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High-energy density dielectrics for electrostatic capacitors are in urgent demand for advanced electronics and electrical power systems. Poly(vinylidene fluoride) (PVDF) based nanocomposites have attracted remarkable attention by intrinsic high polarization, flexibility, low density, and outstanding processability. However, it is still challenging to achieve significant improvement in energy density due to the common contradictions between electric polarization and breakdown strength. Here, we proposed a novel facile strategy that simultaneously achieves the construction of in-plane oriented BaTiO3 nanowires and crystallization modulation of PVDF matrix via an in-situ uniaxial stretch process. The polar phase transition and enhanced Young's modulus facilitate the synergetic improvement of electric polarization and voltage endurance capability for PVDF matrix. Additionally, the aligned distribution of nanowires could reduce the contact probability of nanowire tips, thus alleviating electric field concentration and hindering the conductive path. Finally, a record high energy density of 38.3 ​J/cm3 and 40.9 ​J/cm3 are achieved for single layer and optimized sandwich-structured nanocomposite, respectively. This work provides a unique structural design and universal method for dielectric nanocomposites with ultrahigh energy density, which presents a promising prospect of practical application for modern energy storage systems.

3D printing of flexible piezoelectric composites (3D-FPCs) is increasingly attracting the attention due to its unique advantage for customized smart applications. However, current research mainly focuses on the 0–3 piezoelectric composites, in which the piezoelectric ceramics are embedded in polymer matrix in the form of particles. The poor connectivity between particles much reduces the conduction of strain and charge in the composites, seriously limiting its application in actuation. In this work, a continuous lead zirconate titanate (PZT) double-layer ceramic scaffold was prepared by 3D printing and assembled with epoxy resin and interdigital electrodes together to manufacture a multifunctional device. The 3D-FPCs exhibit a free strain of 1830 ​ppm in actuating and are able to actuate a stainless-steel cantilever beam to produce a tip displacement of 5.71 ​mm. Additionally, the devices exhibit a sensitivity of 26.81V/g in sensing applications. Furthermore, 3D-FPCs are demonstrated as actuators for mobile small robots and wearable sensors for sensing joint activities.

Abstract Unmanned aerial vehicles (UAVs) offer a new approach to wireless communication, leveraging their high mobility, flexibility, and visual communication capabilities. Ambient backscatter communication enables Internet of Things devices to transmit data by reflecting and modulating ambient radio waves, eliminating the need for additional wireless channels, and reducing energy consumption and cost for sensors. However, passive ambient backscatter communication has limitations such as limited range and poor communication quality. By utilizing UAVs as communication nodes, these limitations can be overcome, expanding the communication range and improving the quality of communication. Although some research has been conducted on combining UAVs and ambient backscatter, several challenges remain. One key challenge is the strong direct link interference in ambient backscatter under UAV conditions, which significantly affects communication quality. In this paper, we propose an intelligent backward and forward straight link interference cancellation algorithm based on NOMA decoding technique to enhance ambient backscatter communication quality under UAV conditions and extract more ambient energy for UAV energy supply. The paper includes theoretical derivation, algorithm description, and simulation analysis to validate the error bit rate of labeled information bits. The results demonstrate that the forward algorithm reduces the error bit rate by approximately 20% under low signal-to-noise ratio (SNR) conditions, while the backward algorithm reduces the error bit rate under high SNR conditions. The combination of the forward and backward algorithms reduces the error bit rate under both high and low SNR conditions. The proposed method contributes to improving the quality of ambient backscatter communication in UAV settings.

Lightweight cryptography algorithms are a class of ciphers designed to protect data generated and transmitted by the Internet of Things. They typically have low requirements in terms of storage space and power consumption, and are well-suited for resource-limited application scenarios such as embedded systems, actuators, and sensors. The NIST-approved competition for lightweight cryptography aims to identify lightweight cryptographic algorithms that can serve as standards. Its objective is to enhance data security in various scenarios. Among the chosen standards for lightweight cryptography, ASCON has been selected. ASCON-HASH is a hash function within the ASCON family. This paper presents a detailed analysis of the differential characteristics of ASCON-HASH, utilizing the quadratic S-box. Additionally, we employ message modification techniques and ultimately demonstrate a non-practical collision attack on the 2-round ASCON-HASH, requiring a time complexity of 298 hash function calls.

The rheological properties of gangue cemented backfill slurry under different mass concentrations and standing time were studied based on Talbot grading theory, and the influence of particle grading on rheological parameters was analyzed by grey correlation degree. The results show that when the mass concentration of slurry is 76 % to 80 %, the yield stress τ0 of slurry increases with the increase of concentration, and the effect of mass concentration on the yield stress of slurry with high fine gangue content is more obvious. At the same concentration, the yield stress correlation coefficient of slurry increases with the increase of particle size. When the concentration is different, the correlation coefficient is related to the concentration. The yield stress increases with the increase of the standing time of the slurry, and the growth rate is faster in 0-50 min, and the growth rate slows down in 50-90 min, and the time effect is more obvious to the yield stress of the slurry with low coefficient k. As the shear rate increases to the critical shear rate, the rheological state of the slurry changes from laminar flow to turbulent flow.

In order to study the influence of caved rocks in the goaf on the backfilling body in the backfilling mining, uniaxial compression test are carried out on the backfilling body-cemented granular body combination with different granular heights, discrete element lithology and backfilling body strength. The uniaxial compression failure of the combination body specimen is monitored in real time by using the three-dimensional acoustic emission positioning technology. The deformation and failure corresponding to the AE events in the loading process is characterized by combining the time parameters of AE events with the starting time points of the four stages of the stress-strain curve. Based on this, the failure model for the interface of the combination body is established. The results show that the height of granular is negatively correlated with the strength of the combination body, and the uniaxial compressive strength of the combination body with the backfilling height ratio of 1:4 is only 55.0 % of that of the single backfilling body. The discrete element lithology and the strength of backfilling body are positively correlated with the strength of the combination body. Although high-strength backfilling body can improve the uniaxial compressive strength of the combination body, the higher the strength of filling body in the combination body, the more serious the strength reduction of the combination body. When the particle lithology in cemented bulk is siltstone with low strength, the uniaxial compressive strength of the combination body is only 42.9% of that of single combination body. The siltstone with smaller compressive strength will have a fracture plane due to shear failure during the failure, and the limestone with larger compressive strength can withstand shear load by using the shear strength of the granular particles. When the cementing matrix in the cemented granular fails or the particles in the cemented granular are broken, the interface of the backfilling body and the cemented granular undergoes non-uniform compression deformation, resulting in the stress concentration on the backfilling body on the interface damaged by the cemented granular, resulting in the shear failure of the upper backfilling body locally, and the failure of backfilling body is the contribution of both axial stress and non-uniform deformation of the interface.

This paper aims to evaluate the severities and causes of ground surface building and cropland damages after coal mining in a better way, and to clarify the correlation between the damage assessment indexes that influence mining. Against the backdrop of multi-seam mining in certain coal mines in China, the estimated results of each displacement and deformation were analyzed using GIS technology. The damage range determined for each deformation index is divided according to the displacement and deformation combined with the virtue of damage judgment threshold. The damage ranges on the ground surface based on the comprehensive value of each displacement and deformation index were obtained through superimposing those ranges delineated by each displacement and deformation index, and the law on influence from displacement indexes upon various levels of damage was analyzed in a quantitative manner accordingly. The results showed that coal mining destroyed 14 buildings and a cropland area of 11.96 hm2; among them, building damage was only associated with displacement indexes E (horizontal deformation) and T (inclined deformation). Seven buildings were solely destroyed by T alone; five buildings were solely damaged by E; two buildings were damaged jointly by E and T; and, moreover, with the aggravation in building damage level, the proportion of building damage due to E decreased while the proportion of building damage under the same level due to T increased. Regarding cropland destruction, the damage due to T accounted for 33.48% while the damage jointly caused by W (Subsidence), E and T accounted for 30.45%. Moreover, the proportion of damaged cropland area due to inclined deformation T was positively correlated with cropland damage level. These findings can provide a reference for rational judgment regarding civilian building and cropland destruction on the ground surface after coal mining.

Pipeline leakage causes enormous safety and economic concerns; therefore, sensors which are high-performance and durable are in high demand for improving monitoring accuracy and for avoiding economic loss. In this work, mica-based flexible PZT sensors showed high sensitivity, with 140 mV N−1 and 467 mV N−1 for the output voltage, with regard to the tapping and bending modes, respectively. They can monitor airflow in normal conditions with high sensitivity and a linearity of 424 mV MPa−1 and 0.99, respectively. In the event of a pipeline leak, the mica-based sensors exhibited a rapid response time as short as 0.578 s. Furthermore, they generated distinct voltage levels at different distances from the leakage point, thus providing valuable information for accurately locating the source of the leakage.

The accurate prediction of surface subsidence is a significant foundation for the damage assessment of coal seam mining and ecological environment reclamation in loess donga. However, conventional models are very problematic, and the reliability of prediction is usually low. Therefore, we propose a method for predicting surface subsidence of coal seam mining in loess donga that is based on the probability integration model, combined with the movement principle of rock and soil layers in the respective study area, and considering the influence of slope stability and additional mining slip on mining subsidence. The feasibility of our new method was verified by a case study in the N1114 working face of the Ningtiaota coal mine (China) that is situated in an area with abundant loess dongas. The results show that slope slippage is the source of error in the prediction of subsidence in loess donga. The prediction idea of “dividing the surface of loess donga into horizontal strata area and slope sub-area, and predicting the subsidence value of the two areas, respectively” is put forward. A method for predicting the subsidence value of two regions is established. First, based on the theory of probability integral and rock formation movement, the probability integral parameters of the horizontal stratum area are determined, and the subsidence basins in the area are superimposed and calculated. Secondly, according to the slope stability and slip principle, the additional displacement of subsidence in the slope area with mining instability coefficient Gcs > 0.87 is calculated. Finally, combined with the subsidence prediction results of the strata area and the slope sub-area, and the position of the slope, the accurate prediction of the surface subsidence in loess donga is realized. Our results show that the agreement between the curves predicted from our calculations and from the measured data are between 88.7–97.8%. The calculated error of the additional displacement of slope mining slip is between 1.0–9.8%. The excellent correlation between the modelled and measured data documents that our method provides, demonstrated a new efficient and valuable tool for the precise prediction of damages induced by mining of underground coal seams in loess donga.

ABSTRACT: Background: The presence of left atrial/left atrial appendage thrombosis is associated with a higher risk of thromboembolic events in patients with atrial fibrillation. The optimal antithrombotic strategy is not established to date. Objective: Our aim was to compare the efficacy and safety profile of novel oral anticoagulants with warfarin in the treatment of left atrial/left atrial appendage thrombosis. Methods: We conducted a systematic search in PubMed, Embase, Cochrane Library, ClinicalTrials.gov, and 3 Chinese databases for all randomized controlled trials and cohort studies (PROSPERO, CRD42021238952) from inception to 7 May 2021. Two authors independently performed the articles selection, data extraction, and quality assessment. The efficacy outcome was the resolution of left atrial/left atrial appendage thrombosis, and the safety outcomes were bleeding and stroke/transient ischemic attack. Results: One randomized controlled trial and 5 cohort studies were included, with a total of 353 patients. Compared with warfarin, novel oral anticoagulants were associated with increased probability of left atrial/left atrial appendage thrombosis resolution (OR = 2.20; 95% CI, 1.35–3.60; I2 = 0%). Compared with warfarin, novel oral anticoagulants had a similar risk of bleeding (OR = 0.91; 95% CI, 0.39–2.13; I2 = 0%). There was no evidence of increased risk of stroke/transient ischemic attack (OR = 0.42; 95% CI, 0.12–1.45; I2 = 0%). Conclusions: Novel oral anticoagulants were more effective than warfarin in promoting the resolution of left atrial/left atrial appendage thrombosis, without increased risks of bleeding and stroke/transient ischemic attack. Our study provides valuable insight into clinical practice. Further well-designed randomized controlled trials are needed to fully evaluate the benefits and risks in these patients. PROSPERO Registration No.: CRD42021238952.

Objective: To identify the impact of a collaborative pharmaceutical care service (CPCS) on medication safety and establish the impact of the CPCS on patient reported outcomes for Parkinson’s disease (PD) patients.Methods: Initially, PD outpatients receiving the CPCS between March 2017 and March 2019 were compared with PD patients receiving standard of care to identify differences in management. Pharmacist interventions data were coded and patients with PD receiving the CPCS were compared with those receiving standard of care to determine differences in medicines prescribed and dosage associated with these. Following this, data of patients receiving CPCS at baseline and 3-months follow-up were collected using a questionnaire consisting of validated measures of two patient-reported outcomes [adherence and quality of life (QoL)]. Mean scores for continuous variables were calculated, with descriptive analysis of categorical variables consisting of frequency counts and percentages. Change in adherence score before and after CPCS was investigated using a Wilcoxon sign rank sum test, spearman correlation analysis was used to correlate the changes in QoL before and after CPCS with the number of interventions, and p < 0.05 indicates that the difference is statistically significant.Results: A total of 331 PD outpatients received CPCS over 490 outpatient visits with an average age of 71.83 (±12.54). Five hundred and forty-five drug related problems were recorded as pharmacist interventions, of which most involved change to dosage (n = 226, 41.47%), adverse drug reactions (n = 135, 24.77%), and change in a medication (n = 102, 18.72%). Compared with those receiving standard of care, patients receiving CPCS were significantly less likely to have been prescribed pramipexole (18.52 versus 23.77%, p < 0.001) and more likely to have been prescribed amantadine (5.40 versus 3.70%, p = 0.02) and selegiline (17.36 versus 11.64%, p < 0.001). Lower dosages of levodopa/benserazide (0.51 ± 0.31 g versus 0.84 ± 0.37 g, p < 0.001), levodopa/carbidopa (0.33 ± 0.23 g versus 0.66 ± 0.47 g, p < 0.001), pramipexole (1.14 ± 1.63 mg versus 1.27 ± 0.69 mg, p = 0.01), and entacapone (130.00 ± 79.76 mg versus 173.09 ± 97.86 mg, p < 0.001) were also recorded. At baseline 119 PD outpatients with an average age of 69.98 (±9.90) were recruited for the longitudinal study. At 3-month follow-up, participants reported improvement in bodily pain subscale (baseline versus 3-months follow-up, 30.04 ± 22.21 versus 23.01 ± 20.98, p = 0.037) and medication adherence (6.19 ± 1.50 versus 6.72 ± 1.73, p = 0.014). Frequency of CPCS use was related to activity of daily living subscale (p = 0.047), the bodily pain subscale (p = 0.026), and medication adherence (p = 0.011). Total score of PDQ-39 was associated with patient education (p = 0.005) and usage and dosage combined with patient education (p = 0.006), while medication adherence score was associated with usage and dosage (p = 0.005).Conclusion: The CPCS was effective in resolving drug-related problems and in improving patients’ medication regimens, medication adherence, and QoL through patient education and dosage adjustments. This is the first step in the development and feasibility testing of pharmacy services for PD patients in China.

Abstract. Background:. Emerging evidences have indicated that the composition of gut microbiota was significantly influenced by central nervous system diseases. The digestion and metabolism disturbances of patients with amyotrophic lateral sclerosis (ALS) might be strongly associated with ALS; however, this has rarely been evaluated in these populations. This study was to evaluate bacterial and archaeal composition of gut flora and the corresponding metabolism performance of these micro-organisms in fecal samples of patients with ALS. Methods:. A comparative study was performed on the intestinal microbiota from eight patients with ALS and eight healthy individuals at Huadong Hospital during November 2017 to April 2018; meanwhile, the metabolite concentrations of human endotoxin, short-chain fatty acids (SCFA), NO2-N/NO3-N, and γ-aminobutyric acid were also evaluated by spectrophotometry methods. The correlations between intestinal microbiota and metabolite concentration were compared between the two groups using one-way analysis of variance; the relative abundance of beneficial and harmful micro-organisms in fecal samples was also analyzed. Results:. In general, the richness and evenness of bacterial and archaeal communities of healthy individuals were healthier than that of patients with ALS. The phylum Firmicutes/Bacteroidetes ratio, genus Methanobrevibacter showed an enhancive tendency in patients with ALS, whereas the relative abundance of beneficial micro-organisms (genera Faecalibacterium and Bacteroides) presented a significant decrease tendency in patients with ALS. In addition, the average concentrations of human endotoxin, SCFA, NO2-N/NO3-N, and γ-aminobutyric acid in patients with ALS and healthy individuals were 64.2 vs. 65.3 EU/mL, 57.5 vs. 55.3 μg/mL, 5.7 vs. 5.3 ng/mL, and 6.1 vs. 5.4 μmol/L, respectively, indicating that the digestion and metabolism functions of gastrointestinal tract of patients might decline with this disease. Conclusions:. The relative abundance of beneficial and harmful micro-organisms respectively showed decrease and increase tendency in patients with ALS.

Aims: To determine the risk of liver injury associated with the use of different intravenous lipid emulsions (LEs) in large populations in a real-world setting in China.Methods: A prescription sequence symmetry analysis was performed using data from 2015 Chinese Basic Health Insurance for Urban Employees. Patients newly prescribed both intravenous LEs and hepatic protectors within time windows of 7, 14, 28, 42, and 60 days of each other were included. The washout period was set to one month according to the waiting-time distribution. After adjusting prescribing time trends, we quantify the deviation from symmetry of patients initiating LEs first and those initiating hepatic protectors first, by calculating adjusted sequence ratios (ASRs) and relevant 95% confidence intervals. Analyses were further stratified by age, gender, and different generations of LEs developed.Results: In total, 416, 997, 1,697, 2,072, and 2,342 patients filled their first prescriptions with both drugs within 7, 14, 28, 42, and 60 days, respectively. Significantly increased risks of liver injury were found across all time windows, and the strongest effect was observed in the first 2 weeks [ASR 6.97 (5.77–8.42) ∼ 7.87 (6.04–10.61)] in overall patients. In subgroup analyses, female gender, age more than 60 years, and soybean oil-based and alternative-LEs showed higher ASRs in almost all time windows. Specially, a lower risk for liver injury was observed in the first 14 days following FO-LEs administration (ASR, 3.42; 95% CI, 0.81–14.47), but the risk started to rise in longer time windows.Conclusion: A strong association was found between LEs use and liver injury through prescription sequence symmetry analysis in a real-world setting, which aligns with trial evidence and clinical experience. Differences revealed in the risks of liver injury among various LEs need further evaluation.

Background: Tanreqing injection (TRQ) is a traditional Chinese medicine commonly used in China to treat pulmonary diseases presenting as phlegm-heat syndrome. Robust data on the safety of TRQ from real-world observational cohorts are currently lacking.Objective: To evaluate as the incidence, type, and predictors of adverse events (AEs) and adverse drug reactions (ADRs) of TRQ in clinical practice in China.Methods: We conducted a population-based cohort, multicenter study to evaluate the incidence, manifestation, outcomes, and risk factors of AEs and ADRs following TRQ use in China. Between April 2014 and May 2015 a total of 30,322 consecutive inpatients/emergency attendance patients from 90 hospitals across China administrated TRQ were followed-up for 7 days. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated using logistic regression to identify predictors of ADRs.Results: The incidence of AEs and ADRs was 1.4 and 0.3%, respectively. Skin and subcutaneous tissue disorders were the most common ADRs. All ADRs were mild or moderate in severity, except for one serious case of anaphylactic reaction. The majority of ADRs (72.8%) occurred in the first 2 h after TRQ administration. Two-thirds of patients (66.1%) in the study were prescribed TRQ off-label, including infants aged ≤24 months. A history of food allergy (OR 4.50, 95% CI: 1.35–15.00), drug allergy (OR 2.77, 95% CI: 1.56–4.94), and fast infusion speed (off-label use) (OR 2.10, 95% CI: 1.27–3.50) were associated with an increased risk of ADRs.Conclusion: TRQ is well tolerated in the general population, yet off-label use is prevalent. Efforts are required to educate prescribers to adhere to the drug label in order to minimize potential patient harm.

Many researchers have developed new calculation methods to analyze seismic slope stability problems, but the conventional pseudo-static method is still widely used in engineering design due to its simplicity. Based on the Technical Code for Building Slope Engineering (GB 50330—2013) of China and the Guidelines for Evaluating and Mitigating Seismic Hazards in California (SP117), a comparative study on the pseudo-static method was performed. The results indicate that the largest difference between these two design codes lies in determination of the seismic equivalence reduction factor (feq). The GB 50330—2013 code specifies a single value for feq of 0.25. In SP117, numerous factors, such as magnitude and distance, are considered in determining feq. Two case studies show that the types of slope stability status evaluated by SP117 are in agreement with those evaluated by the seismic time-history stability analysis and Newmark displacement analysis. The factors of safety evaluated by SP117 can be used in practice for safe design. However, the factors of safety evaluated by GB 50330—2013 are risky for slope seismic design. Keywords: Earthquake, Slope stability, Pseudo-static method, Design code

Oxaliplatin, a platinum-based chemotherapy drug, causes neuropathic pain, yet effective pharmacological treatments are lacking. Previously, we showed that tetrandrine (TET), with anti-inflammatory properties, reduces mechanical allodynia in nerve-injured mice. This study explores the effect of TET on oxaliplatin-induced mechanical allodynia and gene changes in mice. Male C57BL/6J mice received oxaliplatin intraperitoneally to induce mechanical allodynia. Post-treatment with TET or vehicle, the mechanical withdrawal threshold (WMT) was assessed using von Frey filaments. TET alleviated oxaliplatin-induced mechanical allodynia. RNA sequencing identified 365 differentially expressed genes (DEGs) in the Control vs. Oxaliplatin group and 229 DEGs in the Oxaliplatin vs. TET group. Pearson correlation analysis of co-regulated DEGs and inflammation-related genes (IRGs) revealed 104 coregulated inflammation-related genes (Co-IRGs) (|cor| > 0.8, P < 0.01). The top 30 genes in the PPI network were identified. Arg2, Cxcl12, H2-Q6, Kdr, and Nfkbia were highlighted based on ROC analysis. Subsequently, Arg2, Cxcl12, Kdr, and Nfkbia were further verified by qRCR. Immune infiltration analysis indicated increased follicular CD4 T cell infiltration in oxaliplatin-treated mice, reduced by TET. Molecular docking showed strong binding affinity between TET and proteins encoded by Arg2, Cxcl12, Kdr, and Nfkbia. In summary, TET may alleviate oxaliplatin-induced peripheral neuropathy in clinical conditions. [ABSTRACT FROM AUTHOR]

A new γ-lactone compound, trichonafurin A (1), was obtained from the culture of Trichoderma atroviride ZW-7, an endophyte of the marine brown alga Sargassum thunbergii. Its structure was unambiguously assigned by detailed interpretation of 1D/2D NMR and HRESIMS data. Trichonafurin A (1) exhibited moderate cytotoxicity against HeLa and HepG2 cell lines with IC50 values of 20.2 and 32.1 μM, respectively. [ABSTRACT FROM AUTHOR]

A target AUC0-24/MIC ratio of 400 has been associated with its clinical success when treating Staphylococcus aureus infections but is not currently supported by state-of-the-art evidence-based research.This current systematic review aimed to evaluate the available evidence for the association between the AUC0-24/MIC ratio of vancomycin and its clinical effectiveness on hospitalized patients and to confirm the existing target value of 400.PubMed, Embase, Web of Sciences, the Cochrane Library and two Chinese literature databases (CNKI, CBM) were systematically searched. Manual searching was also applied. Both RCTs and observational studies comparing the clinical outcomes of high AUC0-24/MIC groups versus low AUC0-24/MIC groups were eligible. Two reviewers independently extracted the data. The primary outcomes were mortality and infection treatment failure. Risk ratios (RRs) with 95% confidence intervals (95%CIs) were calculated.No RCTs were retrieved. Nine cohort studies were included in the meta-analysis. Mortality rates were significantly lower in high AUC0-24/MIC groups (RR = 0.47, 95%CI = 0.31-0.70, p