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Abstract Controlling large-scale many-body quantum systems at the level of single photons and single atomic systems is a central goal in quantum information science and technology. Intensive research and development has propelled foundry-based silicon-on-insulator photonic integrated circuits to a leading platform for large-scale optical control with individual mode programmability. However, integrating atomic quantum systems with single-emitter tunability remains an open challenge. Here, we overcome this barrier through the hybrid integration of multiple InAs/InP microchiplets containing high-brightness infrared semiconductor quantum dot single photon emitters into advanced silicon-on-insulator photonic integrated circuits fabricated in a 300 mm foundry process. With this platform, we achieve single-photon emission via resonance fluorescence and scalable emission wavelength tunability. The combined control of photonic and quantum systems opens the door to programmable quantum information processors manufactured in leading semiconductor foundries.

Abstract Canine mammary gland tumors (MGT) have a poor prognosis in intact female canines, posing a clinical challenge. This study aimed to establish novel canine mammary cancer cell lines from primary tumors and characterize their cellular and molecular features to find potential therapeutic drugs. The MGT cell lines demonstrated rapid cell proliferation and colony formation in an anchorage-independent manner. Vimentin and α-SMA levels were significantly elevated in MGT cell lines compared to normal canine kidney (MDCK) cells, while CDH1 expression was either significantly lower or not detected at all, based on quantitative real-time PCR (qRT-PCR) analysis. Functional annotation and enrichment analysis revealed that epithelial-mesenchymal transition (EMT) phenotypes and tumor-associated pathways, particularly the PI3K/Akt signaling pathway, were upregulated in MGT cells. BYL719 (Alpelisib), a PI3K inhibitor, was also examined for cytotoxicity on the MGT cell lines. The results show that BYL719 can significantly inhibit the proliferation of MGT cell lines in vitro. Overall, our findings suggest that the MGT cell lines may be valuable for future studies on the development, progression, metastasis, and management of tumors.

Abstract Spin qubits in gate-defined silicon quantum dots are receiving increased attention thanks to their potential for large-scale quantum computing. Readout of such spin qubits is done most accurately and scalably via Pauli spin blockade (PSB), however, various mechanisms may lift PSB and complicate readout. In this work, we present an experimental study of PSB in a multi-electron low-symmetry double quantum dot (DQD) in silicon nanowires. We report on the observation of non-symmetric PSB, manifesting as blockaded tunneling when the spin is projected to one QD of the pair but as allowed tunneling when the projection is done into the other. By analyzing the interaction of the DQD with a readout resonator, we find that PSB lifting is caused by a large coupling between the different electron spin manifolds of 7.90 μeV and that tunneling is incoherent. Further, magnetospectroscopy of the DQD in 16 charge configurations, enables reconstructing the energy spectrum of the DQD and reveals the lifting mechanism is energy-level selective. Our results indicate enhanced spin-orbit coupling which may enable all-electrical qubit control of electron spins in silicon nanowires.

Poor clearances, misalignments, and carbon deposits in a turbocharger due to high running hours can decrease engine efficiency. This study analyzes the effects of turbocharger reconditioning on the performance and emissions formation of a marine diesel generator engine. The engine test experiments were performed on a university training ship's auxiliary diesel engine with 4309 running hours before and after the TC overhaul. As a result, cylinder peak pressure was increased by a maximum of 3.57 % while fuel saving of 5–8 g/kWh was realized. Lower exhaust gas temperatures and improved charge air pressure by up to 7.7 % were recorded. A significant CO emission reduction of 21.6 % was recorded at idle load whereas NOx and CO2 emissions were reduced to a maximum of 4.86 % and 7.30 % at 50 % engine load. The results indicate that scheduled TC overhaul and maintenance are very useful to improve the engine’s fuel economy, and performance and reduce exhaust emissions.

Abstract Background Hypomagnesemia is associated with a poor prognosis in humans with congestive heart failure (CHF), but studies in veterinary medicine are limited. Hypothesis Serum ionized magnesium concentration [iMg2+] would decrease as CHF progresses compared with the initial diagnostic levels and that lower [iMg2+] would be negatively associated with prognosis in dogs with CHF. Animals A total of 181 client‐owned dogs with myxomatous mitral valve disease (MMVD) were included. They were classified into the preclinical stage (NO‐CHF, n = 108), stage C (n = 42), and stage D (n = 31) based on the American College of Veterinary Internal Medicine MMVD classification. Methods This is a retrospective study from 2 referral centers. The [iMg2+] was compared among the NO‐CHF, stage C, and stage D groups. Kaplan‐Meier curves and the log‐rank test were used to compare the incidence of death between groups. Multivariable Cox regression analysis was used to estimate the association of hypomagnesemia with the death. Results In the stage D group, the [iMg2+] was lower than that in the NO‐CHF (P

The control system of oil-fired boiler units on ships plays a crucial role in reducing the emissions of atmospheric pollutants such as nitrogen oxides (NOx), sulfur dioxides (SO2), and carbon dioxide (CO2). Traditional control methods using conventional measurement sensors face limitations in real-time control due to response delays, which has led to the growing interest in combustion control methods using flame images. To ensure the precision of such combustion control systems, the system model must be thoroughly considered during controller design. However, finding the optimal tuning point is challenging due to the changes in the system model and nonlinearity caused by environmental variations. This study proposes a controller that integrates an internal model control (IMC)-based PID controller with the deep deterministic policy gradient (DDPG) algorithm of deep reinforcement learning to enhance the adaptability of image-based combustion control systems to environmental changes. The proposed controller adjusts the PID parameter values in real-time through the learning of the determination constant lambda (λ) of the IMC internal model. This approach reduces computational resources by shrinking the learning dimensions of the DDPG agent and limits transient responses through constrained learning of control parameters. Experimental results show that the proposed controller exhibited rapid adaptive performance in the learning process for the target oxygen concentration, achieving a reward value of −0.05 within just 105 episodes. Furthermore, when compared to traditional PID tuning methods, the proposed controller demonstrated superior performance, achieving a target value error of 0.0032 and a low overshoot range of 0.0498 to 0.0631, providing the fastest response speed and minimal oscillation. Additionally, experiments conducted on an actual operating ship verified the practical feasibility of this system, highlighting its potential for real-time control and pollutant reduction in marine applications.

Rice blast is a destructive fungal disease affecting rice plants at various growth stages, significantly threatening global yield stability. Development of resistant rice cultivars stands as a practical means of disease control. Generally, association mapping with a diversity panel powerfully identifies new alleles controlling trait of interest. On the other hand, utilization of a breeding panel has its advantage that can be directly applied in a breeding program. In this study, we conducted a genome-wide association study (GWAS) for blast resistance using 296 commercial rice cultivars with low population structure but large phenotypic diversity. We attempt to answer the genetic basis behind rice blast resistance among early maturing cultivars by subdividing the population based on its Heading date 1 (Hd1) functionality. Subpopulation-specific GWAS using the mixed linear model (MLM) based on blast nursery screening conducted in three years revealed a total of 26 significant signals, including three nucleotide-binding site leucine-rich repeat (NBS-LRR) genes (Os06g0286500, Os06g0286700, and Os06g0287500) located at Piz locus on chromosome 6, and one at the Pi-ta locus (Os12g0281300) on chromosome 12. Haplotype analysis revealed blast resistance associated with Piz locus was exclusively specific to Type 14 hd1 among japonica rice. Our findings provide valuable insights for breeding blast resistant rice and highlight the applicability of our elite cultivar panel to detect superior alleles associated with important agronomic traits.

This study proposes and validates a novel combustion control system for oil-fired boilers aimed at reducing air pollutant emissions through flame image prediction. The proposed system is easily applicable to existing ships. Traditional proportional combustion control systems supply fuel and air at fixed ratios according to the set steam load, without considering the emission of air pollutants. To address this, a stable and immediate control system is proposed, which adjusts the air supply to modify the combustion state. The combustion control system utilizes oxygen concentration predictions from flame images via SEF+SVM as control inputs and applies internal model control (IMC)-based proportional-integral (PI) control for real-time combustion control. Due to the complexity of modeling the image-based system, IMC filter constant tuning through experimentation is essential for achieving effective control performance. Experimental results showed that optimal control performance was achieved when the filter constant λ was set to 1.5. In this scenario, the peak overshoot Mp was reduced to 0.19245, and the Integral of Squared Error (ISE) was minimized to 10.1159, ensuring a stable response with minimal oscillation and maintaining a fast response speed. The results demonstrate the potential of the proposed system to improve combustion efficiency and reduce emissions of air pollutants. This study provides a feasible and effective solution for enhancing the environmental performance of marine oil-fired boilers. Given its ease of application to existing ships, it is expected to contribute to sustainable air pollution reduction across the maritime environment.

Drug-resistant infectious diseases pose a substantial challenge and threat to medical regimens. While adaptive laboratory evolution provides foresight for encountering such situations, it has inherent limitations. Novel drug delivery systems (DDSs) have garnered attention for overcoming these hurdles. Multi-stimuli responsive DDSs are particularly effective due to their reduced background leakage and targeted drug delivery to specific host sites for pathogen elimination. Bacterial infections create an acidic state in the microenvironment (pH: 5.0–5.5), which differs from normal physiological conditions (pH: 7.4). Infected areas are characterized by the overexpression of hyaluronidase, gelatinase, phospholipase, and other virulence factors. Consequently, several effective stimuli-responsive DDSs have been developed to target bacterial pathogens. Additionally, biofilms, structured communities of bacteria encased in a self-produced polymeric matrix, pose a significant challenge by conferring resistance to conventional antimicrobial treatments. Recent advancements in nano-drug delivery systems (nDDSs) show promise in enhancing antimicrobial efficacy by improving drug absorption and targeting within the biofilm matrix. nDDSs can deliver antimicrobials directly to the biofilm, facilitating more effective eradication of these resilient bacterial communities. Herein, this review examines challenges in DDS development, focusing on enhancing antibacterial activity and eradicating biofilms without adverse effects. Furthermore, advances in immune system modulation and photothermal therapy are discussed as future directions for the treatment of bacterial diseases.

In this study, nonlinear postbuckling analyses are performed using ABAQUS to derive the buckling knockdown factors (KDFs) for hemispherical foam core sandwich shells under external pressure. Two hemispherical foam core sandwich shells (dimple and flat models) with different inner sheet thicknesses are considered. The crushable foam modeling technique is used to represent the nonlinear compressive behavior of the foam material. The geometric initial imperfection modeling technique, the single dimple imperfection approach, is established to represent the geometric initial imperfection of the hemispherical foam core sandwich shells. The postbuckling analyses using the Riks method are carried out to predict the buckling behaviors of shells with geometric initial imperfections. The KDFs of the dimple and flat models are derived to be 0.20 and 0.22, respectively, which are up to 11.11% and 22.22% higher, respectively, than the previous NASA buckling design criteria. Therefore, the present KDFs provide a lightweight design for hemispherical foam core sandwich shells.

Backgrounds: Strong evidence is lacking as no confirmatory randomized controlled trials (RCTs) have compared the efficacy of totally laparoscopic distal gastrectomy (TLDG) with laparoscopy-assisted distal gastrectomy (LADG). The authors performed an RCT to confirm if TLDG is different from LADG. Methods: The KLASS-07 trial is a multi-centre, open-label, parallel-group, phase III, RCT of 442 patients with clinical stage I gastric cancer. Patients were enroled from 21 cancer care centres in South Korea between January 2018 and September 2020 and randomized to undergo TLDG or LADG using blocked randomization with a 1:1 allocation ratio, stratified by the participating investigators. Patients were treated through R0 resections by TLDG or LADG as the full analysis set of the KLASS-07 trial. The primary endpoint was morbidity within postoperative day 30, and the secondary endpoint was quality of life (QoL) for 1 year. This trial is registered at ClinicalTrials.gov (NCT 03393182). Results: Four hundred forty-two patients were randomized (222 to TLDG, 220 to LADG), and 422 patients were included in the pure analysis (213 and 209, respectively). The overall complication rate did not differ between the two groups (TLDG vs. LADG: 12.2% vs. 17.2%). However, TLDG provided less postoperative ileus and pulmonary complications than LADG (0.9% vs. 5.7%, P=0.006; and 0.5% vs. 4.3%, P=0.035, respectively). The QoL was better after TLDG than after LADG regarding emotional functioning at 6 months, pain at 3 months, anxiety at 3 and 6 months, and body image at 3 and 6 months (all P<0.05). However, these QoL differences were resolved at 1 year. Conclusions: The KLASS-07 trial confirmed that TLDG is not different from LADG in terms of postoperative complications but has the advantages to reduce ileus and pulmonary complications. TLDG can be a good option to offer better QoL in terms of pain, body image, emotion, and anxiety at 3-6 months. [ABSTRACT FROM AUTHOR]

Objective: The objective of this study was to compare the effectiveness of a second tumor necrosis factor inhibitor (TNFi) versus a non‐TNFi biologic following discontinuation of a TNFi for patients with polyarticular‐course juvenile idiopathic arthritis (pJIA). Methods: Using the Childhood Arthritis and Rheumatology Research Alliance Registry, patients with pJIA who started receiving a second biologic following a first TNFi were identified. Patients were required to have no active uveitis on the index date and a visit six months after the index date. Outcome measures included Clinical Juvenile Arthritis Disease Activity Score with a maximum of 10 active joints (cJADAS10), cJADAS10 inactive disease (ID; ≤2.5) and cJADAS10 minimal disease activity (MiDA; ≤5). Multiple imputation was used to account for missing data. Adjusted odds ratios (aORs) were calculated using propensity score quintiles to compare outcomes at six months following second biologic initiation. Results: There were 216 patients included, 84% initially received etanercept, and most patients stopped receiving it because of its ineffectiveness (74%). A total of 183 (85%) started receiving a second TNFi, and 33 (15%) started receiving a non‐TNFi. Adalimumab was the most common second biologic received (71% overall, 84% of second TNFi), and tocilizumab was the most common non‐TNFi second biologic received (9% overall, 58% of non‐TNFi). There was no difference between receiving TNFi versus non‐TNFi in cJADAS10 ID (29% vs 25%; aOR 1.23, 95% confidence interval [CI] 0.47–3.20) or at least MiDA (43% vs 39%; aOR 1.11, 95% CI 0.47–2.62) at six months. Conclusion: Most patients with pJIA started receiving TNFi rather than non‐TNFi as their second biologic, and there were no differences in disease activity at six months. [ABSTRACT FROM AUTHOR]

Purpose: We conducted a randomized prospective trial (KLASS-07 trial) to compare laparoscopy-assisted distal gastrectomy (LADG) and totally laparoscopic distal gastrectomy (TLDG) for gastric cancer. In this interim report, we describe short-term results in terms of morbidity and mortality. Methods and Methods: The sample size was 442 participants. At the time of the interim analysis, 314 patients were enrolled and randomized. After excluding patients who did not undergo planned surgeries, we performed a modified per-protocol analysis of 151 and 145 patients in the LADG and TLDG groups, respectively. Results: The baseline characteristics, including comorbidity status, did not differ between the LADG and TLDG groups. Blood loss was somewhat higher in the LADG group, but statistical significance was not attained (76.76±72.63 vs. 62.91±65.68 mL; P=0.087). Neither the required transfusion level nor the operation or reconstruction time differed between the 2 groups. The mini-laparotomy incision in the LADG group was significantly longer than the extended umbilical incision required for specimen removal in the TLDG group (4.79±0.82 vs. 3.89±0.83 cm; P<0.001). There were no between-group differences in the time to solid food intake, hospital stay, pain score, or complications within 30 days postoperatively. No mortality was observed in either group. Conclusions: Short-term morbidity and mortality rates did not differ between the LADG and TLDG groups. The KLASS-07 trial is currently underway. [ABSTRACT FROM AUTHOR]

Backgrounds: This study aimed to compare the incidence of bile reflux, quality of life (QoL), and nutritional status among Billroth II (BII), Billroth II with Braun anastomosis (BII-B), and Roux-en-Y (RY) reconstruction after laparoscopic distal gastrectomy (LDG). Materials and Methods: We reviewed the prospective data of 397 patients from a multicentre database who underwent LDG for gastric cancer between 2018 and 2020 at 20 tertiary teaching hospitals in Korea. Postoperative endoscopic findings, QoL surveys using the European Organization for Research and Treatment of Cancer questionnaire (C30 and STO22), and nutritional and surgical outcomes were compared among groups. Results: In endoscopic findings, bile reflux was the lowest in the RY group (n=67), followed by the BII-B (n=183) and BII groups (n =147) at 1 year (3.0 vs. 67.8 vs. 84.4%, all P<0.05). The anti-reflux capability of BII-B was statistically better than that of BII, but not as perfect as that of RY. From the perspective of QoL, BII-B was not inferior to RY, but better than BII reconstruction in causing fewer STO22 reflux symptoms at 6 and 12 months. However, only RY caused fewer C30 nausea symptoms than BII at 6 and 12 months, but not BII-B. Nutritional status and morbidities were similar among the three groups, and the operative time did not differ between the BII-B and RY groups. Conclusions: BII-B cannot substitute for RY in preventing bile reflux, shortening the operative time, or reducingmorbidities. Regarding short-term QoL, BII-B was sufficient to reduce STO22 reflux symptoms but failed to reduce C30 nausea symptoms postoperatively. [ABSTRACT FROM AUTHOR]

Background/Aims A pyogenic liver abscess is a suppurating infection of the hepatic parenchyma that occurs due to biliary tract diseases, intra-abdominal infections, or cryptogenic causes. There have been a few reported cases of hepato-gastric or hepato-biliary fistula as its complication, however, we have not found any case of hepato-colonic fistula based on available literature. We present an extremely rare case of a hepato-colonic fistula as a complication of pyogenic liver abscess. Methods Case report Results A 53-year-old man with a high-grade fever was referred to our tertiary teaching hospital for one week. He had a history of multiple gallbladder/common bile duct stones managed with cholecystectomy/choledochoduodenostomy and endoscopic stone removal, and three episodes of liver abscess during past 25 years. The body temperature was 39.3℃; blood pressure was 87/59mmHg. The complete blood count showed leukocytosis with absolute neutrophilia (14,440 with 82.4% of neutrophil). C-reactive protein was 218.4 mg/L. A computed tomography scan of the abdomen (Figure 1) confirmed the presence of a 6.2 cm liver abscess occupying segment 5/6 with abutting colonic hepatic flexure. Percutaneous catheter drainage (PCD) of the liver abscess was performed, and communication of liver abscess with a colon hepatic flexure was verified on tubography. Subsequent culture results of pus identified Enterococcus faecalisand Enterobacter cloacae, and ceftriaxone and metronidazole were intravenously given. After stabilization of the patient with PCD and antibiotics therapy, wedge resection of the liver and right hemicolectomy was performed, and histologic examination showed liver abscess with surrounding fibrosis, intrahepatic bile duct dilation with periductal inflammation, and fistulous tract in the colon with transmural inflammation and marked subserosal fibrosis. The patient recovered and was discharged without complication 3 weeks after surgical treatment. Conclusion Hepato-colonic fistula should be considered as a serious complication of liver abscess despite its extreme rarity. [ABSTRACT FROM AUTHOR]

Abstract The challenges for stretchable organic light‐emitting diodes (SOLEDs) have led research into advanced manufacturing processes. Several electrodes have been researched to replace conventional indium tin oxide in SOLEDs due to its brittleness, indium scarcity in earth, and poor deformation capabilities. Oxide–metal–oxide (OMO) electrodes are promising alternatives for flexible/stretchable electronics owing their excellent charge injection and optical transparencies, including mechanical compliance. In this study, two oxides (i.e., MoO3 and V2O5) with different surface energies in an OMO structure to effectively inhibit the island growth of the ultra‐thin Au (5 nm) metal is incorporated. The morphology and interfacial coordinate covalent bonds between the seed layer and ultra‐thin Au film are extensively studied. The improved ultra‐thin Au growth in OMO structure together with figure‐of‐merit have been employed as the anode for a phosphorescent SOLED structure. The SOLEDs with OMO electrode under V2O5 as bottom oxide remain stable after peeling‐off and sustain a >50% uniaxial strain with a negligible reduction in luminance and current efficiencies. The surface energy and interface of the bottom oxide in the OMO structure are crucial for thin metals to attain superior optical, structural, electronic, and mechanical stability in SOLEDs.