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The mechanism(s) underlying gut microbial metabolite (GMM) contribution towards alcohol-mediated cardiovascular disease (CVD) is unknown. Herein we observe elevation in circulating phenylacetylglutamine (PAGln), a known CVD-associated GMM, in individuals living with alcohol use disorder. In a male murine binge-on-chronic alcohol model, we confirm gut microbial reorganization, elevation in PAGln levels, and the presence of cardiovascular pathophysiology. Fecal microbiota transplantation from pair-/alcohol-fed mice into naïve male mice demonstrates the transmissibility of PAGln production and the CVD phenotype. Independent of alcohol exposure, pharmacological-mediated increases in PAGln elicits direct cardiac and vascular dysfunction. PAGln induced hypercontractility and altered calcium cycling in isolated cardiomyocytes providing evidence of improper relaxation which corresponds to elevated filling pressures observed in vivo. Furthermore, PAGln directly induces vascular endothelial cell activation through induction of oxidative stress leading to endothelial cell dysfunction. We thus reveal that the alcohol-induced microbial reorganization and resultant GMM elevation, specifically PAGln, directly contributes to CVD. The mechanisms underlying gut microbial metabolite (GMM) contribution towards alcohol-mediated cardiovascular disease (CVD) are unknown. Herein, the authors reveal that alcohol-induced microbial reorganization and resultant elevation in GMM phenylacetylglutamine, directly contributes to CVD. [ABSTRACT FROM AUTHOR]

Background: The prognostic value of triglyceride-glucose (TyG) index is not yet known for older diabetic patients received right ventricular pacing (RVP). We aimed to investigate the association between TyG index and the risk of heart failure hospitalization (HFH) in older diabetic patients received RVP. Methods: This study was conducted between January 2017 and January 2018 at Fuwai Hospital, Beijing, China, and included older (age ≥ 65 years) diabetic patients that received RVP for the first time. TyG index were obtained before implantation. The primary endpoint was HFH. Results: A total of 231 patients were divided into three groups according to the tertiles of TyG index: < 8.5 (T1, N = 77), 8.5–9.1 (T2, N = 77), and > 9.1 (T3, N = 77). T3 group had higher rate of HFH (Log-rank = 11.7, P = 0.003). Multivariate analyses showed that, TyG index served as an independent predictor for HFH, both as numerical variable (HR = 1.94, 95% CI 1.21–3.11, P = 0.006), and as categorical variable (HR = 2.31, 95% CI 1.09–4.89, P = 0.03). RCS demonstrated that the risk of HFH was relatively low until TyG index exceeded 8.8, beyond which the risk began to increase rapidly (P-non-linear = 0.006). Conclusion: Preimplantation TyG index emerges as a robust, independent predictor for HFH in older diabetic patients received RVP, and TyG index > 8.8 might be the optimal cut-off value. [ABSTRACT FROM AUTHOR]

Our previous study first reported the efficacy of FURL using 365 μm fibers with holmium: yttrium aluminum garnet (Ho: YAG) laser lithotripsy. This study evaluates the 16-week safety of this procedure. A prospective cohort study was conducted, and the clinical characteristics of patients who underwent FURL using 365 μm fibers with Ho: YAG laser were retrospectively collected. Descriptive statistics were reported, and logistic regression analysis was conducted to identify risk factors influencing the stone-free rate (SFR). Infection-related laboratory parameters, including white blood cell count (WBC), procalcitonin (PCT), and C-reactive protein (CRP), were collected. Regression analysis was conducted to identify risk factors for the development of urosepsis post-surgery. Additionally, a 16-week follow-up was conducted in outpatient clinics, and kidney function was assessed. A total of 274 patients participated in this study. The 4-week stone-free rate (SFR) following FURL with 365 μm fibers of Ho: YAG laser was significantly associated with stone size and composition. No severe complications were observed following FURL procedures. There were no significant differences in white blood cell count (WBC), C-reactive protein (CRP), and procalcitonin (PCT) in peripheral blood before and after FURL procedures. Urosepsis was diagnosed in 1.82% of patients. Preoperative white blood cell count (WBC) in urine and preoperative urine culture results were identified as significant risk factors. Kidney function remained stable at 4 and 16 weeks following FURL. This prospective cohort study demonstrated the high safety of FURL with 365 μm fibers of Ho: YAG laser, as infection-related parameters during the perioperative period showed no significant differences, and kidney function remained stable throughout the 16-week follow-up. [ABSTRACT FROM AUTHOR]

It is well-known that the pseudodifferential operator with the symbol in Bony class, a subset of S 1 , 1 0 (R n) , is bounded on L 2 (R n) . The main purpose of this paper is to extend the classical results to multi-parameter case, i.e., to discuss the boundedness on L 2 (R n 1 + n 2 ) and on h p (R n 1 × R n 2) (0 < p ≤ 1) of multi-parameter pseudodifferential operator with symbol satisfying multi-parameter Bony conditions. [ABSTRACT FROM AUTHOR]

Intestinal barrier is a first line of defense that prevents entry of various harmful substances from the lumen into the systemic environment. Impaired barrier function with consequent translocation of harmful substances into systemic circulation ("leaky gut") is a central theme in many gastrointestinal, autoimmune, mental, and metabolic diseases. Probiotics have emerged as a promising strategy to maintain intestinal integrity and address "leaky gut". Using in silico, in vitro and avian in vivo analyses, we previously showed that two novel L. reuteri strains, PTA-126787 (L. reuteri 3630) and PTA-126788 (L. reuteri 3632), isolated from broiler chickens possess favorable safety profiles. Consistent with a recent study, here we show that L. reuteri 3630 and 3632 are phylogenetically similar to human L. reuteri strains. Daily administration of high doses of L. reuteri 3630 and 3632 to Sprague Dawley rats for 28 days was found to be safe with no adverse effects. More importantly, administration of L. reuteri 3630 and 3632 significantly reduced markers associated with alcohol-induced leaky gut, by downregulating inflammatory cytokines and upregulating anti-inflammatory cytokines in an alcohol model of leaky gut in mice. While L. reuteri 3630 cells and supernatant showed no activation, L. reuteri 3632 cells but not supernatant showed activation of AhR, a key transcription factor that regulates gut and immune homeostasis. L. reuteri 3630 is creamish white in morphology typical of Lactobacillus species and L. reuteri 3632 displays a unique orange pigmentation, which was stable even after passaging for 480 generations. We identified a rare polyketide biosynthetic gene cluster in L. reuteri 3632 that likely encodes for the orange-pigmented secondary metabolite. Similar to L. reuteri 3632 cells, the purified orange metabolite activated AhR. All together, these data provide evidence on the phylogenetic relatedness, safety, efficacy, and one of the likely mechanisms of action of L. reuteri 3630 and 3632 for potential probiotic applications to address "leaky gut" and associated pathologies in humans. [ABSTRACT FROM AUTHOR]

Video captioning is designed to generate natural language descriptions based on video content. Traditional methods extract visual features and interactive relationship features between objects, but the problem of video feature isolation and semantic hierarchy is ignored. This paper proposes a Multi-Level Video Captioning Method based on semantic space (S-MLM) to solve the above problems. S-MLM extracts different levels of visual elements and visual relationships, and the visual information of different levels is aggregated layer by layer to complete the generation of low-level to high-level visual features. The multi-level structure semantic graph is constructed from the semantic point of view. It does not rely on external knowledge bases, and uses its own information as guidance to enhance feature representation and improve semantic understanding. We conduct experiments on MSVD and MSR-VTT datasets, and the experimental results show that the performance of video captioning is further improved. [ABSTRACT FROM AUTHOR]

Multimodal deep learning plays a pivotal role in supporting the processing and learning of diverse data types within the realm of artificial intelligence generated content (AIGC). However, most photonic neuromorphic processors for deep learning can only handle a single data modality (either vision or audio) due to the lack of abundant parameter training in optical domain. Here, we propose and demonstrate a trainable diffractive optical neural network (TDONN) chip based on on-chip diffractive optics with massive tunable elements to address these constraints. The TDONN chip includes one input layer, five hidden layers, and one output layer, and only one forward propagation is required to obtain the inference results without frequent optical-electrical conversion. The customized stochastic gradient descent algorithm and the drop-out mechanism are developed for photonic neurons to realize in situ training and fast convergence in the optical domain. The TDONN chip achieves a potential throughput of 217.6 tera-operations per second (TOPS) with high computing density (447.7 TOPS/mm2), high system-level energy efficiency (7.28 TOPS/W), and low optical latency (30.2 ps). The TDONN chip has successfully implemented four-class classification in different modalities (vision, audio, and touch) and achieve 85.7% accuracy on multimodal test sets. Our work opens up a new avenue for multimodal deep learning with integrated photonic processors, providing a potential solution for low-power AI large models using photonic technology. Most photonic processors can only handle a single data modality due to the lack of abundant parameter training in optical domain. Here, authors propose and demonstrate a trainable diffractive optical neural network chip based on on-chip diffractive optics with tunable elements to address these constraints. [ABSTRACT FROM AUTHOR]

Ferroptosis is an iron-dependent cell death form characterized by reactive oxygen species (ROS) overgeneration and lipid peroxidation. Myricetin, a flavonoid that exists in numerous plants, exhibits potent antioxidant capacity. Given that iron accumulation and ROS-provoked dopaminergic neuron death are the two main pathological hallmarks of Parkinson's disease (PD), we aimed to investigate whether myricetin decreases neuronal death through suppressing ferroptosis. The PD models were established by intraperitoneally injecting 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) into rats and by treating SH-SY5Y cells with 1-methyl-4-phenylpyridinium (MPP+), respectively. Ferroptosis was identified by assessing the levels of Fe2+, ROS, malondialdehyde (MDA), and glutathione (GSH). The results demonstrated that myricetin treatment effectively mitigated MPTP-triggered motor impairment, dopamine neuronal death, and α-synuclein (α-Syn) accumulation in PD models. Myricetin also alleviated MPTP-induced ferroptosis, as evidenced by decreased levels of Fe2+, ROS, and MDA and increased levels of GSH in the substantia nigra (SN) and serum in PD models. All these changes were reversed by erastin, a ferroptosis activator. In vitro, myricetin treatment restored SH-SY5Y cell viability and alleviated MPP+-induced SH-SY5Y cell ferroptosis. Mechanistically, myricetin accelerated nuclear translocation of nuclear factor E2-related factor 2 (Nrf2) and subsequent glutathione peroxidase 4 (Gpx4) expression in MPP+-treated SH-SY5Y cells, two critical inhibitors of ferroptosis. Collectively, these data demonstrate that myricetin may be a potential agent for decreasing dopaminergic neuron death by inhibiting ferroptosis in PD. [ABSTRACT FROM AUTHOR]

Background: Left bundle branch area pacing (LBBAP) has emerged as an alternative to biventricular pacing (BVP) for cardiac resynchronization therapy (CRT). We aimed to compare the morbidity and mortality associated with LBBAP versus BVP in patients undergoing CRT implantation. Methods: Consecutive patients who received CRT from two high-volume implantation centers were retrospectively recruited. The primary endpoint was a composite of all-cause death and heart failure hospitalization, and the secondary endpoint was all-cause death. Results: A total of 491 patients receiving CRT (154 via LBBAP and 337 via BVP) were included, with a median follow-up of 31 months. The primary endpoint was reached by 21 (13.6%) patients in the LBBAP group, as compared with 74 (22.0%) patients in the BVP group [hazard ratio (HR) 0.70, 95% confidence interval (CI) 0.43–1.14, P = 0.15]. There were 10 (6.5%) deaths in the LBBAP group, as compared with 31 (9.2%) in the BVP group (HR 0.91, 95% CI 0.44–1.86, P = 0.79). No significant difference was observed in the risk of either the primary or secondary endpoint between LBBAP and BVP after multivariate Cox regression (HR 0.74, 95% CI 0.45–1.23, P = 0.24, and HR 0.77, 95% CI 0.36–1.67, P = 0.51, respectively) or propensity score matching (HR 0.72, 95% CI 0.41–1.29, P = 0.28, and HR 0.69, 95% CI 0.29–1.65, P = 0.40, respectively). Conclusion: LBBAP was associated with a comparable effect on morbidity and mortality relative to BVP in patients with indications for CRT. Highlights: Left bundle branch area pacing (LBBAP) was associated with a comparable effect on morbidity and mortality relative to biventricular pacing (BVP) in patients with indications for cardiac resynchronization therapy (CRT). LBBAP may serve as a promising alternative to BVP for CRT to improve morbidity and mortality among heart failure patients. Randomized controlled clinical trials with adequate sample size are justified to confirm these findings. [ABSTRACT FROM AUTHOR]

Objective: To systematically review the literature for mid-sagittal plane establishment approaches to identify the most effective method for constructing the mid-sagittal plane for the evaluation of facial asymmetry. Materials and methods: Six electronic databases (PubMed, Medline (via Ovid), EMBASE (via Ovid), Cochrane Library, Web of Science, and Scopus) and grey literature were searched for the studies that computed the mid-sagittal reference plane three-dimensionally, using a combination of MeSH terms and keywords. The methodological quality and the level of evidence for the included studies were analyzed using QUADAS-2 and GRADE, respectively. Results: The preliminary search yielded 6746 records, of which 42 articles that met the predefined inclusion criteria were included in the final analysis. All the included articles reported the construction of the mid-sagittal reference plane (MSP) using varied methods. The risk of bias and concerns regarding the applicability of the included studies were judged to be ‘low’. The level of evidence was determined to be ‘low’ for the effectiveness of the technique and ‘moderate’ for the ease of clinical applicability. Conclusion: Despite methodological heterogeneity, this review substantiates the comparable efficacy of cephalometric and morphometric MSP construction methods. A fully automated morphometric MSP holds promise as a viable option for routine clinical use. Nevertheless, future prospective studies with an emphasis on the impact, accuracy, and clinical applicability of MSP construction techniques in cases of facial asymmetry are required. Clinical relevance: The present review will assist clinicians in selecting the most suitable method for MSP construction, leading to improved treatment planning and ultimately more favorable treatment outcomes. [ABSTRACT FROM AUTHOR]

Aim: To investigate the differences of the nasal soft and hard tissue asymmetry in postoperative patients with unilateral cleft lip and palate (UCLP) between adolescence and adulthood, and to explore the correlation of nasal soft and hard tissue asymmetry. Methods: CT data from 47 repaired UCLP patients were included and divided into two groups:1. adolescent group: 23 patients (15 males, 8 females; age: 10–12 years old). 2. adult group: 24 patients (16 males, 8 females; age:18–32 years old). The three-dimensional asymmetry in nasal soft and hard tissues was analyzed. Additionally, the correlation between nasal soft and hard tissue asymmetry was also analyzed. Results: Both the adolescent group and adult group showed asymmetries in nasal soft and hard tissues. Compared to the adolescent group, the adult group had a significantly increased horizontal asymmetry of nasal soft tissues Sbal (P < 0.05). Furthermore, the sagittal asymmetry of soft tissue Glat (P < 0.05), Sbal (P < 0.001), Sni (P < 0.001) and hard tissue LPA (P < 0.05) also increased significantly. In the adult group, there were more landmarks with a correlation between the asymmetry of nasal hard tissue and soft tissue compared to the adolescent group. There were moderate to strong correlations between nasal hard and soft tissue symmetries in the horizontal and sagittal directions (0.444 < r < 764), but no correlation in the vertical direction in the adult group (P > 0.05). Conclusions: The asymmetry of nasal soft and hard tissues in patients with repaired UCLP becomes more apparent in the horizontal and sagittal dimensions from adolescence to adulthood. The correlation between the asymmetry of nasal hard tissue and soft tissue becomes stronger in the horizontal and sagittal dimensions. These factors should be taken into account when performing treatment for repaired UCLP patients in adolescence and adulthood. [ABSTRACT FROM AUTHOR]

Harvesting biomechanical energy from cardiac motion is an attractive power source for implantable bioelectronic devices. Here, we report a battery-free, transcatheter, self-powered intracardiac pacemaker based on the coupled effect of triboelectrification and electrostatic induction for the treatment of arrhythmia in large animal models. We show that the capsule-shaped device (1.75 g, 1.52 cc) can be integrated with a delivery catheter for implanting in the right ventricle of a swine through the intravenous route, which effectively converts cardiac motion energy to electricity and maintains endocardial pacing function during the three-week follow-up period. We measure in vivo open circuit voltage and short circuit current of the self-powered intracardiac pacemaker of about 6.0 V and 0.2 μA, respectively. This approach exhibits up-to-date progress in self-powered medical devices and it may overcome the inherent energy shortcomings of implantable pacemakers and other bioelectronic devices for therapy and sensing. Harvesting biomechanical energy from cardiac motion is an attractive power source for implantable bioelectronic devices. Here, the authors report a battery-free, transcatheter, self-powered intracardiac pacemaker for the treatment of arrhythmia in large animal models. [ABSTRACT FROM AUTHOR]

High-capacity storage technologies are needed to meet our ever-growing data demands1,2. However, data centres based on major storage technologies such as semiconductor flash devices and hard disk drives have high energy burdens, high operation costs and short lifespans2,3. Optical data storage (ODS) presents a promising solution for cost-effective long-term archival data storage. Nonetheless, ODS has been limited by its low capacity and the challenge of increasing its areal density4,5. Here, to address these issues, we increase the capacity of ODS to the petabit level by extending the planar recording architecture to three dimensions with hundreds of layers, meanwhile breaking the optical diffraction limit barrier of the recorded spots. We develop an optical recording medium based on a photoresist film doped with aggregation-induced emission dye, which can be optically stimulated by femtosecond laser beams. This film is highly transparent and uniform, and the aggregation-induced emission phenomenon provides the storage mechanism. It can also be inhibited by another deactivating beam, resulting in a recording spot with a super-resolution scale. This technology makes it possible to achieve exabit-level storage by stacking nanoscale disks into arrays, which is essential in big data centres with limited space. Optical nanoscale disk memory with petabit-level capacity is developed by extending the recording architecture to three dimensions with hundreds of layers, and exabit-level storage can be achieved by stacking the disks into arrays. [ABSTRACT FROM AUTHOR]

Implantable cardioverter defibrillators (ICDs) reduce sudden cardiac death (SCD) when patients experience life-threatening ventricular arrhythmias (LTVA). However, current strategies determining ICD patient selection and risk stratification are inefficient. We used metabolomics to assess whether dysregulated metabolites are associated with LTVA and identify potential biomarkers. Baseline plasma samples were collected from 72 patients receiving ICDs. Over a median follow-up of 524.0 days (range 239.0–705.5), LTVA occurred in 23 (31.9%) patients (22 effective ICD treatments and 1 SCD). After confounding risk factors adjustment for age, smoking, secondary prevention, and creatine kinase MB, 23 metabolites were significantly associated with LTVA. Pathway analysis revealed LTVA associations with disrupted metabolism of glycine, serine, threonine, and branched chain amino acids. Pathway enrichment analysis identified a panel of 6 metabolites that potentially predicted LTVA, with an area under the receiver operating characteristic curve of 0.8. Future studies are necessary on biological mechanisms and potential clinical use. [ABSTRACT FROM AUTHOR]

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Model-agnostic meta-learning (MAML) highlights the ability to quickly adapt to new tasks with only a small amount of labeled training data among many few-shot learning algorithms. However, the computational complexity is high, because the MAML algorithm generates a large number of second-order parameters in the secondary gradient update. In addition, due to the non-convex nature of the neural network, the loss landscape has many flat areas, leading to slow convergence during training, and excessively long training. In this paper, a second-order optimization method called Kronecker-factored Approximate Curvature (K-FAC) is proposed to approximate Natural Gradient Descent. K-FAC reduces the computational complexity by approximating the large matrix of the Fisher information as the Kronecker product of two much smaller matrices, and the second-order parameter information is fully utilized to accelerate the convergence. Moreover, in order to solve the problem that Natural Gradient Descent is sensitive to the learning rate, this paper proposes Kronecker-factored Approximate Curvature with adaptive learning rate for optimizing model-agnostic meta-learning (AK-MAML), which automatically adjusts the learning rate according to the curvature and improves the efficiency of training. Experimental results show that AK-MAML has the ability of faster convergence, lower computation, and higher accuracy on few-shot datasets. [ABSTRACT FROM AUTHOR]

Video captioning requires deeply understanding video content, describing the video concisely and accurately in one sentence. Since the video usually contains multiple atomic events, conventional methods using the attention mechanism or alignment between frame and word, lack deep inductive reasoning for multiple motions and appearances. Considering the inductive reasoning mechanism of the human brain, a brain-inspired deeper inductive reasoning model(DIR) is proposed in this paper. The DIR model discusses the inductive reasoning to presents the semantic similarity and dissimilarity of multiple atomic events, describing the video concisely and accurately. We evaluate the effectiveness of our method on public benchmarks (MSVD and MSR-VTT). Extensive experiments demonstrate that DIR outperforms general state-of-the-art methods, and show the advantages in deep reasoning compared with traditional captioning models. [ABSTRACT FROM AUTHOR]

With the efficient cross-linking abilities and the flexible regulation abilities to the performances of cross-linked products, the multi-functional aliphatic epoxides were once widely used to cross-link the collagen-based materials in the last century. In present work, the multi-functional epoxides were used to construct and cross-link collagen sponges for tissue engineering scaffolds, which was hoped to board the theoretical system of epoxides and explore their potentials for modern applications. The bi- to tetra-functional epoxides were used to cross-link collagen solutions and establish the gel-like precursors, then using freeze-drying to form the final sponges. The SEM observed that the sponges had shown regular porous structures with a wide range of pore sizes from 160 to 440 μm. The sponges had presented the resistance to enzymatic degradation, shape-remaining ability, and reversible compressibility in aqueous environments, which all could be regulated through the functionalities of epoxides. The regulation abilities of multi-functional epoxides on the performances of sponges had been mainly achieved through the cross-linking degrees that the higher functionality of epoxides would bring higher cross-linking degree. Such higher cross-linking degrees could enhance the elastic behaviors of gel-like precursors, and improve the compressive strengths and thermal stabilities of sponges. Nevertheless, the multi-functional epoxides had barely affected the safety of collagen sponges at the cellular level according to the results of CCK8 assay and the SEM and CLSM images of L929 fibroblasts cultured on the cross-sections of sponges. [ABSTRACT FROM AUTHOR]

Objectives: To evaluate the outcomes of corrective surgical treatment for craniofacial asymmetry using four different methods with the aim of developing the best technique for craniofacial asymmetry assessment. Materials and methods: CBCT images of twenty-one class III subjects with surgically corrected craniofacial asymmetry and twenty-one matched controls were analyzed. Twenty-seven hard tissue landmarks were used to quantify asymmetry using the following methodologies: the asymmetry index (AI), asymmetry scores based on the clinically derived midline (CM), Procrustes analysis (PA), and modified Procrustes analysis (MPA). Results: Modified Procrustes analysis successfully identified pre-operative asymmetry and revealed severe asymmetry at the mandibular regions compared to controls, which was comparable to the asymmetry index and clinically derived midline methods, while Procrustes analysis masked the asymmetric characteristics. Likewise, when comparing the post-surgical outcomes, modified Procrustes analysis not only efficiently determined the changes evidencing decrease in facial asymmetry but also revealed significant residual asymmetry in the mandible, which was congruent with the asymmetry index and clinically derived midline methods but contradictory to the results shown by Procrustes analysis. Conclusions: In terms of quantifying cranio-facial asymmetry, modified Procrustes analysis has evidenced to produce promising results that were comparable to the asymmetry index and the clinically derived midline, making it a more viable option for craniofacial asymmetry assessment. Clinical relevance: Modified Procrustes analysis is proficient in evaluating cranio-facial asymmetry with more valid clinical representation and has potential applications in assessing asymmetry in a wide spectrum of patients, including syndromic patients. [ABSTRACT FROM AUTHOR]

The efficient separation of CH4/N2 using activated carbon depends on the strict regulation of carbon pore structure. However, the relationship between pore structure and separation performance remains inadequately explored in the literature. This study employed a sample set comprising 38 coal-based granular activated carbons with diverse pore structural parameters to investigate the impact of pore size distribution on CH4/N2 separation using advanced statistical methods. Through Pearson's correlation analysis, this study reveals that the effective pores for CH4/N2 separation in coal-based activated carbon are those with diameters less than 1 nm, with the optimal pore size range being 0.4–0.7 nm. A novel pore structural parameter, effective pore percentage, was proposed, which exhibits a stronger correlation to separation performance and predicts the separation performance of the activated carbon more accurately than commonly used parameters. Ridge regression analysis revealed that a high proportion of effective pores (< 1 nm) generally results in higher separation efficiency, while an excessively high proportion of larger pores (> 1 nm) can diminish the separation performance of CH4/N2. This study has important implications for investigating the separation mechanism of coal-based activated carbon for CH4/N2 and for developing efficient coal-based activated carbon for purifying coalbed gas. [ABSTRACT FROM AUTHOR]

Background: Ruxolitinib has been increasingly used in the treatment of steroid-refractory graft-versus-host disease (SR-GVHD) in allogeneic hematopoietic stem cell transplantation (allo-HSCT) patients. However, there are limited data on the use of ruxolitinib in children. Objective: This study aimed to assess the efficacy and toxicity of ruxolitinib in the treatment of SR-GVHD in children. Patients and Methods: Data of patients who suffered from SR-GVHD after allo-HSCT and received ruxolitinib treatment between June 2018 and December 2020 at our center were analyzed retrospectively. The characteristics of patients, the dosage of ruxolitinib, the response, toxicity, and the survival data were collected. Results: A total of 14 pediatric patients were diagnosed with SR-GVHD after allo-HSCT and received ruxolitinib. The age of the patients ranged from 3 months to 12 years old. The dosage of ruxolitinib ranged from 2.5 mg twice daily to 7.5 mg twice daily, mainly according to patient weight. The total overall response rate (ORR) was 64.3% (9/14), with 63.6% (7/11) in aGVHD and 67% (2/3) in cGVHD. Of the 14 patients, adverse effects were observed in 9 patients (64.3%), including cytopenia, infection, and elevated alanine aminotransferase. In addition, seven reports on the treatment of SR-GVHD in children with ruxolitinib were included for systematic analysis, with the ORR ranging from 45 to 87% in aGVHD and 70–91% in cGVHD. Conclusion: Given its effectiveness and safety, ruxolitinib could be used to treat SR-GVHD in children after HSCT. [ABSTRACT FROM AUTHOR]

The complete description of a continuous-wave light field includes its four fundamental properties: wavelength, polarization, phase and amplitude. However, the simultaneous measurement of a multi-dimensional light field of such four degrees of freedom is challenging in conventional optical systems requiring a cascade of dispersive and polarization elements. In this work, we demonstrate a disordered-photonics-assisted intelligent four-dimensional light field sensor. This is achieved by discovering that the speckle patterns, generated from light scattering in a disordered medium, are intrinsically sensitive to a high-dimension light field given their high structural degrees of freedom. Further, the multi-task-learning deep neural network is leveraged to process the single-shot light-field-encoded speckle images free from any prior knowledge of the complex disordered structures and realizes the high-accuracy recognition of full-Stokes vector, multiple orbital angular momentum (OAM), wavelength and power. The proof-of-concept study shows that the states space of four-dimensional light field spanning as high as 1680=4 (multiple-OAM) × 2 (OAM power spectra) × 15 (multiple-wavelength) × 14 (polarizations) can be well recognized with high accuracy in the chip-integrated sensor. Our work provides a novel paradigm for the design of optical sensors for high-dimension light fields, which can be widely applied in optical communication, holography, and imaging. [ABSTRACT FROM AUTHOR]

Highly pathogenic (HP) avian influenza A H7N9 virus has emerged in China since 2016. In recent years, it has been most prevalent in northern China. However, several strains of HP H7N9 reappeared in southwestern China (Yunnan Province) in 2021. As a result, we are wondering if these viruses have re-emerged in situ or been reintroduced. Here, we present phylogenetic evidence that the HP H7N9 viruses isolated in Yunnan emigrated from northern to southwestern China in 2020. The northern subregion of China has become a novel epicenter in HP H7N9 dissemination. Meanwhile, a cleavage motif re-emerged due to the T341I mutation, implying a parallel evolution. This cross-region transmission, which originated in non-adjacent provinces and traveled a great geographic distance in an unknown way, indicates that HP H7N9 dissemination did not halt in 2020, even under the shadow of the COVID-19 pandemic. Additional surveillance studies in poultry are required to determine the HP H7N9 virus's geographic distribution and spread. [ABSTRACT FROM AUTHOR]

Background: To develop a fully automatic framework for the diagnosis of cause for left ventricular hypertrophy (LVH) via cardiac cine images. Methods: A total of 302 LVH patients with cine MRI images were recruited as the primary cohort. Another 53 LVH patients prospectively collected or from multi-centers were used as the external test dataset. Different models based on the cardiac regions (Model 1), segmented ventricle (Model 2) and ventricle mask (Model 3) were constructed. The diagnostic performance was accessed by the confusion matrix with respect to overall accuracy. The capability of the predictive models for binary classification of cardiac amyloidosis (CA), hypertrophic cardiomyopathy (HCM) or hypertensive heart disease (HHD) were also evaluated. Additionally, the diagnostic performance of best Model was compared with that of 7 radiologists/cardiologists. Results: Model 3 showed the best performance with an overall classification accuracy up to 77.4% in the external test datasets. On the subtasks for identifying CA, HCM or HHD only, Model 3 also achieved the best performance with AUCs yielding 0.895–0.980, 0.879–0.984 and 0.848–0.983 in the validation, internal test and external test datasets, respectively. The deep learning model showed non-inferior diagnostic capability to the cardiovascular imaging expert and outperformed other radiologists/cardiologists. Conclusion: The combined model based on the mask of left ventricular segmented from multi-sequences cine MR images shows favorable and robust performance in diagnosing the cause of left ventricular hypertrophy, which could be served as a noninvasive tool and help clinical decision. Key Points: Multi-view cine images provide a potential etiology diagnosis tool for LVH. AI-based myocardium spatial–temporal features extracted from images is helpful in diagnosis. AI demonstrated higher accuracy and greater robustness with human experience added. [ABSTRACT FROM AUTHOR]

Nucleoprotein (NP) functions crucially in the replicative cycle of influenza A virus (IAV) via forming the ribonucleoprotein complex together with PB2, PB1, and PA proteins. As its high conservation, NP ranks one of the hot targets for design of universal diagnostic reagents and antiviral drugs for IAV. Here, we report an anti-NP murine monoclonal antibody (mAb) 5F10 prepared from traditional lymphocyte hybridoma technique with the immunogen of a clade 2.3.4.4 H5N1 subtype avian influenza virus. The specificity of mAb 5F10 to NP protein was confirmed by immunofluorescence assay and western blotting, and the mAb 5F10 could be used in immunoprecipitation and immunohistochemistry assays. Importantly, mAb 5F10 possessed broad-spectrum reactivity against H1~H11 subtypes of avian influenza viruses, including various HA clades of H5Nx subtype. In addition, mAb 5F10 also showed good affinity with H1N1 and H3N2 subtype influenza viruses of swine and human origin. Furthermore, the recognized antigenic epitope of mAb 5F10 was identified to consist of the conserved amino acid motif 81EHPSA85 in the second flexible loop region of NP protein through screening the phage display peptide library. Collectively, the mAb 5F10 which recognizes the novel universal NP linear B-cell epitope of IAV with diverse origins and subtypes will be a powerful tool for NP protein-based structural, functional, and mechanistic studies, as well as the development of detection methods and universal vaccines for IAV. Key points: • A broad-spectrum mAb against various subtypes and sources of IAV was developed • The mAb possessed good reactivity in IFA, western blot, IP, and IHC assays • The mAb targeted a novel conserved linear B-cell epitope involving 81EHPSA85 on NP protein [ABSTRACT FROM AUTHOR]

The rapid development of neuromorphic computing has stimulated extensive research interest in artificial synapses. Optoelectronic artificial synapses using laser beams as stimulus signals have the advantages of broadband, fast response, and low crosstalk. However, the optoelectronic synapses usually exhibit short memory duration due to the low lifetime of the photo-generated carriers. It greatly limits the mimicking of human perceptual learning, which is a common phenomenon in sensory interactions with the environment and practices of specific sensory tasks. Herein, a heterostructure optoelectronic synapse based on graphene nanowalls and CsPbBr3 quantum dots was fabricated. The graphene/CsPbBr3 heterojunction and the natural middle energy band in graphene nanowalls extend the carrier lifetime. Therefore, a long half-life period of photocurrent decay - 35.59 s has been achieved. Moreover, the long-term optoelectronic response can be controlled by the adjustment of numbers, powers, wavelengths, and frequencies of the laser pulses. Next, an artificial neural network consisting of a 28 × 28 synaptic array was established. It can be used to mimic a typical characteristic of human perceptual learning that the ability of sensory systems is enhanced through a learning experience. The learning behavior of image recognition can be tuned based on the photocurrent response control. The accuracy of image recognition keeps above 80% even under a low-frequency learning process. We also verify that less time is required to regain the lost sensory ability that has been previously learned. This approach paves the way toward high-performance intelligent devices with controllable learning of visual perception. [ABSTRACT FROM AUTHOR]

Objectives: This systematic review was to compare the effects of interventions for the management of fear and anxiety for dental treatments. Methods: This research project was applied to PubMed, CENTRAL, Web of Science, Cochrane library databases. The last search was run on March 31st, 2021. A list of references of relevant articles and previous reviews were checked. Qualitative and quantitative analyses were performed. Results: A total of 20 eligible randomized controlled trials were included, and 969 participations in experimental group and 892 participations in the control group were involved. Anxiety levels decreased more in intervention groups than in control groups (Z = 3.47, P = 0.0005, SMD = – 0.62, 95% CI − 0.98 to − 0.27). For adults, there was statistical difference between experimental and control groups [Z = 2.14, P = 0.03, 95% CI − 0.54 (− 1.03, − 0.04)], while there was not no such statistical difference in children and adolescents [Z = 1.62, P = 0.11, 95% CI − 0.60 (− 1.32, 0.13)]. Patients experienced a significant decrease in anxiety level using sedation drugs [Z = 2.44, P = 0.01, 95% CI − 0.61 (− 1.10, − 0.12)] and audio–visual distractions [Z = 3.1, P = 0.002, 95% CI − 0.86 (− 1.40, − 0.32)]. For the informative intervention groups, patients did not show significant difference than control groups [Z = 1.22, P = 0.22, 95% CI − 0.55 (− 1.43, 0. 33)]. There was no statistical difference in vital signs [Z = 1.39, P = 0.16, 95% CI − 0.25 (− 0.61, 0.10)] and pain levels [Z = 0.69, P = 0.49; SMD = – 0.06, 95% CI (0.27, 0.11)] between intervention and control groups. Conclusions: Interventions should be used in managing anxiety and fear for dental treatment. It might be effective for anxiety alleviating for adults, but there was a low certainty of evidence that interventions could reduce anxiety level in children and adolescents. Sedation drugs and audio–visual distractions might be useful for managing dental fear and anxiety. Pain levels and vital signs could not be improved form our study. High-quality randomized clinical trials are required for further study. [ABSTRACT FROM AUTHOR]

Retrieving the pupil phase of a beam path is a central problem for optical systems across scales, from telescopes, where the phase information allows for aberration correction, to the imaging of near-transparent biological samples in phase contrast microscopy. Current phase retrieval schemes rely on complex digital algorithms that process data acquired from precise wavefront sensors, reconstructing the optical phase information at great expense of computational resources. Here, we present a compact optical-electronic module based on multi-layered diffractive neural networks printed on imaging sensors, capable of directly retrieving Zernike-based pupil phase distributions from an incident point spread function. We demonstrate this concept numerically and experimentally, showing the direct pupil phase retrieval of superpositions of the first 14 Zernike polynomials. The integrability of the diffractive elements with CMOS sensors shows the potential for the direct extraction of the pupil phase information from a detector module without additional digital post-processing. Retrieving the pupil phase of a optical beam path is a central problem for imaging systems across scales. The authors use Diffractive Neural Networks to directly extract pupil phase information with a single, compact optoelectronic device. [ABSTRACT FROM AUTHOR]

The zoonotic H7N9 avian influenza virus emerged with the H9N2-origin internal gene cassette. Previous studies have reported that genetic reassortments with H9N2 were common in the first five human H7N9 epidemic waves. However, our latest work found that the circulating high pathogenicity H7N9 virus has established a dominant internal gene cassette and has decreased the frequency of reassortment with H9N2 since 2018. This dominant cassette of H7N9 was distinct from the cocirculating H9N2, although they shared a common ancestor. As a result, we suppose that this dominant cassette may benefit the viral population fitness and promote its continuous circulation in chickens. [ABSTRACT FROM AUTHOR]

Toll-like Receptor 3 (TLR3) initiates a potent anti-viral immune response by binding to double-stranded RNA ligands. Previous crystallographic studies showed that TLR3 forms a homodimer when bound to a 46-base pair RNA ligand. However, this short RNA fails to initiate a robust immune response. To obtain structural insights into the length dependency of TLR3 ligands, we determine the cryo-electron microscopy structure of full-length TLR3 in a complex with a synthetic RNA ligand with an average length of ~400 base pairs. In the structure, the dimeric TLR3 units are clustered along the double-stranded RNA helix in a highly organized and cooperative fashion with a uniform inter-dimer spacing of 103 angstroms. The intracellular and transmembrane domains are dispensable for the clustering because their deletion does not interfere with the cluster formation. Our structural observation suggests that ligand-induced clustering of TLR3 dimers triggers the ordered assembly of intracellular signaling adaptors and initiates a robust innate immune response. TLR3 plays a crucial role in anti-viral immune response by recognizing RNAs produced during virus infection. Here, the authors determine a high resolution structure of the activated cluster of TLR3. This structure will provide a platform for designing antiviral therapeutics and vaccines. [ABSTRACT FROM AUTHOR]

We study numerically the structural transitions of two-dimensional systems of classic particles with competing interactions under a triangular confinement with two different types of soft-wall potentials. We observe a variety of novel confinement-induced equilibrium configurations as a function of particle density and confinement steepness for each considered confinement potential. The specific role played by the confining potentials on the ordering of the particle clusters is revealed. These findings allow us to control the self-organization of modulated systems through using external confinements. [ABSTRACT FROM AUTHOR]

Recent realizations of ultrathin freestanding perovskite oxides offer a unique platform to probe novel properties in two-dimensional oxides. Here, we observe a giant flexoelectric response in freestanding BiFeO3 and SrTiO3 in their bent state arising from strain gradients up to 3.5 × 107 m−1, suggesting a promising approach for realizing ultra-large polarizations. Additionally, a substantial change in membrane thickness is discovered in bent freestanding BiFeO3, which implies an unusual bending-expansion/shrinkage effect in the ferroelectric membrane that has never been seen before in crystalline materials. Our theoretical model reveals that this unprecedented flexural deformation within the membrane is attributable to a flexoelectricity–piezoelectricity interplay. The finding unveils intriguing nanoscale electromechanical properties and provides guidance for their practical applications in flexible nanoelectromechanical systems. Freestanding perovskite oxides pave the way to novel flexural properties. Here, the authors observe the nanoscale strain gradient induced flexoelectric polarization with an unusual flexo-expansion/shrinkage effect in freestanding ferroelectric oxide. [ABSTRACT FROM AUTHOR]

Objective: The present study aimed to determine the site and severity of maxillomandibular asymmetry before and after orthognathic surgery in asymmetric patients. Materials and methods: Presurgery and postsurgery cone beam computed tomography (CBCT) data of 21 facial asymmetry patients (7 males and 14 females, mean age: 23.0 ± 3.36 years) with soft tissue chin deviation ≥ 3 mm who had undergone bimaxillary surgery were evaluated. Seven midline and twenty bilateral hard tissue landmarks were identified for the evaluation of facial asymmetry and outcomes were assessed against age- and gender-matched control subjects. Results: In the asymmetry group, bilateral landmarks exhibited significant deviation in the mandible and midface regions. Before surgery, asymmetry was more severe at the mandibular midline and sites close to it, in the asymmetry group. Bimaxillary surgery proved to be highly effective, with a significant correction of the menton to a clinically normal value (2.90 mm, p < 0.001). After surgery, significant residual asymmetry was observed at the mental foramen (p = 0.001) in the R-L direction. Moreover, significant asymmetry persisted at the sigmoid notch (p = 0.001) in the S-I direction. Conclusions: Mandibular midline landmarks and chin peripheral regions contribute significantly to overall facial asymmetry characteristics. Despite significant correction after bimaxillary surgery, asymmetry persisted at several sites, thereby requiring secondary correction. Comprehensive 3D presurgical planning is central for asymmetry correction in a single surgery. Clinical relevance: The present study specifies the location of residual asymmetry sites and advocates the correction of those sites during initial surgery. [ABSTRACT FROM AUTHOR]

Decades have passed since the first discovery of H10-subtype avian influenza virus (AIV) in chickens in 1949, and it has been detected in many species including mammals such as minks, pigs, seals and humans. Cases of human infections with H10N8 viruses identified in China in 2013 have raised widespread attention. Two novel reassortant H10N3 viruses were isolated from chickens in December 2019 in eastern China during routine surveillance for AIVs. The internal genes of these viruses were derived from genotype S (G57) H9N2 and were consistent with H5N6, H7N9 and H10N8, which cause fatal infections in humans. Their viral pathogenicity and transmissibility were further studied in different animal models. The two H10N3 isolates had low pathogenicity in chickens and were transmitted between chickens via direct contact. These viruses were highly pathogenic in mice and could be transmitted between guinea pigs via direct contact and respiratory droplets. More importantly, these viruses can bind to both human-type SAα-2,6-Gal receptors and avian-type SAα-2,3-Gal receptors. Asymptomatic shedding in chickens and good adaptability to mammals of these H10N3 isolates would make it easier to transmit to humans and pose a threat to public health. [ABSTRACT FROM AUTHOR]

Traditional single-label classification methods can not be effectively applied in multi-label classification due to the semantic correlation. Conventional methods using the attention mechanism or prior knowledge, lacks deep semantic correlations, resulting in degradation for detection performance. Considering the hippocampal circuit and memory mechanism of human brain, a brain-inspired Memory Graph Convolutional Network (M-GCN) is proposed. M-GCN presents crucial short-term and long-term memory modules to interact attention and prior knowledge, learning complex semantic enhancement, and suppression. We evaluate the effectiveness of our method on public benchmarks (Microsoft COCO and PASCAL VOC). Extensive experiments demonstrate that M-GCN outperforms general state-of-the-art methods and shows the advantages in semantic correlation and complexity comparing with traditional memory models. [ABSTRACT FROM AUTHOR]

Midpalatal suture was analysed with cone beam computed tomography to identify its maturation with respect to age and maxillary-complex growth in 72 patients 9- to 21-year-old. Maxillary-complex was divided in premaxillary, maxillary, and palatine segment. Interdigitation and ossification of midpalatal suture, its density relative to hard tissues and soft tissues, and midpalatal suture density ratio were measured for each segment. Correlation of each parameter with age and maxillary-complex length was analysed, and classification trees were developed for staging parameters. Midpalatal suture maturation stages (MPSMS, from A to E) were applied to assess relationship with age and maxillary-complex length. Regarding age, ossification increased in maxillary segment of males (rS = 0.39, p = 0.032), while suture density relative to soft tissues increased in maxillary (rS = 0.37, p = 0.042) and palatine segments (rS = 0.41, p = 0.027) of males and in palatine segment of females (rS = 0.32, p = 0.041). In males, suture density relative to soft tissues discriminated two age-stages (p = 0.024), and the same parameter (p = 0.023) paired with ossification (p = 0.027) discriminated two length-stages. MPSMS identified length-differences between stage A and B in females (p = 0.001). Midpalatal-suture ossification and its density relative to soft tissues showed some relationship with age and maxillary-complex length, especially in males. However, challenging staging and limitations in the imaging method may limit clinical applications. [ABSTRACT FROM AUTHOR]

A series of granular activated carbon (GAC) samples with similar surface chemical properties but different pore structures were prepared from anthracite. The maximum adsorption capacities of the prepared CO2, CH4, and N2 at 298 K and 2.0 MPa were 4.27 mmol/g, 2.54 mmol/g, and 1.46 mmol/g, respectively, and the adsorption selectivity parameters, i.e., α C H 4 , N 2 and α C O 2 , C H 4 , were 3.23 and 3.06, respectively. By using the GAC with the optimum pore size as adsorbent, the concentration of methane in the nitrogen-methane (CH4/N2) mixture was concentrated from 30% to 63.5% via a single-column single-cycle pressure swing adsorption (PSA) process. The pore size distribution of the GAC samples was dominated by micropores, with specific surface area in the range of 330–500 m2/g and micropore volume in the range of 0.12–0.19 cm3/g. Although the specific surface area and pore volume of micropores played an important role in the separation performance, the pore size distribution was found to be the decisive factor. In particular, the micropores with sizes in the range of 5.0–10.0 Å were the main factor affecting the concentrating effect of CH4 or CO2 by GAC. [ABSTRACT FROM AUTHOR]

Adsorption of methane on three Sichuan Basin shales at 318 K, 338 K, and 358 K has been investigated experimentally. The adsorption equilibrium isotherm data were fitted with Langmuir, DR and DA model. A thermodynamic model on heat of adsorption (Qst), considering the non-ideality of gas and the adsorbed phase specific volume, was developed for adsorption fields of methane and shales. The other thermodynamic properties, included specific heat capacity of adsorbed phase (cp,a), entropy (sa) and enthalpy (ha) of adsorbed phase, were also evaluated on basis of the developed heat of adsorption model. The calculated isosteric heat of adsorption shows a temperature independent feature at lower surface loading while a negative temperature dependence at higher surface loading. Specific heat capacity of adsorbed phase (cpa) values increases with temperature, pressure and adsorption amount. The change of cpa value with temperature are higher at lower pressure and adsorption amount. The entropy and enthalpy of adsorbed phase decreases with the increase of methane adsorption, and the entropy change is larger at lower temperature suggesting lower temperature is conducive to formed ordered arrangement of CH4 molecules. [ABSTRACT FROM AUTHOR]

Bacteriophages, simply phages, have long been used as a potential alternative to antibiotics for livestock due to their ability to specifically kill enterotoxigenic Escherichia coli (ETEC), which is a major cause of diarrhea in piglets. However, the control of ETEC infection by phages within intestinal epithelial cells, and their relationship with host immune responses, remain poorly understood. In this study, we evaluated the effect of phage EK99P-1 against ETEC K99-infected porcine intestinal epithelial cell line (IPEC-J2). Phage EK99P-1 prevented ETEC K99-induced barrier disruption by attenuating the increased permeability mediated by the loss of tight junction proteins such as zonula occludens-1 (ZO-1), occludin, and claudin-3. ETEC K99-induced inflammatory responses, such as interleukin (IL)-8 secretion, were decreased by treatment with phage EK99P-1. We used a IPEC-J2/peripheral blood mononuclear cell (PBMC) transwell co-culture system to investigate whether the modulation of barrier disruption and chemokine secretion by phage EK99P-1 in ETEC K99-infected IPEC-J2 would influence immune cells at the site of basolateral. The results showed that phage EK99P-1 reduced the mRNA expression of ETEC K99-induced pro-inflammatory cytokines, IL-1β and IL-8, from PBMC collected on the basolateral side. Together, these results suggest that phage EK99P-1 prevented ETEC K99-induced barrier dysfunction in IPEC-J2 and alleviated inflammation caused by ETEC K99 infection. Reinforcement of the intestinal barrier, such as regulation of permeability and cytokines, by phage EK99P-1 also modulates the immune cell inflammatory response. [ABSTRACT FROM AUTHOR]

Purpose: We aimed to evaluate the electrical characteristics and pacing parameters at different locations of His-Purkinje system pacing. Methods: Patients who successfully underwent His-Purkinje system pacing with bradycardia indications from April 2018 to August 2019 were retrospectively analyzed according to the lead location confirmed by visualization of the tricuspid value annulus, postoperative echocardiography, and pacing electrocardiogram. The electrical characteristics and pacing parameters were compared among these patients. Results: A total of 135 patients were retrospectively analyzed. Among them, 30 patients received atrial side HBP (aHBP group), 52 received ventricular side HBP (vHBP group), and 53 received left bundle branch pacing (LBBP group). The proportion of non-selective pacing was significantly lower in aHBP group (30.0%) than in vHBP (75.0%) and LBBP group (90.6%). LBBP had significantly shorter procedural and fluoroscopic duration than aHBP and vHBP. The capture threshold was significantly higher (1.07 ± 0.26 V/1.0 ms vs. 0.89 ± 0.22 V/1.0 ms vs. 0.77 ± 0.18 V/0.4 ms, P < 0.01, respectively), and the R-wave amplitude was significantly lower (3.71 ± 1.72 mV vs. 5.81 ± 2.37 mV vs. 10.27 ± 4.71 mV, P < 0.05 respectively) in aHBP group than those in the other two groups at implantation and during 3-month follow-up. No significant differences were observed in complications among groups during 3-month follow-up. Conclusion: VHBP and LBBP had better pacing performances than aHBP and might be more ideal pacing methods for bradycardia patients. [ABSTRACT FROM AUTHOR]

Objective : To investigate the treatment efficacy of low-level light therapy on dentin hypersensitivity. Materials and methods: Following the PRISMA guideline, six electronic databases supplemented with bibliographies were searched till December 2020. Two reviewers performed the screenings independently with a reliability assessment. Studies fulfilling the pre-registered eligibility criteria were included for risk-of-bias assessment and data synthesis. Results: Thirty-five articles ultimately informed this systematic review based on the eligibility criteria and underwent risk-of-bias assessment (ĸ = 0.86). Quantitative results were deduced by meta-analysis of 20 randomised controlled trials: LLLT showed favourable outcomes compared to placebos for immediate (SMD: 1.09, 95% CI: 0.47 to 1.70), interim (SMD: 1.32, 95% CI: 0.41 to 2.23), and persistent efficacies (SMD: 2.86, 95% CI: 1.98 to 3.74). However, substantial heterogeneity existed among included studies (I2: 64–95%). Regarding comparisons with other desensitising strategies, LLLT showed no significant benefits in DH alleviation over others except fluorides for interim efficacy (SMD: 0.31, 95% CI: 0.10 to 0.52) and persistent efficacy (SMD: 0.45, 95% CI: 0.03 to 0.86). Conclusions: This systematic review shows that LLLT has positive immediate, interim, and persistent DH-treatment efficacies compared with placebo. No superior treatment effects of LLLT were observed except fluoride agent use. Further studies are warranted—RCTs with low risk of bias, consistent technical settings, comprehensive assessments, and long follow-up periods. Clinical relevance: This systematic review bridges a critical research gap by analysing clinical evidence in the DH-alleviating efficacy of LLLT in comparison with placebo and other in-office desensitising strategies. [ABSTRACT FROM AUTHOR]

Optical multiplexing1–11 by creating orthogonal data channels has offered an unparalleled approach for information encoding with substantially improved density and security. Despite the fact that the orbital angular momentum (OAM) of light involves physical orthogonal division, the lack of explicit OAM sensitivity at the nanoscale prevents this feature from realizing nanophotonic information encoding. Here we demonstrate the viability of nanoscale information multiplexing utilizing the OAM of light. This is achieved by discovering OAM-dependent polarization ellipses in non-paraxial focusing conditions and hence synthetic helical dichroism resulting from the distinct absorption of achiral nanoparticles to the different order of OAM beams. Leveraging this mechanism, the application of subwavelength-scale focused OAM beams to self-assemble plasmonic nanoaggregates further enables six-dimensional optical information multiplexing, in conjunction with wavelength, polarization and three spatial dimensions. Our results suggest the possibility of multiplexing OAM division as an unbounded degree of freedom for nanophotonic information encoding, security imprinting and beyond. Multiplexing orbital angular momentum states as independent and orthogonal information carriers for data encryption is realized through disorder-induced synthetic helical dichroism in disordered nanoaggregates. [ABSTRACT FROM AUTHOR]