does not require any additional hardware and is purely software-based. In this paper, we propose a novel approach for acupoint localization by leveraging the landmark points and 3D morphable model (3DMM). The localization error of our system is about 2.4mm which outperforms the existing work on acupoint localization by 170 A prototype system is implemented on the Android phone. In the case of mild symptoms (e.g. headache, sleep disorder), with the aid of our proposed system, the patient can quickly locate the corresponding acupuncture points for the application of massage to relieve his/her symptoms without the help from TCM physicians.

In this study, the plasma oxidation effect in tin-oxide (SnOx) thin film was investigated. And on this basis, we fabricated n-type thin-film transistors (TFTs) using the SnOx thin film with the plasma oxidation by experiments. By adjusting the processing time of the oxygen plasma treatment (OPT), the optimized SnOx TFT device exhibited an extremely high field-effect mobility of 87.6 cm2 V−1 s−1, a desirable on-to-off current ratio of 1.9 × 104 and a threshold voltage of − 0.9 V. Furthermore, we investigated the origin of the performance enhancements in the n-type SnOx TFTs with the optimized OPT by introducing the density of states (DOS) modeling in TCAD simulation. The numerical simulation indicated that the attributes of donor-like Gaussian defect states (oxygen vacancies) were modified in overall DOS due to the plasma oxidation effect. These present results show that the SnOx TFT treated by oxygen plasma has great promise in the future high-performance flat panel display industries.

This article demonstrates a gesture recognition method using multiple Inertial Measurement Unit (IMU) sensors, which can record acceleration and rotation information for hand joints. The proposed gesture recognition method comprises frequency ConvNet and TemporalNet to extract the representative features within a sliding window of IMU signals for recognizing various types of hand gestures. To validate the proposed gesture recognition method, basketball official referee signals (ORSs), which comprise sixty-five types of gestures including both large motion hand movement and subtle motion hand movement, are utilized as the main recognition task to evaluate the proposed method. The evaluation results reveal the proposed recognition model can achieve convinced performance, which outperforms other existing works. In addition, the satisfied performance of the proposed recognition model encourages us to develop a decision-making training (DMT) system for cultivating basketball referees. The results of subjective evaluations by the recruited 20 participants indicate the training system based on the proposed gestures recognition method can efficiently strengthen the decision-making skills of users.

Tungstic oxide (WO3) is a promising visible-light-responsive photoanode material, but it has poor charge transport and collection properties. In this study, a WO3/BiFeO3 core/shell photoanode (WO3/BFO) with enhanced photoelectrochemical (PEC) performance was successfully prepared using a facile spin-coating method. The optimal WO3/BFO shows an excellently enhanced and stable photocurrent density of ∼2.83 mA cm−2 at 0.6 V vs. Ag/AgCl, which is ∼244% more than WO3 under AM 1.5 illumination. The results of Mott–Schottky tests, intensity modulated photoelectrochemical spectroscopy and transient photocurrent decay indicated that the BFO ferroelectric nanolayer significantly enhances the charge density of the WO3/BFO, and improves its charge transport and separation property and charge lifetime, which could be the reason for the enhanced PEC activity of WO3/BFO.

Background: Increasing evidence suggests that angiotensin II (Ang II), the bioactive pro-oxidant in the renin-angiotensin system, aggravates fibrosis, and the NOD-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome is involved in multiple diseases, such as renal fibrosis. However, the role and underlying mechanism of Ang II in renal fibrosis remain unclear. Here, we investigated whether the NLRP3 inflammasome mediated Ang II-induced renal fibrosis, as well as the downstream pathways involved in this process. Methods: NLRP3−/− mice were used as a model to study Ang II-infused renal fibrosis. Mice were divided into 4 groups: sham wild type, Ang II-infused wild type, sham NLRP3−/−, and Ang II-infused NLRP3−/− groups. Ang II infusion-induced renal injury was confirmed by periodic acid-Schiff and Masson’s staining, immunohistochemistry, and transmission electron microscopy (TEM). Mitochondrial morphology was presented on TEM micrographs, and mitochondrial function was reflected by the protein levels of peroxisome proliferator-activated receptor gamma coactivator-1α (PGC-1α), mitochondrial transcription factor A (TFAM), dynamin-related protein 1 (DRP1), and mitofusin 2 (MFN2), as assessed by Western blotting. Endoplasmic reticulum (ER) stress was characterized by changes in the levels of ER chaperones, such as GRP94, BiP, CHOP, and caspase 12. Results: Ang II infusion increased cell proliferation, extracellular matrix overproduction, inflammatory cell infiltration, and glomerulosclerosis and induced obvious morphological abnormalities in podocytes. Ang II infusion promoted mitochondrial damage, as indicated by TEM, and induced mitochondrial dysfunction, as evidenced by downregulation of PGC-1α, TFAM, and increased mitochondrial ROS. In addition, DRP1 expression was upregulated, while MFN2 expression was markedly decreased. The levels of GRP94, BiP, CHOP, and caspase 12 were significantly increased. However, all these detrimental effects were attenuated by NLRP3 deletion. Conclusions: NLRP3 deletion may attenuate angiotensin II-induced renal fibrosis by improving mitochondrial dysfunction and ER stress.

Volumetric representation is widely used in digital sculpting and terrain generation due to its highly modifiable characteristic. However, storing the entire raw voxel map requires a lot of memory, which limits its application on general machines. In this work, we propose to use a novel data structure based on the concept of layered depth-normal images to replace the commonly used scalar field for storing the volumetric information. The proposed data structure can be quickly edited, and the isosurface can be extracted by using general methods such as Marching Cubes and Dual Contouring. The proposed sculpting system can edit models with multiple resolution levels, and the surface between models of different resolutions can be connected seamlessly. Our method can achieve similar results as the existing volumetric methods while significantly reduces the memory usage and computation time. The model created by our system can be used in common game engines to make highly interactive games. Furthermore, all of our processes are parallel-friendly. We implemented a virtual reality digital content creation tool based on the proposed method to demonstrate the effectiveness and feasibility of our method.

Background In December 2019, the 2019 novel coronavirus disease (COVID-19) caused by SARS-CoV-2 emerged in China and now has spread to many countries. Limited data are available for hemodialysis patients with COVID-19. Case presentation We report a 66-year-old man with confirmed COVID-19 and parainfluenza virus infection in Wuhan. We describe the clinical characteristics, radiological findings, and treatment of the hemodialysis patient, including the patient's initial pneumonia at presentation with progression to acute respiratory distress syndrome (ARDS). Discussion and conclusion Our case underscores the possibility of SARS-CoV-2 co-infection with other pathogens in hemodialysis patients and the importance of early identification of COVID-19.

Patients with severe mental illnesses (SMI) were at high risk of infection during Coronavirus Diseases 2019 (COVID-19) pandemic. This study examined hospitalized SMI patients’ attitude and knowledge towards the COVID-19 infection. A cross-sectional survey was conducted in five psychiatric hospitals located in Gansu province, the most economically underdeveloped area in China. Patients’ attitude towards preventive measures and knowledge of COVID-19 were measured by a self-report questionnaire. A total of 925 hospitalized patients with SMI were recruited. Of them, 84.8% (95%CI: 82.4%–87.1%) had positive attitudes towards preventive measures of the COVID-19 outbreak. Being married (OR: 1.55, 95%CI: 1.05–2.30) and a higher educational level (OR: 1.63, 95%CI: 1.12–2.38) were independently associated with positive attitudes towards COVID-19 preventive measures, whereas higher educational level was associated with better knowledge of the COVID-19 outbreak (β: 0.231, P

Today, many people use dashcams, and videos recorded on dashcams are often used as evidence of accident fault. People can upload videos of dashcam recordings with specific accident clips and share the videos with others who request them, by providing the time or location of an accident. However, dashcam videos are erased when the dashcam memory is full, so periodic backup is necessary for video sharing. It is inconvenient for dashcam owners to search for and transmit a requested video clip from backup videos. In addition, anonymity is not ensured, which may reduce location privacy by exposing the video owner’s location. To solve this problem, we propose a video sharing scheme with accident detection using deep learning coupled with automatic transfer to the cloud; we also propose ensuring data and operational integrity along with location privacy by using blockchain smart contracts. Furthermore, our proposed system uses proxy re-encryption to enhance the confidentiality of a shared video. Our experiments show that our proposed automatic video sharing system is cost-effective enough to be acceptable for deployment.

The novel COVID-19 pandemic spread quickly and continuously influenced global societies. As a vulnerable population that accounted for the highest percentage of deaths from the pandemic, older adults have experienced huge life-altering challenges and increased risks of mental problems during the pandemic. Empirical evidence is needed to develop effective strategies to promote preventive measures and mitigate the adverse psychological impacts of the COVID-19 pandemic. This study aimed to investigate the behavioral responses (i.e., preventive behaviors, physical activity, fruit and vegetable consumption) and mental responses (i.e., depression and loneliness) towards the COVID-19 pandemic among Chinese older adults. A further aim was to identify the associations among demographics, behavioral responses, and mental responses. Using a convenience sampling approach, 516 older adults were randomly recruited from five cities of Hubei province in China. Results of the cross-sectional survey showed that 11.7% of participants did not adhere to the WHO recommended preventive measures, while 37.6% and 8.3% of participants decreased physical activity and fruit–vegetable consumption respectively. For mental responses, 30.8% and 69.2% of participants indicated significantly depressive symptoms and severe loneliness, respectively. Participants’ behavioral and mental responses differed significantly in several demographics, such as age group, living situation, marital status, education levels, household income, medical conditions, and perceived health status. Demographic correlates and behavioral responses could significantly predicate the mental response with small-to-moderate effect sizes. This is the first study to investigate the characteristics of behavioral and mental responses of Chinese older adults during the COVID-19 pandemic. Research findings may give new insights into future developments of effective interventions and policies to promote health among older adults in the fight against the pandemic.

Extrapulmonary tuberculosis in the head and neck region accounts for 10% of all tuberculosis cases. Cervical lymph nodes are the most common sites of head and neck tuberculosis and often mimics neck metastasis leading to overstaging and overtreatment. Fine needle aspiration has proven effective in diagnosing cervical tuberculosis. If a diagnosis of tuberculosis is confirmed, then the first-line treatment is oral antituberculosis medication.

Objective This study applies the data independent acquisition (DIA) technique combined with bioinformatics to identify differential proteins in sepsis patients and performed ELISA method to validate the candidate protein of clinical value, in an attempt to find new biomarkers for the diagnosis and prognosis of sepsis. Methods Blood samples from sepsis patients (Sepsis group, n = 50) and healthy individuals (NC group, n = 10) were collected from Affiliated Hospital of Southwest Medical University. Mass spectrometry analysis was designed for 22 sepsis samples (randomly selected) and 10 healthy controls by DIA method, and the obtained differential proteins were subjected to GO annotation, meta-analysis and survival analysis to identify the candidate biomarker protein. ELISA was applied to validate the protein expression in original cohorts. ROC curves based on ELISA data were plotted to discuss the diagnostic and prognostic performance of the candidate protein and several clinical indexes, including C-reactive protein (CRP), procalcitonin (PCT) and lactate (Lac). Results DIA data showed that there were 142 differential proteins in the Sepsis group versus the NC group, comprising 36 down-regulated and 106 up-regulated. GO annotation revealed that the differential proteins were significantly enriched in the biological functions involved in immune response, response to stress, inflammatory response, and cell activation. The top 11 proteins with the greatest difference were found according to the p-values in DIA (FUCO2, MGAT1, OAF, AACT, TFRC, CCL14, EXTL2, KLKB1, TETN,CRP,SAA1). Meta-analysis identified significant differential expression of TFRC in the NC versus Sepsis and in the Survival versus Non-survival groups based on GEO database. Survival analysis revealed that the low expression of TFRC indicated a higher survival rate in sepsis patients. ELISA found TFRC concentration in collected clinical samples were significant differential in the NC versus Sepsis and in the Survival versus Nonsurvival groups (p

The International Joint Workshop on Multimedia Artworks Analysis and Attractiveness Computing in Multimedia (MMArt-ACM) solicits contributions on methodology advancement and novel applications of multimedia artworks and attractiveness computing that emerge in the era of big data and social media. The topics of the accepted papers cover an analytic topic on comic contents understanding to generative topics on image synthesis and conversion. The actual MMArt-ACM'21 Proceedings are available at: https://dl.acm.org/doi/proceedings/10.1145/3460426.

In December 2019, an outbreak of coronavirus disease 2019 (COVID-19) due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) began in China and spread rapidly worldwide. It is unknown whether hemodialysis patients represent a distinct group of patients with certain characteristics that may make them susceptible to infection or severe disease. In this case report, we describe the clinical and epidemiologic features of COVID-19 infection in 201 maintenance hemodialysis patients in Zhongnan Hospital of Wuhan University, including 5 maintenance hemodialysis patients who contracted COVID-19 infection. Of the 5 patients with COVID-19 infection, one had a definite history of contact with an infected person. The age range of the patients was 47 to 67 years. Diarrhea (80%), fever (60%), and fatigue (60%) were the most common symptoms. Lymphopenia occurred in all patients. Computed tomography of the chest showed ground glass opacity in the lungs of all patients. Up to February 13, 2020, none of the patients had developed severe complications (acute respiratory distress syndrome, shock, or multiple organ dysfunction) or died.

Background: The number of asymptomatic infected patients with coronavirus disease 2019 (COVID-2019) is rampaging around the world but limited information aimed on risk factors of asymptomatic infections. The purpose of this study is to investigate the risk factors of symptoms onset and clinical features in asymptomatic COVID-19 infected patients. Methods: A retrospective study was performed in 70 asymptomatic COVID-2019 infected patients confirmed by nucleic acid tests in Hunan province, China between 28 January 2020 and 18 February, 2020. The epidemiological, clinical features and laboratory data were reviewed and analyzed. Presence or absence at the onset of symptoms was taken as the outcome. A Cox regression model was performed to evaluate the potential predictors of the onset of symptoms. Results: The study included 36 males and 34 females with a mean age of 33.24±20.40 years (range, 0.5-84 years). There were 22 asymptomatic carriers developed symptoms during hospitalization isolated observation, and diagnosed as confirmed cases, while 48 cases remained asymptomatic throughout the course of disease. Of 70 asymptomatic patients, 14 (14/70, 20%) had underlying diseases, 3 (3/70, 4.3%) had drinking history, and 11 (11/70, 15.7%) had smoking history. 22 patients developed symptoms onset of fever (4/22, 18.2%), cough (13/22, 59.1%), chest discomfort (2/22, 9.1%), fatigue (1/22, 4.5%), pharyngalgia (1/22, 4.5%) during hospitalization; only one (1/22, 4.5%) patient developed signs of both cough and pharyngalgia. Abnormalities on chest CT were detected among 35 of the 69 patients (50.7%) after admission, except for one pregnant woman had not been examined. 4 (4/70, 5.7%) and 8 (8/70, 11.4%) cases showed leucopenia and lymphopenia. With the effective antiviral treatment, all the 70 asymptomatic infections had been discharged, none cases developed severe pneumonia, admission to intensive care unit, or died. The mean time from nucleic acid positive to negative was 13.2±6.84 days. Cox regression analysis showed that smoking history (P=0.028, hazard ratio=4.49, 95% CI 1.18-17.08) and existence of pulmonary disease (P=0.038, hazard ratio=7.09, 95% CI 1.12-44.90) were risk factors of the onset of symptoms in asymptomatic carries. Conclusion: The initially asymptomatic patients can develop mild symptoms and have a good prognosis. History of smoking and pulmonary disease was prone to illness onset in asymptomatic patients, and it is necessary to be highly vigilant to those patients.

Since December 2019, there has been an increasing number of unexplained cases of pneumonia in Wuhan, a city with 11 million people in China's Hubei province, which quickly spread to other cities an...

In this work, we demonstrated a HfO2-based ferroelectric field-effect transistor (FeFET) in series with a HfAlO ferroelectric capacitor for memory application and further investigated the impact of the ferroelectric capacitor with different thicknesses and areas. It was revealed that the memory window of the FeFET has a significant correlation with the ferroelectric capacitor from the transfer curves of the transistor after the series connection. By decreasing the thickness and area of the ferroelectric capacitor, the memory window of the FeFET was improved, which could be verified through the TCAD simulation tool and capacitance matching model. With the series-connected ferroelectric capacitor, in addition to optimizing the characteristics of ferroelectric memory, we can effectively avoid the interface-caused undesirable effects in conventional ferroelectric memory during film stacking. These results provide a solution for future low-power embedded memory application.

In this paper, we investigated the performance of an n-type tin-oxide (SnOx) thin film transistor (TFT) by experiments and simulation. The fabricated SnOx TFT device by oxygen plasma treatment on the channel exhibited n-type conduction with an on/off current ratio of 4.4×104, a high field-effect mobility of 18.5 cm2/V.s and a threshold swing of 405 mV/decade, which could be attributed to the excess reacted oxygen incorporated to the channel to form the oxygen-rich n-type SnOx. Furthermore, a TCAD simulation based on the n-type SnOx TFT device was performed by fitting the experimental data to investigate the effect of the channel traps on the device performance, indicating that performance enhancements were further achieved by suppressing the density of channel traps. In addition, the n-type SnOx TFT device exhibited high stability upon illumination with visible light. The results show that the n-type SnOx TFT device by channel plasma processing has considerable potential for next-generation high-performance display application.

Two-dimensional (2D) topological insulators (TIs) have attracted a lot of attention owing to their striking optical nonlinearity. However, the ultra-low saturable intensity (SI) of TIs resulting from the bulk conduction band limits their applications, such as in mode-locking solid-state lasers. In this work, through fabricating a graphene/Bi2Te3 heterojunction which combines monolayer graphene and a Bi2Te3 nanoplate, the optical nonlinearities are analyzed. Moreover, the thickness-dependent characteristics are also investigated by varying the thickness of the Bi2Te3 when synthesizing the heterojunctions. Furthermore, with the aid of the estimated junction electron escape time, a model of the photo-excited carrier-transfer mechanism is proposed and used to describe the phenomena of depression of ultra-low saturable absorption (SA) from the Bi2Te3 bulk band. The increased modulation depth of the graphene/Bi2Te3 heterojunction can accordingly be realized in more detail. In addition, a Q-switched solid-state laser operating at 1064 nm with heterojunction saturable absorbers is built up and characterized for validating the proposed model. The laser performance with varied Bi2Te3 thickness, such as pulse duration and repetition rate, agrees quite well with our proposed model. Our work demonstrates the functionality of optical nonlinear engineering by tuning the thickness of the graphene/Bi2Te3 heterojunction and demonstrates its potential for applications.

Fabrication, physical modeling and dynamic response of p-type Al-doped SnOx active channel thin film transistors (TFTs) are presented for the potential application of ultra-high definition (UHD) displays. After deposition of Al-doped SnOx active layer using reactive co-sputtering, the channel was treated with plasma fluorination which improve the device performance of high ION/IOFF ratio of > 106, low subthreshold swing of ~100 mV/dec and high field-effect mobility (μFE) of 4.8 cm2V-1s-1. To understand the origin of such high performance, physical modeling and numerical simulations were performed using density of state (DOS) model of defects/traps of oxide semiconductor. This model describes the modifications of donor-like tail states and acceptor-like Gaussian defect states due to Al doping on SnOx and fluorine treatment. To evaluate the device performance for UHD large scale displays, the dynamic responses of p-type TFT pixel circuit for various requirements are simulated with physical models. These results suggest that the Al-doped SnOx TFTs are potential candidates for future high-definition displays and many applications in transparent electronics.

Transparent electronics has attracted much attention and been widely studied for next-generation high-performance flat-panel display application in the past few years, because of its excellent electrical properties. In display application, thin film transistors (TFTs) play an important role as the basic units by controlling the pixels. Among them, oxide-based TFTs have become promising candidates and gradually replaced the conventional amorphous and polycrystalline silicon TFTs, due to high mobility, good transparency, excellent uniformity and low processing temperature. Even though n-type oxide TFTs have shown high device performance and been used in commercial display application, p-type oxide TFTs with the equal performance have been rarely reported. Hence, in this paper, recent progress and challenges in p-type oxide-based TFTs are reviewed. After a short introduction, the TFT device structure and operation are presented. Then, recent developments in p-type oxide TFTs are discussed in detail, with the emphasis on the potential p-type oxide candidates as copper oxide, tin oxide and nickel oxide. Moreover, miscellaneous applications of p-type oxide TFTs are also presented. Despite this, the performance of p-type oxide TFTs still lags behind, as compared with that of n-type counterparts. Thus, the current issues and challenges of p-type oxide TFTs are briefly discussed.

Optimal device integrity was achieved in Ni/SiGeOx/TiOy/TaN resistive memory by using a forming-free switch with a low switching power of 790 μW, stable endurance of 104 cycles, optimal retention time of 105 s, resistance window of at least 1150×, and tight current distributions at 85 °C. These characteristics are attributed to the low current switching obtained using SiGeOx with a high oxygen vacancy density and highly defective TiOy grain boundaries.

In this paper, the effect of channel annealing and oxygen flow rate in P-type tin-monoxide (SnO) thin film transistor (TFT) was investigated to reach the process compatibility with n-type oxide-based TFT. The optimized P-type SnO TFT with a small threshold voltage of -0.1 V, a high field-effect mobility of 4 cm² V-1 s-1 and an on/off current ratio of >10² was proposed. From the experimental results, the 150 °C channel annealing revealed a metallic behavior but a semiconductor-like property at a higher 200 °C that was favorable for transistor rectification. Besides, the higher oxygen flow rate was also helpful for improving device mobility and driving current, but shows a slight increase in off-state leakage, which is unavoidable due to the increase of grain in SnO channel.

Summary Objective We sought to determine the outcomes of office-based autologous fat injection laryngoplasty in the treatment of patients under 50 years old with glottic insufficiency but without neurological problems or acquired organic lesions in the vocal fold. Methods We conducted a retrospective chart review of consecutive patients under 50 years of age who underwent office-based autologous fat injection laryngoplasty for glottic insufficiency. None of the patients presented neurological problems or acquired organic lesions in the vocal fold. Videolaryngostroboscopic data, objective voice assessment, perceptual measurements of vocal quality, and subjective ratings of voice quality were evaluated before and after treatment. Results The 23 patients (7 men and 16 women) in this study presented significant improvements in phonatory function in terms of maximum phonation time, jitter, grade, asthenia, and Voice Handicap Index-10 (VHI-10) values at 3 months. Significant improvements in terms of jitter, noise-to-harmonic ratio, grade, roughness, breathiness, asthenia, and the VHI-10 values were also observed at 6 months. Conclusions Glottic insufficiency in younger patients without neurological problems or acquired organic lesions in the vocal fold can be treated effectively using office-based autologous fat injection laryngoplasty. Significant improvements in phonatory function were observed even 6 months after surgery.

The prevalence of asymptomatic HUA is increasing year after year. HUA is a risk factor for the occurrence and development of renal diseases. However, the role of urate-lowering therapy in asymptomatic HUA complicated by renal damage is still controversial. In some experiments, the treatment of asymptomatic HUA complicated by renal damage may delay the progression of kidney damage. In addition, there is increasing evidence, suggesting that elevated serum uric acid is an independent risk factor for kidney disease. However, in other studies, uric acid-lowering therapy did not improve renal function, and uric acid levels could not be used as an independent predictor for CKD development. Further experimental studies are needed to determine the starting threshold and target value of asymptomatic HUA complicated by renal damage. At the same time, confirmation of the benefits of urate-lowering therapy for kidneys requires studies with larger samples and high-quality RCTs.

Background Endocrine therapy is the preferred treatment for patients with hormone receptor ‐positive metastatic breast cancer (MBC). While visceral metastasis is a negative prognostic factor, few studies have distinguished between the prognoses of patients with metastases at different visceral sites. Patients and methods In total, 398 patients receiving fulvestrant 500 mg at a single center over a 6‐year period were analyzed. Logistic regression models were used to identify the prognostic factors associated with progression‐free survival (PFS). Kaplan‐Meier analysis was used to compare the PFS of patients with lung and liver metastases. Results Baseline visceral metastases were present in 233 patients, including 138 with lungw/o liver metastases (lung metastases without liver involvement), 51 with liverw/o lung metastases (liver metastases without lung involvement) and 41 with lung and liver metastases. The median PFS was 6.8 months (5.6 and 9.2 months for visceral and nonvisceral metastases, respectively, P = .028). PFS was longer in patients with lungw/o liver metastases than in those with liverw/o lung metastases or lung and liver metastases (9.6, 3.7 and 3.2 months, respectively, P, Our results demonstrated that patients with liver metastases respond poorly to fulvestrant, while in contrast, the efficacy of fulvestrant treatment in patients with lung metastases but no liver involvement was comparative to that of patients with non‐visceral metastases. Therefore, we suggest that categorizing MBC into “liver” and “non‐liver” metastases may better reflect patient prognosis compared to “visceral” and “non‐visceral” metastasis.

In this work, we successfully demonstrated the 9.6-nm-thick HfAlOx ferroelectric memory using light aluminium doping of 6.5% to form ferroelectric orthorhombic phase. Compared to ferroelectric HfZrOx film with zirconium diffusion issue, the HfAlOx film showed excellent thermal stability under high temperature annealing. Besides, the ferroelectric HfAlOx also exhibited robust polarization characteristics under endurance cycling test. A >106 stressed cycles with 4 MV/cm can be measured and a long endurance was sustained over 5 × 107 cycles under 3.6 MV/cm. Therefore, the HfAlOx film showed the great promise for integrating in high performance ferroelectric memory with thermal budget concerns.

Solitary fibrous tumor/hemangiopericytomas (SFT/HPCs) are mesenchymal tumors characterized by “staghorn” blood vessels and collagen deposition. Little is known about SFT/HPCs with papillary architecture. We summarized the clinicopathologic features of 12 patients with papillary SFT/HPCs (8 males and 4 females; median age: 59 years), including 8 previously reported cases. Tumors were present in the meninges (75%, 9/12), adrenal gland (8%, 1/12), orbit (8%, 1/12), or spinal canal (8%, 1/12). Six tumors (50%) had a true papillary architecture with fibrovascular cores and 6 tumors (50%) had a pseudopapillary architecture with vascular cores. Nuclear staining for STAT6 was present in all tested tumors (10/10). RT-PCR indicated NAB2 ex6-STAT6 ex17 fusion in 4 tumors (80%, 4/5) and NAB2 ex4-STAT6 ex2 fusion in 1 tumor (20%, 1/5). Five patients (42%, 5/12), all with tumors in the meninges, developed local recurrence at a median of 61 months after surgery (range: 56–165 months; mean: 88.6 months). These results indicated that the papillary architecture is a morphological form of SFT/HPCs. The recognition of this pattern, with appropriate immunohistochemical analysis and assessment of NAB2-STAT6 fusion, should facilitate the distinction of these rare neoplasms from morphologically similar tumors in the meninges, lung, pleura, and soft tissue.

The BGP suffers from numerous security vulnerabilities, for example, fake routing updates incurring traffic hijacking and interception. The BGPsec protocol is supposed to fix these vulnerabilities by attesting routing updates. Although the BGP security problem has been extensively studied, the security of BGP with BGPsec is not well studied yet. We argue that even secured with BGPsec, BGP still has inherent security vulnerabilities. In particular, traffic can still be hijacked. In this article, we systematically study the vulnerabilities of BGP with BGPsec. We find that the protocol still cannot achieve the desired security guarantee of inter-domain routing. In particular, it is unable to ensure correct packet delivery on the Internet. We measure the impacts of the vulnerabilities by using a real data trace, and discuss enhancements to the design and the implementation of the secure BGP protocol, which allows BGP to achieve strong secure inter-domain routing.

Background Intracerebral hemorrhage (ICH) induces a complex sequence of apoptotic cascades that contribute to secondary neuronal damage. Tropomyosin-related kinase receptor B (TrkB) signaling plays a crucial role in promoting neuronal survival following brain damage. Methods The present study investigated the protective effects and underlying mechanisms of TrkB activation by the specific TrkB agonist, 7,8-dihydroxyflavone (7,8-DHF), in a model of collagenase-induced ICH and in neuronal cultures. Mice subjected to collagenase-induced ICH were intraperitoneally injected with either 7,8-DHF or vehicle 10 min after ICH and, subsequently, daily for 3 days. Behavioral studies, brain edema measurement, and histological analysis were conducted. Levels of TrkB signaling-related molecules and apoptosis-related proteins were analyzed by western blots. Results Treatment with 20 mg/kg 7,8-DHF significantly improved functional recovery and reduced brain damage up to 28 days post-ICH. Reduction in neuronal death, apoptosis, and brain edema were also observed in response to 7,8-DHF treatment at 3 days post-ICH. These changes were accompanied by a significant increase in the phosphorylation of TrkB and Akt (Ser473/Thr308) at 1 and 3 days, but had no effect on Erk 44/42 phosphorylation. 7,8-DHF also enhanced the phosphorylation of Ask-1 Ser967 and FOXO-1, downstream targets of Akt at 1 and 3 days. Moreover, 7,8-DHF increased brain-derived neurotrophic factor levels at 1 day. In primary cultured neurons stimulated with hemin, 7,8-DHF promoted survival and reduced apoptosis. Furthermore, delaying the administration of 7,8-DHF to 3 h post-ICH reduced brain tissue damage and neuronal death. Conclusions Our findings demonstrate that the activation of TrkB signaling by 7,8-DHF protects against ICH via the Akt, but not the Erk, pathway. These data provide new insights into the role of TrkB signaling deficit in the pathophysiology of ICH and highlight TrkB/Akt as possible therapeutic targets in this disease.

Ag/Ta2O5/CuO/Pt memristive devices with Ag point contacts at the interface exhibit forming-free and partial volatile analog resistive switching properties. Versatile synaptic functions, like the short-term plasticity, the long-term potentiation and the paired-pulse facilitation, are emulated with these devices. The Ag point contacts in the Ta2O5 layer are verified through transmission electron microscope (TEM) and X-ray photoelectron spectroscope (XPS). The Ag point contacts at the interface endow the device the transition from the electrochemical metallization mode to the valence change mode, and the analog resistive switching behavior and neuromorphic functions. This interface engineering of introducing point contacts at the interface provides a way for the development of neuromorphic devices with low power consumption. Keywords: Artificial synapse, Memristive device, Ag point contacts, Short-term plasticity, Long-term potentiation

In this paper, we propose a new adversarial attack on frequency-hopping-based wireless communication between two users, namely Alice and Bob. In this attack, the adversary referred to as Eve, instantaneously modifies the transmitted signal by Alice before forwarding it to Bob within the symbol period. We show that this attack forces Bob to incorporate Eve's signal in the decoding process; otherwise, treating it as noise would further degrade the performance akin to jamming. Through this attack, we show that Eve can convert a slow-fading channel between Alice and Bob to a rapid-fading one by modifying every transmitted symbol independently. As a result, neither pilot-assisted coherent detection techniques nor blind-detection methods are directly applicable as countermeasures. As potential mitigation strategies, we explore the applicability of frequency hopping along with on – off keying (OOK) and binary frequency-shift keying (BFSK) as modulation schemes. In the case of OOK, the attacker attempts to introduce deep fades on the tone carrying the information bit, whereas in the case of BFSK, the attacker pours comparable energy levels on the tones carrying bit-0 and bit-1, thereby degrading the performance. Based on extensive analyses and experimental results, we show that when using OOK, Bob must be equipped with a large number of receive antennas to reliably detect Alice's signal, and when using BFSK, Alice and Bob must agree upon a secret key to randomize the location of the tones carrying the bits, in addition to randomizing the carrier frequency of communication.

Protein-energy wasting (PEW) is highly prevalent in end-stage renal disease (ESRD) patients with inflammation who are on haemodialysis treatment. Interleukin-18 (IL-18) is an important pro-inflammatory cytokine that is significantly elevated in ESRD patients. However, the relationship between PEW and IL-18 is unclear. We therefore performed a cross-sectional study on 100 ESRD patients undergoing haemodialysis to clarify this. PEW was defined according to the diagnostic criteria of the International Society of Renal Nutrition and Metabolism. Inflammation was assessed based on the serum levels of C-reactive protein (CRP), interleukin-6 (IL-6), tumour necrosis factor-α (TNF-α) and IL-18. We analysed the association between PEW and IL-18 by using logistic analysis and linear regression after adjustment for basic characteristics, comorbidities and laboratory findings. Among the 100 haemodialysis patients who were recruited, 56 had PEW. Even though there was no difference between the PEW group and non-PEW group with regard to disease causes, age, gender, cholesterol, ferritin, and haemoglobin, the levels of inflammation indicators such as CRP, IL-6, TNF-α and IL-1β were significantly higher in the PEW group. Moreover, IL-18 was found to contribute to PEW, but was negatively correlated with pre-albumin after adjustment for possible confounding factors. Thus, the findings indicate that IL-18 is associated with PEW in ESRD patients on haemodialysis, which suggests that IL-18 may be involved in the pathogenesis of PEW in this setting.

Energy is required for networking and computation and is a valuable resource for unplugged systems such as mobile, sensor, and embedded systems. Energy denial-of-service (DoS) attack where a remote attacker exhausts the victim’s battery via networking remains a critical challenge for the device availability. While prior literature proposes mitigation- and detection-based solutions, we propose to eliminate the vulnerability entirely by offloading the power requirements to the entity who makes the networking requests. To do so, we build communication channels using wireless charging signals (as opposed to the traditional radio-frequency signals), so that the communication and the power transfer are simultaneous and inseparable, and use the channels to build power-positive networking (PPN). PPN also offloads the computation-based costs to the requester, enabling authentication and other tasks considered too power-hungry for battery-operated devices. In this article, we study the energy DoS attack impacts on off-the-shelf embedded system platforms (Raspberry Pi and the ESP 8266 system-on-chip (SoC) module), present PPN, implement and build a Qi-charging-technology-compatible prototype, and use the prototype for evaluations and analyses. Our prototype, built on the hardware already available for wireless charging, effectively defends against energy DoS and supports simultaneous power and data transfer.

The migration pathway of potassium in biomass during coal/biomass co-gasification was studied both qualitatively and quantitatively. A reactor was employed to individually perform pyrolysis and gasification of two raw materials and their blends. An inductively coupled plasma mass spectrometry accurately measured the amount and occurrence of potassium in biomass migration. Results showed that about 58.6 wt% potassium in biomass existed in the water-soluble form. When the blends were pyrolyzed at above 500 °C, about 65.0 wt% potassium in biomass migrated to the coal char, 19.1 wt% potassium in biomass remained in the biomass char and 15.9 wt% potassium in gas phase. The migrated potassium salt in coal char still existed as a 75.4 wt% insoluble sulfate. Reaction temperature and the ratio of Al to Si from the minerals in coal are key issues for the redistribution of potassium in biomass. The water-soluble potassium in biomass helps to catalytic co-gasification.

Background: Acute lung injury (ALI) is a severe life-threatening inflammatory disease. Neutrophil activation is a major pathogenic factor in ALI. Protein kinase B (PKB)/AKT regulates diverse cellular responses, but the significance in neutrophilic inflammation and ALI remains unknown. Methods: Human neutrophils and neutrophil-like differentiated HL-60 (dHL-60) cells were used to examine the anti-inflammatory effects of 5,7-dimethoxy-1,4-phenanthrenequinone (CLLV-1). The therapeutic potential of CLLV-1 was determined in a mouse model of lipopolysaccharide (LPS)-induced ALI. Findings: CLLV-1 inhibited respiratory burst, degranulation, adhesion, and chemotaxis in human neutrophils and dHL-60 cells. CLLV-1 inhibited the phosphorylation of AKT (Thr308 and Ser473), but not of ERK, JNK, or p38. Furthermore, CLLV-1 blocked AKT activity and covalently reacted with AKT Cys310 in vitro. The AKT309-313 peptide-CLLV-1 adducts were determined by NMR or mass spectrometry assay. The alkylation agent-conjugated AKT (reduced form) level was also inhibited by CLLV-1. Significantly, CLLV-1 ameliorated LPS-induced ALI, neutrophil infiltration, and AKT activation in mice. Interpretation: Our results identify CLLV-1 as a covalent allosteric AKT inhibitor by targeting AKT Cys310. CLLV-1 shows potent anti-inflammatory activity in human neutrophils and LPS-induced mouse ALI. Our findings provide a mechanistic framework for redox modification of AKT that may serve as a novel pharmacological target to alleviate neutrophilic inflammation. Funding Statement: This research was financial supported by the grants from the Ministry of Science Technology (MOST 106-2320-B-255-003-MY3 and MOST 104-2320-B-255-004-MY3), Ministry of Education (EMRPD1G0231 and EMRPD1H0381), and Chang Gung Memorial Hospital (CMRPF1F0011~3, CMRPF1F0061~3, CMRPF1G0241~3, and BMRP450), Taiwan. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Declaration of Interests: The authors declare that no competing interests exist. Ethics Approval Statement: The procedure of neutrophil isolation was approved by the Institutional Review Board at Chang Gung Memorial Hospital. ALI was induced by intra-tracheal spray of 2 mg/kg LPS (Escherichia coli 0111:B4) in seven to eight weeks old C57BL/6 male mice, according to the guidelines and approved by Institutional Animal Care and Use Committee of Chang Gung University, Taiwan.

Owing to the strict restrictions on the production and use of bisphenol A (BPA), bisphenol analogs (e. g., bisphenol S and bisphenol F) are gradually coming to use in many fields. BPA and these bisphenol analogs are so-called bisphenols (BPs). BPs as a class of endocrine disrupters are widely distributed in the environment (water, sediments, sludge, and aquatic products). BPs enter the human body through various routes, leading to endocrine disruption, cytotoxicity, genotoxicity, reproductive toxicity, dioxin-like effects, and neurotoxicity. The Canadian government has identified BPs as substances for further scoping/problem formulation. Because of the widespread attention paid to BPs in the environmental field, research is being expanded to cover water, sediment, dust, and biological samples, and other media. Given the significant differences in the complexity and pollution concentration of environmental samples, the development of pretreatment methods that afford high extraction efficiency, good purification selectivity, strong universality, operational simplicity, and high-throughput extraction and purification, are necessary to realize the highly sensitive detection of BPs in environmental media. In recent years, solid-phase extraction (SPE), accelerated solvent extraction (ASE), microwave-assisted extraction (MAE), and dispersion liquid-liquid-microextraction (DLLME) as new pretreatment technologies have gradually replaced the traditional liquid-liquid extraction and Soxhlet extraction. SPE has seen rapid development for the extraction and purification of BPs in various environmental samples, overcoming the bottlenecks related to time, energy, and solvent consumption in traditional methods while extending technical support for the analysis of emerging pollutants. The physicochemical properties, usage, and environmental hazards of typical BPs were briefly reviewed, with emphasis on the application of SPE products, development of new adsorbents, and transformation of the SPE mode. Commercialized SPE products are universally applicable in the field of environmental monitoring, while products suitable for the pretreatment of BPs are limited. The development of new adsorbents mainly focused on their adsorption capacity and selectivity. For example, ordered mesoporous silicon, carbon nanomaterials, metal-organic frameworks, and cyclodextrins have large surface areas, good adsorption performance, and regular pore structures, which improve the adsorption capacity of BPs. Molecularly imprinted polymers (MIPs) and mixed-mode ion-exchange polymers are mainly used to improve the selectivity of BPs in the purification process. In addition, MIPs have high chemical, mechanical, and thermal stabilities, which ensures their widespread application in the extraction, preconcentration, and separation of BPs. A variety of new SPE adsorbents can partially meet the diverse needs for detection. There is a consensus that the current challenges in analytical chemistry include the determination of contaminants at low concentration levels, but at the same time, more efficient and environment-friendly methodologies are required. With the introduction of high-sensitivity instruments in the market, the SPE model is seeing gradual development in terms of miniaturization, automation, and simplification. This in turn has minimized solvent consumption, analysis time, and labor cost, resulting in more efficient and affordable analytical methods such as QuEChERS, solid-phase microextraction (SPME), and magnetic solid-phase extraction (MSPE) to adapt to the new development scenario.

BackgroundDysphonia influences the quality of life by interfering with communication. However, a laryngoscopic examination is expensive and not readily accessible in primary care units. Experienced laryngologists are required to achieve an accurate diagnosis.ObjectiveThis study sought to detect various vocal fold diseases through pathological voice recognition using artificial intelligence.MethodsWe collected 189 normal voice samples and 552 samples of individuals with voice disorders, including vocal atrophy (n=224), unilateral vocal paralysis (n=50), organic vocal fold lesions (n=248), and adductor spasmodic dysphonia (n=30). The 741 samples were divided into 2 sets: 593 samples as the training set and 148 samples as the testing set. A convolutional neural network approach was applied to train the model, and findings were compared with those of human specialists.ResultsThe convolutional neural network model achieved a sensitivity of 0.66, a specificity of 0.91, and an overall accuracy of 66.9% for distinguishing normal voice, vocal atrophy, unilateral vocal paralysis, organic vocal fold lesions, and adductor spasmodic dysphonia. Compared with the accuracy of human specialists, the overall accuracy rates were 60.1% and 56.1% for the 2 laryngologists and 51.4% and 43.2% for the 2 general ear, nose, and throat doctors.ConclusionsVoice alone could be used for common vocal fold disease recognition through a deep learning approach after training with our Mandarin pathological voice database. This approach involving artificial intelligence could be clinically useful for screening general vocal fold disease using the voice. The approach includes a quick survey and a general health examination. It can be applied during telemedicine in areas with primary care units lacking laryngoscopic abilities. It could support physicians when prescreening cases by allowing for invasive examinations to be performed only for cases involving problems with automatic recognition or listening and for professional analyses of other clinical examination results that reveal doubts about the presence of pathologies.

To reduce CO2 emission and support increasing power loads, distributed energy resources (DERs) such as electric vehicle (EV) and photovoltaics (PV), are being deployed into the distribution grid. This causes various issues and also provides controllability of load side to distribution grid. In this paper the penetration ratios of DERs in future are estimated according to their trends in China. Issues including overloading caused by EV in urban area, and overvoltage caused by PV in rural area are extracted based on simulation of typical grid models. Conventional technical solutions for these issues, such as hardware upgrading, tap changing, and local control of VAR devices, and new technical solutions, such as centralized control of VAR devices, and optimal control of DERs, are evaluated quantitatively on typical grid models. Key performance indicators (KPIs) of different technical solutions were compared, the result showed Distributed Energy Resource Management System (DERMS) is the best technical solution.

Background This study assessed the performance of visceral adiposity index and body shape index in predicting diabetes mellitus (DM) risk and compared their predictive ability to that of body mass index and waist circumference. Methods Among 8249 consecutive subjects who attended the Nationwide Health Check Up System for Senior Citizens (≥ 65 years) between 2008 and 2018, we examined the associations of several adiposity indices with DM risk and explored gender differences. Results Among all adiposity indicators, Chinese visceral adiposity index (CVAI) demonstrated the highest discriminatory ability for diabetes mellitus with area under receiver operating characteristic curves (AUC) of 0.65, 0.68, and 0.66 for men, women, and all participants, respectively, and optimal cut-offs set as 126.09 in men and 117.77 in women. Compared with body shape index (ABSI), both CVAI and VAI were strongly associated with baseline DM (adjusted OR: 4.85, 95% CI: 4.05–5.82 and 4.22, 95% CI: 3.53–5.05 for 4th vs 1st quartile groups by CVAI and VAI, P Pinteraction Conclusions Our population-based data demonstrated that Chinese visceral adiposity index may serve as a superior clinical indicator of diabetes when compared with conventional anthropometric indices among older adult Chinese, especially in women.

Intrauterine growth restriction (IUGR) is a leading cause of perinatal mortality and morbidity, and IUGR survivors are at increased risk of neurodevelopmental deficits. No effective interventions are currently available to improve the structure and function of the IUGR brain before birth. This study investigated the protective effects of low‐intensity pulsed ultrasound (LIPUS) on postnatal neurodevelopmental outcomes and brain injury using a rat model of IUGR induced by maternal exposure to dexamethasone (DEX). Pregnant rats were treated with DEX (200 μg/kg, s.c.) and LIPUS daily from gestational day (GD) 14 to 19. Behavioral assessments were performed on the IUGR offspring to examine neurological function. Neuropathology, levels of neurotrophic factors, and CaMKII‐Akt‐related molecules were assessed in the IUGR brain, and expression of glucose and amino acid transporters and neurotrophic factors were examined in the placenta. Maternal LIPUS treatment increased fetal weight, fetal liver weight, and placental weight following IUGR. LIPUS treatment also increased neuronal number and myelin protein expression in the IUGR brain, and attenuated neurodevelopmental deficits at postnatal day (PND) 18. However, the number of oligodendrocytes or microglia was not affected. These changes were associated with the upregulation of brain‐derived neurotrophic factor (BDNF) and placental growth factor (PlGF) protein expression, and enhancement of neuronal CaMKII and Akt activation in the IUGR brain at PND 1. Additionally, LIPUS treatment promoted glucose transporter (GLUT) 1 production and BDNF expression in the placenta, but had no effects on GLUT3 or amino acid transporter expression. Our findings suggest that antenatal LIPUS treatment may reduce IUGR‐induced brain injury via enhancing cerebral BDNF/CaMKII/Akt signaling. These data provide new evidence that LIPUS stimulation could be considered for antenatal neuroprotective therapy in IUGR., In a rat model of IUGR, growth restriction and loss of neurons and myelin in the brain are linked to behavioral deficits.LIPUS induces cerebral BDNF/CaMKII/Akt cascade and increases placental GLUT1 and BDNF in IUGR.LIPUS could be a treatment to reverse offspring growth restriction in IUGR.