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Ectopic accumulation of fat can cause a variety of metabolic diseases, and the emerging non-alcoholic fatty pancreas disease (NAFPD) is increasingly being recognized by clinicians as a cause for concern. NAFPD is a disease caused by abnormal accumulation of adipose tissue in the pancreas, which is related to obesity. The main feature of NAFPD is death of acinar cells, which are then replaced by adipose cells. However, the underlying molecular mechanisms have not been fully explored. Obesity, aging, and metabolic syndrome are independent risk factors for the occurrence and development of NAFPD. Studies have shown that NAFPD leads to insulin resistance and pancreatic dysfunction, increases the risk of diabetes mellitus, worsens the severity of pancreatitis, and is significantly correlated with pancreatic cancer and postoperative pancreatic fistula. There is no standard treatment for NAFPD; exercise, a balanced diet, and lifestyle can help reduce pancreatic fat; however, other treatment modalities such as drugs and bariatric surgery are still being explored. The specific pathological mechanism of NAFPD remains unclear, and its potential association with various clinical diseases requires further study. This review summarizes the etiology, diagnosis, clinical consequences, and potential therapeutic strategies of NAFPD.

Abstract Extremely large magnetoresistance (XMR) is highly applicable in spintronic devices such as magnetic sensors, magnetic memory, and hard drives. Typically, XMR is found in Weyl semimetals characterized by perfect electron–hole symmetry or exceptionally high electric conductivity and mobility. Our study explores this phenomenon in a recently developed graphene moiré system, which demonstrates XMR owing to its topological structure and high-quality crystal formation. We investigate the electronic properties of three-dimensional intertwined twisted graphene spirals (TGS), manipulating the screw dislocation axis to achieve a rotation angle of 7.3°. Notably, at 14 T and 2 K, the magnetoresistance of these structures reaches 1.7 × 107%, accompanied by a metal–insulator transition as the temperature increases. This transition becomes noticeable when the magnetic field exceeds a minimal threshold of approximately 0.1 T. These observations suggest the possible existence of complex, correlated states within the partially filled three-dimensional Landau levels of the 3D TGS system. Our findings open up possibilities for achieving XMR by engineering the topological structure of 2D layered moiré systems.

Introduction Micropapillary serous borderline ovarian tumours (MP-SBOTs) are an aggressive subtype of serous borderline ovarian tumours (SBOTs). Surgery is the mainstay of treatment. Radical surgery (RS, including debulking) is an alternative. However, for patients who are of reproductive age, another treatment option is fertility-sparing surgery (FSS). Up to now, the best surgical approach for MP-SBOTs and whether different procedures will have an impact on postoperative recurrence are still up for debate. This protocol outlines a systematic review and meta-analysis to investigate whether FSS adversely affected outcomes compared with RS in patients with MP-SBOTs. Additionally, we will do a prognosis analysis of BOTs with no microcapillary pattern and MP-SOBTs, if possible.Methods and analysis This protocol will consider non-randomised studies comparing outcomes in patients with MP-SBOTs treated with RS or FSS. The following databases will be searched: Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, MEDLINE, Embase Medline, PubMed, Web of Science, China Biological Medicine Database, China National Knowledge Infrastructure and Wan Fang database. We will try our best to search the grey literature to avoid missing crucial research. Data collection and extraction will be performed according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. Risk of Bias in Non-randomised Studies of intervention will be used to assess non-randomized studies. We will assess the certainty of the evidence using the GRADEpro methodology and describe the degree of certainty of our results using suggested wording based on the GRADEpro assessment. We will conduct a meta-analysis and offer summary statistics for each result if there is enough data available. Instead, we will report the findings narratively where the data do not permit a statistical assessment.Ethics and dissemination Ethics approval was not required for this study. Results will be published through a peer-reviewed publication and communicated at scientific events once complete.PROSPERO registration number CRD42023439136.

In recent years, the role of naval ship power has become increasingly prominent in regional conflicts and military operations worldwide, and the powerful capabilities demonstrated by naval forces have also been valued by countries around the world. While naval forces are frequently deployed to carry out various tasks, the intensity of equipment wear and tear on ships is also significantly increasing, posing a huge challenge to the maintenance and support capabilities of ship equipment. In the actual process of ship equipment maintenance, a series of risk factors such as cost, schedule, and quality will have a significant impact on the entire ship maintenance project, and even affect the success or failure of the entire project. This article first decomposes the project process of ship maintenance projects, further analyzes the various risk factors of ship maintenance projects based on the project decomposition situation, and then distinguishes the overall project, project process, and project risk factors to establish an intelligent agent group model for simulation analysis. Through the above simulation analysis, we will conduct in-depth research on the specific impact of project risks on ship maintenance projects, and analyze and verify the positive role and practical significance of project risk management in project risk control and project efficiency improvement. In the process of the above research content, methods and measures for risk management of ship maintenance projects are proposed, providing scientific and efficient risk management suggestions for such projects, improving the scientific management efficiency of ship maintenance projects, and contributing to the improvement of the quality and efficiency of project management.

Abstract For lithium‐sulfur batteries (Li‐S batteries), a high‐content electrolyte typically can exacerbate the shuttle effect, while a lean electrolyte may lead to decreased Li‐ion conductivity and reduced catalytic conversion efficiency, so achieving an appropriate electrolyte‐to‐sulfur ratio (E/S ratio) is essential for improving the battery cycling efficiency. A quasi‐solid electrolyte (COF‐SH@PVDF‐HFP) with strong adsorption and high catalytic conversion was constructed for in situ covalent organic framework (COF) growth on highly polarized polyvinylidene fluoride‐hexafluoropropylene (PVDF‐HFP) fibers. COF‐SH@PVDF‐HFP enables efficient Li‐ion conductivity with low‐content liquid electrolyte and effectively suppresses the shuttle effect. The results based on in situ Fourier‐transform infrared, in situ Raman, UV–Vis, X‐ray photoelectron, and density functional theory calculations confirmed the high catalytic conversion of COF‐SH layer containing sulfhydryl and imine groups for the lithium polysulfides. Lithium plating/stripping tests based on Li/COF‐SH@PVDF‐HFP/Li show excellent lithium compatibility (5 mAh cm−2 for 1400 h). The assembled Li‐S battery exhibits excellent rate (2 C 688.7 mAh g−1) and cycle performance (at 2 C of 568.8 mAh g−1 with a capacity retention of 77.3% after 800 cycles). This is the first report to improve the cycling stability of quasi‐solid‐state Li‐S batteries by reducing both the E/S ratio and the designing strategy of sulfhydryl‐functionalized COF for quasi‐solid electrolytes. This process opens up the possibility of the high performance of solid‐state Li‐S batteries.

A novel recrystallization and partial melting process combined radial forging was proposed to prepare long axial 2A50 aluminum alloy semi-solid billets. Microstructure characteristics of the forged and isothermal treated samples were investigated. Results demonstrate that initial elongated grains (fibrous structure) and low angle grain boundaries were substituted by spherical equiaxed grains and high angle grain boundaries when the sample was heated at 585 °C for 10 min. Deformed textures of the forged 2A50 aluminum alloy were remarkably weaken after isothermal treatment. The average grain size and shape factor increased with the increased temperature and holding time. Long holding time resulted in some dendrites. The liquid films at the grain boundaries thickened with the increase in temperature and holding time. Grains growth and spheroidization were determined by coarsening and Ostwald ripening mechanisms. The coarsening rate constant k of grains at 575 °C was 378.5 μm3/s.

This paper introduces a nested sinusoidal re-entrant (NSR) metamaterial characterized by tunable complete bandgaps (CBGs) and dynamic responsiveness in thermal-mechanical dual fields. NSR comprises shape memory polymer and features a sinusoidal modification with nested re-entrant hexagonal and star-shape re-entrant structure. Dynamic response of NSR is studied using the representative volume element method, specifically focusing on the effective modulus and Poisson's ratio and CBGs under varying average strains. The findings indicate that both the mechanical properties and CBGs exhibit dynamic responses to mechanical field, demonstrating interrelation between mechanical adjustments and functional performance. Moreover, the study examines how temperature fluctuations influence the NSR's elastic modulus, thereby altering its CBGs. Hence, manipulating both compression and temperature variations presents a viable approach to control and adjust the CBGs of NSR effectively. These results are validated by computations of the frequency response function under various average strains. Overall, this design presents a promising approach for developing mechanical metamaterials with tunable functionality.

This study investigates the direct and indirect influences of behavioral quality, social support, perceived system, emotional perception, and public expectation on user favorability regarding government chatbots in both government service and policy consultation contexts. The findings reveal that while behavioral quality, social support, and perceived system directly affect user favorability in both scenarios, public expectation uniquely impacts user favorability in policy consultation settings, but not in government service scenarios. Furthermore, the analysis indicates that social support, emotional perception, and public expectation all indirectly influence user favorability through their mediating effect on behavioral quality in both contexts. Notably, the significant distinction between the two scenarios is the presence of an indirect impact of perceived system on user favorability within policy consultation scenarios, which is absent in government service scenarios. This study sheds light on the intricate interplay of factors shaping user favorability with government chatbots, and provides valuable insights for improving user experiences and user favorability in different governmental service contexts.

In order to solve the problems of low absorption efficiency and small frequency range of traditional terahertz (THz) detectors, a broadband terahertz metasurface pyroelectric detector was proposed by combining a dual metasurface absorption array structure with the LiTaO3 pyroelectric detector. The optimization method of MATLAB and CST co-simulation was used to optimize the metasurface structure on demand. ANSYS was used to simulate and analyze the pyroelectric detector, and the influence of characteristic parameters such as sensitive layer and adiabatic layer on the temperature change rate and response current of terahertz pyroelectric detector was obtained. The results show that the use of metasurface array structure improves the detection performance of the whole THz band, and the average pyroelectric current output of the stool-type pyroelectric detector under given conditions is 31.52 pA. The use of metasurface as an absorption structure can make the pyroelectric detector have continuous and efficient wave absorption characteristics, which provides some reference for the design of broadband terahertz detectors.

Aqueous zinc-ion batteries (AZIBs) have recently attracted worldwide attention due to the natural abundance of Zn, low cost, high safety, and environmental benignity. Up to the present, several kinds of cathode materials have been employed for aqueous zinc-ion batteries, including manganese-based, vanadium-based, organic electrode materials, Prussian Blues, and their analogues, etc. Among all the cathode materials, manganese (Mn)-based oxide cathode materials possess the advantages of low cost, high theoretical specific capacity, and abundance of reserves, making them the most promising cathode materials for commercialization. However, several critical issues, including intrinsically poor conductivity, sluggish diffusion kinetics of Zn2+, Jahn–Teller effect, and Mn dissolution, hinder their practical applications. This Review provides an overview of the development history, research status, and scientific challenges of manganese-based oxide cathode materials for aqueous zinc-ion batteries. In addition, the failure mechanisms of manganese-based oxide materials are also discussed. To address the issues facing manganese-based oxide cathode materials, various strategies, including pre-intercalation, defect engineering, interface modification, morphology regulation, electrolyte optimization, composite construction, and activation of dissolution/deposition mechanism, are summarized. Finally, based on the analysis above, we provide future guidelines for designing Mn-based oxide cathode materials for aqueous zinc-ion batteries.

Objectives This analysis aims to better reflect the value of new antibiotic treatment strategies, thereby informing clinical antibiotic use, antimicrobial reimbursement and/or hospital formulary decision-making in China.Design We adapted a published and validated dynamic disease transmission and cost-effectiveness model to evaluate the clinical and economic outcomes of introducing a new antibiotic, ceftazidime/avibactam (CAZ-AVI) for treating resistant infections in Zhejiang province, China. Outcomes were assessed over a 10-year infectious period and an annual discount rate of 5%. Costs were extracted from the hospital’s Health Information System (HIS) and obtained after data cleaning, aggregation and discounting.Setting The Chinese healthcare system perspective.Participants 10 905 patients in a Chinese tier-3 hospital from 2018 to 2021 with any of the three common infections (complicated intra-abdominal infection (cIAI), hospital-acquired/ventilator-associated pneumonia (HAP/VAP) and infections with limited treatment options (LTO)) caused by three common resistant pathogens (Escherichia coli, Klebsiella spp. and Pseudomonas aeruginosa).Interventions (1) Current treatment strategy (piperacillin-tazobactam (pip/taz) and meropenem); (2) CAZ-AVI at the third line; (3) CAZ-AVI at the second line; (4) CAZ-AVI at the first line; (5) CAZ/AVI first line, two lines diversified (i.e., equal pip/taz and CAZ-AVI at the first line; meropenem at the last line) and (6) CAZ/AVI first line, all-lines diversified.Primary outcome measures Quality-adjusted life years (QALYs) lost, hospitalisation costs and incremental net monetary benefit (INMB) were used to assess cost-effectiveness.Results Over 10 years, the introduction of CAZ-AVI to the current treatment strategy led to lower hospitalisation costs and more QALYs across all five treatment strategies, with between 68 284 and 78 571 QALYs gained whilst saving up to US$236.37 for each additional QALY gained. The INMB of introducing CAZ-AVI is estimated up to US$3 550 811 878.Conclusions Introducing CAZ-AVI had a positive impact on clinical and economic outcomes for treating antimicrobial resistance, and diversifying the antibiotics use early in the treatment might yield the best benefits.

In this work, the topology-optimized lattices structures were designed to serve as ductile nylon reinforcements in lattice-enhanced cementitious composites. The mechanical behavior of the prepared composites was examined via a flexural test where the strength and mid-span deflection were especially concerned. The digital image correlation (DIC) approach was employed to monitor and evaluate the failure pattern and strain distribution. Further investigation was conducted on the mechanical effects of two major optimization factors in the lattice design process, namely cell size and optimization volume fracture. Finally, the improved ductile performance of the suggested composites was compared to that of prior works. The results indicated that the proposed topology-optimized lattices significantly promote the mechanical performance of the prepared composites, i.e., strength and ductility. It may present a higher ductility enhancement efficiency than homogenous lattices under an identical volume. The cell size of lattices is inversely related to the enhancing effects, and more extensive optimization volume fracture enhances composite strength and ductility. Compared with previous works, this study gained advancement in terms of printing materials, unit topology, and cement types. The topology-optimized lattice generally provides a novel solution to the ductility enhancement effect, providing both superior performance and greater design flexibility.

Abstract Background Computed tomography (CT) plays a great role in characterizing and quantifying changes in lung structure and function of chronic obstructive pulmonary disease (COPD). This study aimed to explore the performance of CT-based whole lung radiomic in discriminating COPD patients and non-COPD patients. Methods This retrospective study was performed on 2785 patients who underwent pulmonary function examination in 5 hospitals and were divided into non-COPD group and COPD group. The radiomic features of the whole lung volume were extracted. Least absolute shrinkage and selection operator (LASSO) logistic regression was applied for feature selection and radiomic signature construction. A radiomic nomogram was established by combining the radiomic score and clinical factors. Receiver operating characteristic (ROC) curve analysis and decision curve analysis (DCA) were used to evaluate the predictive performance of the radiomic nomogram in the training, internal validation, and independent external validation cohorts. Results Eighteen radiomic features were collected from the whole lung volume to construct a radiomic model. The area under the curve (AUC) of the radiomic model in the training, internal, and independent external validation cohorts were 0.888 [95% confidence interval (CI) 0.869–0.906], 0.874 (95%CI 0.844–0.904) and 0.846 (95%CI 0.822–0.870), respectively. All were higher than the clinical model (AUC were 0.732, 0.714, and 0.777, respectively, P

Abstract. γδ T cells are a kind of innate immune T cell. They have not attracted sufficient attention because they account for only a small proportion of all immune cells, and many basic factors related to these cells remain unclear. However, in recent years, with the rapid development of tumor immunotherapy, γδ T cells have attracted increasing attention because of their ability to exert cytotoxic effects on most tumor cells without major histocompatibility complex (MHC) restriction. An increasing number of basic studies have focused on the development, antigen recognition, activation, and antitumor immune response of γδ T cells. Additionally, γδ T cell-based immunotherapeutic strategies are being developed, and the number of clinical trials investigating such strategies is increasing. This review mainly summarizes the progress of basic research and the clinical application of γδ T cells in tumor immunotherapy to provide a theoretical basis for further the development of γδ T cell-based strategies in the future.

Abstract There lacks real‐world study with a large sample size assessing olmesartan medoxomil‐amlodipine besylate (OM‐AML) tablet. Therefore, this study aimed to evaluate the efficacy and safety of OM‐AML tablet in patients with essential hypertension. Totally, 1341 patients from 36 medical centers with essential hypertension who took OM‐AML (20/5 mg) tablet were analyzed in the current prospective, single‐arm, multi‐center, real‐world study (SVK study). Seated systolic blood pressure (SeSBP) and seated diastolic blood pressure (SeDBP) at baseline, week (W)4 and W8 were measured. The mean (±SE) change of SeSBP/SeDBP was ‐10.8 ± 0.4/‐6.6 ± 0.3 mmHg at W4 and ‐12.7 ± 0.5/‐7.6 ± 0.3 mmHg at W8, respectively. At W4, 78.8% and 29.0% patients achieved BP target by China and American Heart Association (AHA) criteria; at W8, 84.7% and 36.5% patients reached blood pressure (BP) target by China and AHA criteria, accordingly. Meanwhile, 80.2% and 86.4% patients achieved BP response at W4 and W8, respectively. Home‐measured SeSBP and SeDBP decreased from W1 to W8 (both p

AbstractMost chemotherapeutic agents are nonspecific distribution and cause systemic toxicities. Polysaccharide-based conjugates are promising strategies to overcome these drawbacks. To this end, two synergistic drugs docetaxel (DTX) and docosahexaenoic acid (DHA) were independently covalently bonded through individual linkers to dextran (100 kDa) to produce a novel dual-drug conjugate dextran–DHA–DTX. The single-drug conjugates dextran–DHA and dextran–DTX were also prepared for comparison. Fluorescent dye Cy7.5-based conjugates dextran–Cy7.5 and dextran–DHA–Cy7.5 were synthesized for cellular uptake study. The dual-drug conjugate dextran–DHA–DTX self-assembled into nanoparticles with the diameter of 102.3 ± 8.3 nm and demonstrated enhanced water solubility and improved pharmacokinetic profiles. Cellular uptake results showed that the dual-drug conjugate entered cells more than the parent DTX by determining the intracellular DTX contents via HPLC/MS analysis and by determining the fluorescent intensity of dextran-Cy7.5 and dextran–DHA–Cy7.5. Importantly, the dual-drug conjugate dextran–DHA–DTX significantly accumulated in tumor tissues and dramatically reduced the DTX concentrations in normal tissues. The dual-drug conjugate completely eradicated all the MCF-7 xenograft tumors without obvious side effects and showed more superior antitumor activity than parent DTX and single-drug conjugate dextran–DTX and dextran–DHA. Both in vitro and in vivo studies showed that DHA enhanced the antitumor activity of dextran–DTX. The polysaccharide dextran-based dual-drug conjugates may represent an effective way to improve the chemotherapeutic agents.

Abstract Background In recent years, neoadjuvant immunotherapy (NAIT) has developed rapidly in patients with gastroesophageal junction cancer (GEJC). The suggested neoadjuvant treatment regimens for patients with GEJC may vary in light of the efficacy and safety results. Methods A search of the Cochrane Library, PubMed, Embase, and Web of Science was completed to locate studies examining the safety and effectiveness of NAIT for resectable GEJC. We analyzed the effect sizes (ES) and 95% confidence intervals (CI) in addition to subgroups and heterogeneity. Meta‐analyses were performed using Stata BE17 software. Results For these meta‐analyses, 753 patients were chosen from 21 studies. The effectiveness of NAIT was assessed using the pathological complete response (pCR), major pathological response (MPR), and nodal downstage to ypN0 rate. The MPR, pCR, and nodal downstage to ypN0 rate values in NAIT were noticeably higher (MPR: ES = 0.45; 95% CI: 0.36–0.54; pCR: ES = 0.26; 95% CI: 0.21–0.32; nodal downstage to ypN0 rate: ES = 0.60; 95% CI: 0.48–0.72) than those of neoadjuvant chemotherapy (nCT) or neoadjuvant chemoradiotherapy (nCRT) (MPR

In this work, the electron irradiation effects and post-irradiation annealing (PIA) response on SiC MOSFETs were investigated and analyzed in terms of the evolution of oxide- and interface-trap charges after irradiation and PIA. It is found that the electron irradiation leads to the significant decrease of Ron, degraded blocking characteristics, and negative shift of capacitance characteristics, which can be ascribed to the promoted generation of positively charged oxide and interface traps by irradiation. Interestingly, these degraded electrical properties can be partly or completely recovered by room-temperature (RT) anneal, which is associated with the difference in the sensitivity to the oxide/interface charge variations in the channel, JFET, and termination region. Surprisingly, the positive charge in the oxide presents an incomplete recovery, which is suggested to result from the tunneling electrons from SiC and thus the subsequent electron capture by positively charged oxygen vacancy in the oxide. Whereas, the irradiation-induced interface-trap charges are fully eliminated even after RT anneal for 15 days. Deep-Level Transient Spectroscopy (DLTS) characterizations shows that the interface defects with the energy band from EC − 0.14 eV to EC − 0.7 eV are enhanced by irradiation and exhibits similar dependence on the filling pulse as the near-interface traps. However, the irradiation-induced interface state density (Dit) distributions show a recovery behavior after RT storage, which is suggested to be resulted from the change in the charge states of interface defects from the electron trapping.

Abstract Silicon carbide (SiC) PiN diode has shown substantial promise as the freewheel diode for switch protection in a pulsed system. In this paper, we investigate the carrier lifetime (τ) modulation on pulsed current capability of SiC PiN diodes. The carrier lifetime in 4H–SiC is modulated by the generation of the Z 1/2 center through neutron irradiation. Surprisingly, we found that the pulsed current of SiC PiN diodes shows a limited improvement when the carrier lifetime (τ) increases from 0.22 to 1.3 μs, while is significantly promoted as the carrier lifetime increases from 0.03 to 0.22 μs. This changing trend is obviously different from the on-state resistance, which decreases with the increased carrier lifetime. The simulation result indicates that the heat generation (i.e., maximum temperature rise) inside the PiN diodes, especially in the drift layer, is remarkably aggravated in the pulse tests for τ

Artificial intelligence (AI) is developing rapidly and has found widespread applications in medicine, especially radiotherapy. This paper provides a brief overview of AI applications in radiotherapy, and highlights the research directions of AI that can potentially make significant impacts and relevant ongoing research works in these directions. Challenging issues related to the clinical applications of AI, such as robustness and interpretability of AI models, are also discussed. The future research directions of AI in the field of medical physics and radiotherapy are highlighted.

PURPOSETo assess the quantification accuracy of pulmonary nodules using virtual monoenergetic images (VMIs) derived from spectral-detector computed tomography (CT) under an ultra-low-dose scan protocol.METHODSA chest phantom consisting of 12 pulmonary nodules was scanned using spectral-detector CT at 100 kVp/10 mAs, 100 kVp/20 mAs, 120 kVp/10 mAs, and 120 kVp/30 mAs. Each scanning protocol was repeated three times. Each CT scan was reconstructed utilizing filtered back projection, hybrid iterative reconstruction, iterative model reconstruction (IMR), and VMIs of 40–100 keV. The signal-to-noise ratio and air noise of images, absolute differences, and absolute percentage measurement errors (APEs) of the diameter, density, and volume of the four scan protocols and ten reconstruction images were compared.RESULTSWith each fixed reconstruction image, the four scanning protocols exhibited no significant differences in APEs for diameter and density (all P > 0.05). Of the four scan protocols and ten reconstruction images, APEs for nodule volume had no significant differences (all P > 0.05). At 100 kVp/10 mAs, APEs for density using IMR were the lowest (APE-mean: 6.69), but no significant difference was detected between VMIs at 50 keV (APE-mean: 11.69) and IMR (P = 0.666). In the subgroup analysis, at 100 kVp/10 mAs, there were no significant differences between VMIs at 50 keV and IMR in diameter and density (all P > 0.05). The radiation dose at 100 kVp/10 mAs was reduced by 77.8% compared with that at 120 kVp/30 mAs.CONCLUSIONCompared with IMR, reconstruction at 100 kVp/10 mAs and 50 keV provides a more accurate quantification of pulmonary nodules, and the radiation dose is reduced by 77.8% compared with that at 120 kVp/30 mAs, demonstrating great potential for ultra-low-dose spectral-detector CT.

The original unstructured record data for the defect of the relay protection devices (RPDs) may contain problems influencing the data mining, and it is lack of quantitative evaluation. So the purpose of this paper is to evaluate the quality of these defective texts of relay protection devices, and it proposes a text quality evaluation method for the unstructured defect record of RPDs based on the ontology and knowledge graph for the defects text of relay protection devices, combined with the analytic hierarchy process (AHP) and entropy weighting method. In details, first, the problems existing in the unstructured defect records of RPDs are presented. Secondly, the corresponding evaluation indicators are proposed, and the quantitative calculation method for each indicator is given in combination with the knowledge graph for the defects of relay protection devices. Thirdly, combined with the subjective AHP and the objective entropy weight method, a comprehensive evaluation method for the unstructured defect record for RPDs is proposed, and its effectiveness is verified with examples. Finally, with the 10-year actual defects record data, the data quality of the unstructured defect record for the RPDs in a regional power grid is comprehensively evaluated, and characteristic of the data quality with respected to text length, defect level, and dispatch region are revealed.

The rapid growth of electronic devices, electric vehicles, and mobile energy storage has produced large quantities of spent batteries, leading to significant environmental issues and a shortage of lithium resources. Recycling spent batteries has become urgent to protect the environment. The key to treating spent lithium-ion batteries is to implement green and efficient regeneration. This study proposes a recycling method for the direct regeneration of spent lithium iron phosphate (LFP) batteries using hydrothermal reduction. Ascorbic acid (AA) was used as a low-cost and environmentally friendly reductant to reduce Fe3+ in spent LiFePO4. We also investigated the role of AA in the hydrothermal process and its effects on the electrochemical properties of the regenerated LiFePO4 cathode material (AA-SR-LFP). The results showed that the hydrothermal reduction direct regeneration method successfully produced AA-SR-LFP with good crystallinity and electrochemical properties. AA-SR-LFP exhibited excellent electrochemical properties, with an initial discharge specific capacity of 144.4 mAh g−1 at 1 C and a capacity retention rate of 98.6% after 100 cycles. In summary, the hydrothermal reduction direct regeneration method effectively repairs the defects in the chemical composition and crystal structure of spent LiFePO4. It can be regarded as a green and effective regeneration approach for spent LiFePO4 cathode materials.

Distributed state estimation is one of the critical technologies in the field of target tracking, where the process noise and measurement noise may have a heavy-tailed distribution. Traditionally, heavy-tailed distributions like the student-t distribution are employed, but our observation reveals that Gaussian noise predominates in many instances, with occasional outliers. This sporadic reliance on heavy-tailed distributions can degrade performances or necessitate frequent parameter adjustments. To overcome this, we introduce a novel distributed consensus multi-distribution state estimation method that combines Gaussian and student-t filters. Our approach establishes a system model using both Gaussian and student-t distributions. We derive a multi-distribution filter for a single sensor, assigning probabilities to Gaussian and student-t noise models. Parallel estimation under both distributions, utilizing Gaussian and student-t filters, allows us to calculate the likelihood of each distribution. The fusion of these results yields a mixed-state estimation and corresponding error matrix. Recognizing the increasing degrees of freedom in the student-t distribution over time, we provide an effective approximation. An information consensus strategy for multi-distribution filters is introduced, achieving global estimation through consensus on fused local filter results via interaction with neighboring nodes. This methodology is extended to the distributed case, and the recursive process of the distributed multi-distribution consensus state estimation method is presented. Simulation results demonstrate that the estimation accuracy of the proposed algorithm improved by at least 20% compared to that of the traditional algorithm in scenarios involving both Gaussian and heavy-tailed distributions.

Since its introduction, discontinuous deformation analysis (DDA) has been widely used in different areas of rock mechanics. By dividing large blocks into subblocks and introducing artificial joints, DDA can be applied to rock fracture simulation. However, parameter calibration, a fundamental issue in discontinuum methods, has not received enough attention in DDA. In this study, the parameter calibration of DDA for intact rock is carefully studied. To this end, a subblock DDA with Voronoi tessellation is presented first. Then, a modified contact constitutive law is introduced, in which the tensile and shear meso-strengths are modified to be independent of the bond lengths. This improvement can prevent the unjustified preferential failure of short edges. A method for imposing confining pressure is also introduced. Thereafter, sensitivity analysis is performed to investigate the influence of the calculated parameters and meso-parameters on the mechanical properties of modeled rock. Based on the sensitivity analysis, a unified calibration procedure is suggested for both cases with and without confining pressure. Finally, the calibration procedure is applied to two examples, including a biaxial compression test. The results show that the proposed Voronoi-based DDA can simulate rock fracture with and without confining pressure very well after careful parameter calibration.

Background and objective:. The incidence of pancreatic neuroendocrine neoplasms (pNENs) has been increasing year by year, and pancreatic steatosis has been paid more and more attention to by clinicians. Our study aims to reveal the correlation between pancreatic steatosis, clinicopathological parameters, and the prognosis of patients with pNENs. Methods:. The clinicopathological data of patients with pNENs who underwent surgical resections in our institution from January 2013 to May 2022 were retrospectively analyzed. The mean computed tomography (CT) values of the pancreas and spleen were used to assess the severity of the pancreatic steatosis. Pearson Chi-square test, T test, Mann Whitney U test, Univariate Cox regression, and Multivariate Cox regression were used to explore the relationship between pancreatic steatosis and age, sex, body mass index, tumor type, tumor location, tumor stage, blood lipid, prognosis, and other factors. Results:. A total of 122 patients were included in our study, and 19.67% have pancreatic steatosis. The incidence of pancreatic steatosis was significantly higher in patients with fatty liver than in patients without fatty liver (36.8% vs 16.5%, P = .04). In insulinoma, the incidence of pancreatic steatosis in elderly patients was significantly higher than in young and middle-aged patients (41.7% vs 9.3%, P = .025). There was no significant difference in lipid levels between the pancreatic steatosis group and the non-pancreatic steatosis group (P > .05). Kaplan-Meier curves show that the prognosis of stage III/IV patients was significantly worse than that of stage I/II patients (P < .001). However, there was no significant difference in prognosis between patients with and without pancreatic steatosis (P = .404). Conclusion:. The incidence of pancreatic steatosis was significantly higher in those with fatty liver than those without fatty liver. There is a high incidence of pancreatic steatosis in elderly patients with insulinoma. American Joint Committee on Cancer (AJCC) stage, but not pancreatic steatosis, significantly affected the prognosis of patients with pNENs.

Among the directional angle calculation models of Bluetooth 5.1, the rectangular hollow array offers the advantage of shorter sampling time due to its fewer elements compared to traditional planar arrays. However, the antimultipath algorithms suitable for traditional planar arrays cannot be applied to rectangular hollow arrays. Therefore, this study proposes a virtual array filling algorithm, wherein four virtual matrices are inserted into the hollow matrix to transform the array into a uniform rectangular array. This algorithm ensures translation invariance of the rectangular array, enabling the application of the antimultipath coherent source algorithm to a rectangular hollow array. An algorithm for reconstructing Toeplitz matrices in two-dimensional uniform planar arrays is also proposed. Through the analysis of the spatial spectrum and angle estimation results of various algorithms, the effectiveness of the signal angle of arrival estimation theory is verified.

In recent years, in the classic battles and armed conflicts around the world, battlefield environment reconnaissance and the collection and processing of operational information play an increasingly critical role in the victory and defeat of the battlefield. Unmanned equipment, especially UAV equipment, is used by more and more countries in the field of combat reconnaissance. Meanwhile, the types of UAV are gradually diversified with the change of operational requirements. UAVs adapted to different combat environments shine brightly on the battlefield. In terms of naval battle field, due to the limitations and deficiencies of reconnaissance methods such as surface radar, UAVs play a more prominent role in combat reconnaissance. There are more scenarios for UAVs to be used in combat reconnaissance in naval battle field and higher requirements for UAVs’ combat effectiveness. Therefore, this paper takes UAVs’ naval battle reconnaissance missions as the research object. By using PSO as the research method, this paper studies the combat reconnaissance task configuration of UAVs, hoping to contribute to the improvement of UAVs’ combat reconnaissance capability and combat effectiveness.

The research object is diorite in the Lingbei TBM section of the Hanjiang-To-Weihe River Qinling tunnel, with a buried depth of over 1 km. Using MTS-2000 microcomputer-controlled electro-hydraulic servo universal testing machine and DS5-16b acoustic emission (AE) monitoring system, uniaxial compression and acoustic emission monitoring tests were carried out on rock samples, to study the uniaxial compression mechanical properties and acoustic emission characteristics of the deep diorite. The results of the study indicate that: (1) During uniaxial compression, diorite undergoes four stages: initial compaction, elasticity, yield and failure, in which the curve of the initial compaction stage is significantly smoother. The uniaxial compressive strength is 41.95 MPã102.42 MPa, with an average of 74.07 Mpa; The axial peak strain ranges from 1 % to 1.4 %, and the failure mode belongs to brittle ductile splitting failure. (2) The cumulative ringing count and energy showed a very slow increase trend during the calm period; After entering a surge period (with the appearance of Kaiser points), both show a significant transition state; During the slow increase period, the overall growth rate of the two slowed down and remained almost silent. (3) On the basis of the analysis of RA-AF values during the deformation and rupture process of diorite, it can be seen that the damage type of diorite is tensile damage by the significant low RA value and high AF value characteristics, which coincides with the actual damage fracture characteristics of the rocks in the sample. (4) During the compaction stage, there are few acoustic emission location points, which correspond to low energy and are mainly distributed at the higher and lower ends of the sample; After entering the elasticity stage, the number of positioning points significantly increases and gradually expands towards the middle; Near Kaiser point, the number of location points and corresponding energy are both in a sharp increase state, and this trend is in good agreement with the changes in the ringing count-time and energy-time curves. (5) The damage time mainly starts at the end of the calm period, and the pattern of change in the damage curve coincides with the localization point and energy evolution. The results of the research can be used as a referential basis for the development of the excavation, protection and other construction plans for the Lingbei TBM section of the Hanjiang-To-Weihe River Qinling tunnel or similar surrounding rock tunnels, as well as for further conducting triaxial unloading tests on diorite.

While auxetic metamaterials exhibit impressive mechanical traits, they frequently grapple with inherent conflict between their stiffness and auxeticity. In this study, we introduced an optimized lozenge-chiral auxetic metamaterial (oLCAM) with the dual objectives of balancing the auxeticity and stiffness and achieving tunable properties concurrently. The mechanical performance of the proposed oLCAM was first compared with that of conventional lozenge auxetic metamaterial (cLAM) through both experimental and numerical studies. Herein, the transition stiffness (Etrans) was initially proposed as the typical metric evaluating the overall structural stiffness. Subsequently, the study proceeded to investigate the impact of crucial design parameters, specifically the angle of inclination and the radius of the circular core. The design method of oLCAM with tunable auxeticity and stiffness was finally established based on a multi-objective optimization model, achieving the balance between the auxeticity and stiffness of oLCAM. The results revealed the proposed oLCAM obtained a more stable deformation mode than cLAM. Two geometric parameters verified their significance on the above mechanical properties of oLCAM. The resulting optimal oLCAM structure has been proven to obtain both comparatively prominent auxeticity and stiffness. The established design method may have the potential to broaden the possibilities for metamaterial design and performance tuning.

Hymenopellis is the genus that exhibits the highest number of species within the Xerula/Oudemansiella complex. Numerous species of Hymenopellis demonstrate edibility, and some of these species have been domesticated and cultivated. During an extensive survey carried out in Henan and Jilin Provinces, China, a substantial quantity of Hymenopellis specimens was gathered as a component of the macrofungal resource inventory. Based on the findings of morphological and molecular phylogenetic studies, a new species, Hymenopellis biyangensis, has been identified. A new record species, Hymenopellis altissima, has been discovered in China. Additionally, two new record species, Hymenopellis raphanipes and Xerula strigosa, have been found in Henan Province. Internal transcribed spacer (ITS) and large subunit ribosomal (nrLSU) were used to establish a phylogeny for species identification. Detailed descriptions, field habitat maps and line drawings of these species are presented. The discussion focuses on the relationships between newly discovered species and other related taxa. Additionally, this study provides and a key to the documented species of Hymenopellis and Xerula found in China.

Cabazitaxel (CTX) is a medication used for treating metastatic prostate cancer. However, its effectiveness is majorly limited by its poor water solubility and lack of tumor targeting. In this study, three unsaturated fatty acids, GLA, ALA and DHA, were separately connected with CTX and then covalently attached to bifunctionalized dextran through a linker to produce three dual drug conjugates named dextran-GLA-CTX, dextran-ALA-CTX and dextran-DHA-CTX. The three conjugates displayed enhanced solubility of CTX in water and improved antitumor effects compared to the conventional CTX formulation. The results also confirmed that dextran-GLA-CTX exhibited the strongest antitumor activity, while dextran-DHA-CTX displayed less efficacy, as evaluated through xenografted nude mice bearing PC-3 and DU145 prostate cancer cells. Additionally, dextran-GLA-CTX showed greater inhibition of tumor growth than dextran-CTX. Moreover, the dextran-GLA-CTX conjugate was found to prolong the half-life of CTX in plasma and selectively accumulate in tumors. This study revealed that unsaturated fatty acids can enhance the antitumor activity of dextran-based conjugates grafted with CTX.

Chronic pelvic pain syndrome (CPPS) is a common complication of prostatitis, which was associated with the pathological depolarization of macrophage and the neuroinflammation. However, its underlying reason is far from clear and few effective treatments is applicable. In this study, we tested the effect of obacunone (Oba), a highly oxygenated triterpenoid, on CPPS. The experimental autoimmune prostatitis (EAP) was induced by subcutaneous injection of heterologous prostate homogenate in mice. We found that EAP led to prostatodynia, neuronal activation of spinal dorsal horn, and the pro-inflammatory depolarization of macrophage within prostate, which was significantly alleviated by oral administration of Oba in a dose-dependent manner. Mechanistically, EAP-induced production of IL-6 on prostatic macrophage was suppressed by Oba. Moreover, co-administration of Oba and MIF inhibitor ISO-1 did not lead to additive effect when compared with either alone. In summary, we conclude that Oba prevents the production of macrophage-derived pro-inflammatory factors by inhibiting MIF, which eventually alleviates CPPS after prostatitis.

AbstractObjective The aim of this study was to compare and rank different targeted therapies or immunotherapies for advanced hepatocellular carcinoma based on efficacy.Methods A systematic search of the PubMed, EMBASE, and Cochrane Library databases was conducted. All systematic treatment regimens that reported comparisons with sorafenib were included in this analysis. The primary outcome measures were overall survival (OS) and progression-free survival (PFS), and other outcome measures included the objective response rate (ORR) and safety analysis according to reported treatment-related adverse events.Results A total of 29 RCTs involving 13376 patients were included in the analysis, including 10 single-agent therapies and 17 combination therapies. Compared with sorafenib, sintilimab plus IBI305 (HR: 0.57, 95% CI: 0.43-0.75), camrelizumab plus rivoceranib (HR: 0.62, 95% CI: 0.49-0.78), and atezolizumab plus bevacizumab (HR: 0.66, 95% CI: 0.52-0.83) ranked in the top three in terms of OS.Conclusions PD-1/PD-L1 inhibitors combined with anti-vascular endothelial growth factor (anti-VEGF)-targeting drugs have shown better therapeutic effects in the systematic treatment of patients with advanced hepatocellular carcinoma, and the combination of targeted and immune therapy modes should be further developed.

An innovative rheo-extrusion process for aluminium alloy miniature gears is proposed in this work to overcome the disadvantages of inefficiency and high cost in the existing forming methods. Numerical simulation and experiment were conducted on the rheo-extrusion process of 2A50 aluminium alloy miniature gear. Simulation results reveal that the metal fills into the cavity of the gear die along the axial and radial directions at different flowing velocities, mostly varying from 0 mm/s to 6 mm/s depending on the position of the metal in the gear die. The temperature of the billet rises with increasing extruded displacement, and the side of the gear near the punch has a high temperature of 593 °C at the end of extrusion. The equivalent stress of the parts in the billet near the top and bottom lands of the gear die is higher than others, with a maximum value of approximately 290 MPa at the top lands of the gear die when the extrusion is finished. The rheo-extrusion experiment shows that the miniature gear is fully filled, and its microstructure consists of fine grains with an average size of 19–31 μm. The micro-Vickers hardness distribution of the miniature gear is related to the grain size. The hardness of the parts near the dies are higher than others, with value of 81–85 HV, and the grains in these regions are finer than the other positions.

Abstract Earthquakes are destructive natural hazards with damage capacity dictated by rupture speeds. Traditional dynamic rupture models predict that earthquake ruptures gradually accelerate to the Rayleigh wave speed with some of them further jumping to stable supershear speeds above the Eshelby speed (~ $$\sqrt{2}$$ 2 times S wave speed). However, the 2018 M w 7.5 Palu earthquake, among several others, significantly challenges such a viewpoint. Here we generate spontaneous shear ruptures on laboratory faults to confirm that ruptures can indeed attain steady subRayleigh or supershear propagation speeds immediately following nucleation. A self-similar analysis of dynamic rupture confirms our observation, leading to a simple model where the rupture speed is uniquely dependent on a driving load. Our results reproduce and explain a number of enigmatic field observations on earthquake speeds, including the existence of stable subEshelby supershear ruptures, early onset of supershear ruptures, and the correlation between the rupture speed and the driving load.

Hook defects are common in FSW butt–lap joints, resulting in a significant safety hazard for the parts that suffer cyclic load. In this study, a numerical simulation based on the Euler–Lagrange coupling method was conducted to investigate the formation process of hook defect during FSW of AA6005-T6 aluminum alloy. The simulation results were validated with experimental data, showing good agreement. The formation of the hook defect is caused by the threads on the probe promoting material flow in the thickness direction. In order to further study the effect of probe morphology on hook defects, three kinds of probe models with different morphology were established and numerically simulated by the CEL method. The simulation results show that all three kinds of probes can reduce the size of the hook. The welds obtained using the left–left probe (LLP) and the three-plane probe (TPP) both exhibit void defects, while the welds obtained by a right–left probe (RLP) have no internal void defects. The experimental results show the same characteristics as the simulation results, and the size of the hook defect is reduced to 58 μm.

Aiming at the problem of deterioration of the properties of beta titanium alloy welded joints due to many porosity defects and coarse grains, multi-vibrator ultrasonic-assisted laser welding (M—ULW) technology was used to improve the structure and properties of beta titanium alloy welded joints. The microstructure evolution, tensile strength, elongation, and fracture behavior of the weld joint were studied through scanning electron microscopy, electron back-scatter diffraction, and a universal testing machine. The results show that ultrasonic vibration has no effect on the phase composition of titanium alloy welds during ultrasonic-assisted laser welding. However, it caused all grains in the weld to be transformed into equiaxed grains, and the higher the amplitude, the finer and more uniformly distributed were the equiaxed grains. When the ultrasonic amplitude reached 20 μm, the fine equiaxed crystals were uniformly distributed throughout the weld, and the average grain size of the weld was 56.15 um, which is only one-third of that of the unultrasonicated laser welded joint. Ultrasonic refinement makes the joint grain size decrease, weakens the beta titanium alloy {200} direction weaving, increases the dislocation density within the weld; and increases the tensile strength of the welded joint. The tensile strength of the welded joints exceeded that of the base material by 907 MPa, and the elongation was significantly increased by a factor of 1.8 compared with that of the un-ultrasonicated laser welded joints, resulting in a shift of the fracture location from the center of the weld to the heat-affected zone.

Lithium titanate exhibits effective suppression of lithium metal plating and lithium dendrite formation, attributed to its high lithium ion diffusion coefficient and a relatively high discharge plateau of 1.55 V (vs. Li+/Li). It is considered a zero-strain material, displaying minimal lattice size changes during lithium intercalation and deintercalation processes. The focus of this study was to obtain titanium dioxide through the calcination of selected MXene (Ti2C), and then mix it with lithium carbonate in a specific lithium-titanium ratio to generate lithium titanate. Spinel lithium titanate synthesized via solid-state method retained the sheet-like structure and excellent conductivity characteristics of MXene. Because its sheet structure provides a larger specific surface area for the electrode and enhances ion migration, it shows excellent electrochemical performance. The reaction mechanism was studied by in-situ Raman and variable speed CV. It was found that the reaction mechanism was pseudocapacitance plus lithium ion deintercalation. The obtained structure exhibited excellent electrochemical performance, making it suitable for applications in lithium-ion batteries.

LiNi0.5Mn1.5O4 has been thoroughly investigated as one of the most promising high-voltage positive materials for Li-ion batteries, owing to its low cost, high energy density and good stability. Nonetheless, the limited reversible capacity and poor cycle efficiency limit its use to the high-end digital domain. Herein, the SmF3 cathode electrolyte interphase modified strategy has been first explored for LiNi0.5Mn1.5O4, which demonstrated outstanding electrochemical performance. The surface regulated sample demonstrates a preferred initial discharge-specific capacity of 137.85 mAh g−1 at a 1 C rate and sustains a discharge capacity of 110.21 mAh g−1 after 200 cycles. More importantly, SmF3 can successfully reduce the occurrence of adverse reactions while producing a thin and homogenous CEI layer. The basic understanding of cathode electrolyte interphase alteration on surface morphology, crystal structure, and chemical components of the modified samples are revealed through means of various testing methods. The surface modification with SmF3 can effectively mitigate the formation of generated by-products and enhance the transport of Li+. This technique of modifying the cathode electrolyte interphase with SmF3 serves as a starting point for further research into the performance degradation process and opens up a new avenue for improving the electrochemical performance of the spinel positive materials.

Many two-place physical problems can be explicitly presented as related events model named Alice–Bob systems. In this paper, an integrable Alice–Bob Boussinesq system is introduced via the Boussinesq equation with parameters, which may meet the symmetry transformation of Psˆx (parity with a shift) and Tdˆt (time reversal with a delay). After constructing an Bäcklund transformation, the system has rich symmetry solutions with the aid of auxiliary functions. The structures of obtained soliton solutions, such as the breathers, lumps and their hybrids, are all satisfied the Pˆsx or Tˆdt symmetry. To illustrate the symmetric characteristic, some lower-order solutions and the related dynamic structures are explicitly presented. The residual symmetry and its finite transformation for this system are also verified.

The purpose of this study was to evaluate the short-term outcomes after simultaneous gastrectomy plus cholecystectomy in gastric cancer patients. PUBMED, EMBASE, and the Cochrane Library were searched from inception to Apr 15, 2021. Short-term surgical outcomes were compared between the simultaneous gastrectomy plus cholecystectomy group and the gastrectomy only group. Five retrospective studies with 3,315 patients and 1 randomized controlled trial with 130 patients were included. There was no significant difference in age, sex, surgical methods, or reconstruction. In terms of short-term outcomes, no significance was found in postoperative complications (odds ratio, OR = 1.08, I 2 = 24%, 95% CI = 0.78–1.50, P = 0.65), postoperative biliary complications (OR = 0.98, I 2 = 0%, 95% CI = 0.43–2.25, P = 0.96), mortality (OR = 1.28, I 2 = 0%, 95% CI = 0.49–3.37, P = 0.61), and postoperative hospital stay (MD = −0.10, I 2 = 0%, 95% CI = −0.73–0.54, P = 0.77) between the two groups. Simultaneous gastrectomy plus cholecystectomy in gastric cancer patients is safe and does not increase the short-term outcomes.

Abstract Background Esophageal cancer (EC) often occurs in the elderly, and approximately 40% of patients are 70 years or older. To investigate the long‐term survival of EC in elderly patients, to provide a theoretical direction for better management and predicting survival of EC based on the hospital‐based multi‐center study in China. Methods The study was conducted in 18 hospitals including 6 provincial hospitals, 8 municipal hospitals, and 4 county hospitals. We extracted information from medical record homepage, records of admission and discharge, and pathological diagnosis reports from the medical record department of the elderly patients at 70–84 years old to obtain the 3‐year and 5‐year overall survival (OS), and main associated factors, and to analyze the current therapeutic effect of different treatment options for elderly patients. Results The 3‐year and 5‐year OS rate of the 1013 elderly patients was 44.8% and 32.8%, respectively. Their median survival was 28.00 months. The median survival of patients with squamous cell carcinoma was longer than that of other pathological type (squamous vs. other types: 31.00 vs. 20.00 months, p = 0.018). The median survival of patients with surgery only or combined therapy was longer than that of radiotherapy, chemotherapy, and no therapy (surgery only vs. combined therapy vs. radiotherapy vs. chemotherapy vs. no therapy: 56.00 vs. 33.00 vs. 26.00 vs.18.00 vs. 16.00 months, p

We present our own Interdigitated Back Contact (IBC) technology, which was developed at ISC Konstanz and implemented in mass production with and at SPIC Solar in Xining, China, with production efficiencies of over 24%. To our knowledge, this is the highest efficiency achieved in the mass production of crystalline silicon solar cells without the use of charge-carrier-selective contacts. With an adapted screen-printing sequence, it is possible to achieve open-circuit voltages of over 700 mV. Advanced module technology has been developed for the IBC interconnection, which is ultimately simpler than for conventional double-sided contacted solar cells. In the next step, we will realize low-cost charge-carrier-selective contacts for both polarities in a simple sequence using processes developed and patented at ISC Konstanz. With the industrialisation of this process, it will be possible to achieve efficiencies well above 25% at low cost. We will show that with the replacement of silver screen-printed contacts by copper or aluminium metallisation, future IBC technology will be the end product for the PV market, as it is the best performing c-Si technology, leading to the lowest cost of electricity, even in utility-scale applications.

Abstract Nonreciprocal charge transport phenomena are widely studied in two-dimensional superconductors, which demonstrate unidirectional-anisotropy magnetoresistances as a result of symmetry breaking. Here, we report a strong nonreciprocal transport phenomenon in superconducting CsV3Sb5 thin flakes. The second harmonic voltages, mainly originating from the rectification effect of vortex motion, are unambiguously developed with in-plane and out-of-plane magnetic fields, and their magnitudes are comparable to those in noncentrosymmetric superconductors. The second harmonic magnetoresistances split into several peaks and some of them reverse their signs by ramping the magnetic field or the current within the superconducting transition. The nonreciprocity suggests a strong asymmetry in CsV3Sb5. The centrosymmetric structure and symmetric electronic phases in CsV3Sb5 can hardly induce the distinct nonreciprocal transport phenomenon, which could be correlated to a symmetry breaking from an unconventional superconducting order parameter symmetry.

Abstract Background The recommendation of PCI for limited-stage small cell lung cancer (LS-SCLC) is primarily based on evidence from the pre-magnetic resonance imaging (MRI) era. However, as MRI accuracy improves and stereotactic radiosurgery advances, the role of PCI for LS-SCLC has become uncertain. This study aims to compare the contemporary survival outcomes of patients with LS-SCLC treated with PCI versus active surveillance. Methods We conducted a retrospective cohort study in which 1068 patients with LS-SCLC who achieved a good response to first-line chemoradiotherapy were consecutively enrolled from 5 tertiary medical centres between June 2009 and June 2019. Of these patients, 440 received PCI, while 628 received surveillance without PCI. Propensity score matching with a 1:1 ratio was performed to balance the baseline characteristics of the two cohorts. The endpoints were overall survival (OS) and the incidence of brain metastasis (BM). Results In total, 648 patients were matched. The baseline characteristics were generally well balanced. At a median follow-up of 64.5 months (range 2–190), patients who underwent PCI had a significantly lower risk for BM than those who underwent surveillance. The 3-year cumulative incidence rate of BM was 28.2% (95% CI 22.5–33.8%) in the PCI cohort and 38.5% (32.6–44.5%) in the surveillance cohort (Gray’s p = 0.002). However, the lower incidence of BM in the PCI cohort did not translate into a significant extension of OS. The median OS was 35.8 months (95% CI 27.6–44.0 months) in the PCI cohort versus 32 months (26.4–37.6 months) in the surveillance cohort (HR 0.90, 95% CI 0.74–1.10, p = 0.29). Multivariable analysis showed that disease stage, chemoradiotherapy sequence, and response to chemoradiotherapy were independent prognostic factors for BM or OS. Conclusions Overall, PCI reduces the risk for BM but does not substantially prolong OS compared with active surveillance. A phase 3, prospective clinical trial (NCT04829708) we initiated is currently underway, which is expected to corroborate our results.

Based on the complexity of material damage and fracture behavior, the tensile deformation process of AZ31B magnesium alloy is characterized by infrared thermography (IR) and acoustic emission (AE) these two non-destructive technologies, and using in-situ EBSD technology to explore microstructure evolution under different tensile strains simultaneously. The results show that in the process of tensile deformation, the degree of strain hardening increases continuously with the deformation, and the deformation mechanism of the material changes from basal slip to pyramidal slip and {10–12} tensile twinning. The tensile deformation stage presents different signal characteristics. Using fracture mechanics and the energy release law of materials, combined with temperature and AE signal fluctuations, the transformation of the deformation mechanism, the degree of work hardening, and the dangerous zone during the entire tensile process can be effectively captured.

ObjectiveTo develop and validate the model for predicting benign and malignant ground-glass nodules (GGNs) based on the whole-lung baseline CT features deriving from deep learning and radiomics.MethodsThis retrospective study included 385 GGNs from 3 hospitals, confirmed by pathology. We used 239 GGNs from Hospital 1 as the training and internal validation set; 115 and 31 GGNs from Hospital 2 and Hospital 3 as the external test sets 1 and 2, respectively. An additional 32 stable GGNs from Hospital 3 with more than five years of follow-up were used as the external test set 3. We evaluated clinical and morphological features of GGNs at baseline chest CT and extracted the whole-lung radiomics features simultaneously. Besides, baseline whole-lung CT image features are further assisted and extracted using the convolutional neural network. We used the back-propagation neural network to construct five prediction models based on different collocations of the features used for training. The area under the receiver operator characteristic curve (AUC) was used to compare the prediction performance among the five models. The Delong test was used to compare the differences in AUC between models pairwise.ResultsThe model integrated clinical-morphological features, whole-lung radiomic features, and whole-lung image features (CMRI) performed best among the five models, and achieved the highest AUC in the internal validation set, external test set 1, and external test set 2, which were 0.886 (95% CI: 0.841-0.921), 0.830 (95%CI: 0.749-0.893) and 0.879 (95%CI: 0.712-0.968), respectively. In the above three sets, the differences in AUC between the CMRI model and other models were significant (all P < 0.05). Moreover, the accuracy of the CMRI model in the external test set 3 was 96.88%.ConclusionThe baseline whole-lung CT features were feasible to predict the benign and malignant of GGNs, which is helpful for more refined management of GGNs.

The (2+1)-dimensional B-type Kadomtsev–Petviashvili equation is an integrable model, which can be used to describe the shallow water wave in a fluid. In this paper, the nonlocal Alice–Bob B-type Kadomtsev–Petviashvili system is induced via the principle of PˆsxPˆsyTˆd symmetry. An extended Bäcklund transformation introduced, the symmetry breaking solution, which contains the soliton, breather, lump and their hybrid structures for this system, is solved through the Hirota bilinear form.

Background and aimsGastrointestinal microbial metabolomics is closely related to the state of the organism and has significant interaction with the pathogenesis of many diseases. Based on the publications in Web of Science Core Collection(WoSCC) from 2004 to 2022, this study conducted a bibliometric analysis of this field, aiming to understand its development trend and frontier, and provide basic information and potential points for in-depth exploration of this field.MethodsAll articles on gastrointestinal flora and metabolism published from 2004 to 2022 were collected and identified in WoCSS. CiteSpace v.6.1 and VOSviewer v.1.6.15.0 were used to calculate bibliometric indicators, including number of publications and citations, study categories, countries/institutions, authors/co-cited authors, journals/co-cited journals, co-cited references, and keywords. A map was drawn to visualize the data based on the analysis results for a more intuitive view.ResultsThere were 3811 articles in WoSCC that met our criteria. Analysis results show that the number of publications and citations in this field are increasing year by year. China is the country with the highest number of publications and USA owns the highest total link strength and citations. Chinese Acad Sci rank first for the number of institutional publications and total link strength. Journal of Proteome Research has the most publications. Nicholson, Jeremy K. is one of the most important scholars in this field. The most cited reference is “Gut flora metabolism of phosphatidylcholine promotes cardiovascular disease”. Burst detection indicates that Urine, spectroscopy, metabonomic and gut microflora are long-standing hot topics in this field, while autism spectrum disorder and omics are likely to be at the forefront of research. The study of related metabolic small molecules and the application of gastrointestinal microbiome metabolomics in various diseases are currently emerging research directions and frontier in this field.ConclusionThis study is the first to make a bibliometric analysis of the studies related to gastrointestinal microbial metabolomics and reveal the development trends and current research hotspots in this field. This can contribute to the development of the field by providing relevant scholars with valuable and effective information about the current state of the field.