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Abstract Background Centrosomal protein of 55 kDa (CEP55) overexpression has been linked to tumor stage, aggressiveness of the tumor, poor prognosis, and metastasis. This study aims to elucidate the action of CEP55 in ovarian cancer (OC) and the regulation by the alpha-ketoglutarate-dependent dioxygenase alkB homolog 5 (ALKBH5)/Forkhead box protein P2 (FOXP2) axis. Methods Differentially expressed genes in OC were identified using in silico identification, followed by prognostic value assessment. Lentiviral vectors were constructed to downregulate CEP55 in OC cells, and colony formation, EdU, TUNEL, flow cytometry, Transwell assays, and Phalloidin staining were conducted. Transcription factors regulating CEP55 were predicted and verified, and rescue experiments were performed. The effect of ALKBH5-mediated demethylation on FOXP2 mRNA stability and OC cell cycle and EMT were analyzed. Results High expression of CEP55 in OC was linked to unsatisfactory prognosis of patients. Knockdown of CEP55 repressed proliferation, invasiveness, and epithelial-mesenchymal transition (EMT) while inducing apoptosis and cell cycle arrest in OC cells. FOXP2 bound to the promoter of CEP55 to repress CEP55 transcription. FOXP2 regulated transcriptional repression of CEP55 to impede the malignant progression of OC and inhibit tumor metastasis. ALKBH5-mediated demethylation modification induced mRNA degradation of FOXP2. Knockdown of ALKBH5 induced cell cycle arrest and inhibited EMT in OC cells. Conclusions ALKBH5 hinders FOXP2-mediated transcriptional repression of CEP55 to promote the malignant progression of OC via cell cycle and EMT.

Abstract In this paper, we present a groundbreaking approach to enhance the illumination of traffic boards along superhighways, addressing significant challenges associated with conventional lighting systems. Our innovative method revolves around the strategic placement of remote spotlights at the side of the roadway to illuminate traffic signs equipped with retroreflector film (RTRF). The essence of our approach lies in remote illumination, which requires meticulous adjustment of the divergence angle of the spotlights to match the size of the signs and their distance from the projection source. To achieve the desired spotlight configuration, we have developed a hybrid optical system that incorporates a paraboloid reflector and a lens mounted on a bridge holder situated on top of the mirror. Through spot light illumination, we discovered that the initial divergence angle of the RTRF was too narrow. To improve projection angle tolerance, we recommend attaching a light diffuser film onto the surface of the RTRF. The coverage area ratio of the diffuser film can be adjusted to select the desired divergence angle for the reflected light. Our experimental measurements have yielded significant results, showcasing the half-divergent angle of the RTRF ranging from 3° to 7° for different coverage area ratios of the diffuser. In practical terms, with a target luminance of 300 nits at the white word on the traffic board, the power consumption of the spotlight fixture of the roadway was only 40 W, representing over 75% power savings when compared to traditional lighting methods. Consequently, our approach opts to utilize spotlights for illuminating specific traffic boards on superhighways, offering a more efficient and manageable lighting solution that greatly benefits both motorists and road maintenance personnel.

This article presents a case report of right vocal cord paralysis resulting from herpes simplex virus infection in an older adult. The patient initially presented with fever, blisters on the lips and right cheek, followed by the gradual onset of hoarseness and difficulty in swallowing. Laryngoscopy revealed fixation of the right vocal cord while the left vocal cord exhibited normal movement. A high level of herpes simplex virus type 1 IgM antibody was detected during the disease progression. Treatment involving mid-dose glucocorticoid and methylcobalamin neurotrophic therapy, swallowing and vocal rehabilitation training, as well as enteral nutrition support, led to alleviation of hoarseness and improved ability to drink water in small sips. Follow-up laryngoscopy indicated partial restoration of movement in the right vocal cord. The article not only outlines the diagnosis and treatment of this case but also reviews relevant literature to broaden clinicians' knowledge of viral-induced vocal cord paralysis in the elderly. It also emphasizes the importance of a geriatric interdisciplinary team in managing complex diseases in older patients.

Abstract According to early research, the incidence of claustrum lesions in patients with neurological Wilson’s disease (WD) was inconsistent, ranging from 1.8 to 75% on magnetic resonance imaging (MRI). Our study aims to explore the incidence, clinical presentation features, iconography features, and possible pathological mechanisms in WD patients with claustrum lesions on magnetic resonance imaging (MRI), to characterize the clinical, and brain imaging findings and possible pathological mechanisms in the patients with WD. Retrospective cases meeting the inclusion criteria were studied for analyzing MRI characteristics and associated physicochemical examination data in neurological WD patients with claustrum lesions. 443 (66.3%) with brain MRI abnormalities were screened from 668 WD patients. The three (0.7%) patients with the claustrum lesions characteristics on MRI images were: (a) “bright claustrum” in T2-weighted and FLAIR sequences, (b) bilateral symmetrical, (c) non-isolated lesions, (d) occurred only in severe neurological manifestations. The claustrum lesions are not common in neurological WD and mainly appear in cases with severe neurological symptoms. On MRI, the “bright claustrum” signs may be a radiographic marker of neuroinflammation, the features of the lesions showed bilateral symmetry, and hyperintensity signals on T2-weighted, FLAIR, and DWI.

Abstract Non-Hermitian physics has emerged as a new paradigm that profoundly changes our understanding of non-equilibrium systems, introducing novel concepts such as exceptional points, spectral topology, and non-Hermitian skin effects (NHSEs). Most existing studies focus on non-Hermitian eigenstates, whereas dynamic properties have been discussed only recently, and the dynamic NHSEs are not yet confirmed in experiments. Here, we report the experimental observation of non-Hermitian skin dynamics using tunable one-dimensional nonreciprocal double-chain mechanical systems with glide-time symmetry. Remarkably, dynamic NHSEs are observed with various behaviors in different dynamic phases, which can be understood via the generalized Brillouin zone and the related concepts. Moreover, the observed dynamic NHSEs, amplifications, bulk unidirectional wave propagation, and boundary wave trapping provide promising ways to manipulate waves in a controllable and robust way. Our findings open a new pathway toward non-Hermitian dynamics, which will fertilize the study of non-equilibrium phases of matter.

Objective: Cerebral arteriovenous malformation during pregnancy is rare but lethal disease that usually present with new-onset seizures and headaches mimicking eclampsia. We report a rare case of cerebral arteriovenous malformation with abrupt seizures in the third trimester. Case Report: A 28-year-old primipara was brought to our emergency department at 32 6/7 weeks of gestation with new-onset acute seizures and hypertension. Owing to neurological deterioration, the patient underwent emergency cesarean delivery. However, 24 h after cesarean delivery and eclampsia treatment, the seizures worsened. Computed tomography and magnetic resonance imaging showed unruptured arteriovenous malformation of the right frontal lobe. Subsequently, intraarterial embolization was performed. The patient was discharged 5 days after surgery without neurological sequelae or obstetric complications. Conclusion: This case report highlights the differential diagnoses of sudden new-onset seizures in late pregnancy for obstetricians and emergency medicine physicians. Lethal cerebral diseases, apart from eclampsia, should be considered during pregnancy.

Abstract The rotational dynamics of a molecule is sensitive to neighboring atoms or molecules, which can be used to probe the intermolecular interactions in the gas phase. Here, we real-time track the laser-driven rotational dynamics of a single N2 molecule affected by neighboring Ar atoms using coincident Coulomb explosion imaging. We find that the alignment trace of N-N axis decays fast and only persists for a few picoseconds when an Ar atom is nearby. We show that the decay rate depends on the rotational geometry of whether the Ar atom stays in or out of the rotational plane of the N2 molecule. Additionally, the vibration of the van der Waals bond is found to be excited through coupling with the rotational N-N axis. The observations are well reproduced by solving the time-dependent Schrödinger equation after taking the interaction potential between the N2 and Ar into consideration. Our results demonstrate that environmental effects on a molecular level can be probed by directly visualizing the rotational dynamics.

The rhombohedral structure is with anisotropic properties, leading to brittle mechanical properties. However, it is one of the major constituent phases, the (Bi) phase, in the Sn–Bi-based low-temperature solders, which is demanding in the electronic industry for reducing the soldering temperature and alleviating the warpage in high-density fine-pitch electronic packaging. Herein, we proposed a high-performance Ag-alloyed Sn–Bi (SBA) low-temperature solder by reducing the fraction and, more importantly, the anisotropy of the (Bi) phase. We found that the (Bi) phase exhibited considerable solubility for Ag and Sn, even after thermal aging, without any nanoprecipitates as confirmed with both CALPHAD-type thermodynamic modeling and high-resolution TEM. The solution effects of Ag and Sn in the (Bi) phase is elaborated based on in situ nano-indentation, EPMA compositional analyses, EBSD characterizations, and ab initio calculations. The presence of Ag and Sn in the (Bi) phases resulted in both solid solution hardening and softening effects, depending on the Schmid factor of the grain. As a result, in (Bi) polycrystals, alloying could effectively mitigate the anisotropic mechanical properties of the (Bi) phase and facilitated a more uniform dispersion of forces exerted among (Bi) grains in all orientations. Consequently, the designed SBA solder exhibited superior mechanical properties, e.g., an ultimate tensile strength (UTS) of 55 MPa, elongation of 46%, and toughness of 20.6 × 106 J/m3 at a strain rate of 0.0005 s−1. This understanding opens the door for enhanced rhombohedral phase in alloy design for various applications.

ObjectiveTo examine the global research trends and emerging focal points in the field ofgeriatric interdisciplinary team (GIT) from 2000 to 2023, so as to offer insights and reference for related research in China.MethodsEnglish literature related to GIT published from January 1, 2000 to December 31, 2023 were searched in the Web of Science database. The literature information was extracted using VOSviewer 1.6.18 software to create a cooperation network diagram highlighting high-producing countries/regions and research institutions, as well as a high-frequency keyword table. CiteSpace 6.1.R6 software was used to analyze the co-occurrence and clustering of authors, research institutions, countries/regions, etc., and the "bibliometrix" package of R was used to analyze the characteristics of high-frequency keywords in the literature.ResultsA total of 965 GIT-related documents including 921 original articles and 44 reviews were gathered. There was a noticeable rise in annual publications over time. The United States led in publication quantity (357 articles, 37.0%) and total citations (8656). The University of Michigan was highlighted as the top research institution with 27 articles (2.8%). Author Johan Flamaing from the University of Leuven in Belgium had the highest output with 12 articles (1.2%) and the highest co-citation frequency(163 times). The Journal of the American Geriatrics Society had the highest number of GIT -related publications with 72 articles (7.5%). Collaboration in this field mainly involved authors and institutions from developed countries, displaying distinct geographical patterns. Key themes included elderly (346 times), frailty (71 times), geriatric assessment (68 times), comprehensive geriatric assessment (60 times), and hip fractures (48 times).ConclusionsIn the last two decades, research on GIT has garnered significant attention within the discipline. Developed countries, particularly the United States, have taken a leading role in this field. Presently, GIT research is centered on conducting comprehensive geriatric assessments and implementing corresponding interventions for elderly patients with frailty and hip fractures. Additionally, research is focused on GIT interventions for addressing potentially inappropriate medication use and preventing falls in the elderly, as well as managing elderly patients with tumors, dementia, and delirium. The exploration of interventions remains a key area of interest in current research. In the future, there is potential for conducting more high-quality qualitative research related to GIT interventions for elderly patients receiving long-term care or home care, as well as for enhancing geriatric medicine teaching in GIT.

Trisomy 13 syndrome is a lethal chromosomal disorder characterized by severe congenital anomalies. We report a case of trisomy 13 syndrome with semilobar holoprosencephaly, cyclopia, proboscis, omphalocele, and an absent nasal bone, prenatally diagnosed by first-trimester ultrasonography. The diagnosis was confirmed by chromosomal analysis. The pregnancy was eventually terminated at 14 weeks of gestation. The poor prognosis of trisomy 13 syndrome and holoprosencephaly prompts the demand for early prenatal diagnosis. We present this case to introduce some of the typical features of semilobar holoprosencephaly, including an anteriorly fused ventricle with partially fused thalami and absent falx, and to sensitize physicians to similar sonographic findings in the future.

This article presents a case study of a patient who had Cronkhite-Canada syndrome in combination with an asymptomatic novel coronavirus infection. The patient exhibited clinical symptoms of loss of appetite, hair and nail loss, and skin pigmentation. Digestive endoscopy revealed widespread and varying-sized polypoid changes in the mucosa of the stomach, duodenum, and colon. During the course of the illness, the patient tested positive for novel coronavirus nucleic acid. Treatment with moderate doses of prednisone resulted in the patient's hair regrowth and decreased skin hypopigmentation. The article provides a summary of the patient's diagnosis and treatment and a review of relevant literature, with the aim of enhancing clinicians' understanding of the disease.

AimComparing the safety, effectiveness, and mid-term survival rates of robot-assisted minimally invasive esophagectomy (RAMIE) and video-assisted minimally invasive esophagectomy (VAMIE).MethodsA total of 842 patients undergoing minimally invasive esophagectomy were analyzed, including 694 patients in VAMIE group and 148 in RAMIE group. PSM analysis was applied to generate matched pairs for further comparison. Operative outcomes, postoperative complications and Mid-term outcomes were compared between all patients in matched groups.ResultsAfter 1:4 PSM, 148 patients in the RAMIE and 592 patients in the VAMIE. Compared to VAMIE, RAMIE exhibited earlier removal of chest and neck drainage tubes, shorter postoperative hospital stays, and a higher number of lymph node dissections. However, the surgical duration of RAMIE was longer than that of VAMIE. Postoperative complications were no statistically significant between the RAMIE and VAMIE groups. There was no statistically significant difference in the 3-year OS and DFS between the two groups.ConclusionCompared to VAMIE, RAMIE emerges as a viable and safe surgical approach and suggests RAMIE as a potential alternative to minimally invasive esophagectomy.

The 7000 series (Al–Zn–Mg) Al-alloys are renowned for their exceptional “lightweight-high strength” properties, primarily owing to nano-sized meta-stable η′ precipitate as the main strengthening phase. However, these η′ precipitates are susceptible to transforming into the stable η2 phase at elevated temperatures, resulting in a decline in strength. To mitigate this, Cu-segregation has been long proposed as a promising method for stabilizing these meta-stable precipitates. However, the mechanisms involved have not been fully understood. In this study, we conducted a thorough investigation on the structural and energetic changes between Cu-free and Cu-segregated η' and η2 precipitates. Utilizing DFT calculations and HAADF-STEM characterizations, we uncovered a distinctive alternating Cu-segregation pattern. This pattern induces significant structural modifications within the bulk of η' precipitates and at the precipitate-matrix interface, markedly enhancing their interfacial and bulk energetics. We believe these modifications are the key factor in improving precipitate stability. Based on our findings, the underlying mechanism of solute segregation was elucidated and a novel strategy for optimal design of Al–Zn–Mg alloys was proposed.

Abstract Entanglement entropy is a fundamental concept with rising importance in various fields ranging from quantum information science, black holes to materials science. In complex materials and systems, entanglement entropy provides insight into the collective degrees of freedom that underlie the systems’ complex behaviours. As well-known predictions, the entanglement entropy exhibits area laws for systems with gapped excitations, whereas it follows the Gioev-Klich-Widom scaling law in gapless fermion systems. However, many of these fundamental predictions have not yet been confirmed in experiments due to the difficulties in measuring entanglement entropy in physical systems. Here, we report the experimental verification of the above predictions by probing the nonlocal correlations in phononic systems. We obtain the entanglement entropy and entanglement spectrum for phononic systems with the fermion filling analog. With these measurements, we verify the Gioev-Klich-Widom scaling law. We further observe the salient signatures of topological phases in entanglement entropy and entanglement spectrum.

Abstract Branched flows occur ubiquitously in various wave systems, when the propagating waves encounter weak correlated scattering potentials. Here we report the experimental realization of electrical tuning of the branched flow of light using a nematic liquid crystal (NLC) system. We create the physical realization of the weakly correlated disordered potentials of light via the inhomogeneous orientations of the NLC. We demonstrate that the branched flow of light can be switched on and off as well as tuned continuously through the electro-optical properties of NLC film. We further show that the branched flow can be manipulated by the polarization of the incident light due to the optical anisotropy of the NLC film. The nature of the branched flow of light is revealed via the unconventional intensity statistics and the rapid fidelity decay along the light propagation. Our study unveils an excellent platform for the tuning of the branched flow of light which creates a testbed for fundamental physics and offers a new way for steering light.

Abstract The global burden of colorectal cancer (CRC) has rapidly increased in recent years. Dysregulated cholesterol homeostasis facilitated by extracellular matrix (ECM) remodeling transforms the tumor microenvironment. Collagen I, a major with ECM component is highly expressed in colorectal tumors with infiltrative growth. Although oxysterol binding protein (OSBP)-related proteins accommodate tumorigenesis, OSBPL2, which is usually involved in deafness, is not associated with CRC progression. Therefore, we aimed to investigate the pathological function of OSBPL2 and identify the molecular link between ECM-Collagen I and OSBPL2 in CRC to facilitate the development of new treatments for CRC. OSBPL2 predicted a favorable prognosis in stage IV CRC and substantially repressed Collagen I-induced focal adhesion, migration, and invasion. The reduction of OSBPL2 activated ERK signaling through the VCAN/AREG/EREG axis during CRC growth, while relying on PARP1 via ZEB1 in CRC metastasis. OSBPL2 defect supported colorectal tumor growth and metastasis, which were suppressed by the ERK and PARP1 inhibitors SCH772984 and AG14361, respectively. Overall, our findings revealed that the Collagen I-induced loss of OSBPL2 aggravates CRC progression through VCAN-mediated ERK signaling and the PARP1/ZEB1 axis. This demonstrates that SCH772984 and AG14361 are reciprocally connective therapies for OSBPL2Low CRC, which could contribute to further development of targeted CRC treatment.