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Abstract Data-driven approaches offer novel opportunities for improving the performance of turbulent flow simulations, which are critical to wide-ranging applications from wind farms and aerodynamic designs to weather and climate forecasting. However, current methods for these simulations often require large amounts of data and computational resources. While data-driven methods have been extensively applied to the continuum Navier-Stokes equations, limited work has been done to integrate these methods with the highly scalable lattice Boltzmann method. Here, we present a physics-informed neural network framework for improving lattice Boltzmann-based simulations of near-wall turbulent flow. Using a small amount of data and integrating physical constraints, our model accurately predicts flow behaviour at a wide range of friction Reynolds numbers up to 1.0 × 106. In contradistinction with other models that use direct numerical simulation datasets, this approach reduces data requirements by three orders of magnitude and allows for sparse grid configurations. Our work broadens the scope of lattice Boltzmann applications, enabling efficient large-scale simulations of turbulent flow in diverse contexts.

Abstract Background The relationship between Triglyceride-glucose (TyG) index and clinical outcomes in patients with alcohol use disorder (AUD) is unclear. The aim of this study was to evaluate the association between TyG index and all-cause mortality in critically ill patients with AUD. Methods We used data from the multi-parameter intelligent monitoring in intensive care IV (MIMIC-IV) database. The patients were equally divided into quartiles. Kaplan–Meier curves were used for survival analysis. The primary endpoint of the study was 28-day mortality, followed by 1-year mortality. We used Cox proportional hazard models to assess the relationship between TyG index and all-cause mortality at different endpoints. Results A total of 537 AUD patients were included. Using TyG value as a continuous variable (HR 1.460, 95% CI 1.121–1.903, p = 0.005) and categorical variable (HR 1.447–3.477 from Q2 to Q4, with Q1 as reference), elevated TyG value was significantly associated with increased 28-day mortality. TyG was positively associated with 1-year mortality in AUD patients with an HR of 1.295 (95% CI 1.011–1.659, p = 0.041). Conclusion TyG index is positively associated with different clinical outcomes of critically ill AUD patients.

Abstract Organic contaminants have increasingly become a main threat to the water environment, necessitating novel methods for removing from polluted water. In this study, a kind of magnetic ethyl acetate microdrops (Fe3O4@KCC-1@EA) is fabricated for this purpose The KCC-1 shell of Fe3O4@KCC-1 nanospheres is a layer of silica with a dendritic fibrous structure. The ethyl acetate shell of the Fe3O4@KCC-1@EA microdrops provides them with the properties of an organic solvent. While the magnetic core makes them magnetically manipulable. Adding Fe3O4@KCC-1@EA microdrops to bisphenol A-polluted water allows the contaminants to be extracted into the ethyl acetate shell. These microdrops, saturated with bisphenol A, are then easily separated from the water phase with an external magnetic field, achieving a removal rate of over 98%. Besides bisphenol A, the Fe3O4@KCC-1@EA microdrops could also be employed to remove other organic contaminants. This method could provide a new pathway for water purification from organic contaminants.

Abstract Intelectin-1 (ITLN1; also Omentin-1, OMNT1) is secreted by adipose tissue (AT) and plays an important role in glucose metabolism regulation, with links to obesity-associated diseases. ITLN1 activity so far has rarely been investigated using RNA-sequencing and in larger cohorts. We evaluated ITLN1 expression among three clinical cohorts of the Leipzig Obesity BioBank—a cross-sectional cohort comprising of 1480 people, a cohort of people with metabolically healthy or unhealthy obesity (31 insulin-sensitive, 42 insulin-resistant individuals with obesity), and a longitudinal two-step bariatric surgery cohort (n = 65). We hypothesized that AT ITLN1 expression is associated with serum omentin-1, clinical parameters associated with obesity, and with weight loss after bariatric surgery. We also investigated the correlation of AT ITLN1 expression with genes related to inflammatory response, lipid metabolism, obesity, and regulation of energy balance. Likewise, we inspected gene group expression and metabolic pathways associated with ITLN1 expression using gene set enrichment and gene correlation analysis. We show that ITLN1 expression differs in VAT and SAT, and should therefore be analyzed separately. Furthermore, ITLN1 expression increases with VAT tissue mass, but is negatively affected by AT tissue dysfunction among individuals with unhealthy obesity, corroborated by interplay with genes related to tissue inflammation. Gene set enrichment and gene correlation analysis of ITLN1 expression suggest that AT ITLN1 expression is related to local inflammatory processes in AT, but also in processes such as regulation of appetite, energy balance, and maintenance of body weight.

The groundwater system is a unique ecosystem that serves both resource and ecological functions. Hydrogeologists have conducted extensive theoretical research and practical work on groundwater ecological mapping. This paper, based on the study of groundwater resources and surface ecology in the five Central Asian countries and adjacent areas of China, introduces the concept of ecosystem service functions. It establishes a groundwater ecological zoning index system and conducts research of ecological mapping using the five Central Asian countries and adjacent areas of China as examples. Through this process, the ecosystem service functions of groundwater can be more comprehensively reflected, which can better guide regional geological environment protection and industrial planning. This approach helps coordinate the relationship between socio-economic development and water resource protection, maintain the health of the groundwater ecological environment, enhance the value of groundwater ecological services, and promote the sustainable development of regional economies and societies.

Pine Island Glacier (PIG), the largest glacier in the Amundsen Sea Embayment of West Antarctica, has contributed to over a quarter of the observed sea level rise around Antarctica. In recent years, multiple observations have confirmed its continuous retreat, ice flow acceleration and profound surface melt. Understanding these changes is crucial for accurately monitoring ice mass discharge and future Antarctic contributions to sea level rise. Therefore, it is essential to investigate the complex interactions between these variables to comprehend how they collectively affect the overall stability of the intricate PIG system. In this study, we utilized high-resolution remote sensing data and deep learning method to detect and analyze the spatio-temporal variations of surface melt, ice shelf calving, and ice flow velocity of the PIG from 2015 to 2023. We explored the correlations among these factors to understand their long-term impacts on the glacier's stability. Our findings reveal a retreat of 26.3 km and a mass loss of 1001.6 km2 during 2015–2023. Notably, extensive surface melting was observed, particularly in the 2016/2017 and 2019/2020 melting seasons. Satellite data vividly illustrate prolonged and intense melting periods, correlating with a significant retreat in the glacier's terminus position in 2019/2020. Furthermore, the comprehensive analysis of surface melting and the cumulative retreat of the ice shelf from 2017 to 2020 on the PIG shows a temporal relationship with subsequent significant changes in ice flow velocity, ranging from 10.9 to 12.2 m d−1, with an average acceleration rate of 12%. These empirical findings elucidate the intricate relationship among surface melt, ice flow velocity, and consequential glacier dynamics. A profound understanding of these interrelationships holds paramount importance in glacier dynamic changes and modeling, providing invaluable insights into potential glacier responses to global climate change.

Abstract To establish a population pharmacokinetic (PopPK) model of posaconazole suspension in Chinese hematopoietic stem cell transplantation (HSCT) patients and to recommend an optimal dosing regimen. A single-center, retrospective, model-based study was conducted in 62 Chinese patients, including 103 with posaconazole plasma concentrations. PopPK analysis using NONMEM software. A one-compartment model of first-order elimination and absorption was in good agreement with the experimental data. Analysis of covariance showed that body weight (WT), creatinine clearance (CCR), and proton pump inhibitor (PPI) had a significant effect on the pharmacokinetics of posaconazole. The dose simulation results show that patients with CCR ≥ 90 mL/min require at least 3 mg/kg TID and 7 mg/kg BID dosing regimens for prevention and treatment, respectively. However, when combined with PPI, at least 5 mg/kg BID and 5 mg/kg TID dosing regimens are required for prevention and treatment, respectively. Regardless of whether it is used in combination with PPI or not, patients with a CCR of 60–90 mL/min can achieve PTA goals by using a 4 mg/kg BID and 4 mg/kg TID regimen for prevention and treatment, respectively. A dosing regimen of 3 mg/kg BID in patients with a CCR of 30–60 mL/min is sufficient to meet the PTA goal of prophylaxis, and the dose needs to be elevated to 4 mg/kg BID for the treatment of fungal infections, and there is no need to change the dose according to the coadministration of PPI. When the patient's CCR is less than 30 mL/min, whether or not combined with PPI, the administration regimen of 2 mg/kg BID and 3 mg/kg BID can meet the PTA goals for prevention and treatment, respectively.

Abstract With the development of smart technology and aging societies, the living and housing environments for older people are undergoing transformation. Designers must understand the changing capabilities, lifestyles, preferences, and inspirations of older people for their future homes, in which the kitchen is seen as the heart. To gain a deeper understanding of the requirements of older people in promoting healthier lifestyles and inclusive daily practices, the authors identified five key factors of kitchen design through a literature review, developing an initial model. Subsequently, a focus group was conducted in the UK to explore the perspectives and expectations of older people, where metaphors for future kitchens were collected, and further insights were used to refine the model. The refined model for a future-inclusive kitchen encompasses six dimensions: Environment/space, Technology/interaction, Emotion/affect, Health and safety, Human factors and well-being, and Sustainability. Through using metaphors, this study offers a multidimensional lens to investigate the future user experience of inclusive kitchens. The significance of this study lies in the originality of combining a literature review, and user study with design metaphors. A future-proof inclusive kitchen design model is proposed to provide guidance for future design directions of age-friendly environments.

Abstract Background The global prevalence of autoimmune hepatitis (AIH) is increasing due in part to the lack of effective pharmacotherapies. Growing evidence suggests that fibroblast growth factor 4 (FGF4) is crucial for diverse aspects of liver pathophysiology. However, its role in AIH remains unknown. Therefore, we investigated whether FGF4 can regulate M1 macrophage and thereby help treat liver inflammation in AIH. Methods We obtained transcriptome-sequencing and clinical data for patients with AIH. Mice were injected with concanavalin A to induce experimental autoimmune hepatitis (EAH). The mechanism of action of FGF4 was examined using macrophage cell lines and bone marrow-derived macrophages. Results We observed higher expression of markers associated with M1 and M2 macrophages in patients with AIH than that in individuals without AIH. EAH mice showed greater M1-macrophage polarization than control mice. The expression of M1-macrophage markers correlated positively with FGF4 expression. The loss of hepatic Fgf4 aggravated hepatic inflammation by increasing the abundance of M1 macrophages. In contrast, the pharmacological administration of FGF4 mitigated hepatic inflammation by reducing M1-macrophage levels. The efficacy of FGF4 treatment was compromised following the in vivo clearance of macrophage populations. Mechanistically, FGF4 treatment activated the phosphatidylinositol 3-kinase (PI3K)–protein kinase B (AKT)-signal pathway in macrophages, which led to reduced M1 macrophages and hepatic inflammation. Conclusion We identified FGF4 as a novel M1/M2 macrophage-phenotype regulator that acts through the PI3K–AKT-signaling pathway, suggesting that FGF4 may represent a novel target for treating inflammation in patients with AIH.

Abstract Background TBK1 positively regulates the growth factor-mediated mTOR signaling pathway by phosphorylating mTOR. However, it remains unclear how the TBK1-mTOR signaling pathway is regulated. Considering that STING not only interacts with TBK1 but also with MARCH1, we speculated that MARCH1 might regulate the mTOR signaling pathway by targeting TBK1. The aim of this study was to determine whether MARCH1 regulates the mTOR signaling pathway by targeting TBK1. Methods The co-immunoprecipitation (Co-IP) assay was used to verify the interaction between MARCH1 with STING or TBK1. The ubiquitination of STING or TBK1 was analyzed using denatured co-immunoprecipitation. The level of proteins detected in the co-immunoprecipitation or denatured co-immunoprecipitation samples were determined by Western blotting. Stable knocked-down cells were constructed by infecting lentivirus bearing the related shRNA sequences. Scratch wound healing and clonogenic cell survival assays were used to detect the migration and proliferation of breast cancer cells. Results We showed that MARCH1 played an important role in growth factor-induced the TBK1- mTOR signaling pathway. MARCH1 overexpression attenuated the growth factor-induced activation of mTOR signaling pathway, whereas its deficiency resulted in the opposite effect. Mechanistically, MARCH1 interacted with and promoted the K63-linked ubiquitination of TBK1. This ubiquitination of TBK1 then attenuated its interaction with mTOR, thereby inhibiting the growth factor-induced mTOR signaling pathway. Importantly, faster proliferation induced by MARCH1 deficiency was weakened by mTOR, STING, or TBK1 inhibition. Conclusion MARCH1 suppressed growth factors mediated the mTOR signaling pathway by targeting the STING-TBK1-mTOR axis.

Asia stands out as the most populous and geographically diverse region globally. The pressing issues of water resource development and the resulting ecological impacts are exacerbated by the region's rapid population growth and economic expansion. Groundwater, a vital source of water in Asia, faces significant disparities in distribution and suffers from unsustainable exploitation practices. This study applies groundwater system theory and categorizes Asia into 11 primary groundwater systems and 36 secondary ones, based on intercontinental geological structures, climate, terrain, and hydrogeological characteristics. As of the end of 2010, Asia's assessed groundwater resources totalled 4.677×109 m3/a, with exploitable resources amounting to 3.274×109 m3/a. By considering the geological environmental impacts of groundwater development and the distinctive characteristics of terrain and landforms, six categories of effect zones with varying distribution patterns are identified. The current research on Asia's groundwater resources, environmental dynamics, and human impacts aims to provide a theoretical foundation for sustainable groundwater management and environmental conservation in the region.

BACKGROUND: Acute respiratory distress syndrome (ARDS), which results in lung injury as a consequence of sepsis and septic shock, is associated with severe systemic inflammation and is responsible for a high worldwide mortality rate. OBJECTIVE: Investigate whether corticosteroids could benefit clinical outcomes in adult with ARDS. METHODS: A comprehensive search of electronic databases Ovid MEDLINE, Ovid EMbase, and Cochrane Library from their inception to 7 May 2023 was conducted to identify studies that met the eligibility criteria, including only randomized controlled trials. The study was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the methods of trial sequential analysis. MAIN OUTCOME MEASURES: Mortality rates, including including the 14-, 28-, 45-, and 60-day mortality, hospital mortality, and intensive care unit (ICU) mortality. SAMPLE SIZE: 17 studies with 2508 patients. RESULTS: Data relating to mortality at 14, 28, 45, and 60 days were not significantly different when treatments with corticosteroids and placebo were compared. In terms of hospital and ICU mortality, the mortality of those who had received corticosteroids was significantly lower than that of those who had not. ARDS patients who received assisted ventilation benefited from corticosteroid therapy, as revealed by the significant difference in outcome days between those who received assisted ventilation and those who did not. Corticosteroid had significantly more days free from mechanical ventilation, ICU-free days, and MODS-free days during the first 28 days, but not more organ support-free days up to day 28. CONCLUSION: Although corticosteroid therapy did not reduce mortality rates at different observation periods, it significantly reduced hospital and ICU mortality. Administering corticosteroids to ARDS patients significantly decreased the days of assisted ventilation and time cost consumption. This study confirmed that long-term use of low-dose glucocorticoids may have a positive effect on early ARDS. LIMITATION: Risk of bias due to the differences in patient characteristics.

Abstract In recent years, with the unremitting advancement of higher education reform, academics have been experiencing stress associated with conducting scientific research. In this study focusing on university teachers in China, we adopted a stepwise regression method and reviewed related literature to construct a mechanism of academic stress and occupational burnout. Specifically, we tested job satisfaction and relative deprivation as mediating and moderating variables and conducted empirical research on 1239 teachers from 15 universities in eastern, central, and western China. Our findings show that: (1) academic stress has a significant positive effect on occupational burnout; (2) job satisfaction has a partial role as the intermediary agent between academic stress and occupational burnout; and (3) relative deprivation positively moderates the relationship between academic stress and job satisfaction, indicating that teachers in universities and colleges are also affected by relative deprivation and the perception of inequity. These findings have significant value in the management of higher education and academic research.

Abstract The manipulation of hydrogen bonding within protic ionic liquids is conducive to conquering the robust hydrogen bonding interactions in cellulose for its effective dissolution, but it is a great challenge to establish the delicate balance of hydrogen bonding network between solvent and cellulose. Herein, we proposed the concept of “hydrogen bond producers” for urea molecules in 1,1,3,3‐tetramethylguanidinium methoxyacetate acid ([TMGH][MAA]) to enhance the dissolution of cellulose. The optimization of physicochemical properties for [TMGH][MAA] solvent as a function of urea concentration revealed a remarkable increase in cellulose solubility from 13% to 17% (w/w) by adding only 0.25 wt% urea, highlighting the efficiency of [TMGH][MAA] as a powerful solvent for the dissolution of cellulose. The experimental and simulation results verified that the significant improvement on dissolution of cellulose was attributed to the hydrogen bonding interaction of urea molecules with ion pairs and part of free ions, reducing the interference with the active ions bonded to cellulose. Furthermore, the considerable enhancement on comprehensive properties of regenerated cellulose films demonstrated the effectiveness of [TMGH][MAA]/urea solvent. The concept of “hydrogen bond producers” presented here opens a new avenue for significantly enhancing the dissolution of natural cellulose, promoting the sustainable development in large‐scale processing of cellulose.

The global renewable energy portfolio is experiencing a growing proportion of shipboard photovoltaic (PV) energy. Grid-connected system has become the development trend of photovoltaic power generation technology in marine applications because of its high energy utilization efficiency. However, in the grid-connected process, harmonic pollution is easily caused by time-varying marine environment disturbance, which affects the quality of grid-connected power. The current recurrent neural network Levenberg-Marquardt backpropagation (CRNN-LM-BP) method, a control methodology, is introduced in this paper to ensure the robustness, stability, and consistency of the system. In addition, the inductance-capacitance-inductance (LCL) filter is optimized using particle swarm optimization (PSO) to minimize the presence of high frequency harmonics. The system that has been developed possesses the ability to improve the accuracy of steady-state control, operate with high efficiency and effectiveness, and maintain a total harmonic distortion of 1.73 %. Concurrently, streamlining the Jacobian matrix in the LM algorithm expedites convergence. It enables the system to improve its dynamic response, minimize excess, and quickly return to a stable condition when faced with load variations, a wide range of filter parameter adjustments, and voltage fluctuations. The suggested method’s effectiveness and applicability are evaluated by comparing it to the traditional proportional-resonant control, CRNN-BP control, using Matlab/Simulink and the real-time simulator OPAL-RT5700..

Summary: Background: Studies on DNA methylation following bariatric surgery have primarily focused on blood cells, while it is unclear to which extend it may reflect DNA methylation profiles in specific metabolically relevant organs such as adipose tissue. Here, we investigated whether adipose tissue depots specific methylation changes after bariatric surgery are mirrored in blood. Methods: Using Illumina 850K EPIC technology, we analysed genome-wide DNA methylation in paired blood, subcutaneous and omental visceral AT (SAT/OVAT) samples from nine individuals (N = 6 female) with severe obesity pre- and post-surgery. Findings: The numbers and effect sizes of differentially methylated regions (DMRs) post-bariatric surgery were more pronounced in AT (SAT: 12,865 DMRs from −11.5 to 10.8%; OVAT: 14,632 DMRs from −13.7 to 12.8%) than in blood (9267 DMRs from −8.8 to 7.7%). Cross-tissue DMRs implicated immune-related genes. Among them, 49 regions could be validated with similar methylation changes in blood from independent individuals. Fourteen DMRs correlated with differentially expressed genes in AT post bariatric surgery, including downregulation of PIK3AP1 in both SAT and OVAT. DNA methylation age acceleration was significantly higher in AT compared to blood, but remained unaffected after surgery. Interpretation: Concurrent methylation pattern changes in blood and AT, particularly in immune-related genes, suggest blood DNA methylation mirrors AT's inflammatory state post-bariatric surgery. Funding: The funding sources are listed in the Acknowledgments section.

Poly-ADP-ribose polymerase (PARP) inhibitors (PARPi) have shown great promise for treating BRCA-deficient tumors. However, over 40% of BRCA-deficient patients fail to respond to PARPi. Here, we report that thioparib, a next-generation PARPi with high affinity against multiple PARPs, including PARP1, PARP2, and PARP7, displays high antitumor activities against PARPi-sensitive and -resistant cells with homologous recombination (HR) deficiency both in vitro and in vivo. Thioparib treatment elicited PARP1-dependent DNA damage and replication stress, causing S-phase arrest and apoptosis. Conversely, thioparib strongly inhibited HR-mediated DNA repair while increasing RAD51 foci formation. Notably, the on-target inhibition of PARP7 by thioparib-activated STING/TBK1-dependent phosphorylation of STAT1, triggered a strong induction of type I interferons (IFNs), and resulted in tumor growth retardation in an immunocompetent mouse model. However, the inhibitory effect of thioparib on tumor growth was more pronounced in PARP1 knockout mice, suggesting that a specific PARP7 inhibitor, rather than a pan inhibitor such as thioparib, would be more relevant for clinical applications. Finally, genome-scale CRISPR screening identified PARP1 and MCRS1 as genes capable of modulating thioparib sensitivity. Taken together, thioparib, a next-generation PARPi acting on both DNA damage response and antitumor immunity, serves as a therapeutic potential for treating hyperactive HR tumors, including those resistant to earlier-generation PARPi.

Abstract Background Glucose-6-phosphate dehydrogenase (G6PD) plays an important role in vascular smooth muscle cell (VSMC) phenotypic switching, which is an early pathogenic event in various vascular remodeling diseases (VRDs). However, the underlying mechanism is not fully understood. Methods An IP‒LC‒MS/MS assay was conducted to identify new binding partners of G6PD involved in the regulation of VSMC phenotypic switching under platelet-derived growth factor-BB (PDGF-BB) stimulation. Co-IP, GST pull-down, and immunofluorescence colocalization were employed to clarify the interaction between G6PD and voltage-dependent anion-selective channel protein 1 (VDAC1). The molecular mechanisms involved were elucidated by examining the interaction between VDAC1 and apoptosis-related biomarkers, as well as the oligomerization state of VDAC1. Results The G6PD level was significantly elevated and positively correlated with the synthetic characteristics of VSMCs induced by PDGF-BB. We identified VDAC1 as a novel G6PD-interacting molecule essential for apoptosis. Specifically, the G6PD-NTD region was found to predominantly contribute to this interaction. G6PD promotes VSMC survival and accelerates vascular neointimal hyperplasia by inhibiting VSMC apoptosis. Mechanistically, G6PD interacts with VDAC1 upon stimulation with PDGF-BB. By competing with Bax for VDAC1 binding, G6PD reduces VDAC1 oligomerization and counteracts VDAC1–Bax-mediated apoptosis, thereby accelerating neointimal hyperplasia. Conclusion Our study showed that the G6PD–VDAC1–Bax axis is a vital switch in VSMC apoptosis and is essential for VSMC phenotypic switching and neointimal hyperplasia, providing mechanistic insight into early VRDs. Graphical Abstract

Abstract In obesity, sustained adipose tissue (AT) inflammation constitutes a cellular memory that limits the effectiveness of weight loss interventions. Yet, the impact of fasting regimens on the regulation of AT immune infiltration is still elusive. Here we show that intermittent fasting (IF) exacerbates the lipid-associated macrophage (LAM) inflammatory phenotype of visceral AT in obese mice. Importantly, this increase in LAM abundance is strongly p53 dependent and partly mediated by p53-driven adipocyte apoptosis. Adipocyte-specific deletion of p53 prevents LAM accumulation during IF, increases the catabolic state of adipocytes, and enhances systemic metabolic flexibility and insulin sensitivity. Finally, in cohorts of obese/diabetic patients, we describe a p53 polymorphism that links to efficacy of a fasting-mimicking diet and that the expression of p53 and TREM2 in AT negatively correlates with maintaining weight loss after bariatric surgery. Overall, our results demonstrate that p53 signalling in adipocytes dictates LAM accumulation in AT under IF and modulates fasting effectiveness in mice and humans.

Objective To evaluate the clinical efficacy and safety of fractionated plasma separation and adsorption combined with continuous veno-venous hemofiltration (FPSA-CVVH) treatment in patients with acute bipyridine herbicide poisoning.Methods A retrospective analysis of 18 patients with acute bipyridine herbicide poisoning was conducted, of which 9 patients were poisoned by diquat and 9 patients by paraquat. All patients underwent FPSA-CVVH treatment. The serum cytokine levels in pesticide-poisoned patients were assessed. The efficacy of FPSA-CVVH in eliminating cytokines, the 90-d survival rate of poisoned patients, and adverse reactions to the treatment were observed.Results Fourteen patients (77.8%) had acute kidney injuries and 10 (55.6%) had acute liver injuries. The serum cytokine levels of high mobility group protein B-1 (HMGB-1), interleukin-6 (IL-6), IL-8, interferon-inducible protein-10 (IP-10), monocyte chemotactic protein-1 (MCP-1), and macrophage inflammatory protein-1β (MIP-1β) were significantly elevated. A total of 41 FPSA-CVVH treatment sessions were administered. After a single 8-h FPSA-CVVH treatment, the decreases in HMGB-1, IL-6, IL-8, IP-10, MCP-1, and MIP-1β were 66.0%, 63.5%, 73.3%, 63.7%, 53.9%, and 54.1%, respectively. During FPSA-CVVH treatment, one patient required a filter change due to coagulation in the plasma component separator, and one experienced a bleeding adverse reaction. The 90-d patient survival rate was 50%, with 4 patients with diquat poisoning and 5 patients with paraquat poisoning, and both liver and kidney functions were restored to normal.Conclusion Cytokine storms may play a significant role in the progression of multiorgan dysfunction in patients with acute bipyridine herbicide poisoning. FPSA-CVVH can effectively reduce cytokine levels, increase the survival rate of patients with acute bipyridine herbicide poisoning, and decrease the incidence of adverse events.

Radiation therapy is a common treatment modality for patients with malignant tumors of the head and neck, chest and axilla. However, radiotherapy inevitably causes damage to normal tissues at the irradiated site, among which damage to the brachial plexus nerve(BP) is a serious adverse effect in patients receiving radiation therapy in the scapular or axillary regions, with clinical manifestations including abnormal sensation, neuropathic pain, and dyskinesia, etc. These adverse effects seriously reduce the living quality of patients and pose obstacles to their prognosis. Therefore, it is important to elucidate the mechanism of radiation induced brachial plexus injury (RIBP) which remains unclear. Current studies have shown that the pathways of radiation-induced BP injury can be divided into two categories: direct injury and indirect injury, and the indirect injury is closely related to the inflammatory response, microvascular damage, cytokine production and other factors causing radiation-induced fibrosis. In this review, we summarize the underlying mechanisms of RIBP occurrence and possible effective methods to prevent and treat RIBP.

To mitigate the temperature dependence of the resonance frequency in microcavities, athermal photonic devices have been developed by incorporating materials with an opposite thermo-optical coefficient (TOC). Here, we conduct an experimental demonstration of the athermal effect in a microbubble resonator, employing an aluminum (Al) holder for its mounting. By converting the thermal expansion of the holder into controlled geometry adjustments in the microbubble resonator, we achieve athermal optical modes at a specific temperature. The athermal compensation is accomplished by counterbalancing the pulling force resulting from the thermal expansion of the Al holder against the thermal characteristics of the material, specifically $\mathrm{SiO_{2}}$. Especially, the optical modes located around the equator are particularly susceptible to the influence of the pulling force exerted by the Al holder. This temperature-insensitive feature of the resonance establishes a new avenue towards athermal microresonator through this special structure.

Abstract Purpose To report the planning benchmark case results of the POTENTIAL trial—a multicenter, randomized, phase 3 trial—to evaluate the value of internal mammary nodal (IMN) irradiation for patients with high-risk breast cancer. Methods All participating institutions were provided the outlines of one benchmark case, and they generated radiation therapy plans per protocol. The plans were evaluated by a quality assurance team, after which the institutions resubmitted their revised plans. The information on beams arrangement, skin flash, inhomogeneity corrections, and protocol compliance was assessed in the first and final submission. Results The plans from 26 institutions were analyzed. Some major deviations were found in the first submission. The protocol compliance rates of dose coverage for the planning target volume of chest wall, supraclavicular fossa plus axilla, and IMN region (PTVim) were all significantly improved in the final submission, which were 96.2% vs. 69.2%, 100% vs. 76.9%, and 88.4% vs. 53.8%, respectively. For OARs, the compliance rates of heart Dmean, left anterior descending coronary artery V40Gy, ipsilateral lung V5Gy, and stomach V5Gy were significantly improved. In the first and final submission, the mean values of PTVim V100% were 79.9% vs. 92.7%; the mean values of heart Dmean were 11.5 Gy vs. 9.7 Gy for hypofractionated radiation therapy and 11.5 Gy vs. 11.0 Gy for conventional fractionated radiation therapy, respectively. Conclusion The major deviations were corrected and protocol compliance was significantly improved after revision, which highlighted the importance of planning benchmark case to guarantee the planning quality for multicenter trials.

Abstract The storage of quantum states and information is essential for enabling large quantum networks. The direct implementation of storage in magnonic systems, which are emerging as crucial components in quantum networks, has also garnered attention. In this study, we present experimental investigations of magnomechanical microwave storage for the first time. By reducing the ambient temperature to 8 K, we can achieve a mechanical mode with a narrow linewidth as low as 6.4 Hz, resulting in an energy decay time of 24.8 ms. Furthermore, we employ Ramsey interferometry to investigate the coherence of the magnomechanical memory. The mechanical interference can be utilized to evaluate the decoherence lifetime of 19.5 ms. Our proposed scheme provides the potential to utilize magnomechanical systems as quantum memory for photonic quantum information.

Abstract Optical frequency combs provide a powerful tool for precise measurement of the optical frequency, holding significant importance in fields such as spectroscopy, optical communication and optical clock. The frequency stability of the comb line determines the precision of the frequency measurement, but the delicate interplay between high precision, low power consumption and integration still needs to be optimized. To this aim, here we demonstrate a frequency measurement scheme based on a fully stabilized electro-optic comb, in which the pump laser frequency and repetition rate are independently locked to the atomic transition and microwave signal. The measurement precision of the demonstrated wavemeter can reach sub-kHz-level, and the parallel measurement of multiple wavelengths can be performed. Therefore, by combining the technical scheme reported here with advanced integrated functional devices, our system is expected to provide a feasible solution for chip-scale frequency precision measurement and reference.