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ObjectiveChildhood hearing impairment has potential repercussions on the mental well-being of both children and their parents. As a vulnerable population in accessing health care services, they may face specific challenges, especially during the COVID-19 pandemic. This cross-sectional study aims to investigate the association between childhood hearing impairment and the mental health of children and their parents, and to assess health care utilization of hearing-impaired children and its impact on mental outcomes for both during the COVID-19 pandemic.MethodsUsing the National Health Interview Survey (NHIS) database, we analyzed data for 15,989 children aged 5–17 and their corresponding parents. The correlations between childhood hearing impairment and mental outcomes were examined using logistic regression models. The 2020 (quarter 3 and quarter 4)-2021 NHIS data was singled out and re-analyzed, focusing on the utilization of medical care during the COVID-19 pandemic.ResultsAfter accounting for covariates, hearing-impaired children exhibited a higher frequency of anxiety (OR 2.33, 95% CI 1.79–3.02) or depression (OR 2.14, 95% CI 1.59–2.88). Parents of hearing-impaired children had significantly higher odds of a higher frequency of anxiety (OR 1.55, 95% CI 1.20–2.01) or depression (OR 1.73, 95% CI 1.30–2.29). Interaction effect of hearing impairment with survey year on parents’ mental health outcomes was observed (p for interaction

Background and aim: Accurately predicting microvascular invasion (MVI) before surgery is beneficial for surgical decision-making, and some high-risk hepatocellular carcinoma (HCC) patients may benefit from postoperative adjuvant transarterial chemoembolization (PA-TACE). The purpose of this study was to develop and validate a novel nomogram for predicting MVI and assessing the survival benefits of selectively receiving PA-TACE in HCC patients. Methods: The 1372 HCC patients who underwent hepatectomy at four medical institutions were randomly divided into training and validation datasets according to a 7:3 ratio. We developed and validated a nomogram for predicting MVI using preoperative clinical data and further evaluated the survival benefits of selective PA-TACE in different risk subgroups. Results: The nomogram for predicting MVI integrated alpha-fetoprotein, tumor diameter, tumor number, and tumor margin, with an area under the curve of 0.724, which was greater than that of any single predictive factor. The calibration curve, decision curve, and clinical impact curve demonstrated that the nomogram had strong predictive performance. Risk stratification based on the nomogram revealed that patients in the low-risk group did not achieve better DFS and OS with PA-TACE (all p > 0.05), while patients in the medium-to-high risk groups could benefit from higher DFS (Medium-risk, p = 0.039; High-risk, p = 0.027) and OS (Medium-risk, p = 0.001; High-risk, p = 0.019) with PA-TACE. Conclusions: The nomogram predicting MVI demonstrated strong predictive performance, and its risk stratification aided in identifying different subgroups of HCC patients who may benefit from PA-TACE with improved survival outcomes.

ObjectiveRecent studies have demonstrated that the Dietary Inflammatory Index (DII) is relevant to abnormal gut health. However, there is a lack of studies that have explicitly explored the link between fecal incontinence (FI) and DII. The current study aims to explore the relationship between DII and FI.MethodsThe cross-sectional study enrolled a total of 11,747 participants aged 20–85 from NHANES 2005–2010. Weighted logistic regression was conducted to evaluate the relationship between DII and FI, and restricted cubic spline (RCS) was employed to assess the dose-response relationship between DII and FI. Subgroup analyses were performed according to age, gender, race, and BMI.ResultDII levels were found to be significantly higher in patients with FI than in the normal population (p = 0.016). After adjusting for all covariates, DII was found to be significantly correlated with FI (model 2: Q4 vs. Q1, OR = 1.49, 95% CI: 1.04–2.14, p = 0.032, p for trend = 0.039). The dose-response curve revealed that there was no non-linear correlation between DII and FI (p-non-linear = 0.234). Subsequent subgroup analyses uncovered that DII was notably associated with FI in the old (Q4 vs. Q1, OR = 1.84, 95% CI: 1.07–3.18, p = 0.030), female (Q4 vs. Q1: OR = 2.02, 95% CI: 1.23–3.33, p = 0.008), non-Hispanic white (Q4 vs. Q1: OR = 1.70, 95% CI: 1.12–2.59, p = 0.015) populations.ConclusionDII was positively associated with FI, particularly among old, female and non-Hispanic white individuals. Decreasing daily dietary inflammatory levels may be an effective tactic to prevent FI, but the precise mechanisms need to be further investigated.

We investigated in detail the M5.8 class solar flare that occurred on 2023-03-06. This flare was one of the first strong flares observed by the Siberian Radioheliograph in the microwave range and the Advanced Space-based Solar Observatory in the X-ray range. The flare consisted of two separate flaring events (a “thermal” and a “cooler” ones), and was associated with (and probably triggered by) a filament eruption. During the first part of the flare, the microwave emission was produced in an arcade of relatively short and low flaring loops. During the second part of the flare, the microwave emission was produced by energetic electrons trapped near the top of a large-scale flaring loop; the evolution of the trapped electrons was mostly affected by the Coulomb collisions. Using the available observations and the GX Simulator tool, we created a 3D model of the flare, and estimated the parameters of the energetic electrons in it.

A launching system with a filter cartridge structure was proposed to improve the muzzle velocity of the projectile. The combustion chamber of the launching system is divided into two fixed chambers, one is located in the breech chamber, and the other is arranged in the barrel. The breech chamber charge was ignited first, and the charges in the auxiliary chambers were ignited by the high-temperature, high-pressure combustible gas trailing the projectile. In this way, the combustible gas in the auxiliary chambers could compensate for the pressure drop caused by the movement of the projectile. The proposed device features the advantage of launching a projectile with high muzzle velocity without exceeding the maximum pressure in the chamber. In order to obtain some internal ballistic characteristics of the launch system, some critical structure, such as the length of the filter cartridge auxiliary charge, the combustion degree of the propellant in the chamber, and the length of the barrel, are discussed. The experimental results show that with the increased auxiliary charge length, a pressure plateau or even a secondary peak pressure can be formed, which is less than the peak pressure. The projectile velocity increased by 23.57%, 14.64%, and 7.65% when the diaphragm thickness was 0 mm, 1 mm, and 2 mm, respectively. The muzzle velocity of the projectile can be increased by 13.42% by increasing the length of the barrel. Under the same charge condition, with the increase of barrel length, the energy utilization rate of propellant increases by 28.64%.

Abstract Background Effective exercise for the frail elderly has been found to contribute to healthy aging; the corresponding relationship between intensity and volume of exercise and health effects remains unclear. The present study aimed to investigate the dose–response effects of resistance training on muscle strength and physical fitness in frail older adults. Methods In this randomized controlled trial, participants were randomized into seven groups: moderate‐volume low‐intensity, moderate‐volume moderate‐intensity, moderate‐volume high‐intensity, high‐volume low‐intensity, high‐volume moderate‐intensity, high‐volume high‐intensity and routine care, receiving 12 weeks of resistance training of different intensities and volumes of exercise. The outcomes were muscle strength (assessed by ergonomics force gauges) and physical fitness function (assessed by the 6‐min walking test [6MWT], the 30‐s sit‐to‐stand test [30sSTST] and the 8‐foot up‐and‐go test [8‐FUGT]) before and at 6 and 12 weeks of intervention. Results A total of 161 participants completed the exercise intervention. There were no significant differences in age, sex, height, body weight and body mass index among the seven groups. The exercise volume of resistance training showed linear relationships with muscle strength of the lower limbs, 30sSTST and 6MWT results and a non‐linear relationship with 8‐FUGT. Resistance training intensity was found to have a linear relationship with muscle strength of the lower limbs and 6MWT and non‐linear relationships with 30sSTST and 8‐FUGT. The mixed linear model analysis revealed that the lower limb muscle strength differed significantly before and during the intervention (W = 8571.5, Padj

We previously revealed that Cang-ai volatile oil (CAVO) regulates T-cell activity, enhancing the immune response in people with chronic respiratory diseases. However, the effects of CAVO on allergic rhinitis (AR) have not been investigated. Herein, we established an ovalbumin (OVA)-induced AR rat model to determine these effects. Sprague–Dawley (SD) rats were exposed to OVA for 3 weeks. CAVO or loratadine (positive control) was given orally once daily for 2 weeks to OVA-exposed rats. Behavior modeling nasal allergies was observed. Nasal mucosa, serum, and spleen samples of AR rats were analyzed. CAVO treatment significantly reduced the number of nose rubs and sneezes, and ameliorated several hallmarks of nasal mucosa tissue remodeling: inflammation, eosinophilic infiltration, goblet cell metaplasia, and mast cell hyperplasia. CAVO administration markedly upregulated expressions of interferon-γ, interleukin (IL)-2, and IL-12, and downregulated expressions of serum tumor necrosis factor-α, IL-4, IL-5, IL-6, IL-13, immunoglobulin-E, and histamine. CAVO therapy also increased production of IFN-γ and T-helper type 1 (Th1)-specific T-box transcription factor (T-bet) of the cluster of differentiation-4+ T-cells in splenic lymphocytes, and protein and mRNA expressions of T-bet in nasal mucosa. In contrast, levels of the Th2 cytokine IL-4 and Th2-specific transcription factor GATA binding protein-3 were suppressed by CAVO. These cumulative findings demonstrate that CAVO therapy can alleviate AR by regulating the balance between Th1 and Th2 cells.

Background Extracellular vesicles (EVs) are membrane-bound vesicles containing various proteins, lipids, and nucleic acids. EVs are found in many body fluids, such as blood and urine. The release of EVs can facilitate intercellular communication through fusion with the plasma membrane or endocytosis into the recipient cell or through internalization of the contents. Recent studies have reported that EVs isolated from human endometrial epithelial cells (EECs) promote sperm fertilization ability. EVs from uterine flushing fluid more closely resemble the physiological condition of the uterus. However, it is unclear whether EVs derived directly from uterine flushing fluid have the same effect on sperm. This study aimed to research the effect of EVs from uterine flushing fluid on sperm. Methods EVs were isolated from the uterine flushing fluid. The presence of EVs was confirmed by nanoparticle tracking analysis (NTA), Western blot, and transmission electron microscopy (TEM). EVs were incubated with human sperm for 2 h and 4 h. The effects of EVs on sperm were evaluated by analyzing acrosome reaction, sperm motility, and reactive oxygen species (ROS). Results The EVs fractions isolated from the uterine fluid were observed in cup-shaped vesicles of different sizes by TEM. All isolated vesicles contained similar numbers of vesicles in the expected size range (30–200 nm) by NTA. CD9 and CD63 were detected in EVs by western blot. Comparing the motility of the two groups incubated sperm motility significantly differed at 4 h. The acrosome reactions were promoted by incubating with EVs significantly. ROS were increased in sperm incubated with EVs. Conclusion Our results showed EVs present in the uterine fluid. Acrosome reactions and ROS levels increased in human sperm incubated with EVs. EVs from uterine fluid can promote the capacitation of human sperm. The increased capacitation after sperm interaction with EVs suggests a possible physiological effect during the transit of the uterus.

Abstract Background Pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP) can lead to significant morbidity and mortality. We aimed to develop an accurate post‐ERCP pancreatitis risk prediction model using easily obtainable variables. Methods Using prospective multi‐center ERCP data, we performed logistic regression using stepwise selection on several patient‐, procedure‐, and endoscopist‐related factors that were determined a priori. The final model was based on a combination of the Bayesian information criterion and Akaike's information criterion performance, balancing the inclusion of clinically relevant variables and model parsimony. All available data were used for model development, with subsequent internal validation performed on bootstrapped data using 10‐fold cross‐validation. Results Data from 3021 ERCPs were used to inform models. There were 151 cases of post‐ERCP pancreatitis (5.0% incidence). Variables included in the final model included female sex, pancreatic duct cannulation, native papilla status, pre‐cut sphincterotomy, increasing cannulation time, presence of biliary stricture, patient age, and placement of a pancreatic duct stent. The final model was discriminating, with a receiver operating characteristic curve statistic of 0.79, and well‐calibrated, with a predicted risk‐to‐observed risk ratio of 1.003. Conclusions We successfully developed and internally validated a promising post‐ERCP pancreatitis clinical prediction model using easily obtainable variables that are known at baseline or observed during the ERCP procedure. The model achieved an area under the curve of 0.79. External validation is planned as additional data becomes available.

A novel bilateral impact-ionization-avalanche-transit-time (BIMPATT) diode based on AlGaN/GaN two-dimensional electron gas is proposed in this article. The BIMPATT is compatible with the available GaN high electron mobility transistor (HEMT) manufacturing process and has a shorter actual electron transit distance than existing HEMT-like IMPATT (HIMPATT) diodes. Compared with the same-sized HIMPATT, the optimum frequency of BIMPATT rises from 320 to 420 GHz and possesses a far wider operating frequency band, especially in the near 0.9 THz range. The maximum DC-RF conversion efficiency rises from 12.9% to 17.6%. The maximum RF power of BIMPATT is 3.18 W/mm, which is similar to 3.12 W/mm of the HIMPATT. Furthermore, our simulation demonstrated that the characteristics of BIMPATT are significantly affected by the length of anode and the thickness of the AlGaN barrier layer. The effects of ohmic contact resistance and background impurities on BIMPATT are also taken into account. This paper provides a reference for the design and characteristics enhancement of the lateral IMPATT devices. [ABSTRACT FROM AUTHOR]

Two-dimensional germanium is considered a promising new channel material to replace silicon owing to its lower effective mass and larger electron–hole mobility. To investigate the transport characteristics of single-layer germanane transistors with gate lengths (Lg) below 5 nm, we utilize an ab initio quantum transport methodology. It was found that the n-type germanane transistors having Lg of 3 and 5 nm satisfy the International Technology Roadmap for Semiconductors (ITRS) requirements for the on-state current (Ion), effective delay time, and power-delay products of high-performance (HP) devices. Notably, by introducing a negative capacitive (NC) dielectric layer, the p-type germanane transistor having an Lg of 5 nm is almost able to meet the ITRS demands for HP devices. Despite reducing the gate length to 2 nm through the incorporation of the NC dielectric layer, the on-state currents for both n-type and p-type still satisfy approximately 80% of the ITRS standard. Therefore, monolayer germanane presents promising potential as a channel material in a sub-5 nm scale for HP applications. [ABSTRACT FROM AUTHOR]

Abstract Objective To investigate the influencing factors affecting the occurrence of microvascular invasion (MVI) and the prognosis of hepatocellular carcinoma (HCC) patients treated with hepatectomy, and to explore how MVI affects prognosis in subgroups with different prognostic factors. Methods Clinical data of a total of 1633 patients treated surgically for HCC in four treatment centers were included, including 754 patients with MVI. By using the Cox risk regression model and the Mann–Whitney U‐test, the common independent influences on prognosis and MVI were made clear. The incidence of MVI in various subgroups was then examined, as well as the relationship between MVI in various subgroups and prognosis. Results The Cox risk regression model showed that MVI, Child–Pugh classification, alpha‐fetoprotein (AFP), hepatocirrhosis, tumor diameter, lymphocyte‐to‐monocyte ratio (LMR), and, Barcelona clinic liver cancer (BCLC) grade were independent determinants of overall survival (OS), and MVI, AFP, hepatocirrhosis, tumor diameter, and LMR were influencing determinants for disease‐free survival (DFS). The receiver operating characteristic (ROC) curve showed that MVI was most closely associated with patient prognosis compared to other prognostic factors. AFP, hepatocirrhosis, tumor diameter, and LMR were discovered to be common influences on the prognosis of patients with HCC and MVI when combined with the results of the intergroup comparison of MVI. After grouping, it was showed that patients with hepatocirrhosis, positive AFP (AFP ≥ 20 ng/mL), tumor diameter >50 mm, and LMR ≤3.4 had a significantly higher incidence of MVI than patients in other subgroups, and all four subgroups of MVI‐positive patients had higher rates of early recurrence and mortality (p 50 mm, and LMR ≤3.4, and the prognosis of MVI‐positive patients in all four subgroups tended to be worse.

Accurate control of liquid–liquid interfaces is of great importance in many scientific fields. Currently, most studies on liquid–liquid interfaces are based on microfluidics in closed channels, and for open systems, it is difficult to form stable liquid–liquid interfaces in microchannels due to the interference of gas-phase molecules. Here, we introduce a new method to manipulate the motion of the liquid–liquid interface under an open microchannel. Under the effect of surface tension, the liquid–liquid interface moves in microchannels until it encounters microstructures in the microchannels, where the force equilibrates and remains stable to form a fixed shape. The shape of the interface is regulated by adjusting the dimensions of the microchannels and microstructures as well as the positions of the microstructures in the microchannels. This spontaneous liquid–liquid interface moves, stops, and remains stable in a very convenient way. The morphology and position of the interface are well manipulated using microstructures, and the liquid–liquid interface with well-defined geometry can be made to stay in different positions to play different roles.

Neutron absorption gratings play a crucial role in neutron phase contrast imaging systems, where the fabrication of large-size and small-period absorption gratings that meet imaging requirements presents a significant challenge. The pressurized particle filling method has been successfully applied to fabricate large-size absorption gratings. Here, we investigated the feasibility of the pressurized particle filling method for fabricating small-period gratings and proposed an optimized pressurized particle filling method. The grating surface was covered with a uniform particle layer and then pressurized, utilizing the adaptive deformation of the particle layer to achieve uniform particle filling. Neutron absorption gratings with an area of 60 × 60 mm2 and periods of 8 and 4 µm were fabricated through this method. The particle filling rate and fabrication efficiency were successfully improved. In addition, the evaluation of the particle filling uniformity method by analyzing the proportion of particles on the grating surface was proposed. The better uniformity of small-period neutron absorption gratings indicated that the optimized pressurized particle filling method can achieve relatively uniform particle filling.

Background: The molecular mechanisms that lead to hepatocellular carcinoma (HCC), a highly common malignant tumor, are currently unclear. In fact, while the nucleolar protein that interacts with the FHA domain of pKi-67 (NIFK) is known to promote lung cancer progression, its specific role in HCC remains unknown. Results: In HCC tissues, NIFK was significantly overexpressed in comparison with normal tissues. In The Cancer Genome Atlas (TCGA) database, NIFK expression showed a good prediction value according to an ROC curve and it was linked to poor progression-free interval, disease-specific survival and overall survival. Furthermore, the level of NIFK expression in HCC was significantly correlated with tumor stage, AFP (ng/mL), OS event, DSS event and PFI event. Based on GSEA evaluations, differentially expressed NIFK genes exhibited enrichment for fatty acid metabolism, oxidative phosphorylation as well as cancer, cell cycle, MAPK, TGF, WNT and NOTCH signaling pathways. The TIMER database analysis further revealed positive associations between NIFK expression and the immune cells, such as dendritic cells, neutrophils, macrophages, CD4+ T cells, CD8+ T cells and B cells. Also, the NIFK expression was positively correlated with immune checkpoints (PD1/PD-L1 and CTLA4). The experimental verification determined that NIFK knockdown could thwart HCC cellular properties of proliferation, metastasis and invasiveness. Univariate and multivariate Cox hazard regression validated NIFK expression as an independent prognostic marker in HCC. Conclusions: NIFK has theragnostic potential as a separate prognostic factor or novel biomarker involved in the immune infiltration of HCC.How to cite: Cheng F, Yuan L, Wu Z, et al. NIFK, an independent prognostic biomarker of hepatocellular carcinoma, is correlated with immune infiltration. Electron J Biotechnol 2023;63. https://doi.org/10.1016/j.ejbt.2023.01.003.