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Chiral lead halide perovskites have captivated considerable attentions due to their distinctive attributes, such as ferroelectricity, spin‐dependent transport, and chiroptical activity. However, lead toxicity and weak circularly polarized luminescence (CPL) have cast a pall over their practical applications. Here, a series of 0D lead‐free chiral enantiomorphic hybrids, such as (R‐/S‐MBA)3In1‐xSbxCl6 (x = 0–1) is successfully developed. By optimizing the Sb3+ doping concentration to 0.55%, the resultant (R‐/S‐MBA)3In99.45%Sb0.55%Cl6 not only shows a near‐unity quantum yield but also emanates potent CPL, boasting a dissymmetry factor (glum) of 6.3 × 10–3. These efficient CPL activities are intricately tied to the presence of a twisted luminescent cluster [SbCl6]3– induced by structural chirality. The comprehensive results reveal that the emission of the chiral perovskite originated from self‐trapped excitons (STEs) of 5s2 Sb3+ ions. Moreover, (MBA)3In99.45%Sb0.55%Cl6 single crystals also exhibit bright orange emission and UV detector signals. These findings will pave the way for the further investigation in efficient CPL and detectors based on lead‐free chiral optoelectronic materials. [ABSTRACT FROM AUTHOR]

Chiral organic‐inorganic hybrid perovskites (OIHPs) exhibit exceptional optical and chiral properties, demonstrating potential for 3D display, circularly polarized light‐emitting diodes (CP‐LEDs), and CPL switches. However, the construction of chiral OIHPs often relies on chiral building blocks, limiting chemical diversity, and possessing challenges in achieving large asymmetry factor (glum) without sacrificing photoluminescence quantum yield (PLQY). Here, Chiral DMA4In1‐xSbxCl7 (DMA = dimethylammonium, x = 0 to 1) with superior circularly polarized luminescence (CPL) are successfully constructed based on achiral building blocks DMA+ and metal halides. By optimizing the Sb3+ content, bright white emission with a high PLQY of 69.13% is achieved, as well as near‐unity PLQY yellow emission and strong CPL signals with a glum of up to +1.40 × 10−2, exhibiting a performance comparable to state‐of‐the‐art chiral OIHPs. Combining optical characterizations and theoretical calculations reveal that these intriguing properties originate from the intrinsic chiral helical structures and a pair of perfect complementary color emissions in DMA4In1‐xSbxCl7. In addition, DMA4In1‐xSbxCl7 exhibit excellent thermal stability and mild thermal quenching in the temperature range of 300 to 420 K. These fascinating properties suggest that DMA4In1‐xSbxCl7 have significant applications in white light‐emitting diodes (WLED), 3D displays and anti‐counterfeiting. [ABSTRACT FROM AUTHOR]

Objective: It has been observed that the prognosis of patients with HER2‐positive metastatic breast cancer has improved significantly with HER2‐targeted agents. However, there is still a lack of evidence regarding first‐line anti‐HER2 treatment options for patients who have received adjuvant and/or neoadjuvant trastuzumab for HER2‐positive metastatic breast cancer. Besides, there are no reliable markers that can predict the efficacy of anti‐HER2 treatment in these patients. Methods: Patients who have received adjuvant and/or neoadjuvant trastuzumab for HER2‐positive metastatic breast cancer were enrolled. Pyrotinib plus albumin‐bound paclitaxel were used as first‐line treatment. The primary endpoint was the objective response rate (ORR). The safety profile was also assessed. In order to explore predictive biomarkers using Olink technology, blood samples were collected dynamically. Results: From December 2019 to August 2023, the first stage of the study involved 27 eligible patients. It has not yet reached the median PFS despite the median follow‐up being 17.8 months. Efficacy evaluation showed that the ORR was 92.6%, and the DCR was 100%. Adverse events of grade 3 or higher included diarrhoea (29.6%), leukopenia (11.1%), neutropenia (25.9%), oral mucositis (3.7%), and hand‐foot syndrome (3.7%). Toll‐like receptor 3 (TLR3) and Proto‐oncogene tyrosine‐protein kinase receptor (RET) were proteins with significant relevance to PFS in these patients. Conclusions: This study demonstrates that pyrotinib plus albumin‐bound paclitaxel as a first‐line treatment regimen shows good efficacy and manageable safety for patients who have received adjuvant and/or neoadjuvant trastuzumab for HER2‐positive metastatic breast cancer. Besides, a significant association was identified between the expression levels of TLR3 and RET and the PFS in patients. [ABSTRACT FROM AUTHOR]

Natural organisms have evolved a series of versatile functional biomaterials and structures to cope with survival crises in their living environment, exhibiting outstanding properties such as superhydrophobicity, anisotropy, and mechanical reinforcement, which have provided abundant inspiration for the design and fabrication of next‐generation multi‐functional devices. However, the lack of available materials and limitations of traditional manufacturing methods for complex multiscale structures have hindered the progress in bio‐inspired manufacturing of functional structures. As a revolutionary emerging manufacturing technology, additive manufacturing (i.e., 3D printing) offers high design flexibility and manufacturing freedom, providing the potential for the fabrication of intricate, multiscale, hierarchical, and multi‐material structures. Herein, a comprehensive review of current 3D printing of surface/interface structures, covering the applied materials, designs, and functional applications is provided. Several bio‐inspired surface structures that have been created using 3D printing technology are highlighted and categorized based on their specific properties and applications, some properties can be applied to multiple applications. The optimized designs of these 3D‐printed bio‐inspired surfaces offer a promising prospect of low‐cost, high efficiency, and excellent performance. Finally, challenges and opportunities in field of fabricating functional surface/interface with more versatile functional material, refined structural design, and better cost‐effective are discussed. [ABSTRACT FROM AUTHOR]

In this study, we aimed to evaluate the effect of moxibustion on pressure ulcers. A thorough search was performed for articles published from database inception up to 14 December 2023. Randomized controlled trials, which evaluated the effects of moxibustion were included. Finally, 11 relevant trails that enrolled a total of 795 participants met inclusion criteria. The results of meta‐analysis suggested beneficial effects of moxibustion for pressure ulcer compared with control on the response rate (RR: 1.21; 95% CI: 1.13–1.29; p = 0.82; I2 = 0%), healing time (MD: −5.69; 95% CI: −9.58 to −1.80; p<0.05; I2 = 97%) and pressure ulcer scale for healing scores (MD: −1.13; 95% CI: −1.36 to −0.89; p = 0.79; I2 = 0%). The evidence suggests that moxibustion possesses satisfactory efficacy in promoting healing of pressure ulcers. However, due to the small number of trials included in this study, as well as the small sample size and high risk of bias, we were unable to draw firm conclusions about the effectiveness of moxibustion for pressure ulcers. [ABSTRACT FROM AUTHOR]

Background: Systemic chemotherapy or chemoradiation therapy has proven to be effective in treating advanced biliary tract carcinoma (BTC). However, its efficacy in the adjuvant setting remains controversial. Therefore, this study aimed to determine the prognostic significance of genomic biomarkers in resected BTC and their potential role in stratifying patients for adjuvant treatment. Methods: We retrospectively reviewed 113 BTC patients who underwent curative‐intent surgery and had available tumor sequencing data. Disease‐free survival (DFS) was the primary outcome examined and univariate analysis was used to identify gene mutations with prognostic value. Favorable and unfavoratble gene subsets were distinguished from the selected genes through grouping, respectively. Multivariate Cox regression was used to identify independent prognostic factors of DFS. Results: Our results indicated that mutations in ACVR1B, AR, CTNNB1, ERBB3, and LRP2 were favorable mutations, while mutations in ARID1A, CDKN2A, FGFR2, NF1, NF2, PBRM1, PIK3CA, and TGFBR1 were unfavorable mutations. In addition to age, sex, and node positive, favorable genes (HR = 0.15, 95% CI = 0.04–0.48, p = 0.001) and unfavorable genes (HR = 2.86, 95% CI = 1.51–5.29, p = 0.001) were identified as independent prognostic factors for DFS. Out of the 113 patients, only 35 received adjuvant treatment whereas the majority (78) did not. For patients with both favorable and unfavorable mutations undetected, adjuvant treatment showed negative effect on DFS (median DFS: S441 vs. 956 days, p = 0.010), but there was no significant difference in DFS among those in other mutational subgroups. Conclusions: Genomic testing might be useful in guiding the decisions regarding adjuvant treatment in BTC. [ABSTRACT FROM AUTHOR]

Hainan gibbons are among the world's most critically endangered primates, with a remaining population of only 35 individuals distributed across 5 social groups in the Bawangling Branch of the Hainan Tropical Rainforest National Park, China. Habitat conversion and forest fragmentation over the past 40 years have reduced their geographical distribution by 95%. In the absence of a quantitative assessment of the availability of remaining suitable habitat, it is unclear whether this species can survive to the end of this century. We used behavioral observations, ArcGIS, remote sensing, stereo optical imagery, and MaxEnt modeling to identify patterns of Hainan gibbon range use and compare changes in the distribution of suitable forest types and areas of forest fragmentation over the past 20 years (2000–2020). The results indicate that the combined range of the 5 extant Hainan gibbon groups totaled 14.89 km2. The home range of the smallest group (Group E, 3 individuals) was 1.51 km2, which likely represents the minimum home range size for this species. The remaining area of highly suitable and moderately suitable habitat totals 26.9 km2. However, habitat connectivity across the gibbon range is very low (less than 0.5), limiting the ability of Hainan gibbons to move between forest patches. The results of this study indicate that the availability of suitable habitat in Bawangling is insufficient to allow for future Hainan gibbon population growth. Therefore, immediate action must be taken to restore, reforest, and establish ecological corridors to reconnect areas of suitable habitat for these critically endangered gibbons. [ABSTRACT FROM AUTHOR]

Background: Colorectal cancer (CRC) is the third leading cause of cancer‐related deaths worldwide. Studies have shown that the DNA damage response (DDR) mutation is strongly associated with microsatellite instability (MSI) status and is an indication for patients with CRCs receiving immune checkpoint inhibitor (ICI) treatment. However, DDR mutation in microsatellite stable (MSS) CRC remains unclear. Methods: In this study, Fisher's exact test, Student'st‐test, Wilcoxon rank‐sum test and Cox proportional hazards regression model were performed, and a p value of < 0.05 was considered statistically significant. Results: The most common gene alterations were APC (77%), TP53 (73%), KRAS (48%), and PIK3CA (25%). The mutationfrequency of APC and TP53 in left‐sided CRC was significantly higher than that for right‐sided CRC, while the mutation frequency of PIK3CA, ACVR2A, FAT4, and RNF43 in right‐sided CRC was significantly higher than that for left‐sided CRC. DDR mutations occurred in100% of MSI CRCs and in 83.77% of MSS CRCs, with the most frequently mutated DDR genes being ARID1A (7.5%), ATM (5.7%,) and BRCA2 (2.6%). When right‐ and left‐sided CRCs were compared, no significant difference was observed for DDR genes and pathways. A survival analysis indicated that the DDR mutation was not associated with overall survival (OS) in MSS CRCs, while left‐sided patients with homologous recombination repair (HRR) pathway mutations had a significantly prolonged OS compared with right‐sided CRCs. Conclusions: Here, we found that stage and grade were statistically significant independent prognostic factors in the left‐sided CRC and the right‐sided CRC, recommending treatment for these patients stratified by stage. For the future, utilizing DDR gene defects for expanding treatment options and improving prognosis is an issue worth exploring. [ABSTRACT FROM AUTHOR]

Existing bone tissue engineering strategies aim to achieve minimize surgical trauma, stabilize the injured area, and establish a dynamic osteogenic microenvironment. The cutting‐edge bone glue developed in this study satisfies these criteria. Inspired by the excellent adhesive properties of mussels, herein, a super osteogenic glue (L‐DPZ) that integrates poly(vinyl alcohol), L‐dopa amino acid, and zeolitic imidazolate framework‐8 characterized by catechol–metal coordination is used to successfully adhere to hard tissue with a maximum adhesive strength of 10 MPa, which is much higher than those of commercial and previously reported bone glues. The stable hard tissue adhesion also enables it to adhere strongly to luxated or broken teeth, Bio‐Oss (a typical bone graft material), and splice fragments from comminuted fractures of the rabbit femur. Then, it is testified that the L‐DPZ hydrogels exhibit satisfactory biocompatibility, stable degradability, and osteogenic ability in vitro. Moreover, the ability to anchor Bio‐Oss and sustained osteogenesis of L‐DPZ result in satisfactory healing in calvarial bone defect models in rabbits, as observed by increased bone thickness and the ingrowth of new bone tissue. These results are expected to demonstrate solutions to clinical dilemmas such as comminuted bone fracture fixation, bone defect reconstruction, and teeth dislocation replantation. [ABSTRACT FROM AUTHOR]

Objective: To develop an in vivo model to simulate the complex internal environment of diabetic peri‐implantitis (T2DM‐PI) model for a better understanding of peri‐implantitis in type 2 diabetic patients. Materials and methods: Maxillary first molars were extracted in Sprague‐Dawley (SD) rats, and customized cone‐shaped titanium implants were installed in the extraction sites. Thereafter, implants were uncovered and customized abutments were screwed into implants. A high‐fat diet and a low‐dose injection of streptozotocin were utilized to induce T2DM. Finally, LPS was locally injected in implant sulcus to induce peri‐implantitis. Results: In the present study, T2DM‐PI model has been successfully established. Imaging analysis revealed that abundant inflammatory cells infiltrated in the soft tissue in T2DM‐PI group with concomitant excessive secretion of inflammatory cytokines. Moreover, higher expression of MMP and increased number of osteoclasts led to collagen disintegration and bone resorption in T2DM‐PI group. Conclusions: These results describe a novel rat model which stimulate T2DM‐PI in vivo, characterized by overwhelming inflammatory response and bone resorption. This model has a potential to be used for investigation of initiation, progression and interventional therapy of T2DM‐PI. [ABSTRACT FROM AUTHOR]

Risk of implant failure increases profoundly in patients with pre‐existing conditions (e.g., diabetes). Current therapies adopt a one‐sided focus on the direct antibacterial properties of biomaterials and osteogenesis stimulation. However, in this study it is demonstrated that a "chain armor" structure (Ce‐TA) that mainly targets the regulation of the local pathological microenvironment, provides a novel solution to scavenge reactive oxygen species (ROS) by simulating superoxide dismutase and catalase and significantly improving osteointegration under diabetic conditions. Ce‐TA based on a metal phenolic network biological functional interface is successfully constructed. Ce‐TA, an ultrathin armor structure, is biocompatible and facile. Through in vitro assays it is demonstrated that Ce‐TA reshapes the diabetic microenvironment into a regenerative one in a microenvironment‐responsive manner, where Ce‐TA regulates hypoxia‐inducible factor 1α (HIF‐1α) activity by reducing the level of mitochondrial ROS, and effectively alleviates mitochondrial dysfunction and reprogrammes macrophages to a pro‐healing state. Furthermore, it is confirmed that Ce‐TA shows excellent therapeutic effects on the reducing postoperative infection and enhances osteointegration of intra‐osseous implants in diabetic rat models. The proposed strategy opens up a promising opportunity for repurposing metals with intrinsic enzyme‐like activity for the goal of enhancing the osteointegration of devices with orthopedic and dental applications among diabetic patients. [ABSTRACT FROM AUTHOR]

Along with the rapid urbanization and economic development, the Yangtze River Middle‐Reach urban agglomeration (YRMR) has suffered from increasingly serious environmental problems. Characterizing the long‐term dynamics of aerosol optical depth (AOD) in YRMR is of important significance for scientific control of aerosol pollutants over this region. Previously, numerous researches have analysed the temporal and spatial characteristics of AOD in different regions through statistical values of AOD time series or using trend analysis methods based on linear regression models. It is challenging to approximate nonlinear trends and identify change points of AOD time series. This paper proposed a new methodology for investigating the dynamics of AOD over the YRMR region on a monthly basis by using the Terra MODIS Collection 6.1 Level 2 aerosol products (MOD04_L2) during 2001–2017. A three‐dimensional spatio‐temporal interpolation method was used to generate gap‐filled monthly AOD maps, and then a generic Bayesian time series decomposition algorithm was applied to analyse the trends and change points of monthly AOD time series. The results showed that the areas with high AOD values were mainly located in the core cities and the connecting belts. Strong positive AOD anomalies had been observed during 2006–2011, whereas the positive anomalies were typically intermingled with negative anomalies and it indicated that the evolution patterns of AOD for different regions were different and influenced by fluctuations. Trend analysis of the monthly mean AOD values indicated that AOD in YRMR increased first, then fluctuated, and finally decreased. Although it was difficult to separate the increasing and fluctuating periods from each other due to the fluctuation, the decreasing trend after 2011 was significant, and a significant drop of AOD had been observed since 2014. Long‐term AOD variations were closely related to national policies, and the results could provide useful references for regional environmental assessment and decision‐making. [ABSTRACT FROM AUTHOR]

GRAPH Corrected figure for original Figure S17. GRAPH Corrected figure of original Figure 2d. Safeguarding Osteointegration in Diabetic Patients: A Potent "Chain Armor" Coating for Scavenging ROS and Macrophage Reprogramming in a Microenvironment-Responsive Manner. [Extracted from the article]

Mother‐to‐child transmission (MTCT) is responsible for the majority of chronic hepatitis B virus (HBV) infections worldwide. Despite timely HBV immunoprophylaxis of neonates, MTCT can occur in infants born to mothers with high levels of HBV viremia. We performed a retrospective cross‐sectional analysis of Asian American women with chronic HBV evaluated with HBV DNA during prenatal care at two community health sites in New York City from 2007 to 2017. We described patient's demographic and clinical characteristics, categorized their HBV disease phase and analysed for variables associated with high MTCT risk (defined by HBV DNA level >200 000 IU/mL) using multivariable logistic regression. A total of 1298 pregnancies among 1012 mostly China‐born (97.6%) women with chronic HBV were included in the study. Of the 1241 pregnancies among women not on antiviral treatment, 22.4% were considered high risk for MTCT and, of these, 255 (91.7%) were HBV e antigen (HBeAg)‐positive and 19 (6.8%) were HBeAg‐negative. HBeAg‐positive status and ALT levels between 26 and 50 U/L were associated with higher likelihood for being high risk for MTCT. Only 0.8% of pregnancies low risk for MTCT were in the immune active phase while the majority (58.4%) were in the inactive chronic HBV phase of infection. Approximately one in five (22.4%) pregnancies among Asian American women with chronic HBV was considered high risk for MTCT and met criteria for antiviral therapy. Full assessment of HBV pregnant women and early coordinated care is needed to deliver interventions to prevent MTCT during critical windows of time. [ABSTRACT FROM AUTHOR]

This report presents the case of a 54-year-old woman with a collision tumour of malignant melanoma and medullary thyroid carcinoma in the thyroid. Twenty four of 25 neck lymph nodes contained metastatic melanoma, with the rest having both metastatic melanoma and medullary carcinoma. Systemic chemotherapy was administered for the malignant melanoma, and a complete response was thus obtained. However, just after having the chemotherapy, multiple lung and brain metastases emerged. The simultaneous occurrence of malignant melanoma and medullary carcinoma in the same thyroid has not been previously reported in the literature. Collision tumour of malignant melanoma and medullary carcinoma of the thyroid might imply bad prognosis. [ABSTRACT FROM AUTHOR]

The binding interaction between-epigallocatechin-3-gallate (EGCG) and bovine β-lactoglobulin (βLG) was thoroughly studied by fluorescence, circular dichroism (CD) and protein-ligand docking. Fluorescence data revealed that the fluorescence quenching of βLG by EGCG was the result of the formation of a complex of βLG-EGCG. The binding constants and thermodynamic parameters at two different temperatures and the binding force were determined. The binding interaction between EGCG and βLG was mainly hydrophobic and the complex was stabilised by hydrogen bonding. The results suggested that βLG in complex with EGCG changes its native conformation. Furthermore, preheat treatment (90 °C, 120 °C) and emulsifier (sucrose fatty acid ester) all boosted the binding constants ( Ka) and the binding site values ( n) of the βLG-EGCG complex. This study provided important insight into the mechanism of binding interactions of green tea flavonoids with milk protein. [ABSTRACT FROM AUTHOR]

High electrical conductivity and electrical stability play a significant role in building the component devices of wearable electronics textiles. In this study, an implementable and effective approach was established that involved successive steps of surface microdissolution and in situ polymerization of pyrrole on fabric surfaces. The cotton fabrics were pretreated using a NaOH/urea aqueous solution system at low temperature so as to add more adsorption sites to the surface and obtain a rough surface. Then more polypyrrole was firmly deposited on the surface of the cotton fabrics. The results showed that the treated fabrics had a lower surface resistance of 1.98 Ω/sq, and the value was almost unchanged after 10 washing cycles. The dry rubbing fastness degree of the treated fabrics can reach 4 grades, and good flexibility was maintained under different bending states. Higher electromagnetic shielding effectiveness of the treated cotton fabrics (15.4–62.9 dB) at a frequency range from 1 to 3000 MHz and excellent ultraviolet protection performance could be obtained, which can provide a theoretical reference for the design and research of flexible wearable electrode materials. © 2019 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2019, 136, 47515. The successive steps of surface micro‐dissolution and in situ polymerization of pyrrole on fabrics surfaces [ABSTRACT FROM AUTHOR]