Modified Cap-Assisted Endoscopic Mucosal Resection Versus Endoscopic Submucosal Dissection for the Treatment of Rectal Neuroendocrine Tumors ≤10 mm: A Randomized Noninferiority Trial.

Introduction: Although recent guidelines recommend endoscopic resection of rectal neuroendocrine tumors (NET) ≤10 mm, there is no consensus on which endoscopic modality should be performed. We aimed to compare the safety and efficacy of modified cap-assisted endoscopic mucosal resection (mEMR-C) and endoscopic submucosal dissection (ESD) methods for the treatment of rectal NET ≤10 mm.

Methods: A randomized noninferiority trial comparing mEMR-C and ESD was conducted.

Education Research: Neurologic Education in Physician Assistant Programs.

Background And Objectives: A growing number of advanced practice providers (APPs) are entering neurologic practice, and educational initiatives focused on postgraduate training in neurology for these providers are growing in turn. Neurologic education in APP degree programs is not well defined, which limits the ability to tailor these initiatives to the specific needs of APPs. We aim to describe neurologic education in physician assistant (PA) degree programs to better inform these efforts.

Reversible Conversion of Disulfide/Dithiolate Occurring at a Vanadium(IV) Center: A Biomimetic System for Redox Exchange in Vanabin.

Ascidians use a class of cysteine-rich proteins generally referred to as vanabins to reduce vanadium ions, one of the many biological processes that involve the redox conversion between disulfide and dithiolate mediated by transition-metal ions. To further understand the nature of disulfide/dithiolate exchange facilitated by a vanadium center, we report herein a six-coordinate non-oxido V complex containing an unbound disulfide moiety, [V(PS3″)(PS1″)] () (PS3″ = [P(CH-3-MeSi-2-S)], where PS1″ is a disulfide form of PS3″). Complex is obtained from a reaction of previously reported [V(PS3″)(PS2″S)] () (PS2″S = [P(CH-3-MeSi-2-SH)(CH-3-MeSi-2-S)] with TEMPO (TEMPO = 2,2,6,6-tetramethylpiperidin-1-yl)oxyl) via hydrogen atom transfer.

Microglia-Neutrophil Interactions Drive Dry AMD-like Pathology in a Mouse Model.

In dry age-related macular degeneration (AMD), inflammation plays a key role in disease pathogenesis. Innate immune cells such as microglia and neutrophils infiltrate the sub-retinal space (SRS) to induce chronic inflammation and AMD progression. But a major gap in our understanding is how these cells interact with each other in AMD.

Molecular diagnosis of pancreatobiliary tract cancer by detecting mutations and methylation changes in bile samples.

Background: Patients with pancreatobiliary tract cancer usually have a poor clinical outcome, with a 5-year overall survival rate below 20%. This is mainly associated with the late diagnosis. In addition, the standard-of-care for patients with malignant biliary stenosis involves a major surgery, the Whipple procedure.

Global burden and temporal trends of lower urinary tract symptoms: a systematic review and meta-analysis.

Background: Lower urinary tract symptoms (LUTS) are common complaint in urology practice and affecting the quality of life for patients. This article aims to perform a systematic review and meta-analysis on the global prevalence of LUTS overall, and according to different patient characteristics.

Methods: We searched MEDLINE and Embase for population-based epidemiological studies reporting the prevalence of LUTS from inception to 1 Jan 2021.

Altered signaling at the PTH receptor via modified agonist contacts with the extracellular domain provides a path to prolonged agonism in vivo.

The parathyroid hormone type 1 receptor (PTHR1), a Class B GPCR, is activated by long polypeptides, including drugs for osteoporosis and hypoparathyroidism. The PTHR1 engages peptide agonists via a two-step mechanism. Initial contact involves the extracellular domain (ECD), which has been thought to contribute primarily to receptor-peptide binding, and then the N terminus of the peptide engages the receptor transmembrane domain (TMD), which is thought to control the message conveyed to intracellular partners.

Proteogenomic analysis of lung adenocarcinoma reveals tumor heterogeneity, survival determinants, and therapeutically relevant pathways.

We present a deep proteogenomic profiling study of 87 lung adenocarcinoma (LUAD) tumors from the United States, integrating whole-genome sequencing, transcriptome sequencing, proteomics and phosphoproteomics by mass spectrometry, and reverse-phase protein arrays. We identify three subtypes from somatic genome signature analysis, including a transition-high subtype enriched with never smokers, a transversion-high subtype enriched with current smokers, and a structurally altered subtype enriched with former smokers, TP53 alterations, and genome-wide structural alterations. We show that within-tumor correlations of RNA and protein expression associate with tumor purity and immune cell profiles.

Single-cell transcriptomics reveals cellular heterogeneity and molecular stratification of cervical cancer.

Cervical cancer (CC) is the most common gynecological malignancy, whose cellular heterogeneity has not been fully understood. Here, we performed single-cell RNA sequencing (scRNA-seq) to survey the transcriptomes of 57,669 cells derived from three CC tumors with paired normal adjacent non-tumor (NAT) samples. Single-cell transcriptomics analysis revealed extensive heterogeneity in malignant cells of human CCs, wherein epithelial subpopulation exhibited different genomic and transcriptomic signatures.

Effects of Counterions, Coordination Anions, and Coordination Solvent Molecules on Single-Molecule Magnetic Behaviors and Nonlinear Optical Properties of Chiral ZnDy Schiff Base Complexes.

By changing the counterions (ClO and CFSO) and the coordination anions (Cl and Br), we investigated their influences on the structures and performances of a class of ZnDy chiral single-molecule magnets (SMMs), which are based on a pair of chiral Schiff bases ,-HL and ,-HL {,-HL = 2-(()-((1,2)-2-(()-2-hydroxy-3-methoxybenzylideneamino)cyclohexylimino)methyl)-6-methoxyphenol and ,-HL = 2-(()-((1,2)-2-(()-2-hydroxy-3-methoxybenzylideneamino)cyclohexylimino)methyl)-6-methoxyphenol}. Three pairs of chiral ZnDy Schiff base complexes were obtained by directed synthesis, which are [DyZn(,-)Cl(HO)](ClO)·0.5MeOH·0.

Neurodevelopmental Outcomes for Retinopathy of Prematurity: A Taiwan Premature Infant Follow-up Network Database Study.

Purpose: To evaluate the neurodevelopmental outcomes in premature infants who received intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections to treat retinopathy of prematurity (ROP).

Design: Retrospective cohort study.

Methods: This study was conducted using the database from the Taiwan Premature Infant Follow-up Network.

Empagliflozin in Patients with Chronic Kidney Disease.

Background: The effects of empagliflozin in patients with chronic kidney disease who are at risk for disease progression are not well understood. The EMPA-KIDNEY trial was designed to assess the effects of treatment with empagliflozin in a broad range of such patients.

Methods: We enrolled patients with chronic kidney disease who had an estimated glomerular filtration rate (eGFR) of at least 20 but less than 45 ml per minute per 1.

Impacts of corn intercropping with soybean, peanut and millet through different planting patterns on population dynamics and community diversity of insects under fertilizer reduction.

Corn is one of the key grain crops in China and the excessive use of chemical fertilizers and pesticides seriously damages the ecological environment in fields. To explore a more scientific and reasonable way to plant corn and simultaneously reduce the overuse of chemical fertilizers and pesticides, the impact of corn intercropping with soybean, peanut, and millet, respectively, through five planting patterns, including three intercropping patterns (2 corn rows to 2, 3 and 4 rows of soybean/peanut or 2, 4 and 6 millet rows, respectively) and two monoculture patterns of corn and soybean, peanut or millet under normal (600 kg/ha) and reduced (375 kg/ha) levels of NPK (N:PO:KO = 15:15:15) fertilization on the population abundance and community diversity of insects, leaf nutrients, and induced plant hormones jasmonic acid (JA) and salicylic acid (SA) was studied in 2018 and 2019. The results showed that the insect community indexes of the species number (), the diversity index (), and the uniformity index () generally increased under intercropping and were significantly higher than those under corn monoculture.

Global Burden of Ischemic Stroke in Young Adults in 204 Countries and Territories.

Background And Objectives: To estimate the rates of incidence, death, and disability-adjusted life years (DALYs) of ischemic stroke in young adults aged 15-49 years and the relevant risk factors by sex, age group, and sociodemographic index (SDI) in 204 countries and territories.

Methods: Data from the Global Burden of Diseases, Injuries, and Risk Factors (GBD) 2019 study were used. The estimated annual percentage changes (EAPCs) were calculated to evaluate the temporal trends from 1990 to 2019.

Solidification/stabilization of lead-contaminated soils by phosphogypsum slag-based cementitious materials.

In the present study, phosphogypsum slag-based cementitious material (PS) was designed, and the potential use for solidifying/stabilizing lead-contaminated soils was investigated. The physicochemical properties, performance, and mechanisms of its stabilization of lead in soil were studied by the methods of toxic leaching test, compressive strength, XRD, TGA, FTIR and XPS. The compressive strength of the PS solidified body was from 0.

Intrapericardial Exosome Therapy Dampens Cardiac Injury via Activating Foxo3.

Background: Mesenchymal stem cell (MSC)-derived exosomes are well recognized immunomodulating agents for cardiac repair, while the detailed mechanisms remain elusive. The Pericardial drainage pathway provides the heart with immunosurveillance and establishes a simplified model for studying the mechanisms underlying the immunomodulating effects of therapeutic exosomes.

Methods: Myocardial infarction (MI) models with and without pericardiectomy (corresponding to Tomy MI and NonTomy MI) were established to study the functions of pericardial drainage pathway in immune activation of cardiac-draining mediastinal lymph node (MLN).

Effect of Phosphorus Slag Admixture on the Properties and Hydration Mechanism of Circulating Fluidized Bed Fly Ash-Based Multi-Solid Waste Cementitious Material.

This research aims to reveal the effect of phosphorus slag (PS) admixtures on the properties and hydration mechanism of circulating fluidized bed fly ash (CFA)-based multi-solid waste cementitious material (CWM). The results indicate that PS as an admixture is more helpful for improving the performance of CWM systems compared with blast furnace slag with a high specific surface area (HBFS) and gasification slag (GS). In this work, CWM2 is prepared with 30 wt.

Visualizing inflammation with an M1 macrophage selective probe via GLUT1 as the gating target.

Macrophages play crucial roles in protecting our bodies from infection and cancers. As macrophages are multi-functional immune cells, they have diverse plastic subsets, such as M1 and M2, derived from naïve M0 cells. Subset-specific macrophage probes are essential for deciphering and monitoring the various activation of macrophages, but developing such probes has been challenging.

Airway pathogens detected in stable and exacerbated COPD in patients in Asia-Pacific.

Background: The burden of chronic obstructive pulmonary disease (COPD) in the Asia-Pacific region is projected to increase. Data from other regions show bacterial and viral infections can trigger acute exacerbations of COPD (AECOPD).

Methods: This 1-year prospective epidemiological study (ClinicalTrials.

Frost Resistance and Mechanism of Circulating Fluidized Bed Fly Ash-Blast Furnace Slag-Red Mud-Clinker Based Cementitious Materials.

The motivation of this work is to enhance the long-term frost resistance of circulating fluidized bed fly ash (CFA)-based multisolid waste cementitious material (CSM). In this research, CSM2 is prepared by 30 wt.% CFA, 20 wt.

Hemopatch to Prevent Lymphatic Leak after Robotic Prostatectomy and Pelvic Lymph Node Dissection: A Randomized Controlled Trial.

This study investigates whether the application of Hemopatch, a novel hemostatic patch, could prevent lymphatic leak after robotic-assisted radical prostatectomy (RARP) and bilateral pelvic lymph node dissection (BPLND). This is a prospective, single-center, phase III randomized controlled trial investigating the efficacy of Hemopatch in preventing lymphatic leak after RARP and BPLND. Participants were randomized to receive RARP and BPLND, with or without the use of Hemopatch, with an allocation ratio of 1:1.

Biomechanical Role of Epsin in Influenza A Virus Entry.

Influenza A virus (IAV) utilizes clathrin-mediated endocytosis for cellular entry. Membrane-bending protein epsin is a cargo-specific adaptor for IAV entry. Epsin interacts with ubiquitinated surface receptors bound to IAVs via its ubiquitin interacting motifs (UIMs).

Structural enrichment and identification of lignin-carbohydrate complex in alkaline stabilized system.

Effectively breaking down its anti-depolymerization barrier is key to the conversion and utilization of biomass resources. The anti-depolymerization barrier is mainly composed of a lignin-carbohydrate complex (LCC), which hinder the high-value utilization of biomass. In an alkaline environment, phenyl glycosidic bonds in LCC exist stably.

Microstructure and Key Properties of Phosphogypsum-Red Mud-Slag Composite Cementitious Materials.

Due to the low content of silicon and aluminum in red mud and the low reaction activity of red mud, when it was used to prepare composite cementitious materials, it was necessary to assist other aluminosilicates and improve their activity by certain methods. In this study, it was proposed to add slag to increase the percentage of silicon and aluminum in the system, and to improve the reactivity of the system through the activation effect of sulfate in phosphogypsum. The effects of slag and phosphogypsum contents on the mechanical properties and microstructures of composite cementitious materials were studied.

Evolution of Microstructural Characteristics of Carbonated Cement Pastes Subjected to High Temperatures Evaluated by MIP and SEM.

The microstructural evolutions of both uncarbonated and carbonated cement pastes subjected to various high temperatures (30 °C, 200 °C, 400 °C, 500 °C, 600 °C, 720 °C, and 950 °C) are presented in this study by the means of mercury intrusion porosimetry (MIP) and scanning electron microscopy (SEM). It was found that the thermal stabilities of uncarbonated cement pastes were significantly changed from 400 to 500 °C due to the decomposition of portlandite at this temperature range. More large pores and microcracks were generated from 600 to 720 °C, with the depolymerization of C-S-H.