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Abstract Introduction Deep vein thrombosis (DVT) is a common complication observed in aneurysmal subarachnoid hemorrhage (aSAH) patients, which significantly increases the survival risks and reduces the patient’s quality of life. However, preventive clinical measures for DVT have not been standardized; therefore, the scientific basis and effectiveness of these measures require further validation. Objective This study aims to employ evidence-based practices to effectively prevent the occurrence of DVT in aSAH patients. Methods This study was performed from June 2023 to March 2024 in the neurosurgical intensive care unit of a Grade III Class A general hospital in Nanchang, China. Furthermore, it was based on the healthcare model published by the Joanna Briggs Institute Library (JBI) in 2016, which emphasizes the use of previous evidence-based practices while considering appropriateness, feasibility, clinical significance, and validity. In this research study, 15 review indicators were developed, and baseline assessments on 47 nurses and 49 patients were conducted. Furthermore, factors promoting and obstructing implementation were analyzed, and targeted strategies to address these obstacles were formulated. Moreover, a follow-up audit was performed to identify best practices. Results The baseline review results indicated that the incidence of DVT in aSAH patients was 16.3%. Furthermore, the implementation rates of six review indicators (1, 2, 4, 5, 8, 13) were all

Abstract In order to reveal adsorption-regulation micromechanism and debonding micromechanism between wall surface and magnetorheological (MR) wall-climbing robot legs, an interparticle normal magnetic attraction (NMA) mechanics model was constructed based upon the magnetic-dipole theory. According to analysis of NMA mechanics, it was confirmed that the interparticle NMA could be intensified with enhancing magnetic-particle diameter but was weakened with ratio of adjacent magnetic-particles distance to magnetic-particle radius. It means that the adhesive capacity between MR wall-climbing robot legs and wall surface could be strengthened by increasing magnetic-particle size and decreasing interparticle distance. Furthermore, it was found that the NMA of the first particle in the magnetic chain was positively related to magnetic-particles number until the magnetic-particles number reached a critical value. Consequently, the adsorption ability between MR wall-climbing robot legs and wall surface could be effectively controlled by changing magnetic-particles number. Besides, the strongest NMA appeared at the middle of the magnetic chain. However, the weakest NMA locates at both ends of the magnetic chain. Thus, it could be concluded that the end of the magnetic chain would be separated from wall surface rather than fracture occurred in the middle of the magnetic chain when the MR wall-climbing robot legs divorced from wall surface.

Abstract Background Hypoxia stress resulted in mortality during the fish aquaculture program, affecting the sustainable development of the aquaculture industry. The Egyptian strain of O. niloticus showed a strong ability to hypoxia. In this study, a Nile tilapia strain that was kept and selected for 45 years by the author’s team was used to elucidate the mechanism of the hypoxia response in the liver, including the identification of metabolic pathways and genes, involved in the hypoxia response of this strain. Results The effects of hypoxia stress were detected at 0-hour, 6-hour, and 72-hour time points (0 h, 6 h, 72 h) on tilapia liver at 1 mg/L dissolved oxygen conditions. The blood triglyceride, blood glucose and cholesterol values exhibited significantly different change trends, but the hemoglobin content showed no significant differences between 0 h, 6 h and 72 h (P > 0.05). The activities of catalase (CAT), glutathione peroxidase (GSH-PX), total antioxidant capacity (T-AOC), lactate dehydrogenase (LDH), and acid phosphatase (ACP) in the liver tissue gradually increased at 0 h, 6 h and 72 h (P

Abstract Fzf1 is a Saccharomyces cerevisiae transcription factor containing five zinc fingers (ZFs). It regulates the expression of at least five downstream genes, including SSU1, YHB1, DDI2/3, and YNR064c, by recognizing a consensus sequence, CS2, found in these gene promoters. These gene products are involved in cellular responses to various chemical stresses. For example, SSU1 encodes a sodium sulfite efflux protein that confers sulfite resistance. However, the underlying molecular mechanism through which Fzf1 responds to chemical stress and coordinates target gene activation remains elusive. Interestingly, several mutations in the fourth ZF (ZF4) of Fzf1 have previously been reported to confer either sulfite resistance or elevated basal‐level expression of YHB1, indicating that ZF4 negatively impacts Fzf1 activity. Since ZF4 is dispensable for CS2 binding in vitro, we hypothesized that ZF4 is a negative regulator of Fzf1 and that chemically induced Fzf1‐regulated gene expression occurs via de‐repression. All five genes examined were cross‐induced by corresponding chemicals in an Fzf1‐dependent manner, and all three ZF4 mutations and a ZF4 deletion conferred increased basal‐level expression and SSU1‐dependent sulfite resistance. A ZF4 deletion did not alter the target DNA binding, consistent with the observed codominant phenotype. These observations collectively reveal that Fzf1 remains inactive by default at the target promoters and that its activation is at least partially achieved by self‐derepression through chemical modification and/or a conformational change.

Abstract Spoil sites, as loose accumulations, are prone to instability after disturbances and are a serious threat to the safety of downstream communities. This research aims to rapidly and accurately assess the potential hazards of the numerous spoil sides. An integrated approach that combines spatial, aerial, and ground techniques was developed to rapidly identify and interpret the key factors influencing the stability of spoil sites. Subsequently, based on the results of numerical simulation of multiple combinations of unfavorable working conditions by the material point method, a hazard assessment methodology for spoil sites is proposed, which combines the limit equilibrium method with the improved hierarchical analysis. The proposed method is applied and validated on spoil sites along an expressway. The achieved results reveal that remote sensing combined with unmanned aerial vehicle (UAV) verification technology is capable of quickly and accurately identifying the critical elements of spoil sites. The hazard assessment of the spoil site is represented by the hazard coefficient (P), where 0

With the rapid advancement of information technology, the security of digital libraries, as critical platforms for modern knowledge dissemination, has become increasingly significant. User identity authentication in digital libraries is pivotal to ensuring system security. Traditional authentication methods often have security vulnerabilities and cannot effectively prevent unauthorized access. Therefore, this paper proposes a security authentication scheme based on chebyshev chaotic mapping for library. It addresses security issues in identity authentication in digital libraries. The proposed scheme integrates smart card, password and biometric factor, leveraging the chebyshev chaotic mapping algorithm to achieve stringent user authentication and generate secure session keys, thereby effectively countering security threats. Additionally, the scheme employs physical unclonable function (PUF) to enhance the protection of stored confidential data. The security of this scheme is rigorously analyzed using the Scyther. Security analysis and performance experiments indicate that the scheme not only ensures security but also optimizes authentication efficiency.

Abstract The measurement of linguistic complexity has been a heated topic in linguistics. While previous studies have mainly centered around English and other European languages, Chinese seems neglected to some extent, and the existing Chinese linguistic complexity metrics have room for improvement. Against these backdrops, the present study applied an information-theoretic approach - the Kolmogorov complexity system - to measure Chinese linguistic complexity and examined its reliability and validity. To this end, a corpus of c.a. 60 million characters was compiled, based on which the morphological, syntactical and overall Kolmogorov complexity metrics and 18 other complexity metrics used in previous studies were calculated and subjected to a series of correlation analyses. The results show that the three Kolmogorov complexity metrics are significantly correlated with each other and with most of the previously-used metrics at the character, lexical, syntactic and collocation tiers, indicating that the Kolmogorov complexity metrics are reliable in measuring Chinese. In terms of validity, a comparison between the Kolmogorov complexity of Chinese and nine European languages and a comparison between the Kolmogorov complexity of Chinese L1 and L2 of different proficiencies show that the Kolmogorov complexity precisely and parsimoniously captured the linguistic features of Chinese. The morphological Kolmogorov complexity reflects the richness of Chinese morphemes and the flexibility of word formation, and the syntactic Kolmogorov complexity supports the view that Chinese is a topic-prominent language. This study both extends the generalizability of Kolmogorov complexity and refines the measurement of the Chinese language.

Abstract Background The present study aims to investigate the potential impact of eight sessions of Multiple Object Tracking (MOT) training on the executive function in basketball players. The purpose of the study was primarily to observe the effects of MOT training with and without feedback on the executive function of basketball players. Methods A sample of fifty-eight participants was selected from college students enrolled in a university basketball special selection class. The participants were divided into three equal groups. The first group received MOT training with instant feedback and was called feedback group, the second group received MOT training without instant feedback and was called no feedback group, and the third group did not receive any intervention and was called control group. Results After eight sessions of MOT training, feedback group demonstrated the best performance in the Go/No-go task and the 3-back task. After eight sessions of MOT training, there was no significant difference in test scores on the Stroop task between the feedback and no feedback groups. There was also no significant difference in test scores between the feedback and no feedback groups on the 2-back task after eight sessions of MOT training. The findings of this study suggest that MOT training can effectively enhance the executive function of basketball players. Conclusions MOT training was found to enhance the executive function of basketball players, irrespective of whether they received instant feedback. However, the feedback group exhibited superior improvements in the Go/No-go task and the 3-back task.

Abstract The Saccharomyces cerevisiae silencing information regulator (SIR) complex contains up to four proteins, namely Sir1, Sir2, Sir3, and Sir4. While Sir2 encodes a NAD‐dependent histone deacetylase, other SIR proteins mainly function as structural and scaffold components through physical interaction with various proteins. The SIR complex displays different conformation and composition, including Sir2 homotrimer, Sir1‐4 heterotetramer, Sir2‐4 heterotrimer, and their derivatives, which recycle and relocate to different chromosomal regions. Major activities of the SIR complex are transcriptional silencing through chromosomal remodeling and modulation of DNA double‐strand‐break repair pathways. These activities allow the SIR complex to be involved in mating‐type maintenance and switching, telomere and subtelomere gene silencing, promotion of nonhomologous end joining, and inhibition of homologous recombination, as well as control of cell aging. This review explores the potential link between epigenetic regulation and DNA damage response conferred by the SIR complex under various conditions aiming at understanding its roles in balancing cell survival and genomic stability in response to internal and environmental stresses. As core activities of the SIR complex are highly conserved in eukaryotes from yeast to humans, knowledge obtained in the yeast may apply to mammalian Sirtuin homologs and related diseases.

Abstract Background First rib tumors are extremely rare. Its compression of neurovascularity can easily lead to severe complications such as thoracic outlet syndrome, so early surgical resection is crucial. However, there is no standardized approach to surgery. Case presentation A previously healthy 18-year-old Chinese male undergoes a chest computed tomography (CT) scan that incidentally reveals a raised calcified mass on the right first rib, which is most likely an osteochondroma when combined with magnetic resonance imaging (MRI). We achieved excellent results with resection and thoracic reconstruction by adopting an inverse L-shaped incision in the anterior chest and a longitudinal split of the sternum. Conclusions Our practice provides great reference for the surgical management of first rib tumors.

This paper attempts to explore possible box dimension of two added fractal continuous functions with the same dimension. Two interesting and meaningful results are obtained. Let $ g(x) $ and $ h(x) $ have the same box dimension $ t\; (1 < t\leq 2) $, the box dimension of $ g(x)+h(x) $ may or may not exist. If it exists, it can take an arbitrary real number $ \gamma $ satisfying $ 1 < \gamma\leq t $. If it does not exist, its lower and upper box dimensions can reach arbitrary different real numbers $ t_1\; {\rm and}\; t_2 $ that satisfy $ 1 < t_1 < t_2 < t\leq 2 $. These unexpected conclusions drive us to probe into the characteristics of collection of all fractal continuous functions with the same box dimension under ordinary linear operations (scalar multiplication and addition). Following the known fractal features of some typical fractal functions such as the Weierstrass function $ W_t(x) $, we classify the fractal functions into three types: consistent fractal functions, non-consistent fractal functions, and simple fractal functions. By utilizing these classifications and fractal feature descriptions, the causality of the box dimension of two added fractal functions can be partially revealed. We hope that these initial superficial discussions will lead deeper consideration on the essence of variants of fractal dimension under linear combinations of fractal functions. Moreover, these fractal features may be applied further in other fields of fractals.

With the rapid advancement of pulse technology, given the extraordinarily high repetition frequency of high-repetition pulse interference, with pulse widths typically ranging from a few nanoseconds to several hundred nanoseconds, it possesses ultra-wideband characteristics, research on how to avoid spectral conflict and malicious interference between these pulse signals and navigation receiver systems has emerged as a pressing and popular issue. This paper introduces the mathematical model of high repetition pulse interference signals. Following this, the paper summarizes and analyses the transient response, nonlinear distortion, and linear distortion that accompany signal processing at the Radio Frequency (RF) front end of the receiver. It concludes that the main source of interference in the limiter’s transient response is peak leakage, the primary factor in low noise amplifier’s (LNA) interference is third-order intermodulation distortion, and filter interference is due to the interlaced response from adjacent pulses. Lastly, the current research progress on the mechanism of high repeti-tion pulse interference with navigation receivers is reviewed, providing reference for future study.

BackgroundRelapse after initial remission reduces renal survival in patients with primary membranous nephropathy (PMN). In this study, we aim to identify risk factors of relapse in PMN and construct a model to identify patients at high risk of relapse early.MethodsWe conducted a multi-center retrospective study using the China Renal Data System database, which includes data from 24 urban academic centers across China. A prediction model based on the Cox proportional hazards model was derived in the derivation group and validated in the validation group.Result515 patients with biopsy-proven PMN achieving initial remission were enrolled. 32.62% of patients subsequently relapsed during a median of 6.08 months. Lower serum albumin (Alb) (per 1 g/L decrease, hazard ratio [HR] =1.48, 95% confidence interval [CI] 1.29–1.78, p

Abstract Recently, solar‐driven interfacial evaporation (SDIE) has been developed quickly for low‐cost and sustainable seawater desalination, but addressing the conflict between a high evaporation rate and salt rejection during SDIE is still challenging. Here, a spatial confinement strategy is proposed to prepare the gel composite solar evaporator (SCE) by loading one thin hydrogel layer onto the skeleton of a carbon aerogel. The SCE retains the hierarchically porous structure of carbon aerogels with an optimized water supply induced by dual‐driven forces (capillary effects and osmotic pressure) and takes advantage of both aerogels and hydrogels, which can gain energy from air and reduce water enthalpy. The SCE has a high evaporation rate (up to 4.23 kg m−2 h−1 under one sun) and excellent salt rejection performance and can maintain structural integrity after long‐term evaporation even at high salinities. The SDIE behavior, including heat distribution, water transport, and salt ion distribution, is investigated by combining theoretical simulations and experimental results. This work provides new inspiration and a theoretical basis for the development of high‐performance interfacial evaporators.

Artemisinin and its derivatives are widely recognized as first-line treatments for malaria worldwide. Recent studies have demonstrated that artemisinin-based antimalarial drugs, such as artesunate, dihydroartemisinin, and artemether, not only possess excellent antimalarial properties but also exhibit antitumor, antifungal, and immunomodulatory effects. Researchers globally have synthesized artemisinin derivatives like SM735, SM905, and SM934, which offer advantages such as low toxicity, high bioavailability, and potential immunosuppressive properties. These compounds induce immunosuppression by inhibiting the activation of pathogenic T cells, suppressing B cell activation and antibody production, and enhancing the differentiation of regulatory T cells. This review summarized the mechanisms by which artemisinin and its analogs modulate excessive inflammation and immune responses in rheumatic and skeletal diseases, autoimmune inflammatory diseases, and autoimmune disorders, through pathways including TNF, Toll-like receptors, IL-6, RANKL, MAPK, PI3K/AKT/mTOR, JAK/STAT, and NRF2/GPX4. Notably, in the context of the NF-κB pathway, artemisinin not only inhibits NF-κB expression by disrupting upstream cascades and/or directly binding to NF-κB but also downregulates multiple downstream genes controlled by NF-κB, including inflammatory chemokines and their receptors. These downstream targets regulate various immune cell functions, apoptosis, proliferation, signal transduction, and antioxidant responses, ultimately intervening in systemic autoimmune diseases and autoimmune responses in organs such as the kidneys, nervous system, skin, liver, and biliary system by modulating immune dysregulation and inflammatory responses. Ongoing multicenter randomized clinical trials are investigating the effects of these compounds on rheumatic, inflammatory, and autoimmune diseases, with the aim of translating promising preclinical data into clinical applications.

Summary: T cells function not only as an essential component of host cancer immunosurveillance but also as a regulator of colonic inflammation, a process that promotes colorectal cancer. Programmed death-ligand 1 (PD-L1) is a T cell-negative regulator, but its role in regulation of T cell functions in the context of colorectal cancer is unknown. We report that global deletion of Cd274 results in increased colonic inflammation, PD-1+ T cells, and inflammation-driven colorectal tumorigenesis in mice. Single-cell RNA sequencing (scRNA-seq) analysis revealed that PD-L1 suppresses subpopulations of programmed cell death protein 1 (PD-1)+Nrp1lo regulatory T (Treg) cells and interleukin (IL) 6+ neutrophils in colorectal tumor. Treg cells produce transforming growth factor (TGF) β to recruit IL6+ neutrophils. Neutrophils produce IL6 to inhibit activation of tumor-specific cytotoxic T lymphocytes (CTLs) and primary CTLs. Accordingly, IL6 blockade immunotherapy increases CTL activation and suppresses colon tumor growth in vivo. Our findings determine that PD-L1 restrains PD-1+Nrp1loTGFβ+ Treg cells to suppress IL6+ neutrophil tumor recruitment to sustain CTL activation to control inflammation-driven colorectal tumorigenesis.

The application of traditional Al-Mg-Zn alloy in aerospace field is limited due to poor corrosion resistance for β-phase at grain boundaries and low strength for the lack of T phase. Here we propose a novel high Mg-containing Al-Mg-Zn-Si alloy with a novel alloying strategy of high Mg content combining with a suitable microalloying Si, obtaining small and densely precipitated nanoscale T’ phase in the matrix, co-existing T’ and η’ phases adjacent to grain boundary and T phase at grain boundary. The formation of GPT’ zone in the matrix is dramatically enhanced due to energetically favorable substitution of Al by Si and furtherly facilitates homogeneous growth of T’ phase by solute redistribution. η’ phase is transformed from T’ phase or evolved from GPIIη’ zone along grain boundary due to feasible thermodynamic condition of Mg-poor and Zn-rich domain by distinct Mg and Zn exsolution on grain boundary. The present alloying design makes it possible that differential precipitation behavior of T’ phase and T’ + η’ phases can simultaneously occur in the matrix and adjacent to grain boundary, the alloy has obviously advantaged overall performance over traditional Al-Zn-Mg-(Cu) alloys, which raises a new perspective for developing new high-performance lightweight aluminum alloys.

Abstract Designing bifunctional catalysts to reduce the oxygen evolution reaction (OER) and oxygen reduction reaction (ORR) reaction barriers while accelerating the reaction kinetics is perceived to be a promising strategy to improve the performance of Zinc–air batteries. Unsymmetric configuration in single‐atom catalysts has attracted attention due to its unique advantages in regulating electron orbitals. In this work, a seesaw effect in unsymmetric Fe–Co bimetallic monoatomic configurations is proposed, which can effectively improve the OER/ORR bifunctional activity of the catalyst. Compared with the symmetrical model of Fe–Co, a strong charge polarization between Co and Fe atoms in the unsymmetric model is detected, in whom the spin‐down electrons around Co atoms are much higher than those spin‐up electrons. The seesaw effect occurred between Co atoms and Fe atoms, resulting in a negative shift of the d‐band center, which means that the adsorption of oxygen intermediates is weakened and more conducive to their dissociation. The optimized reaction kinetics of the catalyst leads to excellent performance in ZABs, with a peak power density of 215 mW cm−2 and stable cycling for >1300 h and >4000 cycles. Flexible Zinc–air batteries have also gained excellent performance to demonstrate their potential in the field of flexible wearables.

This study investigated the politicization of COVID-19 vaccination on Twitter in the context of the 2020 U.S. Presidential Election. I analyzed 2,100 English tweets related to COVID-19 antivaccine misinformation from October 28th, 2020, to November 3rd, 2020 (one week before Election Day). Those tweets clustered into 12 topics.The result indicated that conspiracy theories about population control have raised concerns and become prevalent in perpetuating anti-vaccine beliefs. It also reflects the rise of a new trend in anti-vaccine topics. The study highlights the influence of partisan reasoning on vaccination decision-making in the context of a public health crisis caused by COVID-19, and the difficulty in correcting partisan-driven conspiracy theories and misinformation.

Exploring the stoichiometric characteristics of understory plants' leaves and soils in different forest types in Mao'ershan can reveal the adaptation strategies of understory plants in Mao'ershan, and provide data support for forest management. In this paper, coniferous and broad-leaved mixed forest (ZK), evergreen broad-leaved secondary forest (CLC) and evergreen broad-leaved forest (CL) in Mao'ershan were selected as three forest types, the leaf stoichiometry of main plants in herb layer and shrub layer, and the soil stoichiometry under three forest types were measured and analyzed. The results were as follows: (1) There was no significant difference in leaf C and N contents between herb layer and shrub layer, but P and K contents in herb layer were extremely significantly higher than that in shrub layer, and N∶P was significantly lower than that in shrub layer. Plants in herb layer was more likely to be restricted by N, plants in shrub layer was more likely to be restricted by P and the utilization efficiency of N and P were higher. There was no significant difference in leaf stoichiometry of plants in shrub layer among different forest types, but there were significant differences in leaf N content, C∶N, C∶P of plants in herb layer among different forest types. Plants in herb layer of ZK had higher nutrient use efficiency. (2) The soil C and N contents of the three forest types showed that CL > CLC > ZK, and there were extremely significant differences among the three forest types. The soil P content of ZK were the highest, while that of C∶P and N∶P were the lowest. (3) Soil in ZK significantly affected some leaf stoichiometry of plants in herb layer and shrub layer, while the other two forest types had no significant effect on underforest plants. To sum up, there are significant or extremely significant differences in soil stoichiometry among different forest types in Mao'ershan. The nutrient requirements and environmental adaptation strategies of plants in herb layer and shrub layer are different. The soil of ZK has a strong influence on the leaf stoichiometry of understory plants, and the soil with low decomposition efficiency of organic matter in this forest type, and the soil is limited by N due to the low decomposition efficiency of organic matter, so the management of N in the mixed forest should be strengthened.

Abstract Acetaminophen (APAP)-induced liver injury (AILI) is a pressing public health concern. Although evidence suggests that Bifidobacterium adolescentis (B. adolescentis) can be used to treat liver disease, it is unclear if it can prevent AILI. In this report, we prove that B. adolescentis significantly attenuated AILI in mice, as demonstrated through biochemical analysis, histopathology, and enzyme-linked immunosorbent assays. Based on untargeted metabolomics and in vitro cultures, we found that B. adolescentis generates microbial metabolite hypaphorine. Functionally, hypaphorine inhibits the inflammatory response and hepatic oxidative stress to alleviate AILI in mice. Transcriptomic analysis indicates that Cry1 expression is increased in APAP-treated mice after hypaphorine treatment. Overexpression of Cry1 by its stabilizer KL001 effectively mitigates liver damage arising from oxidative stress in APAP-treated mice. Using the gene expression omnibus (GEO) database, we verified that Cry1 gene expression was also decreased in patients with APAP-induced acute liver failure. In conclusion, this study demonstrates that B. adolescentis inhibits APAP-induced liver injury by generating hypaphorine, which subsequently upregulates Cry1 to decrease inflammation and oxidative stress.

Gd2Zr2O7 is one of the most promising new generation of ceramic materials for high temperature thermal barrier coatings. However, it still has great potential of improving thermal and mechanical properties and contributing tobetter thermal cycling performance of the coating. Doping rare earth elements in Gd2Zr2O7 is an effective method to enhance its thermal and mechanical properties. In this paper, the first principles is used to calculate the thermophysical properties of doped Gd2Zr2O7 with 16 rare earth elements, including modulus of elasticity, Debye temperature, minimum high-temperature thermal conductivity, high temperature thermal expansion coefficient, and fracture toughness, by which all doped Gd2Zr2O7 ceramics were ranked using the entropy method. The results show that doping with Pr, Sm, Yb, and Nd showed superior comprehensive performance. Specially, (Gd0.875Pr0.125)2Zr2O7 has the lowest Young's modulus of 244 MPa, Pugh ratio of 0.53, Debye temperature of 523.4 K, thermal conductivity of 1.27 W/(m·K), and the largest coefficient of thermal expansion of 9.19 × 10−6 K−1, and (Gd0.875Ho0.125)2Zr2O7 has the highest fracture toughness of 2.21 MPa·m1/2.

Abstract Utilization of digital technologies for cataract screening in primary care is a potential solution for addressing the dilemma between the growing aging population and unequally distributed resources. Here, we propose a digital technology-driven hierarchical screening (DH screening) pattern implemented in China to promote the equity and accessibility of healthcare. It consists of home-based mobile artificial intelligence (AI) screening, community-based AI diagnosis, and referral to hospitals. We utilize decision-analytic Markov models to evaluate the cost-effectiveness and cost-utility of different cataract screening strategies (no screening, telescreening, AI screening and DH screening). A simulated cohort of 100,000 individuals from age 50 is built through a total of 30 1-year Markov cycles. The primary outcomes are incremental cost-effectiveness ratio and incremental cost-utility ratio. The results show that DH screening dominates no screening, telescreening and AI screening in urban and rural China. Annual DH screening emerges as the most economically effective strategy with 341 (338 to 344) and 1326 (1312 to 1340) years of blindness avoided compared with telescreening, and 37 (35 to 39) and 140 (131 to 148) years compared with AI screening in urban and rural settings, respectively. The findings remain robust across all sensitivity analyses conducted. Here, we report that DH screening is cost-effective in urban and rural China, and the annual screening proves to be the most cost-effective option, providing an economic rationale for policymakers promoting public eye health in low- and middle-income countries.

Abstract Rationale Our understanding of airway dysbiosis in chronic obstructive pulmonary disease (COPD) remains incomplete, which may be improved by unraveling the complexity in microbial interactome. Objectives To characterize reproducible features of airway bacterial interactome in COPD at clinical stability and during exacerbation, and evaluate their associations with disease phenotypes. Methods We performed weighted ensemble-based co-occurrence network analysis of 1742 sputum microbiomes from published and new microbiome datasets, comprising two case-control studies of stable COPD versus healthy control, two studies of COPD stability versus exacerbation, and one study with exacerbation-recovery time series data. Results Patients with COPD had reproducibly lower degree of negative bacterial interactions, i.e. total number of negative interactions as a proportion of total interactions, in their airway microbiome compared with healthy controls. Evaluation of the Haemophilus interactome showed that the antagonistic interaction networks of this established pathogen rather than its abundance consistently changed in COPD. Interactome dynamic analysis revealed reproducibly reduced antagonistic interactions but not diversity loss during COPD exacerbation, which recovered after treatment. In phenotypic analysis, unsupervised network clustering showed that loss of antagonistic interactions was associated with worse clinical symptoms (dyspnea), poorer lung function, exaggerated neutrophilic inflammation, and higher exacerbation risk. Furthermore, the frequent exacerbators (≥ 2 exacerbations per year) had significantly reduced antagonistic bacterial interactions while exhibiting subtle compositional changes in their airway microbiota. Conclusions Bacterial interactome disturbance characterized by reduced antagonistic interactions, rather than change in pathogen abundance or diversity, is a reproducible feature of airway dysbiosis in COPD clinical stability and exacerbations, which suggests that we may target interactome rather than pathogen alone for disease treatment.

Abstract Background Pancreaticoduodenectomy (PD) is a complex procedure and easily accompanied by healthcare-associated infections (HAIs). This study aimed to assess the impact of PBD on postoperative infections and clinical outcomes in PD patients. Methods The retrospective cohort study were conducted in a tertiary hospital from January 2013 to December 2022. Clinical and epidemiological data were collected from HAIs surveillance system and analyzed. Results Among 2842 patients who underwent PD, 247 (8.7%) were diagnosed with HAIs, with surgical site infection being the most frequent type (n = 177, 71.7%). A total of 369 pathogenic strains were detected, with Klebsiella pneumoniae having the highest proportion, followed by Enterococcu and Escherichia coli. Although no significant association were observed generally between PBD and postoperative HAIs, subgroup analysis revealed that PBD was associated with postoperative HAIs in patients undergoing robotic PD (aRR = 2.174; 95% CI:1.011–4.674; P = 0.047). Prolonging the interval between PBD and PD could reduce postoperative HAIs in patients with cholangiocarcinoma (≥4 week: aRR = 0.292, 95% CI 0.100–0.853; P = 0.024) and robotic PD (≤2 week: aRR = 3.058, 95% CI 1.178–7.940; P = 0.022). PBD was also found to increase transfer of patients to ICU (aRR = 1.351; 95% CI 1.119–1.632; P = 0.002), extended length of stay (P

We grew three yellow Camellia species (the calcifuge C. nitidissima and C. tunghinensis, and the calcicole C. pubipetala) in acidic and calcareous soils for 7 months and assessed their photosynthetic physiological characteristics, growth performance, and element concentrations in this developmental context. The calcifuge C. nitidissima and C. tunghinensis species exhibited poor growth with leaf chlorosis, growth stagnation, and root disintegration in calcareous soils, and with their P n, G s, T r, F v/F m, ΦPSII, ETR, qP, leaf Chla, Chlb, and Chl(a + b) concentrations, and root, stem, leaf, and total biomass being significantly lower when grown in calcareous soils relative to in acidic soils. In contrast, the calcicole C. pubipetala grew well in both acidic and calcareous soils, with few differences in the above parameters between these two soil substrates. The absorption and/or transportation of nutrient elements such as N, K, Ca, Mg, and Fe by the two calcifuge Camellia species plants grown in calcareous soils were restrained. Soil type plays a major role in the failure of the two calcifuge Camellia species to establish themselves in calcareous soils, whereas other factors such as competition and human activity are likely more important limiting factors in the reverse case. This study furthers our understanding of the factors influencing the distribution of these rare and endangered yellow Camellia species, allowing for improved management of these species in conservation projects and horticultural production.

Abstract Cardio-metabolic traits have been reported to be associated with the development of sepsis. It is, however, unclear whether these co-morbidities reflect causal associations, shared genetic heritability, or are confounded by environmental factors. We performed three analyses to explore the relationships between cardio-metabolic traits and sepsis. Mendelian randomization (MR) study to evaluate the causal effects of multiple cardio-metabolic traits on sepsis. Global genetic correlation analysis to explore the correlations between cardio-metabolic traits and sepsis. Local genetic correlation (GC) analysis to explore shared genetic heritability between cardio-metabolic traits and sepsis. Some loci were further examined for related genes responsible for the causal relationships. Genetic associations were obtained from the UK Biobank data or published large-scale genome-wide association studies with sample sizes between 200,000 to 750,000. In MR, we found causality between BMI and sepsis (OR: 1.53 [1.4–1.67]; p

In this study, a detailed flow state analysis of a reversible pump turbine (RPT) under small guide vane opening conditions was conducted using both numerical simulation and experimental methods on three analysis planes at 0.5 span. The entropy production rate (EPR) in entropy production theory was utilized to visualize the location and magnitude of energy losses in the flow process. The focus was placed on the coherent vortex structures in the volute, stay vane, guide vane, and runner flow path. The results demonstrate that, throughout the runner’s cycle, the leading edge of the guide vane experiences low-pressure regions with uneven pressure distribution within the runner channel. Velocity streamlines reveal flow separation and vortex generation at the typical guide vane trailing edge, with a maximum velocity reaching 49.7. Analysis of radial force and torque on typical guide vanes and the runner indicates that radial force and torque on the guide vanes do not significantly change, with the radial force coefficient CFr−x varying between 0.254 and 1.3. Major energy losses are concentrated behind the trailing edge of the guide vane, primarily in the form of jet wake. Coherent vortex structures are observed in the volute, stay vane, guide vane, and runner flow path, with slight turbulent wake at the trailing edge of the stay vane, clear shedding vortex streets, and vortex build-up in the bladeless area between the guide vane and the runner.

Background Imatinib (IM) is the primary treatment for patients with chronic-phase CML (CML-CP). However, an increasing number of CML-CP patients have developed resistance to IM. Our study aims to explore the expression of miR-629-5p in extracellular vesicles (EVs) from both IM-sensitive (K562) and resistant (K562-Re) CML cell lines and to investigate the impact of regulating miR-629-5p expression on the biological characteristics of K562 and K562-Re cells.Methods Assess miR-629-5p expression levels in IM-sensitive and resistant CML cell lines. Separate EVs and verify it. EVs from K562-Re cells were co-cultured with K562 cells to detect the expression level of miR-629-5p. Target genes of miR-629-5p were determined and validated through luciferase experiments. Examined by manipulating miR-629-5p expression in cells using transfection techniques. The expression level of phosphorylated proteins in the PI3K/AKT/mTOR signaling pathway after IM was detected in CML cell lines. In K562-Re cells, the expression level of phosphorylated protein in the PI3K/AKT/mTOR signaling pathway was detected after single transfection of miR-629-5p inhibitor and cotransfection of miR-629-5p inhibitor and siSENP2.Results Increasing concentrations of EVs from K562-Re cells elevated miR-629-5p expression levels. The expression levels of miR-629-5p in CML cells varied with IM concentration and influenced the biological characteristics of cells. SENP2 was identified as a target gene of miR-629-5p. Furthermore, miR-629-5p was found to modulate the SENP2/PI3K/AKT/mTOR pathway, impacting IM resistance in CML cells.Conclusion EVs from IM-resistant CML cells alter the expression of miR-629-5p in sensitive cells, activating the SENP2/PI3K/AKT/mTOR pathway and leading to IM resistance.

Abstract Maturation of the secondary antibody repertoire requires class‐switch recombination (CSR), which switches IgM to other immunoglobulins (Igs), and somatic hypermutation, which promotes the production of high‐affinity antibodies. Following immune response or infection within the body, activation of T cell‐dependent and T cell‐independent antigens triggers the activation of activation‐induced cytidine deaminase, initiating the CSR process. CSR has the capacity to modify the functional properties of antibodies, thereby contributing to the adaptive immune response in the organism. Ig CSR defects, characterized by an abnormal relative frequency of Ig isotypes, represent a rare form of primary immunodeficiency. Elucidating the molecular basis of Ig diversification is essential for a better understanding of diseases related to Ig CSR defects and could provide clues for clinical diagnosis and therapeutic approaches. Here, we review the most recent insights on the diversification of five Ig isotypes and choose several classic diseases, including hyper‐IgM syndrome, Waldenström macroglobulinemia, hyper‐IgD syndrome, selective IgA deficiency, hyper‐IgE syndrome, multiple myeloma, and Burkitt lymphoma, to illustrate the mechanism of Ig CSR deficiency. The investigation into the underlying mechanism of Ig CSR holds significant potential for the advancement of increasingly precise diagnostic and therapeutic approaches.

Diabetic nephropathy (DN), a leading cause of end-stage renal disease, remains a formidable challenge in diabetes management due to the complex nature of its pathogenesis, particularly the epithelial-mesenchymal transition (EMT) process. Our innovative study leverages network pharmacology to explore the therapeutic potentials of Myricetin, a natural flavonoid, focusing on its effects against NOX4, a critical mediator in DN progression. This investigation marks a pioneering approach by integrating network pharmacology to predict and elucidate the inhibitory relationship between Myricetin and NOX4. Utilizing a high-fat diet/streptozotocin (HFD/STZ) induced DN mouse model, we delved into the effects of Myricetin on renal EMT processes. Through network pharmacology analyses coupled with molecular docking studies, we identified and confirmed Myricetin's binding efficacy to NOX4. Extensive in vitro and in vivo experiments further established Myricetin's significant impact on mitigating EMT by modulating the NOX4-NF-κB-Snail signaling pathway. Results from our research demonstrated notable improvements in renal function and reductions in tissue fibrosis among treated HFD/STZ mice. By curtailing NOX4 expression, Myricetin effectively reduced reactive oxygen species (ROS) production, thereby inhibiting NF-κB activation and subsequent Snail expression, crucial steps in the EMT pathway. Supported by both theoretical predictions and empirical validations, this study unveils the mechanism underlying Myricetin's modulation of EMT in DN through disrupting the NOX4-NF-κB-Snail axis. These findings not only contribute a new therapeutic avenue for DN treatment but also underscore the utility of network pharmacology in advancing drug discovery processes.

Ethnopharmacological relevance: Aster tataricus L.f., an extensively used herb in traditional Chinese medicine for more than 2000 years, is known as “Zi wan” or “Fan huncao”. Its dried root and rhizome hold great promise in the treatment of cough, asthma, tumor, inflammation, etc.Aim of the study: This literature review summarizes the morphology characteristics, ethnopharmacological use, phytochemical properties, pharmacological effects, and potential applications of Aster tataricus. Furthermore, this review will discuss the future research trends and development prospects of this plant. Materials and methods: Using “Aster tataricus L.f.”, “Traditional medicinal usage”, “Phytochemistry”, “Pharmacological effects” as the keywords and gathered relevant data on Aster tataricus L.f. using electronic databases (Elsevier, PubMed, ACS, CNKI, Google Scholar, Baidu Scholar, Web of Science), relevant books, and classic literature about Chinese herb. Result: A total of 186 compounds have been isolated and identified from Aster tataricus, including terpenes, organic acids, peptides, and flavonoids. And Aster tataricus has been widely used as a natural cough suppressant and has anti-oxidative, anti-inflammatory, anti-depressive, and anti-tumor effects. In addition, Aster tataricus has also been reported to have damaging effects on the liver as well as other toxicities were discussed in this review. Conclusions: Aster tataricus is an ancient herbal medicine with a broad spectrum of pharmaco logical activities that has been used for thousands of years in China, and has shown remarkable effectiveness in the treatment of various diseases, especially cough, asthma, inflammation. Although its rich chemical constituents have various pharmacological activities, the underlying mechanisms, as well as its toxicity and safety, remains unclear and warrant further investigation.

Background: Transanal total mesorectal excision has emerged as a potential solution to certain limitations associated with laparoscopic total mesorectal excision in rectal cancer patients. Differences in surgical approaches have raised questions regarding their impact on the risk of postoperative urinary retention, with limited data available from large scale randomized clinical study. Objective: To report incidence of postoperative urinary retention and evaluate the associated risk factors for transanal total mesorectal excision. Design: In this randomized controlled trial (ClinicalTrials. gov NCT06147492), we retrieved 524 patients who received total mesorectal excision (TME) for stage I–III rectal cancer between June 2019 and April 2022, and the patients were randomly assigned in a 1:1 ratio to undergo either taTME or laTME. Patients: We enrolled 524 patients who underwent total mesorectal excision for stage I–III rectal cancer between June 2019 and April 2022. Main outcome measures: The incidence of postoperative urinary retention. Results: Among the 524 enrolled patients, 261 were randomized to the laTME group, while 263 were were randomized the taTME group. The median age was 58 years, and 340 participants (64.8 %) were male. Notably, 37 individuals (7.0 %) experienced postoperative urinary retention during the follow-up period, with no significant disparity was observed between the taTME and laTME groups (6.8 % and 7.2 %, respectively, P = 0.98). Risk factors associated with PUR in patients following taTME encompassed early removal of the urinary catheter (P = 0.006), net infusion rate >4.09 ml kg−1.h−1 (P = 0.006), and an age surpassing 65 years (P = 0.0321). Limitations: The generalizability of the findings outside specialist rectal cancer centers may be limited. Conclusions: Transanal total mesorectal excision was not found to heighten the risk of postoperative urinary retention. Nonetheless, it is advisable removing postoperative catheter beyond the initial day and exercising caution in the administration of intravenous fluids in clinical practice for taTME procedures.

Non-alcoholic fatty liver disease (NAFLD), particularly advanced non-alcoholic steatohepatitis (NASH), leads to irreversible liver damage. This study investigated the therapeutic effects and potential mechanism of a novel extract from traditional Chinese medicine Alisma orientale (Sam.) Juzep (AE) on free fatty acid (FFA)-induced HepG2 cell model and high-fat diet (HFD) + carbon tetrachloride (CCl4)-induced mouse model of NASH. C57BL/6 J mice were fed a HFD for 10 weeks. Subsequently, the mice were injected with CCl4 to induce NASH and simultaneously treated with AE at daily doses of 50, 100, and 200 mg/kg for 4 weeks. At the end of the treatment, animals were fasted for 12 h and then sacrificed. Blood samples and liver tissues were collected for analysis. Lipid profiles, oxidative stress, and histopathology were examined. Additionally, a polymerase chain reaction (PCR) array was used to predict the molecular targets and potential mechanisms involved, which were further validated in vivo and in vitro. The results demonstrated that AE reversed liver damage (plasma levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), hepatocyte ballooning, hepatic steatosis, and NAS score), the accumulation of hepatic lipids (TG and TC), and oxidative stress (MDA and GSH). PCR array analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis revealed that AE protects against NASH by regulating the adipocytokine signaling pathway and influencing nuclear receptors such as PPARα. Furthermore, AE increased the expression of peroxisome proliferator-activated receptor gamma coactivator-1α (PPARGC1α) and reversed the decreased expression of PPARα in NASH mice. Moreover, in HepG2 cells, AE reduced FFA-induced lipid accumulation and oxidative stress, which was dependent on PPARα up-regulation. Overall, our findings suggest that AE may serve as a potential therapeutic approach for NASH by inhibiting lipid accumulation and reducing oxidative stress specifically through the PPARα pathway.

Stenotrophomonas maltophilia (S. maltophilia) is an emerging opportunistic pathogen that exhibits resistant to a majority of commonly used antibiotics. Phages have the potential to serve as an alternative treatment for S. maltophilia infections. In this study, a lytic phage, A1432, infecting S. maltophilia YCR3A-1, was isolated and characterized from a karst cave. Transmission electron microscopy revealed that phage A1432 possesses an icosahedral head and a shorter tail. Phage A1432 demonstrated a narrow host range, with an optimal multiplicity of infection of 0.1. The one-step growth curve indicated a latent time of 10 min, a lysis period of 90 min, a burst size of 43.2 plaque-forming units per cell. In vitro bacteriolytic activity test showed that phage A1432 was capable to inhibit the growth of S. maltophilia YCR3A-1 in an MOI-dependent manner after 2 h of co-culture. BLASTn analysis showed that phage A1432 genome shares the highest similarity (81.46%) with Xanthomonas phage Xoo-sp2 in the NCBI database, while the query coverage was only 37%. The phage contains double-stranded DNA with a genome length of 61,660 bp and a GC content of 61.92%. It is predicted to have 79 open reading frames and one tRNA, with no virulence or antibiotic resistance genes. Phylogenetic analysis using terminase large subunit and DNA polymerase indicated that phage A1432 clustered with members of the Bradleyvirinae subfamily but diverged into a distinct branch. Further phylogenetic comparison analysis using Average Nucleotide Identity, proteomic phylogenetic analysis, genomic network analysis confirmed that phage A1432 belongs to a novel genus within the Bradleyvirinae subfamily, Mesyanzhinovviridae family. Additionally, phylogenetic analysis of the so far isolated S. maltophilia phages revealed significant genetic diversity among these phages. The results of this research will contribute valuable information for further studies on their morphological and genetic diversity, will aid in elucidating the evolutionary mechanisms that give rise to them.

IntroductionAlthough acupuncture is recommended by chronic obstructive pulmonary disease (COPD) treatment guidelines owing to its effects on dyspnea, the underlying neurobiological mechanisms of these effects remain unclear. This study aims to evaluate the efficacy of acupuncture in patients with stable COPD and explore the possible involvement of specific brain regions.MethodsThis is a prospective, multicenter, single-blind, randomized controlled trial. A total of 90 participants will be recruited from three centers and will be randomly assigned in a 1:1 ratio to undergo acupuncture at acupoints on the disease-affected meridian (DAM) or non-acupoints on the non-affected meridian (NAM), in addition to routine pharmacological treatments. All participants will undergo 30 min of acupuncture three times a week for 8 weeks and will be followed up for 12 months. The primary outcome will be the severity of dyspnea, as measured using the Borg Dyspnea Scale and a visual analog scale at rest and after exercise. The secondary outcomes will include the multidimensional profile of dyspnea using Dyspnea-12, the modified Medical Research Council Dyspnea Scale, and the COPD assessment test; quality of life assessments using St George's Respiratory Questionnaire and the Hospital Anxiety and Depression Scale; and additional measurements of exacerbation frequency, pulmonary function, and the 6-min walking distance. Magnetic resonance imaging (MRI) will be performed before and after exercise to explore the potential neurobiological mechanisms of exertional dyspnea. Anxiety and depression will be measured and analyzed for their correlation with the activation of specific brain areas involved in dyspnea.DiscussionThis randomized controlled trial aims to use a multidimensional evaluation of the efficacy of acupuncture in relieving dyspnea in patients with COPD in terms of emotion and quality of life and explore the neurobiological mechanisms underlying the effects of acupuncture on dyspnea from an imaging perspective. It is expected to provide strong evidence to support the use of acupuncture in relieving dyspnea in patients with COPD and those with aother diseases involving dyspnea. Additionally, it provides novel insights into the central mechanisms of acupuncture intervention and dyspnea.Trial registrationChinese Clinical Trial Registry (https://www.chictr.org.cn/): ChiCTR2300071725.

As traditional recommendation systems ignore the hidden information among different user behaviors (such as clicks, add-to-favorites, add-to-cart, and purchases), this often leads to low accuracy in recommendation results. We propose a meta-graph network recommendation system via multi-behavior encoding (MBGR). Firstly, the graph convolutional neural network is used to extract features from various interactive behavior heterogeneous graphs of user-items for behavior heterogeneous modeling. Secondly, matrix decomposition algorithm and meta-knowledge learner are used respectively to process the semantic information of user behavior, and then attention mechanism is used to learn and distinguish the importance of different types of user item interaction behaviors. Finally, meta-knowledge transfer network is used to combine meta-learning paradigm and neural network framework to establish user target behavior recommendation. We conducted comparative experiments comparing MBGR with 7 different baseline models such as NCF and DMF. Extensive experiments on three real datasets (Tmall, Yelp, ML10M) demonstrate that the proposed MBGR method outperforms the baselines. The performance of MBGR is improved by 10.97 % on average with the metric of HR@10 and 10.96 % with the metric of NDCG@10. Under different top-N value evaluation conditions (HR@10, HR@7, NDCG@10, NDCG@7, etc.), the proposed model's performance can also be improved by more than 10 %, which proves the rationality and effectiveness of the proposed MBGR method.

Abstract Background Diabetic kidney disease (DKD) represents a microvascular complication of diabetes mellitus. Shenkang Pills (SKP), a traditional Chinese medicine formula, has been widely used in the treatment of DKD and has obvious antioxidant effect. Ferroptosis, a novel mode of cell death due to iron overload, has been shown to be associated with DKD. Nevertheless, the precise effects and underlying mechanisms of SKP on ferroptosis in diabetic kidney disease remain unclear. Methods The active components of SKP were retrieved from the Traditional Chinese Medicine Systems Pharmacology (TCMSP) database. Protein–protein interaction (PPI) network and Herb-ingredient-targets gene network were constructed using Cytoscape. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were conducted utilizing the Metascape system database. Additionally, an in vivo model of DKD induced by Streptozotocin (STZ) was established to further investigate and validate the possible mechanisms underlying the effectiveness of SKP. Results We retrieved 56 compounds and identified 223 targets of SKP through the TCMSP database. Key targets were ascertained using PPI network analysis. By constructing a Herb-Ingredient-Targets gene network, we isolated the primary active components in SKP that potentially counteract ferroptosis in diabetic kidney disease. KEGG pathway enrichment analysis suggested that SKP has the potential to alleviate ferroptosis through HIF signaling pathway, thereby mitigating renal injury in DKD. In animal experiments, fasting blood glucose, 24 h urine protein, urea nitrogen and serum creatine were measured. The results showed that SKP could improve DKD. Results from animal experiments were also confirmed the efficacy of SKP in alleviating renal fibrosis, oxidative stress and ferroptosis in DKD mice. These effects were accompanied by the significant reductions in renal tissue expression of HIF-1α and HO-1 proteins. The mRNA and immunohistochemistry results were the same as above. Conclusions SKP potentially mitigating renal injury in DKD by subduing ferroptosis through the intricacies of the HIF-1α/HO-1 signaling pathway.

Abstract Optimizing resource allocation and routing to satisfy service needs is paramount in large-scale networks. Software-defined networking (SDN) is a new network paradigm that decouples forwarding and control, enabling dynamic management and configuration through programming, which provides the possibility for deploying intelligent control algorithms (such as deep reinforcement learning algorithms) to solve network routing optimization problems in the network. Although these intelligent-based network routing optimization schemes can capture network state characteristics, they are prone to falling into local optima, resulting in poor convergence performance. In order to address this issue, this paper proposes an African Vulture Routing Optimization (AVRO) algorithm for achieving SDN routing optimization. AVRO is based on the African Vulture Optimization Algorithm (AVOA), a population-based metaheuristic intelligent optimization algorithm with global optimization ability and fast convergence speed advantages. First, we improve the population initialization method of the AVOA algorithm according to the characteristics of the network routing problem to enhance the algorithm’s perception capability towards network topology. Subsequently, we add an optimization phase to strengthen the development of the AVOA algorithm and achieve stable convergence effects. Finally, we model the network environment, define the network optimization objective, and perform comparative experiments with the baseline algorithms. The experimental results demonstrate that the routing algorithm has better network awareness, with a performance improvement of 16.9% compared to deep reinforcement learning algorithms and 71.8% compared to traditional routing schemes.

To investigate the laser-based displays that can offer the light source with a high level of photobiological safety and are suitable for users of different ages, this research optimizes the light source of the three-primary laser-based displays from its peak wavelength and the fractions of radiant flux. The non-linear program based on genetic algorithm is used to set the color gamut coverage over 90% and the correlated color temperature at 6500K. Find suitable peak wavelength and fractions of radiant flux with the premise of less than the blue light hazard (BLH) caused by the D65 light source to the 1 year, and select the result with the maximum circadian action factor (CAF) as the optimization for each age. Meanwhile, this research explores the effect that a change in the peak wavelength and fractions of radiant flux near the optimal results on CAF and BLH in different age groups. It provides reference for the design of health consideration laser displays for different age users in the daily working environment.

To explore leaf anatomical structures and photosynthetic characteristics of Geodorum plant, the anatomical structure of leaves, daily variation of photosynthesis, light response curve, CO2 response curve, chlorophyll content and other indexes of the narrowly endangered Geodorum eulophioides and widely spread G. densiflorum and G. attenuatum were measured. The results were as follows: (1) Three species of Geodorum did not have spongy and fenestrated tissue differentiation in their chloroplasts, and stomata were distributed only in the lower epidermis. Compared with G.densiflorum and G.eulophioides, G. attenuatum had a greater leaf thickness and smaller stomatal density, exhibiting structural characteristics that were more adaptable to low light environments. (2) The daily changes of net photosynthetic rate (Pn) of three species of Geodorum showed a “bimodal” curve, and the photosynthetic “lunch break” was mainly caused by non-stomatal limitation. The daily mean values of Pn and water use efficiency (WUE) showed that G. attenuatum > G.densiflorum > G.eulophioides, which indicated that G.eulophioides had a weaker ability of accumulating photosynthesis products, and its adaptive capacity to the arid environment was probably poorer. (3) Three species of Geodorum were all shade plants. G.densiflorum had the smallest light compensation point (LCP) and the largest light saturation point (LSP), and had a wider range of adaptation to light intensity; G. attenuatum had a high maximum net photosynthetic rate (Pmax) and apparent quantum efficiency (AQY), and its photosynthetic capacity was stronger; G.eulophioides had the smallest Pmax and the potential maximum net photosynthetic rate (Amax), and its photosynthetic capacity and CO2 utilization capacity were weaker. (4) The chlorophyll a (Chl a), chlorophyll b (Chl b) and total chlorophyll (Chl) contents of G.densiflorum and G. attenuatum were significantly (P

Camellia perpetua is the only rare and endangered plant in the genus Camellia that blooms almost all year round. In order to explore the flower bud differentiation process and the changes of endogenous hormones in leaves at different flower development periods and annual growth cycles, the process of C. perpetua flower bud differentiation was observed by paraffin sections. The contents of abscisic acid (ABA), indole-3-acetic acid (IAA), gibberellin (GA3) and zeatin nucleoside (ZR) in leaves in different flower development periods and in leaves with flower bud and leaves without flower bud in annual growth cycle were determined by enzyme-linked immunosorbent assay (ELISA). The results were as follows: (1) The flower bud differentiation sequence of C. perpetua was from the outside to the inside, and it was divided into six periods, which lasted 35 d in total, from the bud differentiation to flowering about two months. (2) The contents of ABA and GA3 and the ratios of GA3/ABA and (IAA + GA3) /ZR were higher in flower bud morphological differentiation period, while the contents of IAA and ZR and the ratios of IAA/ABA and ZR/ABA were lower. (3) The contents of ABA, IAA and ZR in the leaves with flower bud were higher than those in the leaves without flower bud. The IAA/ZR and (IAA + GA3) /ZR ratios were lower than those of the leaves without flower bud. In conclusion, the flower bud differentiation to flowering time of C. perpetua is shorter. High levels of ABA and GA3 and low levels of IAA and ZR are beneficial to flower bud differentiation; higher levels of ABA, IAA and ZR are beneficial to flower bud development. The study provides the reference for clarifying the continuous flowering mechanism of this species.

Abstract Background Despite the functions of TLRs in the parasitic infections have been extensively reported, few studies have addressed the role of TLR3 in the immune response to Schistosoma japonicum infections. The aim of this study was to investigate the properties of TLR3 in the liver of C57BL/6 mice infected by S. japonicum. Methods The production of TLR3+ cells in CD4+T cells (CD4+CD3+), CD8+T cells (CD8+CD3+), γδT cells (γδTCR+CD3+), NKT cells (NK1.1+CD3+), B cells (CD19+CD3−), NK (NK1.1−CD3+) cells, MDSC (CD11b+Gr1+), macrophages (CD11b+F4/80+), DCs (CD11c+CD11b+) and neutrophils (CD11b+ Ly6g+) were assessed by flow cytometry. Sections of the liver were examined by haematoxylin and eosin staining in order to measure the area of granulomas. Hematological parameters including white blood cell (WBC), red blood cell (RBC), platelet (PLT) and hemoglobin (HGB) were analyzed. The levels of ALT and AST in the serum were measured using biochemical kits. The relative titers of anti-SEA IgG and anti-SEA IgM in the serum were measured by enzyme-linked immunosorbent assay (ELISA). CD25, CD69, CD314 and CD94 molecules were detected by flow cytometry. Results Flow cytometry results showed that the expression of TLR3 increased significantly after S. japonicum infection (P

Aiming at the rehabilitation training of patients with lower extremity damage and stroke, a multi-degree-of-freedom adjustable lower extremity rehabilitation exoskeleton is designed. The screw mechanism is used to replace the traditional leg structure, and there is a rotation module at the waist, which can better realize the human-machine collaboration. The lower extremity exoskeleton dynamics model is established by the Lagrangian method, and the theoretical torque is calculated; the lower extremity rehabilitation exoskeleton model is constructed, and the finite element simulation and exoskeleton kinematics/dynamics simulation are carried out using Ansys and Adams software, respectively. The results verify the rationality of the structural design, and provide a basis for the subsequent lower limb exoskeleton manufacturing and motor selection.

Abstract Background Adenosquamous carcinoma is a rare sub-type of colorectal cancer with a poor prognosis. Little is known about its clinicopathological and molecular characteristics in Asian populations. This study aimed to investigate these features in a cohort of patients with adenosquamous carcinoma in the colorectum. Methods Tumor cases pathologically diagnosed with colorectal adenosquamous carcinoma were retrieved from the Sixth Affiliated Hospital, Sun Yat-sen University tissue archive between December 2012 and June 2020. Clinicopathological features, molecular characteristics, and oncology outcomes were analyzed. Results Among 18,139 cases of colorectal cancer, 11 were diagnosed with adenosquamous carcinoma, providing an incidence rate of 0.061%. The median overall survival (OS) was 14 months, and the expected 3-year OS rate was 29.6%. As of October 14, 2022, four cases had local recurrence and five had distant metastasis. KRAS gene mutations were found in four of seven patients (57.1%), and three out of eleven (27.3%) patients had mismatch repair-deficient (dMMR) tumors. Conclusions Adenosquamous carcinoma is associated with a poor prognosis. Compared to other sub-types of colorectal cancer, a higher proportion of patients with dMMR and KRAS mutations were observed. These findings suggested that more patients with adenosquamous carcinoma could benefit from targeted therapies, such as immunotherapy.

Abstract The reversible pump‐turbine plays an important role in hydropower stations, but pressure pulsation during their operation affects their performance and lifespan. Accurate prediction of pressure pulsation signals can provide an important basis for energy planning and stable operation of pumped storage units, thereby promoting sustainable development of the environment. This study introduces an optimization method that combines long short‐term memory (LSTM) and variable mode decomposition (VMD) to enhance the prediction accuracy of pressure pulsation signals. First, by decomposing the pressure pulsation signal into multiple relatively stable subsequence components using VMD, the characteristics of the original signal become more distinct. Subsequently, individual LSTM‐based time series prediction models were constructed for each modal function, and the hyperparameters related to subsequence were optimized using the sparrow search algorithm. To validate the efficacy of the proposed approach, this paper conducted experiments using pressure pulsation signals of a pump‐turbine obtained through numerical simulation. The experimental data was divided into training and testing sets, with the former used to train the LSTM model and the latter used for validation. The experimental results show that the optimized VMD with an optimized LSTM method can effectively improve the prediction accuracy of pressure pulsation signals in reversible pump‐turbine.

The radar climatology characteristics of convection in southeastern Gansu Province during the warm season （June to August）were investigated using Tianshui Doppler radar data that filtered by “Maximum Method” and tracking statistics by “TITAN”（Thunderstorm identification Tracking Analysis and Nowcasting） algorithm.The frequency of convective activity showed large value in high altitude mountains with the Great value center located in windward slope of Western Liupanshan Mountain and undulating region of western Qinling Mountains， and the peak time in August.The convective storm mainly propagated from northwest to southeast， meanwhile the propagation characteristics presented a difference in different months and it spreads fastest in June and slowest in August.The diurnal variation of convective activity showed a unimodal distribution of frequency with peak region at 16:00 -17:00 （Beijing Time）.It's also showed in the occurrence and development of convection in different terrain occurrence and development in different terrain conditions with the high frequency of thermal convection mainly at high altitude area in the afternoon and presentation in the mountain， river valley， basin and plain respectively at night.The diurnal variation of convective storms in different months was obviously different.The influence of solar heating and topographic forcing on convective storms in the afternoon of June was the most significant， while the response of convective storms in the night of July and August was higher to the complex topography of the plateau slope.The propagation direction of the well-organized storm in the afternoon was closely related to the extension and slope direction of the mountain， and was closely related to the prevailing winds at 500 hPa at night.More than 90% convective storms lasted less than 36 minutes， and only 1% lasted longer than 1 hour.

Low-orbit satellites are widely used in communication, navigation, remote sensing and other fields, which is of great significance to meet the needs of communication and improve the accuracy of navigation and positioning.Integrity technology is an important guarantee for the safe and reliable operation of satellite navigation system.With the mature development of low orbit technology and the gradual application of a large number of low orbit satellites, it is urgent to develop the system integrity monitoring technology under the condition of mixed constellation of high and low orbits.This paper proposed a hybrid constellation integrity monitoring technology for high, middle and low orbit navigation based on genetic algorithm for star selection.On the basis of the traditional optimal geometric accuracy factor selection method, genetic algorithm was introduced to construct a fitness factor based on the linear weighted feature slope of the satellite geometric observation matrix, so as to achieve rapid convergence of user protection level to protection limit.This method further improved the integrity of the receiver by optimizing the way of star selection.Under the accuracy requirement of CAT I, for the ＆quot;BeiDou+StarNet-1＆quot; constellation, the global availability level of the proposed algorithm was 5.60%, and the enhancement effect was the best for the mid-latitude and low-latitude of the Eastern Hemisphere, which were increased by 7.01% and 6.42%, respectively.

Improving people’s livelihood resilience against risks and challenges plays an important role in consolidating the achievements of poverty reduction. The paper uses 64 poverty-stricken counties in China’s Sichuan province as the study area and explores the link between spatial segregation and human capital. The results show that the proximity (spatial segregation) is significantly and negatively associated with people’s educational attainment and their acquisition of non-farming employment. Residents in villages which are distant from the county center tend to obtain less educational opportunities and are less likely to engage in non-farming jobs than those who are close to the county center. The mediating effect analysis indicates that remoteness mainly reduces the propensity of getting non-farming jobs by reducing the human capital of rural residents. Further analysis shows that the association between proximity, human capital and the probability of acquiring non-farming work is higher in areas with lower economic level and less developed transportation infrastructure. Policy implications for improving people’s livelihood resilience in impoverished areas are proposed in the paper.