Massive endobronchial hemorrhage leading to Cardiac arrest during EBUS-TBNA: a case of successful resuscitation.

Introduction: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is commonly used for diagnosing mediastinal lymphadenopathy. Despite a low complication rate, severe hemorrhage can occur which is reported in this literature, particularly in hypervascular conditions like Castleman disease.

Methods: A 54-year-old male with idiopathic multicentric Castleman disease underwent EBUS-TBNA for mediastinal lymph node sampling.

Explainable vision transformer for automatic visual sleep staging on multimodal PSG signals.

Polysomnography (PSG) is crucial for diagnosing sleep disorders, but manual scoring of PSG is time-consuming and subjective, leading to high variability. While machine-learning models have improved PSG scoring, their clinical use is hindered by the 'black-box' nature. In this study, we present SleepXViT, an automatic sleep staging system using Vision Transformer (ViT) that provides intuitive, consistent explanations by mimicking human 'visual scoring'.

Fabrication of Ag based Surface Enhanced Raman Scattering substrates with periodic mask arrays by electron beam deposition.

Background: Surface-enhanced Raman scattering (SERS) has attracted much attention as a powerful detection and analysis tool with high sensitivity and fast detection speed. The intensity of the SERS signal mainly depended on the highly enhanced electromagnetic field of nanostructure near the substrate. However, the fabrication of high-quality SERS nanostructured substrates is usually complicated, makes many methods unsuitable for large-scale production of SERS substrates.

ARCH: Large-scale knowledge graph via aggregated narrative codified health records analysis.

Objective: Electronic health record (EHR) systems contain a wealth of clinical data stored as both codified data and free-text narrative notes (NLP). The complexity of EHR presents challenges in feature representation, information extraction, and uncertainty quantification. To address these challenges, we proposed an efficient Aggregated naRrative Codified Health (ARCH) records analysis to generate a large-scale knowledge graph (KG) for a comprehensive set of EHR codified and narrative features.

Pivotal trial characteristics and types of endpoints used to support Food and Drug Administration rare disease drug approvals between 2013 and 2022.

Background/aims: Rare disease drug development faces unique challenges, such as genotypic and phenotypic heterogeneity within small patient populations and a lack of established outcome measures for conditions without previously successful drug development programs. These challenges complicate the process of selecting the appropriate trial endpoints and conducting clinical trials in rare diseases. In this descriptive study, we examined novel drug approvals for non-oncologic rare diseases by the U.

Epidemiology and Ecology of Toscana Virus Infection and Its Global Risk Distribution.

Toscana virus (TOSV), a member of the genus transmitted by sandflies, is acknowledged for its capacity to cause neurological infections and is widely distributed across Mediterranean countries. The potential geographic distribution and risk to the human population remained obscure due to its neglected nature. We searched PubMed and Web of Science for articles published between 1 January 1971 and 30 June 2023 to extract data on TOSV detection in vectors, vertebrates and humans, clinical information of human patients, as well as the occurrence of two identified sandfly vectors for TOSV.

A Series of Novel Alleles of Modulating Heading and Salt Tolerance in Rice.

Rice ( L.) is a staple crop for nearly half of the global population and one of China's most extensively cultivated cereals. Heading date, a critical agronomic trait, determines the regional and seasonal adaptability of rice varieties.

The Function of Two β-Ketoacyl-CoA Synthases on the Fatty Acid Composition.

Rapeseed ( L.) is one of the four major oilseed crops in the world and is rich in fatty acids. Changes in the fatty acid composition affect the quality of rapeseed.

Distribution of Vegetation and Soil Seed Banks Across Habitat Types in Paddy Fields Under Different Farming Practices.

Paddy field ecosystems are crucial for crop production, biodiversity conservation, and ecosystem services. Although previous studies have examined paddy field biodiversity, few have addressed how the distribution and species richness of vegetation and soil seed banks are regulated. This study investigated the distribution of wetland plants and soil seed banks in paddy fields across diverse habitat types and identified factors influencing their patterns.

Plasma Treatment of Metal Surfaces for Enhanced Bonding Strength of Metal-Polymer Hybrid Structures.

The adhesion between metals and polymers plays a pivotal role in numerous industrial applications, especially within the automotive and aerospace sectors, where there is a growing demand for materials that are both lightweight and durable. This study introduces an innovative technique to improve the adhesion between a metal and a polymer in hybrid structures through the synergistic use of anodization and plasma treatment. By forming a nanoporous oxide layer on aluminum surfaces, anodization enhances the interface for polymer binding.

Enhancing Thermal Insulation Property and Flexibility of Starch/Poly(butylene adipate terephthalate) (PBAT) Blend Foam by Improving Rheological Properties.

Starch foam has attracted significant attention as an alternative to expanded styrene (EPS) foam owing to its abundance and biodegradability. Despite these merits, its limited thermal insulation and flexibility compared to EPS have hindered its utilization in packaging. Herein, we report the effect of blending with starch/PBAT on foaming behavior and physical properties during foaming processing.

Enhanced Dielectric Performance in PVDF-Based Composites by Introducing a Transition Interface.

Polymeric dielectrics have garnered significant interest worldwide due to their excellent comprehensive performance. However, developing polymeric dielectric films with high permittivity () and breakdown strength () and low dielectric loss (tan) presents a huge challenge. In this study, amorphous aluminum oxide (AlO, AO) transition interfaces with nanoscale thickness were constructed between titanium oxide (TiO, TO) nanosheets and polyvinylidene fluoride (PVDF) to manufacture composites (PVDF/TO@AO).

Exploring the Anti-Osteoporotic Effects of -Hexane Fraction from Nakai: Activation of Runx2 and Osteoblast Differentiation In Vivo.

Background: Osteoporosis is characterized by the microstructural depletion of bone tissue and decreased bone density, leading to an increased risk of fractures. Nakai, an endemic species of the Korean Peninsula, grows wild in Ulleungdo. In this study, we aimed to investigate the effects of and its components on osteoporosis.

Spectrum Sensing in Very Low SNR Environment Using Multi-Scale Temporal Correlation Perception with Residual Attention.

Spectrum sensing is recognized as a viable strategy to alleviate the scarcity of spectrum resources and to optimize their usage. In this paper, considering the time-varying characteristics and the dependence on various timescales within a time series of samples composed of in-phase (I) and quadrature (Q) component signals, we propose a multi-scale time-correlated perceptual attention model named MSTC-PANet. The model consists of multiple parallel temporal correlation perceptual attention (TCPA) modules, enabling us to extract features at different timescales and identify dependencies among features across various timescales.

A Multi-Center, Prospective, Observational Study to Evaluate the Therapeutic Effectiveness and Safety of an Olmesartan/Amlodipine Plus Rosuvastatin Combination Treatment in Patients with Concomitant Hypertension and Dyslipidemia.

This study assessed the therapeutic effectiveness of a single-pill combination (SPC) of olmesartan/amlodipine plus rosuvastatin for blood pressure (BP) and low-density lipoprotein cholesterol (LDL-C) in patients with hypertension and dyslipidemia. Adult patients with hypertension and dyslipidemia who were decided to be treated with the study drug were eligible. The primary endpoint was the proportion of patients who achieved BP, LDL-C and both BP and LDL-C treatment goals at weeks 24-48.

Ellagic Acid from and Antimalarial Activity of Korean Medicinal Plants.

This study investigates the antimalarial potential of extracts and compounds from various plants used in traditional Korean medicine, in response to the increasing resistance of to standard treatments such as chloroquine and artemisinin. The antimalarial activity screening was conducted on 151 extracts, identifying the top seven candidates, including (50% ethanol and 100% methanol extract), , (hot water and 50% ethanol extract), , and . Among these, was identified as the top priority for further analysis due to its high antimalarial activity and high yield of bioactive compounds.

Characterization and Analysis of 2-(2-Phenylethyl)chromone Derivatives and Sesquiterpenoids from Agarwood of Four "Qi-Nan" Clones () with Different Induction Times.

In recent years, some new "Qi-Nan" clones of with the characteristics of easy induction and high-quality agarwood have been obtained, through the cultivation and propagation of grafted seedlings. These clones are used for the intensive production of high-quality agarwood. The speed of resin formation and yield are crucial for the development of the agarwood industry.

Pre- and Post-Procedural Considerations and Thread Types for Thread Lifting.

Facial thread lifting has emerged as a minimally invasive alternative to traditional face-lifting procedures, with particular emphasis on U-shaped and I-shaped barbed threads. This review analyzes the anatomical considerations, procedural techniques, and clinical outcomes of different thread types for facial rejuvenation. The study examines the mechanical principles and lifting mechanisms of U-shaped "suspension type" threads versus I-shaped threads, highlighting their distinct characteristics and applications.

The Effect of Sleep Disruption on Cardiometabolic Health.

Sleep disruption has emerged as a significant public health concern with profound implications for metabolic health. This review synthesizes current evidence demonstrating the intricate relationships between sleep disturbances and cardiometabolic dysfunction. Epidemiological studies have consistently demonstrated that insufficient sleep duration (<7 h) and poor sleep quality are associated with increased risks of obesity, type 2 diabetes, and cardiovascular disease.

A Study on the Effect of Nickel-Plated Graphite Content on the Microstructure and Properties of AlZn/Nickel-Plated Graphite Composite Cold Spray Coatings.

Aluminum and its alloys are widely used in the busbar structures of electrolytic aluminum production. However, they are prone to corrosion and wear damage during use, leading to a decline in current-transmission efficiency and potentially causing safety issues. To repair damaged aluminum busbars, this paper explores the feasibility of using cold spraying technology for surface restoration.

Citric Acid and Sodium Bicarbonate as an Alternative Carbon Dioxide Source for Mosquito Surveillance.

Most mosquito surveillance programs rely on traps baited with carbon dioxide (CO) to attract host-seeking mosquitoes. The source of CO, traditionally dry ice or gas cylinders, poses operational challenges, especially in remote locations. CO production from citric acid and sodium bicarbonate (NaHCO) using low-cost intravenous fluid bags ('acid traps') was evaluated in laboratory experiments.

An FGF2-Derived Short Peptide Attenuates Bleomycin-Induced Pulmonary Fibrosis by Inhibiting Collagen Deposition and Epithelial-Mesenchymal Transition via the FGFR/MAPK Signaling Pathway.

Following the COVID-19 pandemic, the prevalence of pulmonary fibrosis has increased significantly, placing patients at higher risk and presenting new therapeutic challenges. Current anti-fibrotic drugs, such as Nintedanib, can slow the decline in lung function, but their severe side effects highlight the urgent need for safer and more targeted alternatives. This study explores the anti-fibrotic potential and underlying mechanisms of an endogenous peptide (P5) derived from fibroblast growth factor 2 (FGF2), developed by our research team.

and Extracts Mixture Target Pyroptosis in Ischemic Stroke via the NLRP3 Pathway.

Ischemic stroke, caused by blocked cerebral blood flow, requires prompt intervention to prevent severe motor and cognitive impairments. Despite extensive drug development efforts, the failure rate of clinical trials remains high, highlighting the need for novel therapeutic approaches. This study investigated the therapeutic potential of a natural herbal extract mixture of Bunge (AM) and Georgi (SB), traditionally used in Eastern Asian herbal medicine (EAHM) for ischemic stroke treatment.

Dietary Taurine Regulation of the Intestinal Microbiome in Chinese Stripe-Necked Turtle ().

Taurine is essential for sustaining the body's physiological equilibrium and is extensively utilized as a dietary supplement and immune system enhancer for aquatic creatures. The gut microbiota serves as a vital health indicator in animals. In this study, our goal was to evaluate the effects of dietary taurine on the gut microbiome of Chinese stripe-necked turtles ().