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In the development of high‐performance organic solar cells (OSCs), the self‐organization of organic semiconductors plays a crucial role. This study focuses on the precisely manipulation of molecular assemble via tuning alkyl side‐chain topology in a series of low‐cost nonfused‐ring electron acceptors (NFREAs). Among the three NFREAs investigated, DPA‐4, which possesses an asymmetric alkyl side‐chain length, exhibits a tight packing in the crystal and high crystallinity in the film, contributing to improved electron mobility and favorable film morphology for DPA‐4. As a result, the OSC device based on DPA‐4 achieves an excellent power conversion efficiency of 16.67 %, ranking among the highest efficiencies for NFREA‐based OSCs. [ABSTRACT FROM AUTHOR]

Organic solar cells (OSCs) have attracted extensive attention from both academia and industry in recent years due to their remarkable improvement in power conversion efficiency (PCE). However, the Golden Triangle (the balance of efficiency‐stability‐cost) required for large‐scale industrialization of OSCs still remains a great challenge. Here, a new nonfused‐ring electron acceptor (NFREA) BF and its polymerized counterpart PBF were designed and synthesized, and their photovoltaic performance, storage stability and material cost were systematically investigated. When blended with a widely‐used polymer donor PBDB‐T, the PBF‐based all‐polymer solar cell (all‐PSC) displayed a record high PCE of 12.61% for polymerized NFREAs (PNFREAs) with an excellent stability (95.2% of initial PCE after 800 h storage), superior to the BF counterpart. Impressively, PBF‐based all‐PSC possesses the highest industrial figure‐of‐merit (i‐FOM) value of 0.309 based on an efficiency‐stability‐cost evaluation, in comparison to several representative OSC systems (such as PM6:Y6 and PBDB‐T:PZ1). This work provides an insight into the balance of efficiency, stability, and cost, and also indicates that the PNFREAs are promising materials toward the commercial application of OSCs. [ABSTRACT FROM AUTHOR]

Comprehensive Summary: By employing thiazole and 4‐chlorothiazole as the A′ units, two A‐D‐A′‐D‐A type nonfused‐ring electron acceptors (NFREAs) Tz‐H and Tz‐Cl were designed and synthesized. Replacing thiazole in Tz‐H with 4‐chlorothiazole can not only remarkably shorten the synthetic route through C—H direct arylation but also enhance molecular planarity with the simultaneous incorporation of S···N and S···Cl noncovalently conformational locks (NoCLs). The photovoltaic devices based on PM6:Tz‐Cl exhibited a power conversion efficiency as high as 11.10%, much higher than that of PM6:Tz‐H (6.41%), mainly due to more efficient exciton dissociation, better and more balanced carrier mobility, less charge recombination, and more favorable morphology. These findings demonstrate the great potential of NoCLs in achieving low‐cost and high‐performance NFREAs. [ABSTRACT FROM AUTHOR]

Comprehensive Summary: By employing thiazole and 4‐chlorothiazole as the A′ units, two A‐D‐A′‐D‐A type nonfused‐ring electron acceptors (NFREAs) Tz‐H and Tz‐Cl were designed and synthesized. Replacing thiazole in Tz‐H with 4‐chlorothiazole can not only remarkably shorten the synthetic route through C—H direct arylation but also enhance molecular planarity with the simultaneous incorporation of S···N and S···Cl noncovalently conformational locks (NoCLs). The photovoltaic devices based on PM6:Tz‐Cl exhibited a power conversion efficiency as high as 11.10%, much higher than that of PM6:Tz‐H (6.41%), mainly due to more efficient exciton dissociation, better and more balanced carrier mobility, less charge recombination, and more favorable morphology. These findings demonstrate the great potential of NoCLs in achieving low‐cost and high‐performance NFREAs. [ABSTRACT FROM AUTHOR]

Background Few studies have investigated psychogenic sexual dysfunction including psychogenic erectile dysfunction (pED); the effect of tadalafil on sexual behavior of male rats induced by chronic unpredictable mild stress (CUMS) remains unclear. Aim The aim was to explore the influence of CUMS on sexual behavior of male rats and the effects of tadalafil on that. Methods Adult male rats were divided into 3 groups, including the normal group without CUMS, the model group with 6 weeks' CUMS, and the tadalafil group with treatment of tadalafil during CUMS. CUMS consists of water deprivation, food deprivation, stroboscopic lightning, white noise, cage tilting, weeding packing, and housing 2 unfamiliar rats. The apomorphine test and vaginal smear test were conducted with the aim to screen out male rats with good erectile function and make preparation for the sexual behavior test, respectively. Outcomes At the end of the study period, the level of anhedonia and sexual function were evaluated by the sucrose preference test, sexual behavior test, and measurement of serum testosterone, dopamine, and 5-HT. Results Sucrose preference showed significant decrease in rats after CUMS. The intromission ratio and total intromission frequency decreased significantly, while the mount latency and ejaculation latency prolonged significantly in CUMS-induced rats when compared with normal rats. Meanwhile, the treatment of tadalafil reversed the level of anhedonia and sexual function in CUMS-induced rats. However, there were no statistical differences in the levels of serum testosterone, dopamine, and 5-HT among groups. Clinical Implications The study constructed an animal model that can provide clinical insights into the mechanism of psychogenic sexual dysfunction and supports the application of tadalafil in pED therapy. Strengths and Limitations We found that CUMS-induced rats exhibited anhedonia and poor sexual function that could be prevented by tadalafil administration. Future research needs to construct the standard of pED model and explore the mechanism of tadalafil on central nervous system. Conclusion Tadalafil could prevent the changes of depression and poor sexual function in rats induced by CUMS, and the method of CUMS and the sexual behavior test should be used in the future for pED modeling. [ABSTRACT FROM AUTHOR]

Many breakthroughs on security and privacy-preserving techniques have emerged to mitigate the trust loss of cloud hosting environment caused by various types of attacks. To enhance memory-level security of multi-keyword fuzzy search, a widely occurred query request, we take the initiative to apply Trusted Execution Environment (a.k.a TEE) technology to our protocol design which provides hardware-based tamper-proof enclaves. Then we propose the Edit Distance-based Obfuscation Mechanism to further protect the query process executed outside TEE against access pattern leakage. With concerns of practicality and performance, we also propose the two-layer fuzzy index structure and Trend-aware Cache. The former addresses the space limitation of TEE memory for searching large datasets, while the latter optimizes the cache utility of TEE with trend-aware coordinator to effectively reduce the communication overhead. [ABSTRACT FROM AUTHOR]

Creep, sulfate erosion resistance, fly ash content of concrete, and sustained compression load are important factors that will affect the long-term performance of concrete. It is of great interest to combine these effects together to make a comprehensive investigation of fly ash concrete. However, the concrete creep under both sustained compression load and sulfate attack conditions has rarely been reported. To obtain the creep characteristics of fly ash concrete in a sulfate environment, this paper first finishes the creep experiments of fly ash concrete under sustained compression load and sulfate attack. The test factors include the load stress level, the concentration of sulfate solution, and the content of fly ash. Based on the creep mechanism of fly ash concrete under sulfate erosion, the relationship between time-dependent section area variation and creep was carried out. After comparing different creep models, the creep calculation model of fly ash concrete under sulfate erosion was built via the B4 model combined with the cross-sectional area of the damaged layer and undamaged layer of concrete. Finally, comparing the calculated values with the test results, the calculated results were in good agreement with the test data, which is of practical significance to the practical engineering application and the improvement of structural reliability. [ABSTRACT FROM AUTHOR]

Aim: To assess the exosomal miR‐21/Let‐7a ratio, a noninvasive method, in distinguishing non‐small cell lung cancer (NSCLC) from benign pulmonary diseases. Methods: The exosomes were extracted from the peripheral blood serum using serum exosomal extraction kit. miR‐21 and Let‐7a levels were evaluated by quantitative reverse transcription polymerase chain reaction. Results: We found that miR‐21/Let‐7a ratio of NSCLC patients was significantly higher than that of healthy people, patients with pulmonary inflammation diseases, and benign pulmonary nodules, respectively. Receiver‐operating characteristic analysis revealed that as compared with healthy controls, miR‐21/Let‐7a produced the area under the curve (AUC) at 0.8029 in patients with NSCLC, which helped to distinguish NSCLC from healthy controls with 81.33% sensitivity and 69.57% specificity. In addition, the AUC of miR‐21/Let‐7a in NSCLC patients was 0.8196 in comparison to patients with pulmonary inflammation diseases. Meanwhile, the sensitivity and specificity were 56.00% and 100%, respectively. Furthermore, compared with patients with benign pulmonary nodules, the AUC of miR‐21/Let‐7a in NSCLC patients was 0.7539. The sensitivity and specificity were 56.00% and 82.61%, respectively. Conclusion: In the present study, our findings revealed that exosomal miR‐21/Let‐7a ratio holds considerable promise as a noninvasive biomarker for the diagnosis of NSCLC from benign pulmonary diseases. [ABSTRACT FROM AUTHOR]

The growing number of mobile and IoT devices has nourished many intelligent applications. In order to produce high-quality machine learning models, they constantly access and collect rich personal data such as photos, browsing history, and text messages. However, direct access to personal data has raised increasing public concerns about privacy risks and security breaches. To address these concerns, there are two emerging solutions to privacy-preserving machine learning, namely local differential privacy and federated machine learning. The former is a distributed data collection strategy where each client perturbs data locally before submitting to the server, whereas the latter is a distributed machine learning strategy to train models on mobile devices locally and merge their output (e.g., parameter updates of a model) through a control protocol. In this article, we conduct a comparative study on the efficiency and privacy of both solutions. Our results show that in a standard population and domain setting, both can achieve an optimal misclassification rate lower than 20% and federated machine learning generally performs better at the cost of higher client CPU usage. Nonetheless, local differential privacy can benefit more from a larger client population ($>$> 1k). As for privacy guarantee, local differential privacy also has flexible control over the data leakage. [ABSTRACT FROM AUTHOR]

This article discusses the challenge of industrializing organic solar cells and the need to balance efficiency, stability, and cost. The authors present a polymer acceptor called PBF, which was created using a polymerized nonfused-ring electron acceptor strategy. This polymer acceptor achieved a high efficiency of 12.61%, excellent stability, and low cost, making it a promising option for industrial applications. The authors compare the performance of PBF to other reputable systems and highlight its superior figure-of-merit. [Extracted from the article]

A novel approach to investigate the assembly and fabrication method for Indium Arsenide nanowires nano devices. Assembly of InAs nanowires field-effect transistor (FET) was realized by dielectrophoresis approach. Before deposition of the contacts, InAs nanowires were treated wet etching in an ammonium polysulfide ((NH4)2Sx) solution to remove a surface oxide layer. The assembled devices were characterized by atomic force microscopy. The experimental results showed that the efficient assembly of InAs nanowires was obtained when the applied alternating current voltage has a frequency of 2MHz and an amplitude of 10V, and the success rate of ideal assembly for InAs nanowires FET had been assessed. Meanwhile, it also provided an effective assembly method for other one-dimensional nanomaterials assembly of nano devices. [ABSTRACT FROM AUTHOR]

Objective: The aim of this retrospective study was to investigate the safety and economic aspects of using the EasyEndo disposable endoscopic cutting and stapling device for video-assisted thoracoscopic surgery (VATS) lobectomy or segmentectomy in patients with lung cancer. The choice between the two staplers was influenced by changes in our hospital's procurement policy; Johnson EC45A was used before January 2022 and was then replaced by the EasyEndo stapler., Methods: We reviewed and analyzed consecutive patients with lung cancer who underwent VATS segmentectomy from March 2021 to December 2022. Inclusion criteria included patients with suspected non-small cell lung cancer (NSCLC) who were eligible for surgical resection. The surgical procedures were performed using either the EasyEndo or Johnson EC45A staplers. Intraoperative variables, postoperative outcomes, and cost analysis were compared between the two groups., Results: A total of 1556 patients were included in the study, with 775 patients in the Control group and 781 patients in the EasyEndo group. There were no significant differences in patient characteristics between the two groups. Intraoperative variables, including blood loss, blood transfusion, and operation time, showed no significant differences between the groups. Postoperative outcomes, such as hospital stay, drainage tube placement time, and incidence of complications, were also comparable between the two groups. However, there was a significant difference in the cost of stapler usage, with the EasyEndo group showing a lower cost compared to the Control group., Conclusion: The EasyEndo disposable endoscopic cutting and stapling device demonstrated comparable safety and effectiveness to the Johnson EC45A stapler in VATS segmentectomy for lung cancer patients. Moreover, the use of the EasyEndo stapler resulted in cost savings, indicating its potential economic benefits for healthcare institutions., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Han, Lu, Chen, Yu, Zhang and Kang.)

The diffusion of Sulfate ions in concrete is a complex process and affects the performance of concrete. Experiments on the time-dependent distribution of sulfate ions in concrete under the coupling of pressure load, dry-wet circulation, and sulfate attack, and the diffusion coefficient of sulfate ions with various parameters was tested. The applicability of the cellular automata (CA) theory to simulate the diffusion of sulfate ions was discussed. In this paper, a multiparameter cellular automata (MPCA) model was developed to simulate the impacts of load, immersion ways, and sulfate solution concentration for the diffusion of sulfate ions in concrete. The MPCA model was compared with experimental data, considering compressive stress, sulfate solution concentration, and other parameters. The numerical simulations verify the calculation results based on the MPCA model are in good agreement with the test data. Finally, the applicability of the established MPCA model was also discussed.

Background: Esophageal squamous cell carcinoma (ESCC) is the leading cause of cancer death in men and women worldwide. The poor prognosis and rapid increase in ESCC incidence highlight the need to promote early detection and prediction. Identifying key molecular targets involved in ESCC monitoring and progression is critical for ESCC patients., Methods: This study examined miR-25/miR-203 as a biomarker for ESCC patients. Real-time quantitative polymerase chain reaction (PCR) was used to detect miR-25/miR-203 expression levels in tissues and serum exosomes, and MiR-25/miR-203 upregulation was confirmed in ESCC., Results: We found that the miR-25/miR-203 ratio in cancer tissues from 36 ESCC patients was significantly enhanced compared with that in adjacent tissues. Moreover, the serum level of miR-25/miR-203 in 57 ESCC patients was higher than that in 31 healthy volunteers. Intriguingly, in 38 ESCC patients, the level of miR-25/miR-203 decreased significantly after surgery. Using ROC curve statistical analysis, we found that each group of miR-25/miR-203 had obvious sensitivity and high specificity. The miR-25/miR-203 relationship with the clinicopathological features of ESCC patients was also analyzed. MiR-25/miR-203 was significantly associated with the ESCC TNM-stage and lymph node metastasis, which predicts the prognosis of ESCC and reflects tumor progression., Conclusions: This study highlights the feasibility of using exosome-mediated miR-25/miR-203 as a vital noninvasive biomarker for the detection and treatment monitoring of ESCC., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://dx.doi.org/10.21037/tcr-21-1123). The authors have no conflicts of interest to declare., (2021 Translational Cancer Research. All rights reserved.)

Objective: The purpose of this paper was to investigate the role and mechanism of EEF1D in various diseases, especially in tumorigenesis and development, and explore the possibility of EEF1D as a biological target., Background: EEF1D is a part of the EEF1 protein complex, which can produce four protein isoforms, of which three short isoforms are used as translation elongation factors. The three short isoforms play a role in anti-aging, regulating the cell cycle, and promoting the occurrence and development of malignant tumors, and the only long-form isoform plays a role in the development of the nervous system., Methods: We searched the PubMed and Web of Science databases for literature up to January 2021 using relevant keywords, including "EEF1D", "eukaryotic translation elongation factor 1 delta", "translation elongation factor", "translation elongation factor and cancer", and "translation elongation factor and nervous system disease". We then created an overview of the literature and summarized the results of the paper., Conclusions: Through the review of relevant articles, we found that EEF1D is obviously overexpressed in a variety of tumors, and can regulate the proliferation of tumor cells and tumor growth, as well as play a role in tumor invasion. EEF1D is likely to become a new biological target for tumor therapy and diagnosis., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://dx.doi.org/10.21037/atm-21-5025). The authors have no conflicts of interest to declare., (2021 Annals of Translational Medicine. All rights reserved.)

Background: Esophageal cancer (EC) is a malignant tumor with high mortality. Correlations have been found between the expression level of tropomyosin 3 (TPM3) and the depth of tumor invasion, lymph node metastasis, and the 5-year survival rate. However, the specific mechanisms underlying EC remain unclear., Methods: Stably transfected TPM3-overexpresing and TPM3-knockdown esophageal squamous cell carcinoma (ESCC) cell lines (ECa109 and EC9706) were constructed, and the association between TPM3 and the proliferation, invasion, and migration of ESCC was investigated using molecular biology methods. The associations between TPM3 and matrix metalloproteinase (MMP)2/9 or epithelial-mesenchymal transition (EMT)-related proteins were verified, and the potential tumor-promoting mechanism was explored by Gelatin Zymography Experiment., Results: TPM3 was found to promote the proliferation, migration, and metastatic potential of ESCC in vivo and in vitro, and stimulate the expression of MMP2/9 and certain EMT markers other than E-cadherin. The replenishment of MMP2/9 restored the malignant behavior of ESCC caused by TPM3. A gelatinase assay showed that the expression of TPM3 was related to the activity of MMP9., Conclusions: TPM3 promoted proliferation, migration, and metastatic potential in EC cells. Additionally, TPM3 promoted the EMT process. This function may be achieved via the regulation the expression of MMP2/9., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://dx.doi.org/10.21037/atm-21-4043). The authors have no conflicts of interest to declare., (2021 Annals of Translational Medicine. All rights reserved.)

Aim: To assess the exosomal miR-21/Let-7a ratio, a noninvasive method, in distinguishing non-small cell lung cancer (NSCLC) from benign pulmonary diseases., Methods: The exosomes were extracted from the peripheral blood serum using serum exosomal extraction kit. miR-21 and Let-7a levels were evaluated by quantitative reverse transcription polymerase chain reaction., Results: We found that miR-21/Let-7a ratio of NSCLC patients was significantly higher than that of healthy people, patients with pulmonary inflammation diseases, and benign pulmonary nodules, respectively. Receiver-operating characteristic analysis revealed that as compared with healthy controls, miR-21/Let-7a produced the area under the curve (AUC) at 0.8029 in patients with NSCLC, which helped to distinguish NSCLC from healthy controls with 81.33% sensitivity and 69.57% specificity. In addition, the AUC of miR-21/Let-7a in NSCLC patients was 0.8196 in comparison to patients with pulmonary inflammation diseases. Meanwhile, the sensitivity and specificity were 56.00% and 100%, respectively. Furthermore, compared with patients with benign pulmonary nodules, the AUC of miR-21/Let-7a in NSCLC patients was 0.7539. The sensitivity and specificity were 56.00% and 82.61%, respectively., Conclusion: In the present study, our findings revealed that exosomal miR-21/Let-7a ratio holds considerable promise as a noninvasive biomarker for the diagnosis of NSCLC from benign pulmonary diseases., (© 2020 The Authors. Asia-Pacific Journal of Clinical Oncology published by John Wiley & Sons Australia, Ltd.)

The thoracic duct is an important anatomical structure of the abdomen, chest and neck. An accurate understanding of the anatomy of the thoracic duct is critical to ensuring the safety and accuracy of the surgical procedure involving these areas, which can help surgeons reduce accidental injuries and provide more accurate diagnosis and intervention for patients with serious complications such as chylothorax, etc. In addition, it has great reference value to know the anatomy of thoracic duct in advance for the selection of treatment strategies in the treatment of refractory pleural effusion and ascites, chylothorax, and heart failure. Therefore, it is of practical value to be able to perform in vivo lymphangiography before surgery. However, the slender thoracic duct, the hidden position and the complicated anatomical structure variations pose a great challenge to the safety and accuracy of the surgical operation. This paper aims at a comprehensive discussion about anatomic variation of thoracic duct and the development of imaging techniques.

Background: To evaluate the safety, thoroughness and feasibility of "tunnel-type en bloc mediastinal lymph node dissection" in video-assisted thoracic surgery (VATS) for right non-small cell lung cancer (NSCLC) radical resection, which functionally dissected the lymph nodes of station 2R/4R/7., Methods: A retrospective study was performed in the clinical data of 196 patients with VATS right NSCLC radical resection. According to the different methods of lymph node dissection of station 2R, 4R and 7, they were divided into the tunnel-type group (n=102) and the routine group (n=94). The clinical data of two group were compared., Results: The analyses of the baselines of the two groups are comparable. For lymph nodes dissection of station 2R/4R/7, operation time, the total number, positive number and metastasis incidence shown no significant difference between two groups (P>0.05). However, the amount of bleeding, postoperative thoracic drainage volume, extubation time, hospitalization days, the incidence of postoperative pulmonary infection and chronic cough were significantly lower in the tunnel-type group (P<0.05). There was no significant difference in 3-year recurrence and metastasis and in 3-year survival between tunnel-type group and routine group., Conclusions: The tunnel-type group has more advantages, such as less surgical trauma, shorter hospitalization time, faster postoperative rehabilitation, even less postoperative chronic cough compared with the routine group. Therefore, we believe that the tunnel-type en bloc mediastinal lymph node dissection is a safe, thorough and feasible surgical method, which is worthy of being popularized and applied in the VATS right NSCLC radical resection., Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.

Lifting azygos arch with a prolene line is a useful way to keep azygos arch in minimally invasive resection of esophageal leiomyoma without affecting surgical exposure and operative procedure., Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.

Background: Recurrent laryngeal nerve (RLN) injury is one of the most frequent postoperative complications of esophageal squamous cell carcinoma (ESCC) radical resection. This study aims to develop a novel scoring system to predict recurrent laryngeal nerve lymph node (RLNLN) metastases in early ESCC and explore the indications for precise RLN lymphadenectomy., Methods: Early stage ESCC patients from 2006 to 2014 were analyzed. Patient and pathologic characteristics were compared between patients with RLNLN metastases and those without. Univariate and multivariate analyses were performed to establish a scoring system that estimates the risks of RLNLN metastases. The indications for RLNLN dissection were validated by survival rate, postoperative complications, and metastases rate., Results: A total of 311 cases selected from 1,466 ESCC patients were divided into the dissection group and the control group. Age, tumor length, macroscopic tumor type, T stage, tumor location and tumor differentiation were independent predictors of RLNLN metastases. The weighted scoring system included age (+2 for <56 years), tumor length (+2 for over 4.45 cm), tumor location (+4 for upper thoracic, +2 for mid-thoracic) and macroscopic tumor type (+1 for advanced type). The total number of points estimated the probability of RLNLN metastases [low-risk (0-2 point), 0%; moderate-risk (3-4 points), 9.8%; and high-risk (>4 points), 43.4%]. Besides, the dissection group had more complications and similar survival rate when compared with the control group., Conclusions: We developed a novel scoring system that accurately estimated the risk of RLNLN metastases in early ESCC patients. RLN lymphadenectomy may be safely omitted for the patients in the low-risk subgroup., Competing Interests: The authors have no conflicts of interest to declare.