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Abstract Background Cyclophosphamide (CTX) is the first-line medication for the treatment of breast cancer, although it potentially leads to severe ovarian dysfunction and even premature ovarian failure (POF). However, the mechanism of CTX-induced POF remains unclear. Mesenchymal stem cell-based therapy has been wildly used for treating numerous diseases. Therefore, our study aims to elucidate the underlying mechanism of CTX-induced POF and to explore the therapeutic effect of human urine stem cells (hUSCs) in POF. Methods CTX-induced POF or ovarian granulosa cell (GCs) apoptosis were treated with hUSCs and their exosomes in vitro and in vivo. Morphological, histological, and functional alternations were examined using multiple approaches. The effector molecules of hUSC-derived exosomes (hUSC-Exo) were determined by differential expression analysis in the ovaries. The target genes of miRNA were accessed by transcriptome sequencing in GCs, and the underlying mechanisms were further elucidated. Results hUSCs remarkably inhibited CTX-induced apoptosis and promoted the proliferation of GCs, respectively. In addition, we observed that miR-27b-3p was highly expressed in hUSC-Exo and markedly suppressed CTX-induced GC apoptosis by specifically inhibiting the expression of SLC1A4, a serine transporter, in ovarian GCs, which, in turn, elevated the concentration of the intracellular serine by inhibiting the outflux of cellular serine. More importantly, the knockdown of SLC1A4 or simple supplementation of serine suppressed CTX-induced apoptosis of GCs. Finally, we demonstrated that CTX-induced apoptosis of ovarian GCs was essential for POF by reducing the intracellular serine concentration via elevating the expression of SLC1A4, whereas hUSCs protected against CTX-induced POF via miR-27b-3p/SLC1A4/serine axis-mediated activation of the PI3K/AKT/mTOR signaling pathway. Conclusions Our study suggests that hUSC-based cell therapy or simple supplementation of serine may provide an efficient therapeutic approach for the prevention and treatment of CTX-induced POF clinically. Graphical abstract

Background and Aim: Machine learning based on clinical data and treatment protocols for better clinical decision-making is a current research hotspot. This study aimed to build a machine learning model on washed microbiota transplantation (WMT) for ulcerative colitis (UC), providing patients and clinicians with a new evaluation system to optimize clinical decision-making.MethodsPatients with UC who underwent WMT via mid-gut or colonic delivery route at an affiliated hospital of Nanjing Medical University from April 2013 to June 2022 were recruited. Model ensembles based on the clinical indicators were constructed by machine-learning to predict the clinical response of WMT after one month.ResultsA total of 366 patients were enrolled in this study, with 210 patients allocated for training and internal validation, and 156 patients for external validation. The low level of indirect bilirubin, activated antithrombin III, defecation frequency and cholinesterase and the elderly and high level of creatine kinase, HCO3- and thrombin time were related to the clinical response of WMT at one month. Besides, the voting ensembles exhibited an area under curve (AUC) of 0.769 ± 0.019 [accuracy, 0.754; F1-score, 0.845] in the internal validation; the AUC of the external validation was 0.614 ± 0.017 [accuracy, 0.801; F1-score, 0.887]. Additionally, the model was available at https://wmtpredict.streamlit.app.ConclusionsThis study pioneered the development of a machine learning model to predict the one-month clinical response of WMT on UC. The findings demonstrate the potential value of machine learning applications in the field of WMT, opening new avenues for personalized treatment strategies in gastrointestinal disorders.Trial registrationclinical trials, NCT01790061. Registered 09 February 2013 - Retrospectively registered, https://clinicaltrials.gov/study/NCT01790061

Iron (hydro)oxides are commonly used to enhance anaerobic digestion due to their cost-effectiveness and versatility. However, the influence of crystalline structure on digestion performance is often overlooked despite their unique characteristics. In this study, we investigated how different crystalline forms of FeOOH affect substrate utilization, sludge activity, and the microbiomes in up-flow anaerobic sludge blanket (UASB) reactors. The crystalline structure of FeOOH impacted reactor performance, with γ-FeOOH, β-FeOOH, and α-FeOOH showing decreasing effectiveness, as reflected in chemical oxygen demand (COD) removal efficiencies of 99.0 %, 98.3 % and 97.1 %, respectively. FeOOH crystals influenced the secretion of extracellular polymeric substances (EPS) and sludge activity by releasing Fe ions at varying rates, leading to Fe accumulation in EPS in the order of β-FeOOH > γ-FeOOH > α-FeOOH. Additionally, γ-FeOOH supported the most stable microbial community structure, as indicated by the highest Alpha diversity index. This stability was associated with increased levels of Mesotoga and Syntrophus, along with the highest coenzyme F420 activity, which was approximately twice as high as in other groups. These findings underscore the crucial role of the crystalline structure of iron oxides in enhancing anaerobic digestion, emphasizing that biocompatibility should be a priority when optimizing digestion performance.

By transforming time series into images, a robust and transferable tactical intent recognition framework was proposed, which integrated curve filtering technology and the EfficientNetV2 image recognition network. Curve filtering technology effectively reduced redundancy in numerous time-domain features, model parameters, and training time, an enhanced Gramian angular field (GAF) method was proposed to encode time series into images, enhancing the feature extraction capabilities of convolutional neural networks. The EfficientNetV2 network was adept at processing intent images and could serve as a pre-trained model, facilitating transfer learning across different systems. Experimental results demonstrate that the proposed framework achieves over 0.99% higher accuracy compared to machine learning and deep learning methods, exhibiting superior performance, scalability, robustness, and transferability.

Abstract The existence of striations, and scratches in Abrasive waterjet (AWJ) cutting surface necessitates an exploration of these features for enhancing the cutting accuracy of AWJ machining. This article investigates surface roughness and micro-scratch morphology characteristics on brass cutting surfaces. According to the variation law of surface roughness values, the cutting section can be divided into three regions: the initial region, smooth region, and rough region. Numerous micron-scale scratches were observed in the cutting section. The scratch length, width, and depth values all show an increasing trend as the cutting depth increases, with the scratch length experiencing the greatest growth and variability. The influence of position and traverse speed on scratch size was studied using variance analysis. Furthermore, the length and width of the scratches on the cutting surface are significantly influenced by their position, accounting for 89.19% and 81.13%, respectively. Traverse speed had a minor effect on scratch length and width, accounting for 0.01% and 2.64% respectively. The depth of the scratches is influenced by their position on the cutting surface at a rate of 41.12%, while traverse speed had an impact of 38.10%. Finally, a mathematical method based on standard scores was proposed to assess the quality of the cutting section based on micro-scratch dimension.

ABSTRACTRapidly estimating post-disaster building damage via high-resolution remote sensing (HRRS) imagery is essential for initial disaster relief. However, the complex appearance of building damage poses challenges for existing methods. Specifically, relying solely on post-disaster images lacks building boundary guidance, while change detection methods using dual-temporal imageries are prone to introducing false changes. To address these issues, this paper presents a novel weakly supervised approach that leverages pre- and post-disaster HRRS images for building damage detection. The contributions of this paper are twofold. Firstly, a unique framework is proposed to utilize dual-temporal images. Precisely, the proposed method initially extracts fine-grained sub-building-level individuals from pre-disaster images by combining a fully convolutional neural network (FCN)-based method with superpixel segmentation. Then, these details serve as cues to effectively guide the detection of damaged building areas on post-disaster images, thereby enhancing accuracy. Secondly, we propose a weakly supervised method that solely relies on labeling building damage based on image patches but can ultimately yield pixel-level building damage results. Experiments conducted using HRRS images captured during the 2010 Haiti earthquake demonstrate that the proposed method outperforms existing methodologies. This effort of this paper will contribute to the sustainable development of cities and human settlements.

Wurtzite aluminum nitride (w-AlN) piezoelectric film plays a key role in modern MEMS actuators and sensors. Density functional theory can be used to predict the elastic and piezoelectric properties of AlN containing various charged vacancies, thereby obtaining methods for improving the piezoelectric properties. The theoretical investigations suggested that the Young’s modulus of defectants are smaller than that of intrinsic AlN, indicating that charged vacancies can effectively improve the elastic properties of AlN. A high piezoelectric coefficient d33 values were obtained in [Formula: see text] [Formula: see text] and [Formula: see text] that may be a cause of the non-symmetrical charges assignation. This work suggests that the elasticity and piezoelectricity of AlN films can be effectively enhancing using the introduction of charged vacancies.

The intestine, as a crucial organ of the human body, has remained enigmatic despite the remarkable advancements in modern medical technology. Over the past decades, the invention of endoscopic technology has made the noninvasive intervention of the intestine a reality, expanding diagnostic and therapeutic options for diseases. However, due to the single-treatment feature of endoscopic procedures, continuous or repeated medication administration, sampling, and decompression drainage within the intestine have yet to be fulfilled. These limitations persisted until the invention of colonic transendoscopic enteral tubing (TET) in 2014, which realized repeated fecal microbiota transplantation, medication administration, and decompression drainage for the treatment of colon perforation and intestinal obstruction, as well as in situ dynamic sampling. These breakthroughs have not gone unnoticed, gaining global attention and recommendations from guidelines and consensuses. TET has emerged as a novel microbial research tool that offers new paradigms for human microbiome research. This review aims to update the research progress based on TET.

Mitotic anaphase onset is a key cellular process tightly regulated by multiple kinases. The involvement of mitogen-activated protein kinases (MAPKs) in this process has been established in Xenopus egg extracts. However, the detailed regulatory cascade remains elusive, and it is also unknown whether the MAPK-dependent mitotic regulation is evolutionarily conserved in the single-cell eukaryotic organisms such as fission yeast (Schizosaccharomyces pombe). Here, we show that two MAPKs in S. pombe indeed act in concert to restrain anaphase-promoting complex/cyclosome (APC/C) activity upon activation of the spindle assembly checkpoint (SAC). One MAPK, Pmk1, binds to and phosphorylates Slp1Cdc20, the co-activator of APC/C. Phosphorylation of Slp1Cdc20 by Pmk1, but not by Cdk1, promotes its subsequent ubiquitylation and degradation. Intriguingly, Pmk1-mediated phosphorylation event is also required to sustain SAC under environmental stress. Thus, our study establishes a new underlying molecular mechanism of negative regulation of APC/C by MAPK upon stress stimuli, and provides a previously unappreciated framework for regulation of anaphase entry in eukaryotic cells.

Background: Lumbar intervertebral disc and paravertebral muscle degeneration are common causes of chronic low back pain (CLBP). However, the exact etiology of CLBP in young patients remains unclear. Identifying the risk factors for CLBP in young patients could expedite the development of effective preventive recommendations. Objectives: To identify the factors influencing the presence and severity of CLBP in young patients by analyzing the associations between the fat content of the paravertebral muscles, T2 value of the lumbar intervertebral disc (LIVD), and visual analog scale (VAS) score. Design: Data for 23 patients diagnosed with CLBP were compared to those of 20 healthy young individuals. Methods: The T2 values of the LIVD and fat content of the psoas major (PM), multifidus (MF), and erector spinae (ES) muscles for 23 young patients with CLBP and 20 healthy individuals were measured and compared using synthetic magnetic resonance imaging and proton density fat fraction analyses. Moreover, the factors (T2 values and fat content) associated with severe CLBP (assessed using the VAS score) were analyzed. Results: The fat content of the right MF and ES was higher in patients with CLBP than in healthy individuals ( p 0.05). Moreover, the VAS scores did not correlate with the T2 values of the patients ( p > 0.05). The fat content of the bilateral MF and ES muscles was positively associated with the VAS score in young patients with CLBP (left MF: r = 0.506, p = 0.01; right MF: r = 0.532, p = 0.01; left ES: r = 0.636, p

Abstract Stem/progenitor cells differentiate into different cell lineages during organ development and morphogenesis. Signaling pathway networks and mechanotransduction are important factors to guide the lineage commitment of stem/progenitor cells during craniofacial tissue morphogenesis. Here, we used tooth root development as a model to explore the roles of FGF signaling and mechanotransduction as well as their interaction in regulating the progenitor cell fate decision. We show that Fgfr1 is expressed in the mesenchymal progenitor cells and their progeny during tooth root development. Loss of Fgfr1 in Gli1 + progenitors leads to hyperproliferation and differentiation, which causes narrowed periodontal ligament (PDL) space with abnormal cementum/bone formation leading to ankylosis. We further show that aberrant activation of WNT signaling and mechanosensitive channel Piezo2 occurs after loss of FGF signaling in Gli1-Cre ER ;Fgfr1 fl/fl mice. Overexpression of Piezo2 leads to increased osteoblastic differentiation and decreased Piezo2 leads to downregulation of WNT signaling. Mechanistically, an FGF/PIEZO2/WNT signaling cascade plays a crucial role in modulating the fate of progenitors during root morphogenesis. Downregulation of WNT signaling rescues tooth ankylosis in Fgfr1 mutant mice. Collectively, our findings uncover the mechanism by which FGF signaling regulates the fate decisions of stem/progenitor cells, and the interactions among signaling pathways and mechanotransduction during tooth root development, providing insights for future tooth root regeneration.

Background: Magnetic resonance enterography (MRE) has become a routine intestinal imaging examination for Crohn’s disease (CD). Sufficient bowel preparation is fundamental for MRE. Objectives: To compare the efficacy and compliance of bowel preparation between through a mid-gut tube and oral administration for MRE in CD. Design: This was an open-label, prospective, multicenter, randomized controlled trial. Methods: Eligible patients were randomized at a 1:1 ratio into an oral group (bowel preparation by oral administration) and a tubing group (bowel preparation through a mid-gut tube). Bowel preparation for MRE included bowel cleaning and bowel distention. The primary outcomes were the degree of discomfort and grade of bowel distention. The secondary outcomes were diagnostic accuracy rate through MRE, mental stress, and bowel preparation method preference. Results: A total of 95 CD patients were included in the final analysis. Subjects in the tubing group complained of less vomiting during bowel preparation than those in the oral group ( p

Abstract Background Patients with hematological malignancies received multiple hypodermic injections of recombinant human granulocyte colony-stimulating factor. Procedural pain is one of the most common iatrogenic causes of pain in patients with hematological malignancies. It is also identified as the most commonly occurring problem in clinical care in the Department of Hematology and Oncology at Shenzhen University General Hospital. However, providing immediate relief from pain induced by hypodermic injection of recombinant human granulocyte colony-stimulating factor remains a major challenge. This trial aims to evaluate the safety and analgesic efficacy of a fixed nitrous oxide/oxygen mixture for patients with hematological malignancies and experiencing procedural pain caused by hypodermic injection of recombinant human granulocyte colony-stimulating factor in the department. Methods The nitrous oxide/oxygen study is a single-center, randomized, double-blind, placebo-controlled trial involving patients with hematological malignancies who require hypodermic injections of recombinant human granulocyte colony-stimulating factor for treatment. This trial was conducted in the Hematology and Oncology Department of Shenzhen University General Hospital. A total of 54 eligible patients were randomly allocated to either the fixed nitrous oxide/oxygen mixture group (n = 36) or the oxygen group (n = 18). Neither the investigators nor the patients known about the randomization list and the nature of the gas mixture in each cylinder. Outcomes were monitored at the baseline (T0), immediately after hypodermic injection of recombinant human granulocyte colony-stimulating factor (T1), and 5 min after hypodermic injection of recombinant human granulocyte colony-stimulating factor (T2) for each group. The primary outcome measure was the score in the numerical rating scale corresponding to the highest level of pain experienced during hypodermic injection of recombinant human granulocyte colony-stimulating factor. Secondary outcomes included the fear of pain, anxiety score, four physiological parameters, adverse effects, total time of gas administration, satisfaction from both patients and nurses, and the acceptance of the patients. Discussion This study focused on the safety and analgesic efficacy during hypodermic injection of recombinant human granulocyte colony-stimulating factor procedure. Data on the feasibility and safety of nitrous oxide/oxygen therapy was provided if proven beneficial to patients with hematological malignancies during hypodermic injection of recombinant human granulocyte colony-stimulating factor and widely administered to patients with procedural pain in the department. Trial registration Chinese Clinical Trial Register, ChiCTR2200061507. Registered on June 27, 2022. http://www.chictr.org.cn/edit.aspx?pid=170573&htm=4

Abstract The global‐scale empirical analysis of how renewable energy policies (REPs) affect carbon emissions and the mediating role of renewable energy development (RED) in this mechanism remains underexplored. To fill this research gap, we extracted and organized REPs data from IEA's databases for 135 countries until 2018 and conducted empirical analyses of these issues. We find that: (a) REPs significantly reduce global carbon emissions, especially through regulatory, economic, and R&D policies. (b) REPs' effectiveness in mitigating carbon emissions is enhanced by robust energy infrastructure, strong control of corruption, and adherence to the rule of law. Besides, the balance of REPs types does not influence their efficiency, but REPs prioritizing certain renewable energy (RE) types aligns better with carbon reduction goals. (c) RED displays a Janus‐faced influence on REPs' carbon reduction effect—renewable energy consumption (REC) positively mediates it, whereas renewable energy share (RES) exerts a negative mediation. Specifically, REC consistently reduces carbon emissions, while RES initially increases and then decreases carbon emissions, exhibiting an inverted U‐shape. (d) The initial rise in carbon emissions with RES is due to the low substitution of RE for fossil energy and the country‐specific heterogeneity in organizational, geographic, industrial, economic, demographic, and temporal factors.

Objective: Rheumatoid arthritis (RA) is an autoimmune disease. The role of Th17/Treg balance in RA pathogenesis has been increasingly emphasized. In this study, bibliometric and visualization analyses of the top 100 most cited articles on Th17/Treg balance in the field of RA were conducted. Methods: By searching the Web of Science Core Collection database, the top 100 most cited articles of related studies were included, and the authors, countries, institutions, journals, keywords and other information were extracted for analysis using VOSviewer software. Results: The top 100 most cited papers had a total of 7185 citations, with an average citation frequency of 72 (range 21–730). All of them were published between 2011 and 2022. The most influential paper, with 730 citations, was written by “Komatsu, Noriko” in 2014 and published in NATURE MEDICINE. The author with the highest output was “Cho, Mi-La” (n = 24). China was the country with the highest number of publications (n = 42). Catholic University of Korea was the institution with the highest number of publications (n = 24). ARTHRITIS AND RHEUMATISM (n = 7), ARTHRITIS & RHEUMATOLOGY (n = 7) and INTERNATIONAL IMMUNOPHARMACOLOGY (n = 7) were the journals that published the most literature. “Expression” (cytokines and transcription factors, etc) and “differentiation” (T cells, Treg cells, and Th17 cells) were the themes of the research. “Mechanisms”, “gut microbiota”, “STAT3”, “interleukin-6”, “synovial fibroblasts” were the hot spots of research in recent years. Conclusions: For the first time, the top 100 most cited articles were analyzed using bibliometric methods. We aimed to grasp the current development and research trends of RA and Th17/Treg-related studies. It is hoped that this study will provide direction and support for future research.

Unstable emotions, particularly anger, have been identified as significant contributors to traffic accidents. To address this issue, driver emotion recognition emerges as a promising solution within the realm of cyber-physical-social systems (CPSS). In this paper, we introduce SVGG, an emotion recognition model that leverages the attention mechanism. We validate our approach through comprehensive experiments on two distinct datasets, assessing the model’s performance using a range of evaluation metrics. The results suggest that the proposed model exhibits improved performance across both datasets.

Micromagnets integrated into microelectromechanical systems devices are widely used in the fields of micro-energy harvesters, micro-actuators, and speakers. A novel method for fabricating NdFeB micromagnets based on vacuum negative pressure injection is presented. The influence of array element shape, size, and injection channel on the surface magnetic field was studied by Maxwell finite element analysis. A circle array of 600 µm diameter and 150 µm spacing could generate a stronger magnetic field at the edge of the magnet array. Micron-sized magnetic powders with a diameter of 5 µm mixed with the SU8 T2010 photoresist were filled into the microcavity on a PDMS (polydimethylsiloxane) elastomer, which was prepared by the SU8 positive membrane. The PDMS elastomer was bonded to the glass substrate and degassed by a vacuum pump to form negative pressure for rapid injection and uniform filling. By selecting a suitable binder and optimizing the mixing ratio of the magnetic powder, a 165 µm thick micromagnet with homogeneous dispersion of magnetic powder particles was achieved, and the weight percentage of magnetic powder in the SU8 photoresist was 41.8%. The remanent magnetization of micromagnets was 42 emu/g, the coercivity was 6895 Oe, and the maximum surface magnetic field strength was 1.3 mT after magnetization in a 2 T uniform magnetic field. Finally, the micromagnet array was utilized in a cantilever beam micro-actuator, which could drive the cantilever beam and exhibit an excellent linearity.

Secondary aluminum ash (SAA) is a hazardous solid waste generated in the process of recycling aluminum. The preparation of glass ceramic foams from high content of SAA, used as nucleating and foaming agent, was proposed to achieve green and comprehensive utilization of SAA. With the help of thermodynamic phase diagram and viscosity calculation, a mixture of SAA and waste glass (WG) were transformed, at 1200 °C for 30 min, into glass ceramic foams with porosity of 45.49%–59.45%, respectively. The mean pore size of the samples decreased from 2.89 to 1.53 mm with the decrease of SAA addition. Through the adjustment of temperature, it was found that the mixture had a microporous region at 1100 °C. The expansion region was observed at 1180 °C and 1200 °C, because of the oxidation of AlN in SAA. The porosity of the samples could be raised to 64.51%, with 5–9% B2O3 as a supplement, which contributed to the development of the liquid phase and a decrease in the melt's viscosity. The mechanism of in-situ isothermal foaming, nucleation, and crystallization of SAA and WG was clarified. The crystal intensity dropped and the amorphous phase became the primary phase at 800 °C. Al2O3, sodium silicate and sodium aluminum silicate precipitated at 1000 °C. Al2O3 and spinel with high melting point were wrapped by silicate. Silicate turned into the melt again as the temperature continued to rise. With the further reduction of viscosity, the gas diffused in crystalline and amorphous phases, and finally forms glass ceramic foams with hierarchical pore structure.

Background Systemic chemotherapy or chemoradiation therapy has proven to be effective in treating advanced biliary tract carcinoma (BTC). However, its efficacy in the adjuvant setting remains controversial. Therefore, this study aimed to determine the prognostic significance of genomic biomarkers in resected BTC and their potential role in stratifying patients for adjuvant treatment. Methods We retrospectively reviewed 113 BTC patients who underwent curative‐intent surgery and had available tumor sequencing data. Disease‐free survival (DFS) was the primary outcome examined and univariate analysis was used to identify gene mutations with prognostic value. Favorable and unfavoratble gene subsets were distinguished from the selected genes through grouping, respectively. Multivariate Cox regression was used to identify independent prognostic factors of DFS. Results Our results indicated that mutations in ACVR1B, AR, CTNNB1, ERBB3, and LRP2 were favorable mutations, while mutations in ARID1A, CDKN2A, FGFR2, NF1, NF2, PBRM1, PIK3CA, and TGFBR1 were unfavorable mutations. In addition to age, sex, and node positive, favorable genes (HR = 0.15, 95% CI = 0.04–0.48, p = 0.001) and unfavorable genes (HR = 2.86, 95% CI = 1.51–5.29, p = 0.001) were identified as independent prognostic factors for DFS. Out of the 113 patients, only 35 received adjuvant treatment whereas the majority (78) did not. For patients with both favorable and unfavorable mutations undetected, adjuvant treatment showed negative effect on DFS (median DFS: S441 vs. 956 days, p = 0.010), but there was no significant difference in DFS among those in other mutational subgroups. Conclusions Genomic testing might be useful in guiding the decisions regarding adjuvant treatment in BTC.

Two-dimensional (2D) piezoelectric material is the core part of all kinds of micro-piezoelectric devices (piezoelectric energy harvesters, piezoelectric sensors, etc.). Based on the first principle, this paper theoretically predicts a kind of organic–inorganic lead-free hybrid perovskite monolayer (ATHP)2XY4 (X = Ge, Sn; Y = Cl, Br, I) with a large out-of-plane piezoelectric coefficient (d31). Combined with the finite element simulation, it shows excellent performance in the piezoelectric energy harvester. Through the first-principles theoretical calculation, the density, elastic tensor, piezoelectric stress tensor, and dielectric coefficient of the (ATHP)2XY4 monolayer can be obtained. The thermodynamic stability and mechanical stability of the materials are judged by ab initio molecular dynamics and stress–strain relationship analysis, respectively. The piezoelectric coefficient of the material is calculated, in which the d31 of (ATHP)2SnBr4 is the largest (d31 = 35.04 pm/V), which is still 7 times that of the bulk AlN and at least one order of magnitude larger than that of other 2D materials. The finite element simulation results of a simple piezoelectric beam show that the voltage output of the piezoelectric beam reaches 27.79 V. Our research shows that lead-free hybrid perovskite monolayer (ATHP)2XY4 has strong competitiveness in the application of environment-friendly and bio-friendly micro-piezoelectric devices. In addition, the cross-scale simulation method from the first principles to the finite element method is of great significance for the optimization of micro-piezoelectric devices.

Objectives The association between sarcopenia severity and fall history remains under-researched at present. Accordingly, this study was developed to evaluate the relationship between sarcopenic status and prior fall events in a multiethnic group of older community-dwelling adults in Western China.Design A retrospective survey study, the data comes from the West China Health and Aging Trend study.Setting The study was based in Western China.Participants In total, this retrospective analysis incorporated data from 2719 older adults (59.2% women).Primary and secondary outcome measures Grip strength, gait speed and skeletal muscle mass index values were analysed for all participants, and the Asian Working Group for Sarcopenia (AWGS) 2014 and 2019 consensus criteria were leveraged to assess sarcopenia status in these individuals. Prior fall history was defined by any incidents in which an individual unintentionally came to rest on the floor within the past year. The association between sarcopenia status and fall history was examined through a binary logistic regression approach, with p

Summary: We introduce an all-optical technique that enables volumetric imaging of brain-wide calcium activity and targeted optogenetic stimulation of specific brain regions in unrestrained larval zebrafish. The system consists of three main components: a 3D tracking module, a dual-color fluorescence imaging module, and a real-time activity manipulation module. Our approach uses a sensitive genetically encoded calcium indicator in combination with a long Stokes shift red fluorescence protein as a reference channel, allowing the extraction of Ca2+ activity from signals contaminated by motion artifacts. The method also incorporates rapid 3D image reconstruction and registration, facilitating real-time selective optogenetic stimulation of different regions of the brain. By demonstrating that selective light activation of the midbrain regions in larval zebrafish could reliably trigger biased turning behavior and changes of brain-wide neural activity, we present a valuable tool for investigating the causal relationship between distributed neural circuit dynamics and naturalistic behavior.

Eukaryotic cells are constantly exposed to various environmental stimuli. It remains largely unexplored how environmental cues bring about epigenetic fluctuations and affect heterochromatin stability. In the fission yeast Schizosaccharomyces pombe, heterochromatic silencing is quite stable at pericentromeres but unstable at the mating-type (mat) locus under chronic heat stress, although both loci are within the major constitutive heterochromatin regions. Here, we found that the compromised gene silencing at the mat locus at elevated temperature is linked to the phosphorylation status of Atf1, a member of the ATF/CREB superfamily. Constitutive activation of mitogen-activated protein kinase (MAPK) signaling disrupts epigenetic maintenance of heterochromatin at the mat locus even under normal temperature. Mechanistically, phosphorylation of Atf1 impairs its interaction with heterochromatin protein Swi6HP1, resulting in lower site-specific Swi6HP1 enrichment. Expression of non-phosphorylatable Atf1, tethering Swi6HP1 to the mat3M-flanking site or absence of the anti-silencing factor Epe1 can largely or partially rescue heat stress-induced defective heterochromatic maintenance at the mat locus.

This study proposes a fast power allocation algorithm under a low interception background for a collocated MIMO radar that simultaneously tracks multiple maneuvering targets. First, the target maneuver process is modeled as an Adaptive Current Statistical (ACS) model, and a particle filter is used to estimate the state of each target. Second, the Predicted Conditional Cramer-Rao Lower Bound (PC-CRLB) is derived, and the target comprehensive threat assessment model is constructed based on the target motion and electromagnetic characteristics. Subsequently, an optimization model with respect to transmitting power is established by developing the weighted sum of the target tracking error evaluation index and the unintercepted probability of radar as the optimization objective. Thereafter, to solve the model using the monotonically decreasing property of the objective function, a solving algorithm based on sequence relaxation is proposed. Finally, a simulation is conducted to verify the effectiveness and timeliness of the proposed algorithm. The results indicate that the proposed algorithm can effectively improve the target tracking accuracy and low interception performance of the radar system. Further, its run speed is increased by nearly 50% compared with that of the interior point method.

Abstract Objective To evaluate the clinical availability and stability of histological endometrial dating as a tool for personalized frozen-thawed embryo transfer (pFET) in patients with repeated implantation failure (RIF) in natural cycles. Methods A total of 1245 RIF patients were recruited to the present study. All of the patients received an endometrial dating evaluation on day 7 post-ovulation (PO + 7) to guide their first pFET. The second and third pFETs were executed according to histological examination (again employing biopsy) or by reference to previous results. Subsequent pregnancy outcomes for all of the cycles were ultimately tracked. Results The out-of-phase rate for RIF patients was 32.4% (404/1245) and the expected dating rate (the probability of the expected endometrial dating aligning with repeat biopsy) for endometrial dating reevaluation was as high as 94.3% (50/53). The clinical pregnancy rates of first, second, and third pFETs were 65.3%, 50.0%, and 44.4%, respectively; and the cumulative clinical pregnancy rate attained 74.9% after three transfers. Endometrial dating reevaluations met expectations with more than a 2-year duration in three cases and elicited favorable clinical outcomes. Conclusion We validated the relatively high stability of the histological endometrial dating platform—including the out-of-phase rate and the expected dating rate of reevaluation in patients with RIF—by expanding the sample size. The pFET, based on histological endometrial dating, was of acceptable clinical value and was worthy of promotion in patients with unexplained RIF.

Previous researches have primarily emphasized the deleterious impacts of NH4+ on anaerobic granular sludge due to its biotoxicity. Despite this, the role of NH4+ as a monovalent cation in leaching multivalent Ca2+, thereby hindering granule formation and undermining its stability, remains underappreciated. This study investigated the potential of NH4+ to leach Ca2+ from anaerobic granular sludges. The results indicated that a shock loading of NH4+ at a concentration of 900 mg/L caused a Ca2+ leaching of 57.1 mg/L at pH 7.0. In an acidified environment (pH 5.0), the shock loading resulted in a Ca2+ release of 127.3 mg/L, a magnitude 5.24 times greater than the control group. The leaching process modestly affected granular sludge activity and size but markedly compromised granular strength due to calcium loss. Subsequent to the NH4+ shock, the granular strength manifested a significant reduction, as evidenced by a 15-fold increase in protein release from the granules compared to the intact ones. Additionally, NH4+ shock altered the calcium partitioning within the granular sludge, resulting in a decrease in residual calcium and a concomitant increase in bound calcium, further affecting granular strength. This study underscores the overlooked significant phenomenon of NH4+ shock-leaching Ca2+ in anaerobic granular sludge, which warrants significant attention given to its rapid and deleterious effects on granular strength and the shift in calcium state.

BackgroundGLP-1 receptor agonists (GLP-1RA) are increasingly used to treat adolescent obesity. However, the effect on endogenous GLP-1 secretory patterns following treatment in adolescents is unknown. The GLP-1RA exenatide was shown to significantly lower BMI and 2-hour glucose in adolescents with obesity, in the placebo-controlled, randomized controlled trial Combat-JUDO. The aim of this study was to evaluate effects of weekly injections of 2 mg exenatide extended release on secretory patterns of endogenous hormones during OGTT.Subjects and MeasurementsThis study was a pre-planned sub-study of the Combat-JUDO trial, set at the Pediatric clinic at Uppsala University Hospital, Sweden and Paracelsus Medical University, Austria. 44 adolescents with obesity were included and randomized 1:1 to treatment:placebo. 19 patients in the treatment group and 18 in the placebo group completed the trial. Before and after treatment, GLP-1, glucose, insulin, glucagon and glicentin levels were measured during OGTT; DPP-4 and proinsulin were measured at fasting. A per-protocol approach was used in the analyses.ResultsExenatide treatment did not affect GLP-1 levels during OGTT. Treatment significantly lowered DPP-4, proinsulin and the proinsulin-to-insulin ratio at fasting, increased glicentin levels but did not affect insulin, C-peptide or glucagon levels during OGTT.ConclusionWeekly s.c. injections with 2 mg of exenatide maintains endogenous total GLP-1 levels and lowers circulating DPP-4 levels. This adds an argument in favor of using exenatide in the treatment of pediatric obesity.Clinical trial registrationclinicaltrials.gov, identifier NCT02794402

Purpose This study aimed to calculate and analyze the differences in electroencephalogram (EEG) between major depression disorder (MDD) patients and healthy controls using the method of brainwave music to provide evidence of physiological parameters for clinical diagnosis of MDD. Methods We translated the 5-minute resting EEG data of 20 MDD patients and 20 healthy controls, which were collected by Peking University Sixth Hospital, into brainwave music; and calculated the pitch, volume, duration and corresponding scaling exponents to analyze the differences between MDD patients and healthy people. Then combined the analysis methods of nonlinear dynamics and brain network structure to verify the validity of the proposed method. Results The pitch, volume, and Lemple-Ziv complexity (LZC) in the frontal lobe of MDD patients were higher than those of healthy people. In the central, occipital, and temporal regions of the left hemisphere, the scaling exponents, degrees, and clustering coefficient of MDD patients were lower than those of healthy people (P

In 2020, the municipal solid waste removal and transportation volume reached 235.117 million tons, of which 146.076 million tons were incinerated in China. Because it can reduce the harmfulness of waste and recycle energy, municipal solid waste incineration (MSWI) technology has become the primary method for the disposal treatment of urban domestic waste in China. However, this method produces MSWI fly ash, which is defined as a hazardous waste rich in dioxins and heavy metals. Calculated based on 5% (mass fraction) of the original waste, the output of MSWI fly ash in China nearly reached 7.304 million tons in 2020. Moreover, the stockpile management and treatment capacities are seriously out of balance. At present, the main disposal method of MSWI fly ash is landfilling, which consumes land resources and poses an environmental hazard. As a result, the harmlessness and recyclability of MSWI fly ash have become a bottleneck for green development. In this review, the harmless melting and recycling of MSWI fly ash are introduced in detail. The mechanisms of heavy metal solidification and dioxin degradation during MSWI fly ash melting have been explained. MSWI fly ash can be transformed into glass slag containing CaO−SiO2−Al2O3 after co-melting with other solid wastes rich in silicon aluminum oxide. Heavy metals in MSWI fly ash can be solidified at the atomic scale in the silicate network of glass. More importantly, as the temperature increases beyond 800 °C, dioxins undergo dechlorination and degradation, reducing the harmfulness and revealing the harmlessness of MSWI fly ash. This review also describes how to deal with the glass slag that forms because of co-melting. The glass slag has low added value and poor mechanical properties. Future disposal trends for vitrified slag from MSWI fly ash, including glass–ceramic, glass–ceramic foam, and cementitious materials, have been proposed. Given that vitrification can solidify heavy metals in the process of subsequent resource usage and product service, the migration and leaching characteristics of heavy metals need to be further investigated. This study provides a reference for the comprehensive usage of MSWI fly ash.