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Some studies have confirmed the neuroprotective effect of remote ischemic conditioning against stroke. Although numerous animal researches have shown that the neuroprotective effect of remote ischemic conditioning may be related to neuroinflammation, cellular immunity, apoptosis, and autophagy, the exact underlying molecular mechanisms are unclear. This review summarizes the current status of different types of remote ischemic conditioning methods in animal and clinical studies and analyzes their commonalities and differences in neuroprotective mechanisms and signaling pathways. Remote ischemic conditioning has emerged as a potential therapeutic approach for improving stroke-induced brain injury owing to its simplicity, non-invasiveness, safety, and patient tolerability. Different forms of remote ischemic conditioning exhibit distinct intervention patterns, timing, and application range. Mechanistically, remote ischemic conditioning can exert neuroprotective effects by activating the Notch1/phosphatidylinositol 3-kinase/Akt signaling pathway, improving cerebral perfusion, suppressing neuroinflammation, inhibiting cell apoptosis, activating autophagy, and promoting neural regeneration. While remote ischemic conditioning has shown potential in improving stroke outcomes, its full clinical translation has not yet been achieved.

Introduction Patients with clinically significant portal hypertension (CSPH) are recommended to be treated with non-selective beta-blockers (ie, carvedilol) to prevent the first hepatic decompensation event by the renewing Baveno VII consensus. CSPH is defined by hepatic venous pressure gradient (HVPG)≥10 mm Hg; however, the HVPG measurement is not widely adopted due to its invasiveness. Liver stiffness (LS)≥25 kPa can be used as a surrogate of HVPG≥10 mm Hg to rule in CSPH with 90% of the positive predicting value in majority aetiologies of patients. A compelling argument is existing for using LS≥25 kPa to diagnose CSPH and then to initiate carvedilol in patients with compensated cirrhosis, and about 5%–6% of patients under this diagnosis criteria may not be benefited from carvedilol and are at risk of lower heart rate and mean arterial pressure. Randomised controlled trial on the use of carvedilol to prevent liver decompensation in CSPH diagnosed by LS remains to elucidate. Therefore, we aimed to investigate if compensated cirrhosis patients with LS≥25 kPa may benefit from carvedilol therapy.Methods and analysis This study is a randomised, double-blind, placebo-controlled, multicentre trial. We will randomly assign 446 adult compensated cirrhosis patients with LS≥25 kPa and without any previous decompensated event and without high-risk gastro-oesophageal varices. Patients are randomly divided into two groups, with 223 subjects in group A and 223 subjects in group B. Group A is a carvedilol intervention group, while group B is a placebo group. All patients in both groups will receive aetiology therapies and are followed up at an interval of 6 months. The 3-year incidences of decompensated events of cirrhosis-related and liver-related death are the primary outcome. The secondary outcomes include development of each complication of portal hypertension individually (ascites, variceal bleeding or overt hepatic encephalopathy), development of spontaneous bacterial peritonitis and other bacterial infections, development of new varices, growth of small varices to large varices, delta changes in LS and spleen stiffness, change in hepatic dysfunction assessed by Child-Pugh and model for end-stage liver disease score, change in platelet count, development of hepatocellular carcinoma, development of portal vein thrombosis and adverse events with a 3-year follow-up. A predefined interim analysis will be performed to ensure that the calculation is reasonable.Ethics and dissemination The study protocol has been approved by the ethics committees of the Sixth People’s Hospital of Shenyang (2023-05-003-01) and independent ethics committee for clinical research of Zhongda Hospital, affiliated to Southeast University (2023ZDSYLL433-P01). The results from this trial will be submitted for publication in peer-reviewed journals and will be presented at international conferences.Trial registration number ChiCTR2300073864.

Existing secure two-party comparison protocols usually allowed one party (e.g., Alice) to obtain a comparison result first, and then Alice informed the other one (e.g., Bob) of the comparison result.Obviously, if Alice refused or failed to send the comparison result to Bob, Bob learned nothing about the comparison result, which broke the fairness of the two-party comparison protocol.Based on this, a rational-security and fair two-party comparison protocol TEAM was proposed by seamlessly combining the threshold Paillier cryptosystem and game theory.Specifically, a novel secure two-party comparison protocol based on the threshold Paillier cryptosystem was designed and then searched for equilibrium points at which two parties could obtain comparison results.Strict theoretical analysis demonstrate that TEAM guarantees rational two-party to always obtain the comparison result without sacrificing any of their inputs.In other words, TEAM was correct, secure, and fair.In addition, the experimental results show that TEAM improves up to 50 times in terms of efficiency compared with previous methods under the same experimental settings.

Abstract Energy loss in perovskite grain boundaries (GBs) is a primary limitation toward high‐efficiency perovskite solar cells (PSCs). Two critical strategies to address this issue are high‐quality crystallization and passivation of GBs. However, the established methods are generally carried out discretely due to the complicated mechanisms of grain growth and defect formation. In this study, a combined method is proposed by introducing 3,4,5‐Trifluoroaniline iodide (TFAI) into the perovskite precursor. The TFAI triggers the union of nano‐sized colloids into microclusters and facilitates the complete phase transition of α‐FAPbI3 at room temperature. The controlled chemical reactivity and strong steric hindrance effect enable the fixed location of TFAI and suppress defects at GBs. This combination of well‐crystallized perovskite grains and effectively passivated GBs leads to an improvement in the open circuit voltage (Voc) of PSCs from 1.08 V to 1.17 V, which is one of the highest recorded Voc without interface modification. The TFAI‐incorporated device achieved a champion PCE of 24.81%. The device maintained a steady power output near its maximum power output point, showing almost no decay over 280 h testing without pre‐processing.

Neuroinflammation and white matter microstructure damage are important causes of cognitive impairment after subarachnoid hemorrhage (SAH). Nod-like receptor protein 3 (NLRP3) plays an important role in neuroinflammation after SAH and may be a potential therapeutic target for treatment of white matter microstructure injury. In this study, we observed whether MCC950, a specific inhibitor of the NLRP3 inflammasome, exerted a therapeutic effect after SAH. The SAH model was induced by endovascular perforation in SpragueDawley rats. MCC950 was injected intraperitoneally 1 h after SAH at a dose of 10 mg/kg. The results showed that MCC950 significantly attenuated white matter microstructure damage in some brain regions, and behavioral experiments confirmed that MCC950 ameliorated cognitive function in rats after SAH, which may provide a new method for the treatment of cognitive dysfunction in SAH patients.

Subarachnoid hemorrhage refers to an uncommon but severe subtype of stroke leading to high mortality and disability rates. Electroacupuncture, a traditional Chinese medical therapy combined with modern technology, shows evident curative effects on cerebral vascular diseases. This study attempts to investigate the possible treatment effects and mechanisms of EA on early brain injury after SAH. Data were gathered among sham group, SAH-induced group, and EA-treated group of male SD rats, concerning mortality rates, weight loss, rotarod latencies, cerebral blood flow, cell apoptosis, pro-inflammatory cytokines releasing, apoptotic protein level, microglia activation and related signal pathway. All results were collected 24–72 h after SAH induction. EA treatment demonstrated significant improvement on motor function 24 h after SAH without significant changes in mortality rate, weight loss, and cerebral blood flow. Another important finding was that EA regulated Bax and Bcl-2 imbalance and reduced cleaved casepase-3 caused by SAH. Additionally, levels of TNF-α, IL-1β, IL-6 were suppressed. The neuron apoptosis was suppressed by EA. The M1 polarization of activated microglia decreased while M2 polarized phenotype increased after EA treatment. Furthermore, pSTAT3-NOX2 signal axis, the M1 phenotype related activation pathway, was depressed after EA treatment. These findings suggested that EA improved motor deficits and ameliorated early brain injury after SAH probably via decreasing neuron apoptosis and anti-inflammation, which may involve modulation of microglia polarization. Taken together, EA may be a potential therapy for SAH treatment.

Abstract 2D Ruddlesden–Popper perovskites have attracted increasing attention for their outstanding optoelectronic properties and improved stability compared to the 3D counterparts. The unique nature of the crystal growth orientations and the uneven distribution in the 2D perovskites provide a great opportunity to construct a promising lateral photodetector device that has not been fully uncovered. Here, by improving the random orientation to the vertical orientation of the film in the lateral device structure, the dark current is expected to be significantly suppressed in the photodetector. Accompanied by the gradient phase distribution, a p‐type conductive channel at the bottom and another electron collection layer on the top are applied to achieve a high on/off ratio. Overall, the resultant photodetector realizes a low dark current of 10−10 A and exhibits impressive photodetection performance, including a high responsivity of 10.10 A W−1, a notable detectivity of 6.83 × 1012 Jones, and fast response speeds (14 ms/31 ms).

Marine habitat degradation resulting from human activities and environmental pollution has led to serious deterioration of marine fishery resources. To address this issue, countries worldwide are exploring sustainable fishery approaches. Installation of artificial reefs (AR) is rapidly increasing. AR have been widely constructed globally to conserve fishery resources and improve marine habitats. As an important biological group of marine fishery resources, nekton are widely evaluated to determine the effects of ecological restoration and resource conservation. In the current study, we compared the dynamic properties of taxonomic diversity and the eco-exergy of nekton community from 2 to 14 years after AR construction in Dalajia, China. The results indicated that the species number and density of nekton significantly increased after AR construction. Siganus oramin became an absolute dominant fish species in the reef area and its surroundings. The species diversity and evenness of the nekton community decreased, whereas species richness increased. The abundance, biomass, and eco-exergy of the nekton community increased over time because of the dominance of fishes. Our results highlight that AR can increase and conserve fishery resources, improve the structure of the nekton community, and increase ecosystem stability. But, at the same time, the dominance of S. oramin can interfere in the reef community. The explosive growth was quantitatively and qualitatively higher than that of other species, the diversity and evenness indices showed a decreasing trend, although the number of nekton species was significantly higher than that in the background survey and CA habitat during the same period.

When performing endoluminal surgery inside the colon using a flexible endoscopic robot, there is a problem of losing visualization and task space due to the collapsing of the surrounding wall. This happens mainly because of the intra-abdominal pressure and peristalsis of the colon. Although insufflation is commonly used for expanding the colon, it does not function when a full-thickness incision is created on the colon wall. To support the collapsing colon and ensure sufficient visualization and task space even with a hole, we developed a deployable colon support structure (CSS) that can be seamlessly adapted to the existing procedures. While the CSS is designed to be small and flexible enough to pass through an endoscopic channel that can be tortuous, it becomes sturdy enough to hold the collapsing/squeezing colon after being deployed. Also, the CSS is collapsible after task completion, for retraction through an endoscopic channel. Through the ex-vivo and in-vivo studies with a swine, we have successfully demonstrated the feasibility of supporting the colon wall during endoluminal interventions with the CSS. We confirmed that the CSS was easily deliverable and deployable and the created space was large enough to perform surgical tasks using robotic arms.

The quality of fishery resources and its assessment is critical and a key to the sustainable development and management of fisheries. In this paper, the quality of fishery resources in the northeastern South China Sea was assessed by analyzing the survey data of fishery resources obtained through bottom trawling in 1964–1965, 1997–1999, 2006–2007, and 2017. The results show that fishery resources in the study region have declined significantly. In 2017, the density of fishery resources in the region was only 19.53% of that in 1964–1965. Overall, the quality of fishery resources in the region showed a downward trend with a quality grade index ranging from 0.30 to 0.42. It was in a critical condition from 1997 to 2007, and in poor condition from 2007 to 2017. In the 53 years from 1964 to 2017, the quality index of fishery resources in the region has decreased by 0.70, with an average decline of 0.13 every 10 years. In the past 20 years, the decline rate of the quality of fishery resources in the northeastern South China Sea has slowed.

Background and Aims. Gastroesophageal variceal bleeding is a serious complication of portal hypertension in cirrhotic patients and could be predicted by hepatic venous pressure gradient (HVPG). However, whether the presence of ascites affects the prognostic value of HVPG for patients with acute variceal bleeding is still unknown. This retrospective study is aimed at investigating the influence of ascites on predictive performance of HVPG for early rebleeding in cirrhotic patients with acute variceal bleeding. Methods. In this retrospective study, a total of 148 patients with cirrhosis hospitalized for acute variceal bleeding who underwent HVPG measurement and endoscopic variceal ligation (EVL) for the prevention of rebleeding were included. The receiver operating characteristic curve (ROC) and logistical regression method were employed to analyze the predictive performance of HVPG for early rebleeding. The locally weighted scatterplot smoothing approach was adopted to assess the monotonicity between bleeding risk and HVPG. Results. A significantly higher HVPG level was observed in patients with early rebleeding compared to patients without rebleeding in the nonascites cohort. When using HVPG to predict early rebleeding, there was a lower area under curve in the ascites cohort compared to the nonascites cohort. HVPG was recognized as a risk factor for early rebleeding by a logistic regression model only in the nonascites cohort. An overall monotonicity in the trend of change in HVPG and risk for early rebleeding was observed in the nonascites cohort solely. Conclusion. The predictive value of HVPG for early rebleeding in patients with cirrhosis that developed acute variceal bleeding is hindered by the presence of ascites.