A feasibility study of automating radiotherapy planning with large language model agents.

: Radiotherapy planning requires significant expertise to balance tumor control and organ-at-risk (OAR) sparing. Automated planning can improve both efficiency and quality. This study introduces GPT-Plan, a novel multi-agent system powered by the GPT-4 family of large language models (LLMs), for automating the iterative radiotherapy plan optimization.

SFRP2 mediates Epstein-Barr virus and bladder cancer risk: a Mendelian randomization study and colocalization analysis.

Studies suggest a possible association between Epstein-Barr virus (EBV) infection and bladder cancer (BCa) risk, though this remains unclear. Secreted frizzled-related protein (sFRP) is also linked to BCa, with some DNA viruses potentially regulating its expression. This study used Mendelian randomization (MR) and colocalization analysis to explore the causal relationship between EBV infection, BCa risk, and the mediating role of sFRP.

Airway clearance technique therapy for atelectasis induced by scoliosis surgery: a case report.

The patient, a 55-year-old female presenting with spinal deformity and exertional dyspnea, was referred to the hospital. Radiographic evaluation of her spine revealed an "S"-shaped scoliosis with a Cobb angle measuring 68°, indicative of severe scoliosis. Despite receiving medication for expectoration, postoperative symptoms including chest tightness, breathlessness, and ineffective coughing persisted and progressively worsened.

Genetic evidence identifies a causal relationship between EBV infection and multiple myeloma risk.

Background: Previous observational studies have suggested a potential association between Epstein-Barr virus (EBV) infection and the development of multiple myeloma (MM), but this relationship is not clear. Therefore, we conducted a systematic Mendelian randomization (MR) analysis to investigate the causal relationship between EBV infection and the risk of MM, while exploring the possible mediating role of immune cells in this association.

Methods: The study first conducted a two-sample MR analysis using the MM R11 dataset from the FinnGen Consortium to evaluate the causal relationship between five EBV infection-related antibodies (AEB-IgG, EA-D, EBNA-1, VCA-p18, and ZEBRA) and MM, with validation in the MM R10 dataset.

Lattice atom-bridged chemical bond interface facilitates charge transfer for boosted photoelectric response.

The construction of chemical bonds at heterojunction interfaces currently presents a promising avenue for enhancing photogenerated carrier interfacial transfer. However, the deliberate modulation of these interfacial chemical bonds remains a significant challenge. In this study, we successfully established a junction composed of atomic-level Pt-doped CeO and 2D metalloporphyrins metal-organic framework nanosheets (Pt-CeO/CuTCPP(Fe)), which enables the realization of photoelectric enhancement by regulating the interfacial Fe-O bond and optimizing the built-in electric field.

Reducing Intrinsic Carrier Recombination in Au/CuTCPP(Fe) Schottky Junction Through Spin Polarization Manipulation for Sensitive Photoelectrochemical Biosensing.

Schottky junctions have been widely applied to facilitate charge carrier separation through the formation of an internal electric field (IEF). However, the notably restricted spatial distribution of the IEF weakens the promotion of intrinsic carrier separation. In this study, we unveil that Au nanoparticles (NPs) in the Au/CuTCPP(Fe) Schottky junction can manipulate the spin polarization of CuTCPP(Fe) to inhibit inner carrier recombination.

Investigating causal relationships of blood and urine biomarkers with urological cancer risks: a mendelian randomization study and colocalization analyses.

Establishing the causal links between biomarkers and cancer enhances understanding of risk factors and facilitates the discovery of therapeutic targets. To this end, we used Mendelian randomization (MR) and colocalization analysis to explore the causal relationship of blood and urinary biomarkers (BUBs) with urological cancers (UCs). First, we used a two-sample MR study to explore the causal relationship between 33 BUBs and 4 UCs, while we performed reverse Mendelian randomization.

Sub-millimeter fiberscopic robot with integrated maneuvering, imaging, and biomedical operation abilities.

Small-scale continuum robots hold promise for interventional diagnosis and treatment, yet existing models struggle to achieve small size, precise steering, and visualized functional treatment simultaneously, termed an "impossible trinity". This study introduces an optical fiber-based continuum robot integrated imaging, high-precision motion, and multifunctional operation abilities at submillimeter-scale. With a slim profile of 0.

Near-Infrared Light Driven Reversible Photoelectrochemical Bioassay by S-Scheme All-Polymer Blends for Acetylcholinesterase Activity Monitoring.

Photoelectrochemical (PEC) biosensing, recognized for its heightened sensitivity, faces limitations in its application for diagnosis due to the inefficiency of UV-visible light-driven photoactive materials in nontransparent biological samples. In this study, we investigate the potential of an S-scheme all-polymer heterojunction comprising a prototype nonfullerene polymeric acceptor (PYIT) and carbon nitride to develop a near-infrared (NIR) light-driven PEC biosensor for monitoring acetylcholinesterase activity in nontransparent human whole blood. The distinct molecular structure of PYIT enables efficient light absorption in the NIR region, enhancing sensitivity in nontransparent biological samples.

Machine learning models with innovative outlier detection techniques for predicting heavy metal contamination in soils.

Machine learning (ML) models for accurately predicting heavy metals with inconsistent outputs have improved owing to dataset outliers, which influence model reliability and accuracy. A comprehensive technique that combines machine learning and advanced statistical methods was applied to assess data outlier's effects on ML models. Ten ML models with three outlier detection methods predicted Cr, Ni, Cd, and Pb in Narayanganj soils.

Examining the effects of processing techniques on the quality of hawk tea through liquid chromatography-tandem mass spectrometry and two-dimensional gas chromatography-time-of-flight mass spectrometry.

Processing techniques are critical factors influencing the quality of hawk tea, yet systematic studies on their effects are limited. This study investigates the impact of four key processing procedures-fixation, reddening, fermentation, and compressing-using sensory evaluation, LC-MS/MS, and GC × GC-TOF-MS. Analysis identified 6951 non-volatile metabolites, including 107 marker metabolites, primarily in flavonoid synthesis and degradation pathways.

Enhancing low-dose radiotherapy efficacy with PARP inhibitors via FBL-mediated oxidative stress response in colorectal cancer.

The effectiveness of radiotherapy in colorectal cancer (CRC) relies on its ability to induce cell death via the generation of reactive oxygen species (ROS). However, genes responsible for mitigating oxidative stress can impede radiotherapy's efficacy. In this study, we elucidate a significant association between the nucleolar protein Fibrillarin (FBL) and the oxidative stress response in CRC tumors.

Enhanced remediation of real agricultural runoff in surface-flow constructed wetlands by coupling composite substrate-packed bio-balls, submerged plants and functional bacteria: Performance and mechanisms.

Import of agricultural runoff containing nutrients considerably contributes to eutrophication of receiving water bodies. Surface-flow constructed wetlands (SFCWs) are commonly applied for agricultural runoff purification, but the performance is usually unsatisfactory. In this study, suspended bio-balls filled with zeolite and iron-carbon (Fe-C) composite substrates, submerged macrophyte (Ceratophyllum demersum) and functional denitrifying bacteria were collectively added into SFCW microcosms to enhance the remediation efficiency for real agricultural runoff with high nutrient concentrations and low content of bioavailable organic matter.

Photoswitchable Metal-Organic Framework as a Smart Nanoreactor for Ultraviolet Light-Enhanced Confined Catalysis.

Confined catalysis, where a chemical reaction is accommodated within a nanoscale host, provides an effective approach to control the pathways and outcomes of catalytic transformations. However, the confinement effect is typically limited to a fixed rate and/or selectivity once the nanohost is chosen. Herein, we developed a photoresponsive metal-organic framework (MOF) as a "smart" nanohost to realize ultraviolet (UV) light-enhanced confined catalysis of Knoevenagel condensation.

Electrochemical sensors for plant signaling molecules.

Plant signaling molecules can be divided into plant messenger signaling molecules (such as calcium ions, hydrogen peroxide, Nitric oxide) and plant hormone signaling molecules (such as auxin (mainly indole-3-acetic acid or IAA), salicylic acid, abscisic acid, cytokinin, jasmonic acid or methyl jasmonate, gibberellins, brassinosteroids, strigolactone, and ethylene), which play crucial roles in regulating plant growth and development, and response to the environment. Due to the important roles of the plant signaling molecules in the plants, many methods were developed to detect them. The development of in-situ and real-time detection of plant signaling molecules and field-deployable sensors will be a key breakthrough for botanical research and agricultural technology.

Pollution area identification, receptor model-oriented sources and probabilistic health hazards to prioritize control measures for heavy metal management in soil.

Identifying the primary source of heavy metals (HMs) pollution and the key pollutants is crucial for safeguarding eco-health and managing risks in industrial vicinity. For this purpose, this investigation was carried out to investigate the pollution area identification with soil static environmental capacity (QI), receptor model-oriented critical sources, and Monte Carlo simulation (MCS) based probabilistic environmental and human health hazards associated with HMs in agricultural soils of Narayanganj, Bangladesh. The average concentration of Cr, Ni, Cu, Cd, Pb, Co, Zn, and Mn were 98.

Clinical Diagnostic Value of Shear-Wave Elastography in Detecting Malignant Nipple Retraction.

Objectives: In recent years, the use of shear-wave elastography (SWE) as a diagnostic tool for detecting malignant breast lesions has shown promising results. This study aims to determine the clinical diagnostic value of SWE in detecting malignant nipple retraction.

Methods: Both US and SWE (Philips EPIQ7 system) were performed for 41 consecutive patients with nipple retraction (56 nipples).

Microneedle electrochemical sensor based on disposable stainless-steel wire for real-time analysis of indole-3-acetic acid and salicylic acid in tomato leaves infected by Pst DC3000 in situ.

Background: Indole-3-acetic acid (IAA) and salicylic acid (SA), pivotal regulators in plant growth, are integral to a variety of plant physiological activities. The ongoing and simultaneous monitoring of these hormones in vivo enhances our comprehension of their interactive and regulatory roles. Traditional detection methods, such as liquid chromatography-mass spectrometry, cannot obtain precise and immediate information on IAA and SA due to the complexity of sample processing.

Rapid Membrane-Penetrating Hybrid Peptides Achieve Efficient Dual Antimicrobial and Antibiofilm Activity through a Triple Bactericidal Mechanism.

Antimicrobial peptides (AMPs) are a type of biomaterial used against multidrug resistant (MDR) bacteria. This study reports the design of a peptide family rich in tryptophan and lysine obtained by optimizing a natural AMP using single factor modification and pheromone hybridization to expedite the penetration and improve the antimicrobial activity of AMPs. S-4, L-4, and P-4 showed α-helical structures, exhibited extremely fast membrane penetration rates , and could kill MDR bacteria efficiently within 30 min.

Anisotropic Dual S-Scheme Heterojunctions Mimic Natural Photosynthetic System for Boosting Photoelectric Response.

The design of heterojunctions that mimic natural photosynthetic systems holds great promise for enhancing photoelectric response. However, the limited interfacial space charge layer (SCL) often fails to provide sufficient driving force for the directional migration of inner charge carriers. Drawing inspiration from the electron transport chain (ETC) in natural photosynthesis system, we developed a novel anisotropic dual S-scheme heterojunction artificial photosynthetic system composed of BiO-BiOBr-AgI for the first time, with BiO and AgI selectively distributed along the bicrystal facets of BiOBr.

One-step formation of polymorphous sperm-like microswimmers by vortex turbulence-assisted microfluidics.

Microswimmers are considered promising candidates for active cargo delivery to benefit a wide spectrum of biomedical applications. Yet, big challenges still remain in designing the microswimmers with effective propelling, desirable loading and adaptive releasing abilities all in one. Inspired by the morphology and biofunction of spermatozoa, we report a one-step formation strategy of polymorphous sperm-like magnetic microswimmers (PSMs) by developing a vortex turbulence-assisted microfluidics (VTAM) platform.