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China plans to develop a resilient domestic economy by leveraging the new development paradigm of 'dual (domestic and international) circulation' strategy. In recent years, the Chinese central government has launched a raft of regional development initiatives as part of its major strategy of city-cluster formation. Accelerating regional development centred on developing vibrant city-clusters is crucial to sustaining domestic economic growth in China and implementing the dual circulation strategy. By applying the SWOT analysis, this article assesses the development of major integrated city-clusters in China, and in particular the competitiveness and development of the Guangdong-Hong Kong-Macau Greater Bay Area as compared to China's other major city-clusters. [ABSTRACT FROM AUTHOR]

Background: With rapid urbanization, massive migration, and non-family–based eldercare involvement, Chinese concepts of eldercare responsibility and filial piety are shifting. We performed age-period-cohort (APC) analyses to assess the transition of old-age pension coverage, eldercare responsibility, and filial piety concepts and its urban-rural differences among Chinese adults using data from the China General Social Survey (2006–2017). Methods: Old-age pension coverage (yes/no) and primary eldercare responsibility (government/offspring/self/sharing) were investigated in 2010, 2012, 2013, 2015, and 2017. Filial piety was evaluated using customized questionnaires in 2006 and 2017. The APC effects were estimated using mixed effects and generalized additive models. Results: Among 66,182 eligible participants (mean age: 48.8 years, females: 51.7%) in the six waves, APC analyses indicated that old-age pension coverage increased with aging and over time. Across cohort groups, it grew as the cohort was younger in urban residents but decreased in rural residents. The concept of offspring-based (> 50%) and government/self/offspring-shared eldercare (> 30%) predominated. APC analyses revealed that the offspring-based concept declined with aging (OR = 0.81, 95% CI: 0.79–0.84), whereas the government-based (OR = 1.37, 95% CI: 1.33–1.41) and self-based (OR = 1.55, 95% CI: 1.47–1.63) concepts increased with aging. People born around the 1940s have a comparatively higher possibility to perceive that the primary eldercare responsibility should be undertaken by the government and elder parents. In contrast, people born in the younger cohort were more likely to perceive that adult children are responsible for their parents' primary eldercare. Filial piety score slightly increased with aging (β = 0.18, SD: 0.05) but decreased as the birth cohort was younger. In addition, rural participants were more likely to perceive offspring-based eldercare and maintain filial piety, and the related urban-rural difference was intensified by aging. Conclusions: The traditional concept that eldercare solely relies on offspring has changed to relying on multiple entities, including the government and self-reliance. Diluted filial piety in people born in the young cohort requires reinforcement. Moreover, future healthy aging policies need to focus more on urban-rural disparities to promote equity in social well-being. [ABSTRACT FROM AUTHOR]

Intermittent theta burst stimulation (iTBS) has demonstrated efficacy in patients with cognitive impairment. However, activation patterns and mechanisms of iTBS for post-stroke cognitive impairment (PSCI) remain insufficiently understood.To investigate the activation patterns and potential benefits of using iTBS in patients with PSCI.A total of forty-four patients with PSCI were enrolled and divided into an iTBS group (iTBS and cognitive training) or a control group (cognitive training alone). Outcomes were assessed based on the activation in functional near-infrared spectroscopy (fNIRS), as well as Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) and the modified Barthel Index (MBI).Thirty-eight patients completed the interventions and assessments. Increased cortical activation was observed in the iTBS group after the interventions, including the right superior temporal gyrus (STG), left frontopolar cortex (FPC) and left orbitofrontal cortex (OFC). Both groups showed significant improvements in LOTCA and MBI after the interventions (p < 0.05). Furthermore, the iTBS group augmented superior improvement in the total score of MBI and LOTCA compared to the control group, especially in visuomotor organization and thinking operations (p < 0.05).iTBS altered activation patterns and improved cognitive function in patients with PSCI. The activation induced by iTBS may contribute to the improvement of cognitive function. [ABSTRACT FROM AUTHOR]

Background: Video double-lumen tube (VDLT) intubation in lateral position is a potential alternative to intubation in supine position in patients undergoing thoracic surgery. This non-inferiority trial assessed the efficacy and safety of VDLT intubation in lateral position. Methods: Patients (18–70 yr) undergoing right thoracoscopic lung surgery were randomized to either the left lateral position group (group L) or the supine position group (group S). The VDLT was placed under video larygoscopy. The primary endpoint was the intubation time. Secondary endpoints included VDLT displacement rate, intubation failure rate, the satisfaction of surgeon and nurse, and intubation-related adverse events. Results: The analysis covered 80 patients. The total intubation time was 52.0 [20.4]s in group L and 34.3 [13.2]s in group S, with a mean difference of 17.6 s [95% confidence interval (CI): 9.9 s to 25.3 s; P = 0.050], failing to demonstrate non-inferiority with a non-inferiority margin of 10 s. Group L, compared with group S, had significantly lower VDLT displacement rate (P = 0.017) and higher nurse satisfaction (P = 0.026). No intubation failure occurred in any group. Intubation complications (P = 0.802) and surgeon satisfaction (P = 0.415) were comparable between two groups. Conclusions: The lateral VDLT intubation took longer time than in the supine position, and non-inferiority was not achieved. The incidence of displacement as the secondary endpoint was lower in the L group, possibly due to changing body positions beforehand. The indication of lateral VDLT intubation should be based on a balance between the safety of airway management and the lower incidence of displacement. Trial registration: The study was registered at Chictr.org.cn with the number ChiCTR2200064831 on 19/10/2022. [ABSTRACT FROM AUTHOR]

The artificial photosynthesis of H2O2 from water and oxygen using semiconductor photocatalysts is attracting increasing levels of attention owing to its green, environmentally friendly, and energy‐saving characteristics. Although covalent organic frameworks (COFs) are promising materials for promoting photocatalytic H2O2 production owing to their structural and functional diversity, they typically suffer from low charge‐generation and ‐transfer efficiencies as well as rapid charge recombination, which restricts their use as catalysts for photocatalytic H2O2 production. Herein, we report a strategy for anchoring vinyl moieties to a COF skeleton to facilitate charge separation and migration, thereby promoting photocatalytic H2O2 generation. This vinyl‐group‐bearing COF photocatalyst exhibits a H2O2‐production rate of 84.5 μmol h−1 (per 10 mg), which is ten‐times higher than that of the analog devoid of vinyl functionality and superior to most reported COF photocatalysts. Both experimental and theoretical studies provide deep insight into the origin of the improved photocatalytic performance. These findings are expected to facilitate the rational design and modification of organic semiconductors for use in photocatalytic applications. [ABSTRACT FROM AUTHOR]

The artificial photosynthesis of H2O2 from water and oxygen using semiconductor photocatalysts is attracting increasing levels of attention owing to its green, environmentally friendly, and energy‐saving characteristics. Although covalent organic frameworks (COFs) are promising materials for promoting photocatalytic H2O2 production owing to their structural and functional diversity, they typically suffer from low charge‐generation and ‐transfer efficiencies as well as rapid charge recombination, which restricts their use as catalysts for photocatalytic H2O2 production. Herein, we report a strategy for anchoring vinyl moieties to a COF skeleton to facilitate charge separation and migration, thereby promoting photocatalytic H2O2 generation. This vinyl‐group‐bearing COF photocatalyst exhibits a H2O2‐production rate of 84.5 μmol h−1 (per 10 mg), which is ten‐times higher than that of the analog devoid of vinyl functionality and superior to most reported COF photocatalysts. Both experimental and theoretical studies provide deep insight into the origin of the improved photocatalytic performance. These findings are expected to facilitate the rational design and modification of organic semiconductors for use in photocatalytic applications. [ABSTRACT FROM AUTHOR]

Kermesite (Sb2S2O), a needle-like unstable secondary oxysulfide, has made visible advancements in optimizing its triclinic crystal system through twinning discovery. However, research on twinning behavior at micro and nano scales, including its growth mechanisms and impact on kermesite morphologies, remains notably scarce. Our study focuses on kermesite crystal clusters from a private collection in Yunnan, China, confirming the chemical formula as Sb2S1.97O1.03 through EPMA. Single-crystal XRD yielded refined unit cell parameters (a = 8.153(5) Å, b = 10.717(7) Å, c = 5.796(3) Å; α = 102.836(10)°, β = 110.556(8)°, γ = 100.999(12)°), revealing space group P 1 ¯ with Z = 4 and indicating twinning with a ratio of 27.4%. Remarkably, a Transmission Electron Microscope (TEM) provided the first direct observation of twinning in natural kermesite, revealing rotational twins with varying widths and lengths (ranging from 100 nm to several millimeters). Analysis and simulation elucidated that rotational twins, generated by a 180° rotation, align with the mineral's elongation direction along the [Sb2S2O4]n chains (a-axis), challenging the conventional long-axis direction (b-axis) for crystal growth. This study proposes a symbiotic relationship between kermesite growth and twinning, suggesting that the observed X-shaped growth in crystal clusters results from the collaboration of single crystals (growing along b) and twins (growing along a) in the unit cell. These findings contribute to our understanding of kermesite's structural complexities and the potential growth and formation mechanism of crystal clusters. [ABSTRACT FROM AUTHOR]

Mesenchymal stem cells (MSCs) isolated from Wharton's jelly (WJ-MSCs) and adipose tissue (AD-MSCs) are alternative sources for bone marrow-derived MSCs. Owing to their multiple functions in angiogenesis, immune modulation, proliferation, migration, and nerve regeneration, MSC-derived exosomes can be applied in "cell-free cell therapy". Here, we investigated the functional protein components between the exosomes from WJ-MSCs and AD-MSCs to explain their distinct functions. Proteins of WJ-MSC and AD-MSC exosomes were collected and compared based on iTRAQ gel-free proteomics data. Results: In total, 1695 proteins were detected in exosomes. Of these, 315 were more abundant (>1.25-fold) in AD-MSC exosomes and 362 kept higher levels in WJ-MSC exosomes, including fibrinogen proteins. Pathway enrichment analysis suggested that WJ-MSC exosomes had higher potential for wound healing than AD-MSC exosomes. Therefore, we treated keratinocyte cells with exosomes and the recombinant protein of fibrinogen beta chain (FGB). It turned out that WJ-MSC exosomes better promoted keratinocyte growth and migration than AD-MSC exosomes. In addition, FGB treatment had similar results to WJ-MSC exosomes. The fact that WJ-MSC exosomes promoted keratinocyte growth and migration better than AD-MSC exosomes can be explained by their higher FGB abundance. Exploring the various components of AD-MSC and WJ-MSC exosomes can aid in their different clinical applications. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the effectiveness, safety, and convenience of in‐class transition (iCT) from intravenous bortezomib‐based induction to ixazomib‐based oral regimens. Methods: This retrospective real‐world study was conducted in 16 Chinese hospitals between October 2017 and April 2023 and analyzed newly diagnosed (NDMM) and first‐line relapsed multiple myeloma (FRMM) patients who attained at least a partial response from bortezomib‐based induction therapy, followed by an ixazomib‐based oral regimen for 2 year or until disease progression or intolerable toxicity. Results: The study enrolled 199 patients, median age: 63 years old, male 55.4%, 53% as high risk (HR), and 47% as standard risk. Cytogenetic risk stratification by metaphase fluorescence in situ hybridization (M‐FISH), based on the Mayo Clinic risk stratification system. The median duration of total PI therapy was 11 months, with ixazomib‐based treatment spanning 6 months. At the 20‐month median follow‐up, 53% of patients remained on therapy. The 24‐month PFS rate was 84.3% from the initiation of bortezomib‐based induction and 83.4% from the start of ixazomib‐based treatment. Overall response rate (ORR) was 100% post‐bortezomib induction and 90% following 6 cycles of the ixazomib‐based regimen. Based on the Sankey diagrams, 89.51% of patients maintained or improved their disease response after 2 cycles of iCT, 6 cycles (90.14%), and 12 cycles (80%). The HR level of Mayo was found to be a significant independent factor in a worse remission (hazard ratio (HR) 2.55; p = 0.033). Ixazomib's safety profile aligned with previous clinical trial data, with 49% of patients experiencing at least one AE of any grade. The most common AEs included peripheral neuropathy, nausea and vomiting, diarrhea, thrombocytopenia, and granulocytopenia. Conclusion: In the real‐world Chinese MM population, NDMM and FRMM patients responded favorably to PI‐based continuous therapy, demonstrating substantial response rates. The ixazomib‐based iCT allows for sustained PI‐based treatment, offering promising efficacy and tolerable AEs. [ABSTRACT FROM AUTHOR]

Body-centered cubic (BCC) lightweight refractory high-entropy alloys (LWRHEAs) with Al contents have attracted much attention due to their low density and excellent mechanical properties. However, these typical lightweight alloys often suffer from poor room temperature plasticity. In this study, we prepared TiZrNbTa0.1Alx LWRHEAs by using a high-vacuum arc-melting technique and investigated the influence of Al content on the phase structures and mechanical properties. It was found that the TiZrNbTa0.1Al1 alloy showed a BCC solid solution matrix with some micrometer-sized Al3Zr5 precipitates and exhibited a density of 6.110 ± 0.003 g/cm3. The TiZrNbTa0.1Al1 alloy had a low mixed enthalpy of −20.831 kJ/mol, a compressive yield strength of 1037 ± 178 MPa, and a fracture plasticity of ∼6%. As a result of reducing the Al content, the TiZrNbTa0.1Al0.2 alloy showed a simple BCC phase structure without any precipitates and maintained a low density of 6.743 ± 0.008 g/cm3. The TiZrNbTa0.1Al0.2 alloy had a relatively high mixed enthalpy of −4.5577 kJ/mol, a high yield strength of 1022 ± 51 MPa, and a plasticity of >70%. The TEM analysis results demonstrated that the excellent mechanical properties of this LWRHEA were mainly attributed to the reducing Al content, which could elevate the mixed enthalpy of the alloy to eliminate the brittle Al3Zr5 phase and induce the formation of dense network dislocations at the grain boundaries. [ABSTRACT FROM AUTHOR]

Circular RNAs (circRNAs) are products of alternative splicing with roles as competitive endogenous RNAs or microRNA sponges, regulating gene expression and biological processes. However, the involvement of circRNAs in herpes simplex keratitis remains largely unexplored. This study examines circRNA and miRNA expression profiles in primary human corneal epithelial cells infected with HSV-1, compared to uninfected controls, using microarray analysis. Bioinformatic analysis predicted the potential function of the dysregulated circRNAs and microRNA response elements (MREs) in these circRNAs, forming an interaction network between dysregulated circRNAs and miRNAs. A total of 332 circRNAs and 16 miRNAs were upregulated, while 80 circRNAs and six miRNAs were downregulated (fold change ≥2.0 and p < 0.05). Gene ontology (GO) and KEGG pathway analyses were performed on parental genes of dysregulated circRNAs to uncover potential functions in HSV-1 infection. Notably, miR-181b-5p, miR-338-3p, miR-635, and miR-222-3p emerged as pivotal miRNAs interacting with multiple dysregulated circRNAs. This comprehensive study offers insights into differentially expressed circRNAs and miRNAs during HSV-1 infection in corneal epithelial cells, shedding light on circRNA-miRNA interactions' potential role in herpes simplex keratitis pathogenesis. [ABSTRACT FROM AUTHOR]

Purposes: To identify potent DNA methylation candidates that could predict response to temozolomide (TMZ) in glioblastomas (GBMs) that do not have glioma‐CpGs island methylator phenotype (G‐CIMP) but have an unmethylated promoter of O‐6‐methylguanine‐DNA methyltransferase (unMGMT). Methods: The discovery‐validation approach was planned incorporating a series of G‐CIMP−/unMGMT GBM cohorts with DNA methylation microarray data and clinical information, to construct multi‐CpG prediction models. Different bioinformatic and experimental analyses were performed for biological exploration. Results: By analyzing discovery sets with radiotherapy (RT) plus TMZ versus RT alone, we identified a panel of 64 TMZ efficacy‐related CpGs, from which a 10‐CpG risk signature was further constructed. Both the 64‐CpG panel and the 10‐CpG risk signature were validated showing significant correlations with overall survival of G‐CIMP−/unMGMT GBMs when treated with RT/TMZ, rather than RT alone. The 10‐CpG risk signature was further observed for aiding TMZ choice by distinguishing differential outcomes to RT/TMZ versus RT within each risk subgroup. Functional studies on GPR81, the gene harboring one of the 10 CpGs, indicated its distinct impacts on TMZ resistance in GBM cells, which may be dependent on the status of MGMT expression. Conclusions: The 64 TMZ efficacy‐related CpGs and in particular the 10‐CpG risk signature may serve as promising predictive biomarker candidates for guiding optimal usage of TMZ in G‐CIMP−/unMGMT GBMs. [ABSTRACT FROM AUTHOR]

Patients with major depressive disorder (MDD) exhibit atypical brain activities in the frontal, temporal, and parietal lobes. The study aimed to investigate the effects of standardized weighted low-resolution electromagnetic tomography Z -score neurofeedback (swLZNFB) on symptoms of depression and anxiety, electroencephalography (EEG) parameters, and deep brain activities in patients with MDD. Forty-eight patients with MDD comorbid with anxiety symptoms were assigned to the swLZNFB group and the control group. Participants completed the Beck Depression Inventory-II (BDI-II) and Beck Anxiety Inventory (BAI) and a 5-minute resting EEG at the pre-and post-tests. The swLZNFB group received ten sessions of one-hour treatment twice weekly. The control group received treatment as usual. The scores for BDI-II and BAI, number of EEG abnormalities, percentage of EEG abnormalities, and current source density (CSD) measured in the prefrontal cortex (PFC), anterior cingulate cortex (ACC), posterior cingulate cortex (PCC), and amygdala were compared at pre-and post-tests between the two groups. There were decreased scores of BDI-II and BAI, number of EEG abnormalities, and percentage of EEG abnormalities at post-test compared with pre-test in the swLZNFB group, and lower scores of BDI-II and BAI at post-test in the swLZNFB group compared with the control group. Moreover, decreased CSD of beta1 and beta3 in the PFC, ACC, PCC, and amygdala at post-test compared to pre-test in the swLZNFB group. Not a randomized controlled trial. Ten sessions of swLZNFB reduced clinical symptoms and atypical brain activities, it serves as a potential psychological intervention for patients with MDD. • swLORETA obtains the current source density (CSD) of electric dipole. • Z-score neurofeedback compared patients' EEG with a normative database. • swLORETA Z-score neurofeedback decrease symptoms of depression and brain activity. [ABSTRACT FROM AUTHOR]

Background: Individuals with schizophrenia require prolonged antipsychotic medication treatment. But more than 50% of individuals with schizophrenia experience adverse medication experiences during their antipsychotic treatments. Such individuals often adjust or discontinue medication, leading to disease relapse and impaired social functioning. Psychiatric nurses should pay close attention to the medication experiences of individuals with schizophrenia. This research explore the relationship between medication burden and medication experience, as well as the mediating effect of medication belief in stable patients with schizophrenia. Methods: A convenience sample of hospitalized stable patients with schizophrenia were selected from Daqing Third Hospital and Baiyupao Hospital from September 2023 to December 2023. A survey was conducted with them using a questionnaire consisting of general information questionnaire, The Subjective Well-being Under Neuroleptic Treatment Scale(SWN), The Living with Medicines Questionnaire(LMQ), Beliefs about Medicines Questionnaire-Specific (BMQ-Specific). Pearson correlation analysis was used to explore the correlation between LMQ, BMQ-Specific and SWN scores, and multiple linear regression analysis was used to explore the influencing factors of medication experience in patients with schizophrenia. AMOS 24.0 was used to construct the structural equation modeling(SEM), and the mediation effect of the SEM was tested using Bootstrap method. Results: According to the sample size calculation requirements of structural equation model, a total of 300 samples were required in this study, and 400 effective questionnaires were actually collected in this study, which met the sample size requirements for constructing structural equation models. Bootstrap test showed that the mediation effect was significant. The total effect of medication burden on medication experience was significant (Z=-12.146, 95%CI (-0.577, -0.417), P < 0.001). The indirect effect of medication burden on medication experience, that is, the mediating effect of medication belief was significant (Z=-4.839, 95%CI (-0.217, -0.096), P < 0.001). The direct effect of medication burden on medication experience was significant (Z=-7.565, 95%CI (-0.437, -0.257), P < 0.001). This model belongs to partial mediation model. Conclusions: Psychiatric nurses can enhance the patients' medication experience by reducing medication burden and strengthening medication beliefs. Therefore, the results also provide theoretical references and decision-making foundations for psychiatric nursing professionals to develop appropriate management strategies for individuals with schizophrenia. [ABSTRACT FROM AUTHOR]

Background: The recovery of walking capacity is of great significance in stroke rehabilitation. We evaluated changes in post‐stroke gait function after low‐frequency repetitive transcranial magnetic stimulation (LF‐rTMS) treatment. Methods: Stroke patients were randomly assigned to control (conventional treatment)/LF‐rTMS (LF‐rTMS treatment based on conventional treatment) groups. Gait spatiotemporal parameters/affected side joint motion angle/affected side dynamic parameters were analyzed by 3D gait analyses. Motor evoked potential (MEP)/central motor conduction time (CMCT) changes were detected. Correlations between MEP latency/CMCT and gait parameters after LF‐rTMS were analyzed by Pearson analysis. Results: The two groups exhibited boosted stride speed/frequency/length, affected side stride length/swing phase percentage/hip/knee/ankle joint plantar flexion angle, and affected side ahead ground reaction force/ upward ground reaction force (AGRF/UGRF)/ankle joint plantar flexion moment, along with reduced affected side gait period/stance phase percentage after treatment, and the LF‐rTMS group manifested better efficacy. MEP latency/CMCT of stroke patients treated with LF‐rTMS was adversely linked to stride speed, affected side stride length/swing phase percentage/knee flexion angle, AGRF and UGRF, and positively correlated with affected side stance phase percentage. Conclusion: LF‐rTMS significantly improved gait spatiotemporal parameters/affected joint motion angles/neurophysiologic parameters (MEP latency/CMCT) in patients with post‐stroke walking dysfunction. MEP latency/CMCT after LF‐rTMS treatment were prominently correlated with gait parameters. Relative to the traditional scale assessment, we provided a more accurate, objective and reliable evaluation of the effects of LF‐rTMS on lower limb mobility and functional recovery effects in stroke patients from the perspective of 3D gait analysis and neurophysiology, which provided more evidence to support the clinical application of LF‐rTMS in post‐stroke walking dysfunction treatment. [ABSTRACT FROM AUTHOR]

Background and Objectives: To evaluate the potential benefits of Bacteroides fragilis 839 (BF839), a next-generation probiotics, in reducing myelosuppression and gastrointestinal toxicity associated with chemotherapy in breast cancer patient. Methods and Study Design: 40 women with early breast cancer were randomly assigned to the BF839 (n=20) or placebo (n=20) during the administration of adjuvant chemotherapy (4 cycles of epirubicin 100mg/m² and cyclophosphamide 600mg/m² ). Myelosuppression and gastrointestinal adverse effects were monitored in both groups. Results: Throughout the four treatment cycles, the percentage of patients experiencing myelosuppression was 42.5% in the BF839 group, significantly lower than the 66.3% observed in the control group (p=0.003). Two patients in the BF839 group and three patients in the placebo group received recombinant human granulocyte colony-stimulating factor (rhG-CSF) due to leukopenia/neutropenia. When considering an ITT analysis, which included all patients regardless of rhG-CSF treatment, the BF839 group exhibited less reduction from baseline in white blood cells (-0.31±1.19 vs -1.15±0.77, p=0.012) and neutrophils (0.06±1.00 vs - 0.84±0.85, p=0.004) compared to the placebo group. The difference became even more significant when excluding the patients who received rhG-CSF injections. Throughout the four treatment cycles, compared to the placebo group, the BF839 group had significantly lower rates of 3-4 grade nausea (35.0% vs 71.3%, p=0.001), vomiting (20.0% vs 45.0%, p=0.001), and diarrhea (15.0% vs 30.0%, p=0.023). Conclusions: These findings suggest that BF839 has the potential to effectively mitigate myelosuppression and gastrointestinal toxicity associated with chemotherapy in breast cancer patients. [ABSTRACT FROM AUTHOR]

The accumulation of high amounts of plastic waste in the environment has raised ecological and health concerns, particularly in croplands, and biological degradation presents a promising approach for the sustainable treatment of this issue. In this study, a polyvinyl chloride (PVC)-degrading bacterium was isolated from farmland soil samples attached to waste plastic, utilizing PVC as the sole carbon source. The circular chromosome of the strain Cbmb3, with a length of 5,768,926 bp, was subsequently sequenced. The average GC content was determined to be 35.45%, and a total of 5835 open reading frames were identified. The strain Cbmb3 was designated as Bacillus toyonensis based on phylogenomic analyses and genomic characteristics. The bioinformatic analysis of the Cbmb3 genome revealed putative genes encoding essential enzymes involved in PVC degradation. Additionally, the potential genomic characteristics associated with phytoprobiotic effects, such as the synthesis of indole acetic acid and secondary metabolite synthesis, were also revealed. Overall, the present study provides the first complete genome of Bacillus toyonensis with PVC-degrading properties, suggesting that Cbmb3 is a potential strain for PVC bioremediation and application. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the factors associated with suicidal ideation in schizophrenia patients in China using decision tree and logistic regression models. From October 2020 to March 2022, patients with schizophrenia were chosen from Chifeng Anding Hospital and Daqing Third Hospital in Heilongjiang Province. A total of 300 patients with schizophrenia who met the inclusion criteria were investigated by questionnaire. The questionnaire covered general data, suicidal ideation, childhood trauma, social support, depressive symptoms and psychological resilience. Logistic regression analysis revealed that childhood trauma and depressive symptoms were risk factors for suicidal ideation in schizophrenia (OR = 2.330, 95%CI: 1.177 ~ 4.614; OR = 10.619, 95%CI: 5.199 ~ 21.688), while psychological resilience was a protective factor for suicidal ideation in schizophrenia (OR = 0.173, 95%CI: 0.073 ~ 0.409). The results of the decision tree model analysis demonstrated that depressive symptoms, psychological resilience and childhood trauma were influential factors for suicidal ideation in patients with schizophrenia (p < 0.05). The area under the ROC for the logistic regression model and the decision tree model were 0.868 (95% CI: 0.821 ~ 0.916) and 0.863 (95% CI: 0.814 ~ 0.912) respectively, indicating excellent accuracy of the models. Meanwhile, the logistic regression model had a sensitivity of 0.834 and a specificity of 0.743 when the Youden index was at its maximum. The decision tree model had a sensitivity of 0.768 and a specificity of 0.8. Decision trees in combination with logistic regression models are of high value in the study of factors influencing suicidal ideation in schizophrenia patients. [ABSTRACT FROM AUTHOR]

Wildfires are a significant environmental hazard that pose threats to ecosystems, human livelihoods, and infrastructure. The impact of climate change on wildfires has been widely documented, and Taiwan, an island in East Asia, is no exception to this phenomenon. Given the increasing frequency and intensity of drought conditions in recent years, there is a pressing need to better understand and predict future wildfire risk in Taiwan. In this study, we evaluate changes in wildfire potential during historical and future periods based on satellite observation and regional downscaled projection data. Additionally, we investigate the relationship between past climate conditions in Taiwan and the occurrence of wildfires to gain insights into the characteristics of wildfires and estimate future wildfire frequency under the influence of climate change. Our findings reveal a significant upward trend in historical temperature and wind speed in Taiwan, accompanied by increased variability in rainfall and humidity, and the alternation of which has resulted in a significant increase in wildfire risk. Notably, wildfires in Taiwan are found to be more influenced by the degree of dryness rather than extreme high temperatures. When compared to the baseline of the average wildfire occurrences in recent years (1992–2021), the projected increase in the late twenty-first century (2070–2099) is approximately 35.6% under the RCP8.5 scenario. The wildfire potential during the fire seasons in the southwest and northeast regions of Taiwan is projected to experience an increase of 51.8–90.6% and 40.0–50.0%, respectively. Conversely, wildfire occurrences are projected to decrease by about 12.2% under the RCP2.6 scenario, suggesting that reducing global warming could potentially mitigate the enhanced wildfire potential. These findings provide concrete information that can inform policy decisions and actions to address the increasing wildfire risk in Taiwan. They also emphasize the need for continued monitoring and research to better understand the complex interplay between climate change and wildfire occurrences in Taiwan. [ABSTRACT FROM AUTHOR]

Sarcopenia and cardiometabolic risk factors are very common in the middle-aged and older population. This study aimed to explore the joint effect of sarcopenia and cardiometabolic risk factors on cognitive performance and cognitive decline. The definition of sarcopenia status was referenced in the AWGS 2019 algorithm. Linear regression models were used to explore the association of sarcopenia status with cognitive performance at baseline. Mixed effect models and multinomial logistic regression models were used to evaluate the long-term effect of sarcopenia status. The additive interaction between the effects of sarcopenia and cardiometabolic risk factors on cognitive performance was also evaluated. In the cross-sectional analysis, sarcopenia and possible sarcopenia were associated with worse cognitive performance. In the longitudinal analysis, the participant with sarcopenia had a 0.34 [95 % CI (−0.43, −0.24)] lower global cognition score, and those with possible sarcopenia had a 0.20 [95 % CI (−0.27, −0.14)] lower global cognition score, compared with participants with no-sarcopenia. Sarcopenia and possible sarcopenia were identified as significant risk factors for cognitive decline. Sarcopenia combined with hypertension, type 2 diabetes, dyslipidemia, or abdominal obesity was associated with worse cognitive function. The assessment of cognitive function was not diagnosed accurately. Sarcopenia and possible sarcopenia had adverse effects on cognitive performance and cognitive decline, sarcopenia combined with cardiometabolic risk factors can significantly enhance these effects. Therefore, the prevention of sarcopenia in the older population is crucial. • Exploration of the mind-body connection is important in the context of aging and cognition. • Evidence of sarcopenia on cognitive performance from large cohort studies is limited. • Sarcopenia had adverse effects on cognitive performance. • Sarcopenia combined with cardiometabolic risk factors can enhance these effects. [ABSTRACT FROM AUTHOR]

To obtain the optimal fermentation condition for more abundant secondary metabolites, Potato Dextrose Agar (PDA) medium was chosen for the scale-up fermentation of the fungus Penicillium oxalicum HL-44 associated with the soft coral Sinularia gaweli. The EtOAc extract of the fungi HL-44 was subjected to repeated column chromatography (CC) on silica gel and Sephadex LH-20 and semipreparative RP-HPLC to afford a new ergostane-type sterol ester (1) together with fifteen derivatives (2–16). Their structures were determined with spectroscopic analyses and comparisons with reported data. The anti-inflammatory activity of the tested isolates was assessed by evaluating the expression of pro-inflammatory factors Tnfα and Ifnb1 in Raw264.7 cells stimulated with LPS or DMXAA. Compounds 2, 9, and 14 exhibited significant inhibition of Ifnb1 expression, while compounds 2, 4, and 5 showed strong inhibition of Tnfα expression in LPS-stimulated cells. In DMXAA-stimulated cells, compounds 1, 5, and 7 effectively suppressed Ifnb1 expression, whereas compounds 7, 8, and 11 demonstrated the most potent inhibition of Tnfα expression. These findings suggest that the tested compounds may exert their anti-inflammatory effects by modulating the cGAS-STING pathway. This study provides valuable insight into the chemical diversity of ergosteroid derivatives and their potential as anti-inflammatory agents. [ABSTRACT FROM AUTHOR]

Optimization problems with least constraint violation have many important practical backgrounds. The related works in the literature normally focus on the norm square measure function and the classical augmented Lagrangian method is proved to be suitable for finding an approximate solution. This paper considers the constrained convex optimization problem with the least constraint violation under a general measure function. The properties of the conjugate dual associated with the measure function of the shifted problem are discussed through the relations between the dual function and the optimal value function. The differentiability of the dual function associated with the measure function is proved. The properties of augmented Lagrangian method induced by the measure function are characterized in terms of the dual function. The optimality conditions for the problem with the least constraint violation are established in term of the augmented Lagrangian. It is shown that the augmented Lagrangian method has the properties that the sequence of shift measure values is decreasing, the sequence of multipliers is unbounded, and the sequence of shifts converges to the least violated shift under an extra assumption. [ABSTRACT FROM AUTHOR]

A previous investigation showed that fire in circular, mechanically-ventilated, horizontal 0.30-m and 0.61-m ducts could be extinguished effectively by discharging water mist in a co-flow manner with the exhaust flow. However, besides horizontal ducts, an exhaust system is likely to also have ductwork in vertical and other orientations. Since the water mist dispersion and transport to the fire could be affected by the duct orientation due to fire buoyancy, there was a need to determine if the established horizontal duct protections would also be applicable to other duct orientations. Considering the fact that the fire buoyancy effect in ducts is bracketed between horizontal and vertical duct orientations, a series of fire tests was therefore conducted to evaluate if the above-mentioned horizontal duct protections would also be applicable when the ducts were to be in the vertical orientation. This paper presents the evaluation of vertical duct protection employing the same nominal spacing of 0.31 m for the water mist application as for the horizontal duct protection. The evaluation included the two protections established previously for the horizontal 0.30-m duct: one provided a minimum water mist concentration of 300 g/m3 with a median droplet size of 77 μm, while the other provided 399 g/m3 with a median droplet size of 88 μm. On the other hand, the protection for the horizontal 0.61-m duct yielded a minimum water mist concentration of 270 g/m3 with a median droplet size of 115 μm. The vertical duct tests showed that, by discharging water mist upward in the co-flow manner with the exhaust flow, both the protections for the horizontal 0.30-m duct could successfully extinguish the fire in the vertical duct, but the protection for the horizontal 0.61-m duct could not completely extinguish the fire in the vertical duct when water mist was discharged upward in the co-flow manner. However, by discharging water mist downward against the exhaust flow, the fire in the vertical 0.61-m duct could be extinguished rapidly. The vertical duct tests showed that, to ensure the applicability of a water mist protection for different duct orientations, the protection should be verified for both the horizontal and vertical duct orientations, with appropriate adjustments if required. [ABSTRACT FROM AUTHOR]

Background: Vocal cord paresis (VCP) is a serious complication after esophagectomy. Conventional diagnosis of VCP relies on flexible laryngoscopy (FL), which is invasive. Laryngeal ultrasonography (LUSG) is non-invasive and convenient. It has provided accurate VC evaluation after thyroidectomy but it is unclear if it is just as accurate following esophagectomy. This prospective study evaluated the feasibility and accuracy of LUSG in VC assessment on day-1 after esophagectomy. Methods: Consecutive patients from a tertiary teaching hospital who underwent elective esophagectomy were prospectively recruited. All received pre-operative FL, and post-operative LUSG and FL on Day-1, each performed by a blinded, independent assessor. The primary outcomes were feasibility and accuracy of LUSG in the diagnosis of VCP on Day-1 post-esophagectomy. The accuracy of voice assessment (VA) was analyzed. Results: Twenty-six patients were eligible for analysis. The median age was 70 years (66–73). Majority were male (84.6%). Twenty-five (96.2%) received three-phase esophagectomy. Twenty-four (96%) had same-stage anastomosis at the neck. Three (11.5%) developed temporary and one (3.8%) developed permanent unilateral VCP. Overall VC visualization rate by LUSG was 100%; sensitivity, specificity, positive predictive value, negative predictive value (NPV) and accuracy of LUSG were 75.0%, 100%, 100%, 98.0%, 98.1% respectively, and superior to VA. Combining LUSG with VA findings could pick up all VCPs i.e. improved sensitivity and NPV to 100%. Conclusion: LUSG is a highly feasible, accurate and non-invasive method to evaluate VC function early after esophagectomy. Post-operative FL may be avoided in patients with both normal LUSG and voice. [ABSTRACT FROM AUTHOR]

The 6RUS parallel manipulator is a highly versatile and widely used robotic mechanism with six degrees of freedom. Its intricate kinematic structure and its capability to perform complex motion tasks have garnered significant research interest in recent years. The kinematic analysis of the 6RUS mechanism plays a crucial role in understanding its operational characteristics and optimizing its performance for various applications. In this paper, we present a state-of-the-art kinematic algorithm for the 6RUS parallel manipulator. Our algorithm is aimed at addressing the challenges associated with accurately determining the pose and motion of the end-effector relative to the base, considering the complexity of the mechanism's architecture. By leveraging advanced mathematical modeling techniques and utilizing efficient computational algorithms, our proposed algorithm offers improved accuracy, efficiency, and robustness in determining the kinematic parameters of the 6RUS mechanism. The key contributions of this work include the development of a comprehensive forward and inverse kinematic model for the 6RUS parallel manipulator, incorporating the effects of joint constraints, singularities, and workspace limitations. We also present a detailed analysis of the algorithm's performance in comparison to existing approaches, demonstrating its superiority in terms of computational efficiency and accuracy. The proposed kinematic algorithm holds significant potential for enhancing the design, control, and trajectory planning of 6RUS parallel manipulators. It provides a solid foundation for advanced applications such as robotic surgery, industrial automation, and virtual reality systems. The results presented in this paper contribute to the growing body of knowledge in parallel manipulator research and pave the way for future developments in the field. [ABSTRACT FROM AUTHOR]

Background: To assess the effect and safety of probiotics for treating urticaria. Methods: Randomized controlled trial (RCT) papers on the probiotics treatment published before May 2019 were retrieved from various databases like PubMed, EMbase, MEDLINE (Ovid), SCI‐Hub, Springer, ClinicalKey, VIP, and CNKI. The treatment plan that we include are oral administration of single probiotic, multiple probiotics, and the combination of probiotics and antihistamines. Meta‐analysis of the data was performed by RevMan 5.3 software. Results: A total of nine RCT papers were included: four papers for oral administration of single probiotic, three papers for oral administration of multiple probiotics, and two papers for oral administration of a probiotic combined with antihistamines. The results of meta‐analysis showed that the therapeutic effect of the probiotic group was significantly higher than the control group (placebo or antihistamines) (RR = 1.09, 95% CI: 1.03–1.16, p = 0.006). And compared with the placebo group, the therapeutic effect of single probiotic group was significantly improved (RR = 1.11, 95% CI: 1.01–1.21, p = 0.03). Regarding therapeutic effect, there was no statistically significant difference between the multiple probiotics group and placebo group (RR = 1.00, 95% CI: 0.94 ~ 1.07, p = 0.91); the therapeutic effect of single probiotic combined antihistamine group was significantly higher than the antihistamine group (RR = 1.13, 95% CI: 1.07–1.19, p < 0.0001). Regarding the incidence of adverse reactions, there was no significant difference between the probiotic group and the control group (p = 0.46). Conclusion: The treatment plan of oral administration of probiotics has significant therapeutic effects on urticaria, but the therapeutic effects of the administration of multiple probiotics and the safety of probiotic therapy are still not yet obvious. Some large‐scale, multi‐centered RCT studies are needed in the future for clarification. [ABSTRACT FROM AUTHOR]

The fusion of machine learning and biomedical research offers novel ways to understand, diagnose, and treat various health conditions. However, the complexities of biomedical data, coupled with the intricate process of developing and deploying machine learning solutions, often pose significant challenges to researchers in these fields. Our pivotal achievement in this research is the introduction of the Automatic Semantic Machine Learning Microservice (AIMS) framework. AIMS addresses these challenges by automating various stages of the machine learning pipeline, with a particular emphasis on the ontology of machine learning services tailored to the biomedical domain. This ontology encompasses everything from task representation, service modeling, and knowledge acquisition to knowledge reasoning and the establishment of a self-supervised learning policy. Our framework has been crafted to prioritize model interpretability, integrate domain knowledge effortlessly, and handle biomedical data with efficiency. Additionally, AIMS boasts a distinctive feature: it leverages self-supervised knowledge learning through reinforcement learning techniques, paired with an ontology-based policy recording schema. This enables it to autonomously generate, fine-tune, and continually adapt to machine learning models, especially when faced with new tasks and data. Our work has two standout contributions demonstrating that machine learning processes in the biomedical domain can be automated, while integrating a rich domain knowledge base and providing a way for machines to have self-learning ability, ensuring they handle new tasks effectively. To showcase AIMS in action, we have highlighted its prowess in three case studies of biomedical tasks. These examples emphasize how our framework can simplify research routines, uplift the caliber of scientific exploration, and set the stage for notable advances. [ABSTRACT FROM AUTHOR]

The conjugate gradient (CG) method is a classic Krylov subspace method for solving symmetric positive definite linear systems. We analyze an analogous semi-conjugate gradient (SCG) method, a special case of the existing semi-conjugate direction (SCD) methods, for unsymmetric positive definite linear systems. Unlike CG, SCG requires the solution of a lower triangular linear system to produce each semi-conjugate direction. We prove that SCG is theoretically equivalent to the full orthogonalization method (FOM), which is based on the Arnoldi process and converges in a finite number of steps. Because SCG's triangular system increases in size each iteration, Dai and Yuan [Study on semi-conjugate direction methods for non-symmetric systems, Int. J. Numer. Meth. Eng. 60(8) (2004), pp. 1383–1399] proposed a sliding window implementation (SWI) to improve efficiency. We show that the directions produced are still locally semi-conjugate. A counter-example illustrates that SWI is different from the direct incomplete orthogonalization method (DIOM), which is FOM with a sliding window. Numerical experiments from the convection-diffusion equation and other applications show that SCG is robust and that the sliding window implementation SWI allows SCG to solve large systems efficiently. [ABSTRACT FROM AUTHOR]

[Display omitted] Typical LiNi x Co y Mn 1- x - y O 2 (NCM) layered oxides are a promising research area for high-energy–density cathode materials. However, they still suffer from structural disorder due to severe Li/Ni mixing caused by solid-state reactions at high temperatures (700–900 °C). To address these problems, most strategies focus on increasing the energy barrier of Ni2+ migration towards Li+ sites, such as doping or annealing in an O 2 -rich atmosphere. Herein, we report a new strategy of lowering processing temperature for effectively regulating Li/Ni mixing, achieved by hydrothermal ion exchange. The ion exchange can achieve a rapid substitution of Li+ ions for Na+ ions at relatively low temperatures (160–220 °C), allowing the NCM to maintain low Li/Ni mixing (<1%). Our ab initio calculations further demonstrate that the Ni2+ diffusion rate in ion-exchanged NCM523 at 200 °C is significantly slower in the order of 10−12 than that in NCM523 calcined at 900 °C, indicating that processing temperature is crucial to regulating Li/Ni mixing. That is, Li/Ni mixing of NCM523 materials is effectively regulated during ion exchange, further enhancing the structural stability and electrochemical performance. In addition, the universality of hydrothermal ion exchange was further proved by synthesizing NCM materials with good structural stability for different nickel contents (x = 0.5, 0.65, 0.7, 0.85). We anticipate that our ion-exchange strategy opens a new door towards regulating Li/Ni mixing by lowering processing temperature, enabling layered oxide materials with enhanced structural stability. [ABSTRACT FROM AUTHOR]

Aims: Diabetes development mechanisms vary by weight status. We aimed to compare cardiometabolic risk and characterize fasting plasma glucose (FPG) and glycated haemoglobin (HbA1c) trajectories before diagnosing type 2 diabetes in individuals with/without obesity. Methods: Data from the China Health and Retirement Longitudinal Study (CHARLS) and English Longitudinal Study of Ageing (ELSA) were analysed. Participants without diabetes and with a body mass index of 18.5‐40 kg/m2 at baseline were included. Incident diabetes was ascertained by self‐reported physician diagnosis and/or antidiabetic drug use, FPG ≥126 mg/dl and/or HbA1c ≥6.5%. The difference in the FPG/HbA1c trajectory before the diabetes diagnosis in participants with/without obesity was examined using mixed‐effects models. Results: Among 11 925 eligible participants, 1361 incident diabetes cases (mean age: 61.4 years; male: 46.2%) were identified within 15 years of follow‐up. Obese diabetes showed higher levels of diastolic blood pressure and C‐reactive protein at diagnosis than non‐obese diabetes. Mixed‐effects models indicated the difference in the FPG trajectory before diagnosis by weight status was non‐significant with a slope difference of 0.149 mg/dl (SE = 0.642, p =.816, CHARLS) and 0.013 mg/dl (SE = 0.013, p =.337, ELSA). However, obese diabetes showed a steep increase in HbA1c before diagnosis with a slope difference of 0.036% (SE = 0.016, p =.021) in the CHARLS and 0.032% (SE = 0.014, p =.027) in the ELSA, respectively. Sex‐stratified analyses showed that the difference in HbA1c trajectory before the diabetes diagnosis by weight status was only significant in males. Conclusions: Obese and non‐obese diabetes developments may share a similar FPG but distinct HbA1c trajectory. Obese diabetes interventions require more attention to cardiometabolic risks. Moreover, studies addressing weight/sex‐related differences in diabetes aetiologies and treatments are warranted. [ABSTRACT FROM AUTHOR]

We developed the remote selective C−H bromination for the synthesis of C4′‐brominated biarylphosphine oxides using FeBr3 as a brominating reagent. C3′‐Brominated products were obtained in reactions with substrates bearing a 2,4,6‐triisopropyl substituent on the bottom ring. Moreover, direct access to C5‐chlorinated peri‐substituted(1‐naphthalenyl)phosphines is developed using FeCl3 as a chlorinating reagent. These halogenated compounds can be utilized for cross‐coupling reactions to construct functionalized phosphine oxides. [ABSTRACT FROM AUTHOR]

Background: Full-cohort and sibling-comparison designs have yielded inconsistent results about the impacts of caesarean delivery on offspring health outcomes, with the effect estimates from the latter being more likely directed towards the null value. We hypothesized that the seemingly conservative results obtained from the sibling-comparison design might be attributed to inadequate adjustment for non-shared confounders between siblings, particularly maternal age at delivery. Methods: A systematic review and meta-analysis was first conducted. PubMed, Embase, and the Web of Science were searched from database inception to April 6, 2022. Included studies (1) examined the association of caesarean delivery, whether elective or emergency, with offspring health outcomes; (2) simultaneously conducted full-cohort and sibling-comparison analyses; and (3) reported adjusted effect estimates with 95% confidence intervals (95% CIs). No language restrictions were applied. Data were extracted by 2 reviewers independently. Three-level meta-analytic models were used to calculate the pooled odds ratios (ORs) and 95% CIs for caesarean versus vaginal delivery on multiple offspring health outcomes separately for full-cohort and sibling-comparison designs. Subgroup analyses were performed based on the method of adjustment for maternal age at delivery. A simulation study was then conducted. The simulated datasets were generated with some key parameters derived from the meta-analysis. Results: Eighteen studies involving 21,854,828 individuals were included. The outcomes assessed included mental and behavioral disorders; endocrine, nutritional and metabolic diseases; asthma; cardiorespiratory fitness; and multiple sclerosis. The overall pooled OR for estimates from the full-cohort design was 1.14 (95% CI: 1.11 to 1.17), higher than that for estimates from the sibling-comparison design (OR = 1.08; 95% CI: 1.02 to 1.14). Stratified analyses showed that estimates from the sibling-comparison design varied considerably across studies using different methods to adjust for maternal age at delivery in multivariate analyses, while those from the full-cohort design were rather stable: in studies that did not adjust maternal age at delivery, the pooled OR of full-cohort vs. sibling-comparison design was 1.10 (95% CI: 0.99 to 1.22) vs. 1.06 (95% CI: 0.85 to 1.31), in studies adjusting it as a categorical variable, 1.15 (95% CI: 1.11 to 1.19) vs. 1.07 (95% CI: 1.00 to 1.15), and in studies adjusting it as a continuous variable, 1.12 (95% CI: 1.05 to 1.19) vs. 1.12 (95% CI: 0.98 to 1.29). The severe underestimation bias related to the inadequate adjustment of maternal age at delivery in sibling-comparison analyses was fully replicated in the simulation study. Conclusions: Sibling-comparison analyses may underestimate the association of caesarean delivery with multiple offspring health outcomes due to inadequate adjustment of non-shared confounders, such as maternal age at delivery. Thus, we should be cautious when interpreting the seemingly conservative results of sibling-comparison analyses in delivery-related studies. [ABSTRACT FROM AUTHOR]

Background: Malignant hyperthermia (MH) is a rare anesthetic emergency with a high mortality rate in China. We developed a WeChat applet–based National Remote Emergency System for Malignant Hyperthermia (MH-NRES) to provide a real-time emergency system to help Chinese anesthesiologists deal with MH crises. However, it is imperative that close attention should be paid to the usability of the applet. Purpose: The objectives of this study were to (1) evaluate the usability of the applet-based MH-NRES for anesthesiologists; and (2) to test the validity and reliability of a modified mHealth app usability questionnaire. Methods: A modified User Version of the Mobile Application Rating Scale (uMARS) was designed. Together with System Usability Scale (SUS) and Post-Study System Usability Questionnaire (PSSUQ), another two well-validated questionnaires, uMARS were then used to evaluate the usability of MH-NRES. The Cronbach alpha of the total score and the subscales of uMARS was calculated to evaluate the internal consistency. The correlation coefficients among three questionnaires were calculated. Results: In this study, 118 anesthesiologists provided responses to the questionnaire. The overall mean uMARS score was 4.43 ± 0.61, which ranged from 3 to 5. The mean PSSUQ score were in good to excellent range with mean of 6.02 ± 0.97, which ranged from 3.19 to 7. The overall SUS score was 76.0 ± 17.6, which ranged from 45 to 100. The total uMARS score had excellent internal consistency (Cronbach alpha = 0.984). uMARS and its subscales were strongly correlated with PSSUQ (coefficient 0.758–0.819, P < 0.001) and SUS (coefficient 0.535–0.561, P < 0.001), respectively. Conclusions: Data obtained from the usability evaluation questionnaires in this study indicated a high quality of the MH-NRES on the ease of use, satisfaction and perceived usefulness, which suggest this system might be a useful tool for anesthesiologists' education and management of MH crises. Future feedback from high-fidelity simulation and clinical scenarios are need for further usability evaluation of this system. [ABSTRACT FROM AUTHOR]

Memory formation and forgetting unnecessary memory must be balanced for adaptive animal behavior. While cyclic AMP (cAMP) signaling via dopamine neurons induces memory formation, here we report that cyclic guanine monophosphate (cGMP) signaling via dopamine neurons launches forgetting of unconsolidated memory in Drosophila. Genetic screening and proteomic analyses showed that neural activation induces the complex formation of a histone H3K9 demethylase, Kdm4B, and a GMP synthetase, Bur, which is necessary and sufficient for forgetting unconsolidated memory. Kdm4B/Bur is activated by phosphorylation through NO-dependent cGMP signaling via dopamine neurons, inducing gene expression, including kek2 encoding a presynaptic protein. Accordingly, Kdm4B/Bur activation induced presynaptic changes. Our data demonstrate a link between cGMP signaling and synapses via gene expression in forgetting, suggesting that the opposing functions of memory are orchestrated by distinct signaling via dopamine neurons, which affects synaptic integrity and thus balances animal behavior. [ABSTRACT FROM AUTHOR]

The generalized successive overrelaxation (GSOR) method of Bai, Parlett, and Wang [Numer. Math., 102 (2005), pp. 1-38] was designed for conventional saddle-point problems. We extend GSOR to a class of block three-by-three saddle-point problems. Based on the necessary and sufficient conditions for all roots of a real cubic polynomial to have modulus less than one, we derive convergence results under reasonable assumptions. We also analyze a class of block lower triangular preconditioners induced from GSOR and derive explicit and sharp spectral bounds for the preconditioned matrices. We report numerical experiments on test problems from the liquid crystal director model and the coupled Stokes-Darcy flow, demonstrating the usefulness of GSOR. [ABSTRACT FROM AUTHOR]

In the last century, a blue–green colored gemstone known as Larimar with a special sea-wave pattern was discovered in the Dominican Republic. Larimar is composed of the mineral pectolite, which has a chemical composition of NaCa2Si3O8(OH) and is usually white in color. Cu2+ has always been considered to be the primary genesis of the blue color shown in Larimar, because native copper often grows together with Larimar. To clarify whether copper is the main reason for the origin of blue–green pectolite, we utilized laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS) techniques to analyze trace elements in the pectolite samples and compared the relationship between elements and colors. The results show that vanadium and iron are the main origins of the sky-blue and green color of Larimar. We also discovered that it is not only the chemical elements that affect the color shades of the mineral, but the orientation of the radial fiber crystals also plays a critical role. The sea-wave pattern and the changes in the color saturation of radial pectolite are due to the transmittance of visible light through different viewed angles under changing crystal orientations. Our results reveal the chemical and physical factors behind the color and sea-wave pattern of Larimar. In addition, to our knowledge, this is the first time that the formation age of Larimar has been proven to be approximately equal to or younger than 40 ka, using the U-Th dating of calcite growth together with pectolite. [ABSTRACT FROM AUTHOR]

Background: Patients suffering from schizophrenia are at a higher risk of relapse. The perception of the risk of relapse in patients is critical for relapse prevention. In the field of psychiatry, the study of risk perception of relapse has been neglected. Methods: We carried out a qualitative study using a descriptive phenomenological approach. Data were collected at two psychiatric hospitals in China. In total, 22 patients with schizophrenia were recruited through purposive sampling. Face to face semi-structured in-depth interviews were conducted. Interview recordings were transcribed by the research team, and transcripts were analysed by two independent coders with Colaizzi's descriptive analysis framework. The consolidated criteria for reporting qualitative research checklist were used for reporting. Results: The data of first-episode patients yielded three themes: (i) lack of knowledge about disease recognition and medical treatment; (ii) overoptimistic estimation of the risk of relapse; (iii) perceived importance of treatment. For first-relapse patients : (i) initial awareness of relapse warning signs; (ii) lack of systematic and accurate assessment of disease information; (iii) the perception that drug withdrawal is related to relapse. Patients with multiple relapses: (i) susceptibility to relapse: confusion and powerlessness; (ii) the severity of relapse: suicidal thoughts and behavior; (iii) effects of perceived benefits and barriers of medication behaviour. Conclusions: In schizophrenic patients with first-episode, first-relapse, and multiple relapses, there were dynamic changes in the perception of disease relapse risk and medication behaviour. Medical workers must improve risk awareness education. They should provide patients with scientific, accurate, and timely communication channels, and dynamically assess and manage the risk of relapse in various patients. [ABSTRACT FROM AUTHOR]

Abnormal stratifin (SFN) expression is closely related to the progression of several human cancers, but the potential roles of SFN in hepatocellular carcinoma (HCC) remain largely unknown. In this study, we found that SFN was upregulated in HCC cell lines and tissues and was positively associated with tumor size, poor differentiation, Tumor Node Metastasis (TNM) stage, and vascular invasion. In addition, high expression levels of SFN were associated with poor overall survival and disease-free survival. Biologically, downregulation of SFN suppressed tumor cell proliferation, epithelial–mesenchymal transition (EMT), invasion, and migration in vitro and tumor growth in vivo. However, overexpression of SFN promoted cell proliferation, EMT, invasion, and migration in vitro and tumor growth in vivo. Mechanistically, overexpression of SFN activated the Wnt/β-catenin pathway by promoting Glycogen synthase kinase-3 beta (GSK-3β) phosphorylation, decreasing β-catenin phosphorylation, promoting β-catenin transport into the nucleus, and enhancing the expression of c-Myc, whereas depletion of SFN inhibited the Wnt/β-catenin pathway. In addition, TOPFlash/FOPFlash reporter assays showed that overexpression or downregulation of SFN obviously increased or decreased, respectively, the activity of the Wnt/β-catenin pathway. Our results indicated that SFN plays an important role in HCC, possibly providing a prognostic factor and therapeutic target for HCC. [ABSTRACT FROM AUTHOR]

A series of four-terminal V7(Bz)8-WGNR devices were established with wrinkled graphene nanoribbon (WGNR) and vanadium-benzene nanowire (V7(Bz)8). The spin-polarized V7(Bz)8 as the gate channel was placed crossing the plane, the concave (endo-positioned) and the convex (endo-positioned) surface of WGNR with different curvatures via Van der Waals interaction. The density functional theory (DFT) and nonequilibrium Green's function (NEGF) methods were adopted to calculate the transport properties of these devices at various bias voltages (VS) and gate voltages (VG), such as the conductance, spin-polarized currents, transmission spectra (TS), local density of states (LDOS), and scattering states. The results indicate that the position of V7(Bz)8 and the bending curvature of WGNR play important roles in tuning the transport properties of these four-terminal devices. A spin-polarized transport property is induced for these four-terminal devices by the spin-polarized nature of V7(Bz)8. Particularly, the down-spin channel disturbs strongly on the source-to-drain conductance of WGNR when V7(Bz)8 is endo-positioned crossing the WGNR. Our findings on the novel property of four-terminal V7(Bz)8-WGNR devices provide useful guidelines for achieving flexible graphene-based electronic nanodevices by attaching other similar multidecker metal-arene nanowires. [ABSTRACT FROM AUTHOR]

Background: To investigate the association of variability in metabolic parameters such as total cholesterol concentrations (TC), uric acid (UA), body mass index (BMI), visceral adiposity index (VAI) and systolic blood pressure (SBP) with incident type 2 diabetes (T2D) and whether variability in these metabolic parameters has additive effects on the risk of T2D. Methods: Based on the Beijing Functional Community Cohort, 4392 participants who underwent three health examinations (2015, 2016, and 2017) were followed up for incident T2D until the end of 2021. Variability in metabolic parameters from three health examinations were assessed using the coefficient of variation, standard deviation, variability independent of the mean, and average real variability. High variability was defined as the highest quartile of variability index. Participants were grouped according to the number of high-variability metabolic parameters. Cox proportional hazards models were performed to assess the hazard ratio (HR) and 95% confidence interval (CI) for incident T2D. Results: During a median follow-up of 3.91 years, 249 cases of incident T2D were identified. High variability in TC, BMI, VAI and SBP was significantly associated with higher risks of incident T2D. As for UA, significant multiplicative interaction was found between variability in UA and variability in other four metabolic parameters for incident T2D. The risk of T2D significantly increased with the increasing numbers of high-variability metabolic parameters. Compared with the group with low variability for 5 parameters, the HR (95% CI) for participants with 1–2, 3, 4–5 high-variability metabolic parameters were 1.488 (1.051, 2.107), 2.036 (1.286, 3.222) and 3.017 (1.549, 5.877), respectively. Similar results were obtained in various sensitivity analyses. Conclusions: High variability of TC, BMI, VAI and SBP were independent predictors of incident T2D, respectively. There was a graded association between the number of high-variability metabolic parameters and incident T2D. [ABSTRACT FROM AUTHOR]

The CH4 adsorption performance of the Sc-modified 6,6,12-graphyne (Sc@6,6,12-GY) system has been investigated based on giant canonical Monte Carlo (GCMC) simulations and first-principles study. According to the GCMC simulation, the CH4 adsorption amount of Sc-modified 6,6,12-GY can reach 72.21 wt% at 233 K and 40 bar. The first-principles study reveals that the binding energy is maximum (−5.181 eV) when the Sc atom is modified in the central hole site of the rhombic acetylene ring of 6,6,12-GY, which exceeds the cohesive energy of the Sc atom (−3.9 eV). The Sc@6,6,12-GY can adsorb 42 CH4 molecules with an average adsorption energy of −0.178 eV and an adsorption capacity of 72.13 wt%, which exceeds the U.S. Department of Energy standard (50 wt%) and corroborates with the results obtained from the GCMC, verifying the accuracy of the results. The Sc atoms modulate the electronic structure of 6,6,12-graphene, and the Sc-modified 6,6,12-GY system is found to have good CH4 storage properties as a high-capacity CH4 storage material by analyzing the partial state of the density, charge transfer situation and charge differential density map of the substrate system. [ABSTRACT FROM AUTHOR]

The experiment was used fermentation bed technology to study the effect of fermentation bed on diarrhea rate, growth performance and blood physicochemical indexes of lambs in winter. Three batches of experiments were carried out in a row, and 30 hybrid ewes who had just given birth and gave birth to two lambs in each batch were randomly assigned to two closed houses with windows and the same building structure, one floor was transformed into a fermentation bed (experimental group), and the other was used as a control group. The lambs were fed in a single pen for 7 d and then transferred out. Each group was randomly divided into three pens, transferred to semi-open houses, and continued to be fed until weaning at 60 d. The results showed that on 1~7 d, the diarrhea rate of lambs in experimental group was significantly lower than that in control group (P<0.05). From birth to weaning, the diarrhea rate and mortality of lambs in experimental group were decreased by 2.49% and 2.95% compared with control group (P<0.05). On 7 d of experiment, the body height, body length and chest circumference of lambs in experimental group were increased by 1.71, 0.56, 0.66 cm compared with control group, respectively (P<0.05). On 8~30 d, the average daily gain of lambs in experimental group was increased by 22.59% compared with control group ( P<0.05). The average daily gain of experimental group was significantly higher than that of control group during the whole experiment period (1~60 d) (P<0.05). At 60 d of age, the body weight of lambs in experimental group was increased by 13.42% compared with control group ( P<0.05). The percentage of lymphocyte in whole blood of lambs in experimental group was significantly higher than that in control group (P<0.05), and the content of GLU, TP and GLB in serum were increased by 8.45%, 3.34% and 10.49% compared with control group, respectively (P<0.05). The study indicates that using a fermentation bed feeding mode within 7 d of birth can reduce the rate of diarrhea and mortality before weaning, and improve the apparent digestibility and blood physicochemical indicators of lambs. [ABSTRACT FROM AUTHOR]

Rosa roxburghii Tratt is a traditional Chinese plant that has been used to treat different inflammatory diseases. The purpose of this study was to investigate the mechanism of action of Rosa roxburghii Tratt extract (RRTE) against ulcerative colitis (UC) using network pharmacology and experimental validation. HPLC-Q/Orbitrap MS was used to rapidly identify the substances contained in RRTE after extracting the active components from the fruit. Then, network pharmacology combined with molecular docking was used to explore the critical target and potential mechanism of RRTE against UC using the active ingredients in RRTE as the research object. Data are presented in a visual manner. Finally, the pharmacological effects of RRTE in alleviating UC were further verified using a DSS-induced UC model of NCM460. The results showed that 25 components in RRTE were identified. A total of 250 targets of the active components and 5376 targets associated with UC were collected. Furthermore, a systematic analysis of the Protein–Protein Interaction (PPI) networks suggests that epidermal growth factor receptor (EGFR), phosphoinositide-3-kinase regulatory subunit 1 (PIK3R1), and serine/threonine kinase 1 (AKT1) are critical targets for RRTE in the treatment of UC. A comprehensive regulatory network analysis showed that RRTE alleviated UC through the EGFR-mediated PI3K/Akt pathway, and molecular docking showed that active components could strongly bind to EGFR, PIK3R1, and AKT1. In addition, RRTE alleviated dextran sulfate sodium salt (DSS)-induced cell injury and significantly decreased the protein expression levels of EGFR, PIK3R1, and p-AKT in NCM460 cells in vitro. Furthermore, RRTE significantly regulated the expression of the apoptosis-related proteins Apoptotic protease-activating factor 1 (Apaf1), cleaved caspase-3, B-cell lymphoma-2 (Bcl2), and Bcl2 associated X protein (Bax). In conclusion, the components of RRTE are complex, and RRTE can relieve UC through the EGFR-mediated PI3K/Akt pathway. [ABSTRACT FROM AUTHOR]

Background: With the development of coronary angiography, more and more attention has been paid to coronary slow flow phenomenon (CSFP). Recent studies have found that the correlation between homocysteine (Hcy) levels and CSFP was contradictory, so we conducted this meta-analysis to investigate the correlation. Methods: By March 2022, studies that meet the research requirements were identified by searching multiple databases including Embase, Web of Science, and PubMed. We included studies evaluating the correlation between Hcy levels and CSFP. Random or fixed effect meta-analyses were performed according to heterogeneity among included studies. A leave-out method and subgroup analyses were conducted to determine the source of heterogeneity. Results: Thirteen studies involving 625 CSFP and 550 subjects were included. After pooling data from each study, Hcy levels were higher in the CSFP groups (standard mean difference [SMD], 1.45; 95% CI, 0.94 to 1.96, P <.00001) than in the control group. In the meta-analysis, there was significant heterogeneity (I2 = 93%), which was further explored through leave-out method and and subgroup analyses. Specifically, pooling data from studies with a mean thrombolysis in myocardial infarction (TIMI) frame count ≥ 46 (SMD, 1.31; 95% CI, 1.00 to 1.63, P <.00001) resulted in no heterogeneity (0%), indicating that the TIMI frame count ≥ 46 was the source of heterogeneity. Conclusions: Our study found that elevated Hcy levels are strongly associated with CSFP. More importantly, the association was stronger in CSFP patients with mean TIMI frame count ≥ 46. [ABSTRACT FROM AUTHOR]

Background: Surgery is becoming less invasive as technology advances. Natural orifice specimen extraction surgery (NOSES) ushered in a new era of minimally invasive techniques. At the same time, NOSES is gaining popularity in the world. With their distinct advantages, surgical robots have advanced the development of NOSES. The aim of current study was to compare the short-term outcomes between robotic-assisted NOSES and laparoscopic-assisted NOSES for the treatment of middle rectal cancer. Methods: Patients with middle rectal cancer who underwent robotic-assisted or laparoscopic-assisted NOSES at the First Affiliated Hospital of Nanchang University between January 2020 and June 2022 had their clinicopathological data collected retrospectively. 46 patients were enrolled in the study: 23 in the robotic group and 23 in the laparoscopic group. Short-term outcomes and postoperative anal function in the two groups were compared. Results: There was no significant difference in the clinicopathological data between the two groups. The robotic group had less intraoperative blood loss (p = 0.04), less postoperative abdominal drainage (p = 0.02), lower postoperative white blood cell counts (p = 0.024) and C-reactive protein levels (p = 0.017), and shorter catheter removal time when compared to the laparoscopic group (p = 0.003). Furthermore, there were no significant difference in mean operative time (159 ± 31 min vs 172 ± 41 min) between the robotic and laparoscopic groups (p = 0.235), but time to naked the rectum (86.4 ± 20.9 min vs. 103.8 ± 31.5 min p = 0.033) and time of digestive tract reconstruction (15.6 ± 3.88 min vs. 22.1 ± 2.81 min p < 0.01) in the robotic group were significantly shorter than laparoscopic group. The robotic group had lower postoperative Wexner scores than the laparoscopic group. Conclusions: This research reveals that combining a robotic surgical system and NOSES results in superior outcomes, with short-term outcomes preferable to laparoscopic-assisted NOSES. [ABSTRACT FROM AUTHOR]

Constructing an efficient and accurate epilepsy detection system is an urgent research task. In this paper, we developed an EEG-based multi-frequency multilayer brain network (MMBN) and an attentional mechanism based convolutional neural network (AM-CNN) model to study epilepsy detection. Specifically, based on the multi-frequency characteristics of the brain, we first use wavelet packet decomposition and reconstruction methods to divide the original EEG signals into eight frequency bands, and then construct MMBN through correlation analysis between brain regions, where each layer corresponds to a specific frequency band. The time, frequency and channel related information of EEG signals are mapped into the multilayer network topology. On this basis, a multi-branch AM-CNN model is designed, which completely matches the multilayer structure of the proposed brain network. The experimental results on public CHB-MIT datasets show that eight frequency bands divided in this work are all helpful for epilepsy detection, and the fusion of multi-frequency information can effectively decode the epileptic brain state, achieving accurate detection of epilepsy with an average accuracy of 99.75%, sensitivity of 99.43%, and specificity of 99.83%. All of these provide reliable technical solutions for EEG-based neurological disease detection, especially for epilepsy detection. [ABSTRACT FROM AUTHOR]

Insects in flight achieve the highest metabolism rates and wing beat frequency known in the animal kingdom, but how they do this is not fully understood. Here, we demonstrate the structure and arrangement of flight muscles in the thorax of Spodoptera frugiperda Smith & Abbot (Lepidoptera: Noctuidae). Dorsoventral direct flight muscles are stronger and more complicated than dorsoventral indirect flight muscles, which may be important for the moth to swiftly control the trajectory. The abundance of giant mitochondria and the extensive tracheolar system in flight muscle are two prominent features that are well adapted to the special requirements of flight. Parameters of flight muscle and flight capacity were lower in young females, and then increased with time and peaked in middle‐aged females. Mating accelerated the deterioration of the structure and function of flight muscles. Virgin females showed lower ovarian development rate but higher flight capacity than mated females. Further analysis found that female flight capacity was significantly negatively correlated to her fecundity, suggesting a trade‐off between flight and reproduction. The resource allocation to flight and egg production may be the result of a balance between the intensity of natural and sexual selection on both traits. [ABSTRACT FROM AUTHOR]

Substructuring approaches possess many superiorities over traditional global approaches in damage identification because large-size global structures are replaced by small and manageable substructures. This paper proposes a substructural time series model for locating and quantifying the damage in complex systems. A substructural autoregressive moving average with exogenous inputs (ARMAX) model is established to extract the frequencies and mode shapes of substructures as indicators for damage detection. The detection of structural damage is essentially an inverse problem, and the damage in structure bears sparse properties. The inverse problem of substructural damage identification is efficiently solved via sparse regularization, and structural damage can be located and quantified through the nonzero terms in the solution vector. The accuracy of the proposed method is demonstrated by the numerical simulation of a frame structure and shaking table test of a shear building structure. As the substructural properties are more sensitive to local structural damage than the global properties, the substructural ARMAX model is quite accurate and efficient to be used in the damage identification of a complex system. [ABSTRACT FROM AUTHOR]

Aptamers are functional single-stranded oligonucleotide fragments isolated from randomized libraries by Systematic Evolution of Ligands by Exponential Enrichment (SELEX), exhibiting excellent affinity and specificity toward targets. Compared with traditional antibody reagents, aptamers display many desirable properties, such as low variation and high flexibility, and they are suitable for artificial and large-scale synthesis. These advantages make aptamers have a broad application potential ranging from biosensors, bioimaging to therapeutics and other areas of application. However, the overall performance of aptamer pre-selected by SELEX screening is far from being satisfactory. To improve aptamer performance and applicability, various post-SELEX optimization methods have been developed in the last decade. In this review, we first discuss the key factors that influence the performance or properties of aptamers, and then we summarize the key strategies of post-SELEX optimization which have been successfully used to improve aptamer performance, such as truncation, extension, mutagenesis and modification, splitting, and multivalent integration. This review shall provide a comprehensive summary and discussion of post-SELEX optimization methods developed in recent years. Moreover, by discussing the mechanism of each approach, we highlight the importance of choosing the proper method to perform post-SELEX optimization. [ABSTRACT FROM AUTHOR]

There are many important practical optimization problems whose feasible regions are not known to be nonempty or not, and optimizers of the objective function with the least constraint violation prefer to be found. A natural way for dealing with these problems is to extend the nonlinear optimization problem as the one optimizing the objective function over the set of points with the least constraint violation. This leads to the study of the shifted problem. This paper focuses on the constrained convex optimization problem. The sufficient condition for the closedness of the set of feasible shifts is presented and the continuity properties of the optimal value function and the solution mapping for the shifted problem are studied. Properties of the conjugate dual of the shifted problem are discussed through the relations between the dual function and the optimal value function. The solvability of the dual of the optimization problem with the least constraint violation is investigated. It is shown that, if the least violated shift is in the domain of the subdifferential of the optimal value function, then this dual problem has an unbounded solution set. Under this condition, the optimality conditions for the problem with the least constraint violation are established in term of the augmented Lagrangian. It is shown that the augmented Lagrangian method has the properties that the sequence of shifts converges to the least violated shift and the sequence of multipliers is unbounded. Moreover, it is proved that the augmented Lagrangian method is able to find an approximate solution to the problem with the least constraint violation and it has linear rate of convergence under an error bound condition. The augmented Lagrangian method is applied to an illustrative convex second-order cone constrained optimization problem with least constraint violation and numerical results verify our theoretical results. [ABSTRACT FROM AUTHOR]