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Abstract Backgrounds & Aims The nutritional evaluation of pancreatic cancer (PC) patients lacks a gold standard or scientific consensus, we aimed to summarize and systematically evaluate the prognostic value of nutritional screening and assessment tools used for PC patients. Methods Relevant studies were retrieved from major databases (PubMed, Embase, Web of Science, Cochrane Library) and searched from January 2010 to December 2023. We performed meta-analyses with STATA 14.0 when three or more studies used the same tool. Results This analysis included 27 articles involving 6,060 PC patients. According to a meta-analysis of these studies, poor nutritional status evaluated using five nutritional screening tools Prognostic Nutritional Index (PNI), Geriatric Nutritional Risk Index (GNRI), Controlling Nutritional Status Score (CONUT), Nutrition Risk Screening (NRS2002) and Glasgow Prognostic Score (GPS) was associated with all-cause mortality in PC patients. But Modified Glasgow Prognostic Score (mGPS) did not. Of all tools analyzed, CONUT had the maximum HR for mortality (HR = 1.978, 95%CI 1.345–2.907, P = 0.001). Conclusion All-cause mortality in PC patients was predicted by poor nutritional status. CONUT may be the best nutritional assessment tool for PC patients. The clinical application value of Short Form Mini Nutritional Assessment (MNA-SF), Generated Subjective Global Assessment (SGA) and Patient-generated Subjective Global Assessment (PG-SGA) in PC patients need to be confirmed. In order to improve patients’ nutritional status and promote their recovery, nutritional screening tools can be used. Registration This systematic review was registered at the International Prospective Register of Systematic Reviews (PROSPERO) (number CRD42022376715).

Abstract Wireless and battery-free radio-frequency (RF) sensors can be used to create physical spaces that ambiently sense and respond to human activities. Making such sensors ultra-flexible and transparent is important to preserve the aesthetics of living environments, accommodate daily activities, and functionally integrate with objects. However, existing RF sensors are unable to simultaneously achieve high transparency, flexibility, and the electrical conductivity required for remote room-scale operation. Here, we report 4.5 µm RF tag sensors achieving transparency exceeding 90% that provide capabilities in room-scale ambient wireless sensing. We develop a laser-assisted water-based adhesion-reversion process to digitally realize computer-aided RF design at scale. By individually tagging multiple objects and regions of the human body, we demonstrate multiplexed wireless tracking of human-environment interactions and physiological signals at a range of up to 8 m. These radio-frequency identification sensors open opportunities for non-intrusive wireless sensing of daily living spaces for applications in health monitoring and elderly care.

Near‐infrared (NIR) radiation has demonstrated significant promise in skin tissue engineering and wound healing. However, the high cost and operational complexity associated with current specialized apparatuses have hindered their practical household use. In response to these issues, a flexible, battery‐free, wireless sensor–actuator NIR therapy system, offering real‐time physiological monitoring and active treatment to cutaneous wounds, is developed. The wound management system can be wirelessly powered, and transmits data to any near‐field communication‐compatible smartphone. The therapeutic prowess of our system for wound closure is computationally and experimentally demonstrated by promoting epithelial migration and modulating inflammation. Moreover, a novel feature is reported: the smartphone‐enabled system can precisely predict the wound stage via a temperature sensor pair, which can provide an effective timely intervention strategy for NIR wound therapy. Studies based on rat wound model successfully confirm the efficacy of the proposed strategy, showcasing a remarkable 30% enhancement in wound closure compared to control groups. The user‐friendly, effective wound management platform promises a revolutionary step toward accessible and efficient at‐home wound care.

Abstract Conductive yarns have emerged as a viable alternative to metallic wires in e-Textile devices, such as antennas, inductors, interconnects, and more, which are integral components of smart clothing applications. But the parasitic capacitance induced by their micro-structure has not been fully understood. This capacitance greatly affects device performance in high-frequency applications. We propose a lump-sum and turn-to-turn model of an air-core helical inductor constructed from conductive yarns, and systematically analyze and quantify the parasitic elements of conductive yarns. Using three commercial conductive yarns as examples, we compare the frequency response of copper-based and yarn-based inductors with identical structures to extract the parasitic capacitance. Our measurements show that the unit-length parasitic capacitance of commercial conductive yarns ranges from 1 fF/cm to 3 fF/cm, depending on the yarn’s microstructure. These measurements offer significant quantitative estimation of conductive yarn parasitic elements and provide valuable design and characterization guidelines for e-Textile devices.

The radar jamming technology has been studied in this paper mainly, which uses the antenna synthetic wave to generate phase distortion at the signal reception to carry out angle measuring jamming, such as traditional cross-eye jamming. However, cross-eye jamming has strict parameter tolerance. To improve the tolerance range of the phase parameters, a multiple antennas synthetic false target electromagnetic jamming technique is proposed in this paper, which has a wider phase parameter tolerance and jamming range. The jamming method can be regarded as an improved cross eye jamming method. We can conclude that this method can generate a “false target” in space and far away from the carrier which has jamming system, which mislead the radar to point to “false target” rather than to real targets. A jamming system with three jamming antennas was considered as the research object. The position of “false target” can be controlled casually by adjusting the feed amplitude and phase of the three antennas simultaneously. The jamming mathematical model of synthetic false target with three antenna emitters is constructed under the sum and difference channel transceiver mechanism of radar in this paper. The error angle and synthetic gain of the three jamming antennas were derived. The phase parameter tolerance of the proposed method was obtained- and compared with cross-eye jamming. A rigorous mathematical derivation is proposed in this paper, and the superiority of the multiple antennas synthetic false target jamming method is verified.

In this paper, a novel three-dimensional integrated spoof surface plasmon polaritons (SSPPs) transmission line (TL) is proposed. The controlled slow surface wave can propagate along unit cells that are planted on a metal strip periodically, which is similar to the typical SSPPs TLs. The dispersion characteristics and high-order modes of the proposed TL are studied. In order to verify the transmission performance of the proposed TL, a two-dimensional (2D) structure is utilized to do like the conversion. We have designed the proposed TL and give the simulated results from 10-25GHz, which show good propagation performance. The ohmic losses and dielectric losses of the proposed TL and typical 2D SSPPs TLs are simulated and compared with the microstrip line, coplanar waveguide. The measured data for the proposed TL indicates that the measured results are close to the simulations. The low-loss and highly integrated characteristics of the proposed TL plays an important role in the microwave and terahertz SSPPs transmission and integrated circuits.

In this paper, a novel integrated mode composite transmission line (IMCTL) is proposed, which consists of inner and outer transmission lines. The proposed IMCTL takes full advantages of both substrate integrated waveguide (SIW) and spoof surface Plasmon polaritons (SSPPs) transmission line and supports high-frequency transmission in the inner transmission line and low-frequency transmission in the outer surface transmission line with different propagation modes. The dispersion characteristics of the inner and outer surface IMCTL are studied. The electromagnetic field (EM) distributions and propagation modes of the inner and outer surface IMCTL are examined. The circuit models of the inner and outer surface IMCTL are discussed and analyzed. In order to achieve the transmission of inner and outer surface IMCTL with different propagation modes, two simple high-efficiency conversion structures are utilized to convert the guided waves to the proposed IMCTL. The inner and outer surface IMCTL are designed and simulated, which show good transmission performance. The ohmic losses and dielectric losses of the inner and outer surface IMCTL are simulated and compared with typical transmission lines. The measured data of the proposed IMCTL show a very good agreement with the simulated results. The measured insertion losses of inner IMCTL are within 1.77 ± 0.64 dB from 5.5 to 10.0 GHz and the measured insertion losses of outer surface IMCTL are within 3.21 ± 1.22 dB from 2.0 to 6.0 GHz. The proposed IMCTL will play an important role in the integrated high-performance multiband microwave and wireless communication systems.

Gender roles are anti-dichotomous and malleable social constructs that should theoretically be constructed independently from biological sex. However, it is unclear whether and how the factor of sex is related to neural mechanisms involved in social constructions of gender roles. Thus, the present study aimed to investigate sex specificity in gender role constructions and the corresponding underlying neural mechanisms. We measured gender role orientation using the Bem Sex-Role Inventory, used a voxel-based global brain connectivity method based on resting-state functional magnetic resonance imaging to characterize the within-network connectivity in the brain reward network, and analyzed how the integration of the reward network is related to gender role scores between sex groups. An omnibus analysis of voxel-wise global brain connectivity values within a two-level linear mixed model revealed that in female participants, femininity scores were positively associated with integration in the posterior orbitofrontal cortex and subcallosal cortex, whereas masculinity scores were positively associated with integration in the frontal pole. By contrast, in male participants, masculinity was negatively correlated with integration in the nucleus accumbens and subcallosal cortex. For the first time, the present study revealed the sex-specific neural mechanisms underlying distinct gender roles, which elucidates the process of gender construction from the perspective of the interaction between reward sensitivity and social reinforcement.

Fear of punishment prompts individuals to conform. However, why some people are more inclined than others to conform despite being unaware of any obvious punishment remains unclear, which means the dispositional determinants of individual differences in conformity propensity are poorly understood. Here, we explored whether such individual differences might be explained by individuals’ stable neural markers to potential punishment. To do this, we first defined the punishment network (PN) by combining all potential brain regions involved in punishment processing. We subsequently used a voxel-based global brain connectivity (GBC) method based on resting-state functional connectivity (FC) to characterize the hubs in the PN, which reflected an ongoing readiness state (i.e., sensitivity) for potential punishment. Then, we used the within-network connectivity (WNC) of each voxel in the PN of 264 participants to explain their tendency to conform by using a conformity scale. We found that a stronger WNC in the right thalamus, left insula, postcentral gyrus, and dACC was associated with a stronger tendency to conform. Furthermore, the FC among the four hubs seemed to form a three-phase ascending pathway, contributing to conformity propensity at every phase. Thus, our results suggest that task-independent spontaneous connectivity in the PN could predispose individuals to conform.

Repeated practice is fundamental to the acquisition of skills, which is typically accompanied by increasing reliability of neural representations that manifested as more stable activation patterns for the trained stimuli. However, large-scale neural pattern induced by learning has been rarely studied. Here, we investigated whether global connectivity patterns became more reliable as a result of motor learning using a novel analysis of the multivariate pattern of functional connectivity (MVPC). Human participants were trained with a finger-tapping motor task for five consecutive days and went through Functional magnetic resonance imaging (fMRI) scanning before and after training. We found that motor learning increased the whole-brain MVPC stability of the primary motor cortex (M1) when participants performed the trained sequence, while no similar effects were observed for the untrained sequence. Moreover, the increase of MVPC stability correlated with participants’ improvement in behavioral performance. These findings suggested that the acquisition of motor skills was supported by the increased connectivity pattern stability between the M1 and the rest of the brain. In summary, our study not only suggests global neural pattern stabilization as a neural signature for effective learning but also advocates applying the MVPC analysis to reveal mechanisms of distributed network reorganization supporting various types of learning.

Homoharringtonine, a plant alkaloid, has been reported to suppress protein synthesis and has been approved by the US Food and Drug Administration for the treatment of chronic myeloid leukemia. Here we show that in acute myeloid leukemia (AML), homoharringtonine potently inhibits cell growth/viability and induces cell cycle arrest and apoptosis, significantly inhibits disease progression in vivo, and substantially prolongs survival of mice bearing murine or human AML. Strikingly, homoharringtonine treatment dramatically decreases global DNA 5-hydroxymethylcytosine abundance through targeting the SP1/TET1 axis, and TET1 depletion mimics homoharringtonine’s therapeutic effects in AML. Our further 5hmC-seq and RNA-seq analyses, followed by a series of validation and functional studies, suggest that FLT3 is a critical down-stream target of homoharringtonine/SP1/TET1/5hmC signaling, and suppression of FLT3 and its downstream targets (e.g. MYC) contributes to the high sensitivity of FLT3-mutated AML cells to homoharringtonine. Collectively, our studies uncover a previously unappreciated DNA epigenome-related mechanism underlying the potent antileukemic effect of homoharringtonine, which involves suppression of the SP1/TET1/5hmC/FLT3/MYC signaling pathways in AML. Our work also highlights the particular promise of clinical application of homoharringtonine to treat human AML with FLT3 mutations, which accounts for more than 30% of total cases of AML.

Background: PARP-1 plays a critical role in DNA damage repair and contributes to progression of cancer. To explore the role of PARP-1 in acute myeloid leukemia (AML), we analyzed the expression of PARP-1 in AML and its relation to the clinical prognosis. Then, we investigated the efficacy and mechanism of PARP inhibitor BMN673 (Talazoparib) combined with NL101, a novel SAHA-bendamustine hybrid in vitro and in vivo. Methods: The expression of PARP-1 in 339 cytogenetically normal AML (CN-AML) cases was evaluated using RT-PCR. According to the expression of PARP-1, the clinical characteristics and prognosis of the patients were grouped and compared. The combination effects of BMN673 and NL101 were studied in AML cells and B-NSG mice xenograft model of MV4-11. Findings: We found patients in high PARP-1 expression group had higher levels of blast cells in bone marrow (P = .003) and white blood cells (WBC) in peripheral blood (P = .008), and were associated with a more frequent FLT3-ITD mutation (28.2% vs 17.3%, P = .031). The overall survival (OS) and event free survival (EFS) of the high expression group were significantly shorter than those in the low expression group (OS, P = .005 and EFS, P = .004). BMN673 combined with NL101 had a strong synergistic effect in treating AML. The combination significantly induced cell apoptosis and arrested cell cycle in G2/M phase. Mechanistically, BMN673 and NL101 combinatorial treatment promoted DNA damage. In vivo, the combination effectively delayed the development of AML and prolonged survival. Interpretation: High PARP-1 expression predicts poor survival in CN-AML patients. The synergistic effects of PARP inhibitor BMN673 in combination with SAHA-bendamustine hybrid, NL101, provide a new therapeutic strategy against AML. Fund: National Natural Science Foundation of China and Zhejiang Provincial Key Innovation Team. Keywords: PARP-1, Acute myeloid leukemia, PARP inhibitor, SAHA-bendamustine hybrid

Ten-Eleven-Translocation 1 (TET1) plays a role in the DNA methylation process and gene activation. Recent reports suggest TET1 acts as an oncogene in leukemia development. However, the clinical relevance and biological insight of TET1 expression in cytogenetically normal acute myeloid leukemia (CN-AML) is unknown. In this study, quantification of TET1 transcript by real-time quantitative PCR in bone marrow blasts was performed in 360 CN-AML patients. As a result, high TET1 expression was more common in M0/M1 morphology and genes of NPM1 mutations, and underrepresented in CEBPA double allele mutations in our AML patients. In addition, we found overexpression of TET1 was associated with an inferior overall survival and event free survival in the two independent cohorts. Notably, mRNA and miRNA integrative analyses showed aberrant expression of several hub oncogenes appear to be regulated by some miRNAs like miR-127-5p, miR-494, miR-21 and miR-616 in high TET1 expressers. In conclusion, the TET1 gene expression might serve as a reliable predictor for patients survival in AML.

Abstract Patients with secondary acute myeloid leukemia (sAML) arising from myelodysplastic syndromes have a poor prognosis marked by an increased resistance to chemotherapy. An urgent need exists for adjuvant treatments that can enhance or replace current therapeutic options. Here we show the potential of LB100, a small-molecule protein phosphatase 2 A (PP2A) inhibitor, as a monotherapy and chemosensitizing agent for sAML using an in-vitro and in-vivo approach. We demonstrate that LB100 decreases cell viability through caspase activation and G2/M cell-cycle arrest. LB100 enhances daunorubicin (DNR) cytotoxicity resulting in decreased xenograft volumes and improved overall survival. LB100 profoundly upregulates miR-181b-1, which we show directly binds to the 3′ untranslated region of Bcl-2 mRNA leading to its translational inhibition. MiR-181b-1 ectopic overexpression further diminishes Bcl-2 expression leading to suppression of sAML cell growth, and enhancement of DNR cytotoxicity. Our research highlights the therapeutic potential of LB100, and provides new insights into the mechanism of LB100 chemosensitization.

Recent genomic sequencing efforts have identified a number of recurrent mutations in myelodysplastic syndromes (MDS) that may contribute to disease progression and overall survival, including mutations in isocitrate dehydrogenases 1 and 2 (IDH1 and IDH2).Pretreatment bone marrow (BM) samples were acquired from mononuclear cells in 146 adult patients with de novo MDS from January 2006 to June 2013. Polymerase chain reaction (PCR) and direct sequencing were performed on exon 4 of IDH1/2 genes and mutation status was correlated with overall survival (OS) and leukemia-free survival (LFS). We then performed a meta-analysis combining previously published and current studies to explore the effect of IDH mutations on OS and LFS in MDS.In our study, somatic mutations of either IDH gene were discovered in 11 MDS patients (7.53%) and were significantly correlated with poorer OS (P = 0.007). IDH mutations were specifically associated with a poorer OS in the intermediate-1 risk group by the International Prognostic Scoring System (IPSS) (P = 0.039). In addition, we discovered decitabine achieved a better therapeutic effect compared to other treatments in IDH mutation-positive patients (P = 0.023). We identified six previous studies of IDH mutations in MDS. A meta-analysis of these studies included 111 MDS patients IDH mutations and 1671 MDS patients with wild-type IDH1/2. The hazard ratios (HRs) of OS and LFS for patients with IDH mutations were 1.62 (95% CI, 1.27-2.09) and 2.21 (95% CI, 1.48-3.30), respectively.The results from our study and the meta-analysis provide firm evidence that IDH mutations are significantly associated with poorer clinical outcomes in MDS. Identification of IDH mutations may be pivotal for better risk stratification in MDS patients and improving IPSS score. Additionally, hypomethylating agents may be an effective treatment option for MDS patients with IDH mutations.

Established linguistic theoretical frameworks propose that alphabetic language speakers use phonemes as phonological encoding units during speech production whereas Mandarin Chinese speakers use syllables. This framework was challenged by recent neural evidence of facilitation induced by overlapping initial phonemes, raising the possibility that phonemes also contribute to the phonological encoding process in Chinese. However, there is no evidence of non-initial phoneme involvement in Chinese phonological encoding among representative Chinese speakers, rendering the functional role of phonemes in spoken Chinese controversial. Here, we addressed this issue by systematically investigating the word-initial and non-initial phoneme repetition effect on the electrophysiological signal using a picture-naming priming task in which native Chinese speakers produced disyllabic word pairs. We found that overlapping phonemes in both the initial and non-initial position evoked more positive ERPs in the 180- to 300-ms interval, indicating position-invariant repetition facilitation effect during phonological encoding. Our findings thus revealed the fundamental role of phonemes as independent phonological encoding units in Mandarin Chinese.

Pesticide exposure has been linked to increased risk of cancer at several sites, but its association with risk of myelodysplastic syndromes (MDS) is still unclear. A meta-analysis of studies published through April, 2014 was performed to investigate the association of pesticide exposure with the risk of MDS.Studies were identified by searching the Web of Science, Cochrane Library and PubMed databases. Summary odds ratios (ORs) with corresponding 95% confidence intervals (CIs) were calculated using random- or fixed-effect models.This meta-analysis included 11 case-control studies, all of which demonstrated a correlation between pesticide exposure and a statistically significant increased risk of MDS (OR=1.95, 95% CI 1.23-3.09). In subgroup analyses, patients with pesticide exposure had increased risk of developing MDS if they were living in the Europe or Asia and had refractory anemia (RA) or RA with ringed sideroblasts (RARS). Moreover, in the analysis by specific pesticides, increased risk was associated with exposure to insecticides (OR=1.71, 95% CI 1.22-2.40) but not exposure to herbicides or fungicides.This meta-analysis supports the hypothesis that exposure to pesticides increases the risk of developing MDS. Further prospective cohort studies are warranted to verify the association and guide clinical practice in MDS prevention.

BACKGROUNDIn recent years, epidemiologic studies have reported controversial results relating cigarette smoking to myelodysplastic syndromes (MDS) risk. A meta-analysis was performed to assess such potential relationship between cigarette smoking and incidence of MDS.METHODSA search of literature published before October 2012 for observational studies evaluating the association between cigarette smoking and MDS, returned 123 articles and of these, 14 were selected for this study. The outcomes from these studies were calculated and reported as odds ratios (OR). Quality assessments were performed with the Newcastle-Ottawa Scale. Heterogeneity was evaluated by the I(2) index and source of heterogeneity was detected by sensitivity analyses. Finally, publication bias was assessed through visual inspection of funnel plots and Egger's test.RESULTSThe pooled OR of developing MDS in ever-smokers was 1.45 (95% CI, 1.25 to 1.68) versus non-smokers. Current and former smokers had increased risks of MDS, with ORs of 1.81 (95% CI, 1.24 to 2.66) and 1.67 (95% CI, 1.42 to 1.96), respectively. In subset analyses, ever-smokers had increased risks of developing MDS if they were living in the United States, or in Europe, female in gender, had refractory anemia (RA)/RA with ringed sideroblasts (RARS) or RA with excess blasts (RAEB)/RAEB in transformation (RAEBt), respectively. Our results demonstrated that the association was stronger in individuals who smoked ≥20 cigarettes/day (OR, 1.62; 95% CI, 1.03 to 2.55) versus those who smoked CONCLUSIONOur outcomes show that smoking increases the risk of developing MDS in ever-smokers who are current or former smokers. We also demonstrate here that positive association between cigarette smoking and risk of MDS exists, and occurs in a dose-dependent manner.

Flexible conductive foam-based pressure sensors, as a crucial component of wearable electronics, have garnered extensive attention in the fields of soft robotics and human-machine interaction due to their light weight, simple fabrication process and low cost. The majority of published studies, however, have focused on their foundational mechanical sensing properties including high sensitivity, wide detection range, etc., while ignoring the instability caused by low interfacial bonding strength between conductive fillers and foam skeleton, as well as the external environment in practical applications. Herein, through surface modification and interfacial microstructure design, a piezoresistive foam-type pressure sensor with high sensitivity and high stability is developed. The synergistic effect of the combination of surface modification and interfacial microstructure endows the sensor with great sensitivity (14.16 kPa-1 for the pressure range of 0-5 kPa), a low limit of detection (~6.3 x 10-6 kPa), and exceptional durability (over 13 000 compression/recovery cycles). Furthermore, a wireless pressure acquisition system based on a 5 x 5 piezoresistive foam-type sensor array is developed, which can accurately recognize the spatial pressure distribution of the placed objects. This work presents a straightforward approach for realizing the trade-off between sensitivity and stability of conductive foam-based sensors, paving the way for their practical applications in wearable electronics, bionic robots, and other fields. [ABSTRACT FROM AUTHOR]