[Expert consensus on visualized tele-round and quality control management based on the improvement of clinical practice ability].

Turning to critical illness is a common stage of various diseases and injuries before death. Patients usually have complex health conditions, while the treatment process involves a wide range of content, along with high requirements for doctor's professionalism and multi-specialty teamwork, as well as a great demand for time-sensitive treatments. However, this is not matched with critical care professionals and the current state of medical care in China.

Comparison of Mirroring and Overlapping Analysis and Three-Dimensional Soft Tissue Spatial Angle Wireframe Template in Evaluating Facial Asymmetry.

Aim: The purpose of this study was to evaluate the accuracy and efficacy of a new wireframe template methodology in analyzing three-dimensional facial soft tissue asymmetry.

Materials And Methods: Three-dimensional facial soft tissue data were obtained for 24 patients. The wireframe template was established by identifying 34 facial landmarks and then forming a template on the face with the MeshLab 2020 software.

Within-host evolution of a transcriptional regulator contributes to the establishment of chronic Pseudomonas aeruginosa infection.

As an opportunistic pathogen, Pseudomonas aeruginosa can cause both acute and chronic infections that are notoriously difficult to treat. However, the mechanism underlying acute or chronic P. aeruginosa infection remains unclear.

circ_0004662 contributes to colorectal cancer progression by interacting with hnRNPM.

Circular (circ)RNAs participate in colorectal cancer (CRC) occurrence and progression. However, the role of hsa_circ_0004662 (circ_0004662) in CRC remains unknown. Reverse transcription‑quantitative PCR noted high expression of circ_0004662 in CRC compared with normal colorectal epithelial cells.

Prognostic Value of D-Dimer in Acute Type A Aortic Dissection and Intramural Hematoma: Observations from the Acute Aortic Syndrome Group of the Registry of Acute Non-Traumatic Chest Pain in China.

Background: Acute type A aortic dissection (AAD) and acute type A intramural hematoma (AIMH) are life-threatening conditions with high mortality rates, and prognostic indicators are critical for guiding urgent treatment decisions. We assessed the prognostic significance of admission D-dimer levels in patients with AAD and AIMH.

Methods And Results: The prospective, multicenter, observational study in China recruited participants from 2013 to 2019.

[Advances in pharmacological mechanism and toxicology of gambogic acid].

Gambogic acid, a caged xanthone compound derived from Garcinia, has been proven to be an important substance basis for the pharmacological effects of the plant. In recent years, it has received continuous attention due to its broad and significant pharmacological activities. Modern pharmacological investigations have demonstrated that gambogic acid endows various therapeutic effects such as anti-inflammatory, antioxidant, and anti-tumor activities, as well as benefits in retinopathy, organ protection, anti-microbial infection, bone protection, and neuropathic pain relief.

[Expert consensus on ethical requirements for artificial intelligence (AI) processing medical data].

As artificial intelligence technology rapidly advances, its deployment within the medical sector presents substantial ethical challenges. Consequently, it becomes crucial to create a standardized, transparent, and secure framework for processing medical data. This includes setting the ethical boundaries for medical artificial intelligence and safeguarding both patient rights and data integrity.

Integration of large language models and federated learning.

As the parameter size of large language models (LLMs) continues to expand, there is an urgent need to address the scarcity of high-quality data. In response, existing research has attempted to make a breakthrough by incorporating federated learning (FL) into LLMs. Conversely, considering the outstanding performance of LLMs in task generalization, researchers have also tried applying LLMs within FL to tackle challenges in relevant domains.

The association between helicobacter pylori infection and Triglyceride-Glucose (TyG) index in US adults: A retrospective cross-sectional study.

Background: The Triglyceride-glucose (TyG) index is a marker for insulin resistance and metabolic syndrome, while Helicobacter pylori is linked to gastrointestinal diseases and may affect metabolic risks. This study examined the association between the TyG index and H. pylori infection in adults.

Entanglement microscopy and tomography in many-body systems.

Quantum entanglement uncovers the essential principles of quantum matter, yet determining its structure in realistic many-body systems poses significant challenges. Here, we employ a protocol, dubbed entanglement microscopy, to reveal the multipartite entanglement encoded in the full reduced density matrix of the microscopic subregion in spin and fermionic many-body systems. We exemplify our method by studying the phase diagram near quantum critical points (QCP) in 2 spatial dimensions: the transverse field Ising model and a Gross-Neveu-Yukawa transition of Dirac fermions.

Speckle tracking ultrasound as a new tool to predict the weaning outcome of mechanical ventilation patients: a prospective observational study.

Introduction: Speckle tracking ultrasound is a novel technique for evaluating diaphragm movement, yet its guidance in weaning mechanically ventilated patients remains unclear. In this study, we assessed diaphragmatic function using speckle tracking ultrasound and guided the weaning process.

Methods: A total of 86 mechanically ventilated patients were included and divided into successful or failed weaning groups.

[Analysis of the level of serum-neutralizing antibodies against Coxsackievirus A6 in a healthy population in Tianjin City from 2014 to 2020].

To investigate the level of serum-neutralizing antibodies against Coxsackievirus A6 (CVA6) in a healthy population in Tianjin City from 2014 to 2020. From March 2014 to March 2020, 5 492 healthy volunteers were recruited in Tianjin City. The demographic information, personal hygiene habits, living environment hygiene, contact history with hand, foot and mouth disease cases within 6 months before the survey, history of upper respiratory tract infection, and medical history of the subjects were investigated using a self-designed questionnaire.

Impact of Spinal Manipulative Therapy on Brain Function and Pain Alleviation in Lumbar Disc Herniation: A Resting-State fMRI Study.

Objective: To elucidate how spinal manipulative therapy (SMT) exerts its analgesic effects through regulating brain function in lumbar disc herniation (LDH) patients by utilizing resting-state functional magnetic resonance imaging (rs-fMRI).

Methods: From September 2021 to September 2023, we enrolled LDH patients (LDH group, n=31) and age- and sex-matched healthy controls (HCs, n=28). LDH group underwent rs-fMRI at 2 distinct time points (TPs): prior to the initiation of SMT (TP1) and subsequent to the completion of the SMT sessions (TP2).

[Electronic nose, HS-GC-MS, and relative odor activity value reveal odor differences and material basis of Glycyrrhizae Radix et Rhizoma products processed with different methods].

The Glycyrrhizae Radix et Rhizoma products processed with different methods, including raw materials(S) and products processed with honey according to the method in the Chinese Pharmacopoeia(Z) and Jianchangbang method(M), were analyzed in terms of the odor profile and volatile components by the electronic nose and headspace-gas chromatography-mass spectrometry(HS-GC-MS). The differential components in the three products were screened by chemometrics, on the basis of which the relative odor activity value(ROAV) was adopted to elucidate the odor differences among different products and the material basis of their odors. The results showed that the electronic nose effectively distinguished the products of Glycyrrhizae Radix et Rhizoma processed with different methods.

Endogenous Substances Utilization for Water Self-Purification Amplification Driven by Nonexpendable HO over a Micro-Potential Difference Surface.

Natural self-purification of water is limited by mass transfer processes between inert oxygen (O) and stable pollutants. This process must rely on large energy inputs and resource consumption, which have become a global challenge in the environmental field. Here, we greatly amplify this self-purification effect of natural dissolved oxygen (DO) by nonexpendable HO triggering a DRC catalyst with a micro-potential difference surface.

Turning the Surface Electronic Effect Over Core-Shell CoS─FeCoS Nanooctahedra Toward Electrochemical Water Splitting in the Alkaline Medium.

The long-term challenge in overall water splitting is the conflict in the pH condition of electrolytes for achieving efficient hydrogen evolution reaction (HER) and oxygen evolution reaction (OER) at the same time, in addition to the typical cost issue in catalysts. It hence raises an intense research interest in seeking cost-efficient non-noble metal electrocatalysts as well as compromising electrolyte conditions for electrocatalytic HER and OER. To tackle the problems, various approaches are demonstrated to engineer the electronic effect on the active sites of catalysts for enhancing the activities.

Tracking the Aging-Induced Evolution in Self-Healing Capacities of Asphalt Binder: Microstructure and Rheology Analysis.

Asphalt pavement inevitably undergoes aging and deterioration of service performance under atmospheric and solar radiation conditions. This study developed an efficient and durable self-healing asphalt based on the designability of the polymer chemical structure and reversible recombination of covalent bonds. Moreover, the effect of long-term thermal oxidative aging and ultraviolet (UV) aging on self-healing promotion by polymers (PUS) containing dynamic disulfide bonds was investigated through a nonthixotropic evaluation system.

Nanoscale Mapping of Carrier Distribution Regulated by Polarization in 2D FeFETs.

The emergence of 2D ferroelectrics, sliding ferroelectrics, and 2D ferroelectric semiconductors has greatly expanded the potential applications of two-dimensional ferroelectric field-effect transistors (2D FeFETs) in nonvolatile memory, neuromorphic synapses, and negative capacitance. However, the interaction between ferroelectric and semiconductor layers remains not well understood, and characterization methods to correlate carriers and polarization dynamics at the nanoscale are still lacking. Utilizing in situ scanning microwave impedance microscopy and piezoresponse force microscopy measurements, we employed a Pb(ZrTi)O/MoS-based 2D FeFET as an example to reveal, with high spatial resolution, the microscopic redistribution of carriers.

Enhancing disease risk gene discovery by integrating transcription factor-linked trans-variants into transcriptome-wide association analyses.

Transcriptome-wide association studies (TWAS) have been successful in identifying disease susceptibility genes by integrating cis-variants predicted gene expression with genome-wide association studies (GWAS) data. However, trans-variants for predicting gene expression remain largely unexplored. Here, we introduce transTF-TWAS, which incorporates transcription factor (TF)-linked trans-variants to enhance model building for TF downstream target genes.

Cyclodextrin Metal-Organic Framework Functionalized Carbon Materials with Optimized Interface Electronics and Selective Supramolecular Channels for High-Performance Lithium-Sulfur Batteries.

During the reaction process in lithium-sulfur batteries, Lewis acidic lithium polysulfides (LiPSs) affect ion distribution and overall electrolyte stability, degrading battery performance and product distribution (e.g., LiS).