Effectiveness and Safety of Dose-Specific DOACs in Patients With Atrial Fibrillation: A Systematic Review and Network Meta-Analysis.

Dose adjustments of direct-acting oral anticoagulants (DOACs) for atrial fibrillation are based on pivotal clinical trials assessing their effectiveness and safety in controlled settings. However, the appropriateness of these dosing strategies in real-world practice is uncertain. The purpose of this study is to compare the effectiveness and safety of dose-specific DOACs with those of warfarin.

Colonic Polyp Study: Differences in Adenoma Characteristics Based on Colonoscopy History over 5-Year Follow-Up Period.

: Timely detection and removal of colonic adenomas are critical for preventing colorectal cancer. : This study analyzed differences in colonic adenoma characteristics based on colonoscopy history by reviewing the medical records of 14,029 patients who underwent colonoscopy between January and June 2020 across 40 primary medical institutions in Korea. : Adenoma and advanced neoplasia characteristics varied significantly with colonoscopy history ( < 0.

Channel-Hopping Sequence and Searching Algorithm for Rendezvous of Spectrum Sensing.

In this paper, we propose a method for applying the -ary m-sequence as a channel-searching pattern for rendezvous in the asymmetric channel model of cognitive radio. We mathematically analyzed and calculated the ETTR when the m-sequence is applied to the conventional scheme, and our simulation results demonstrated that the ETTR performance is significantly better than that of the JS algorithm. Furthermore, we introduced a new channel-searching scheme that maximizes the benefits of the m-sequence and proposed a method to adapt the generation of the m-sequence for use in the newly proposed scheme.

Leveraging Microneedles for Raised Scar Management.

Disruption of the molecular pathways during physiological wound healing can lead to raised scar formation, characterized by rigid, thick scar tissue with associated symptoms of pain and pruritus. A key mechanical factor in raised scar development is excessive tension at the wound site. Recently, microneedles (MNs) have emerged as promising tools for scar management as they engage with scar tissue and provide them with mechanical off-loading from both internal and external sources.

Understanding the Impact of Salt Stress on Plant Pathogens Through Phenotypic and Transcriptomic Analysis.

For plant diseases to become established, plant pathogens require not only virulence factors and susceptible hosts, but also optimal environmental conditions. The accumulation of high soil salinity can have serious impacts on agro-biological ecosystems. However, the interactions between plant pathogens and salinity have not been fully characterized.

Adverse impact of metabolic dysfunction on fibrosis regression following direct-acting antiviral therapy: A multicenter study for chronic hepatitis C.

Background/aims: Direct-acting antivirals (DAAs) effectively eradicate hepatitis C virus (HCV). This study investigated whether metabolic dysfunction influences the likelihood of fibrosis regression after DAA treatment in patients with chronic hepatitis C (CHC).

Methods: This multicenter, retrospective study included 8,819 patients diagnosed with CHC who were treated with DAAs and achieved a sustained virological response (SVR) between January 2014 and December 2022.

Polyunsaturated fatty acids suppress PIEZO ion channel mechanotransduction in articular chondrocytes.

Osteoarthritis (OA) is characterized by articular cartilage degeneration, leading to pain and loss of joint function. Recent studies have demonstrated that omega-3 (ω3) polyunsaturated fatty acid (PUFA) supplementation can decrease injury-induced OA progression in mice fed a high-fat diet. Furthermore, PUFAs have been shown to influence the mechanical properties of chondrocyte membranes, suggesting that alterations in mechanosensitive ion channel signaling could contribute to the mechanism by which ω3 PUFAs decreased OA pathogenesis.

Effect of electrochemical topology on detection sensitivity in MEA assay for drug-induced cardiotoxicity screening.

Cardiotoxicity remains a major challenge in drug development, accounting for 45% of medication withdrawals due to cardiac ischemia and arrhythmogenicity. To overcome the limitations of traditional multielectrode array (MEA)-based cardiotoxicity assays, we developed a Nafion-coated NanoMEA platform with decoupled reference electrodes, offering enhanced sensitivity for electrophysiological measurements. The 'Decoupled' configuration significantly reduced polarization resistance (Rp) from 12.

Full-Spectrum Mechanochromic Photonic Films with Large Interparticle Distance.

Non-close-packed crystalline arrays of colloidal particles in an elastic matrix exhibit mechanochromism. However, small interparticle distances often limit the range of reversible color shifts and reduce reflectivity during a blueshift. A straightforward, reproducible strategy using matrix swelling to increase interparticle distance and improve mechanochromic performance is presented.

Taming the Flow with Hyperbranched Polyamides as Melt Modifiers in Polyamide Composites.

Transport equipment manufacturers in the automotive and aerospace industries are focused on developing materials that enhance fuel efficiency and reduce carbon dioxide emissions. A significant approach is employing lightweight materials like aluminum, magnesium, and polymer-based composites. Polyamide-based composites, particularly nylon 66, as viable alternatives due to their excellent rigidity, chemical resistance, and thermal stability are investigated to address the limitations of traditional thermosetting resins, which are difficult to recycle and have lengthy molding processes that hinder mass production.

The anti-tumor effect of the IFNγ/Fas chimera expressed on CT26 tumor cells.

Interferon gamma (IFNγ) is well-known for its ability to stimulate immune cells in response to pathogen infections and cancer. To develop an effective cancer therapeutic vaccine, CT26 colon carcinoma cells were genetically modified to express IFNγ either as a secreted form (sIFNγ) or as a membrane-bound form. For the membrane-bound expression, IFNγ was fused with Fas (mbIFNγ/Fas), incorporating the extracellular cysteine-rich domains, transmembrane, and cytoplasmic domains of Fas.

Risk Factors for Infection-Attributable Mortality in Patients With Bacteremia: A Competing Risk Analysis.

Background: Identifying risk factors for mortality in patients with bacteremia (SAB) is crucial due to its high fatality. However, data on risk factors for infection-attributable deaths considering competing risk events such as non-infection-attributable deaths remain limited. We performed a competing risk analysis to elucidate risk factors associated with 30-day infection-attributable mortality in a large cohort of patients with SAB.

Anion-Rich Interface via a Self-Assembled Monolayer toward a Long-Lifespan Li Metal Battery.

Due to the extremely high energy density of Li metal, Li metal batteries are regarded as one of the most promising candidates for next-generation energy storage systems. However, interfacial issues, particularly the unstable solid electrolyte interphase (SEI) and lithium dendritic growth, hinder practical application. Herein, we induce an anion-rich interface near the Li metal by introducing positively charged self-assembled monolayers (SAMs) on ceramic-coated separators to simultaneously stabilize the SEI and homogenize the Li deposition.

Modulated Mechanical Properties of Epoxy-Based Hybrid Composites via Layer-by-Layer Assembly: An Experimental and Numerical Study.

In this study, epoxy-based composites were fabricated using a layer-by-layer assembly technique, and their mechanical properties were systematically evaluated. The inclusion of cellulose nanocrystals led to variations in the mechanical properties of the composites. These modified properties were assessed through tensile and flexural tests, with each layer cast to enhance strength.

Human Liver MSCs Retain Their Basic Cellular Properties in Chronically Inflamed Liver Tissue.

Every 25th death worldwide is associated with liver pathology. The development of novel approaches to liver diseases therapy and protocols for maintaining the vital functions of patients on the liver transplant waiting list are urgently needed. Resident mesenchymal stem cells (MSCs) play a significant role in supporting liver tissue integrity and improve the liver condition after infusion.

Co-occurring Psychopathology in Children With and Without Autism Spectrum Disorder (ASD): Differences by Sex in the ECHO Cohorts.

Purpose: Our goals were to: 1) examine the occurrence of behavioral and emotional symptoms in children on the autism spectrum in a large national sample, stratifying by sex, and 2) evaluate whether children with increased autism-related social communication deficits also experience more behavioral and emotional problems.

Methods:  Participants (n = 7,998) were from 37 cohorts from the Environmental influences on Child Health Outcomes (ECHO) Program. Cross-sectional information on demographic factors, parent-report of an ASD diagnosis by clinician, Social Responsiveness Scale (SRS) scores, and Child Behavior Checklist (CBCL) scores were obtained for children aged 2.

Capsular Contracture After Postmastectomy Radiation in Implant-Based Breast Reconstruction: Effect of Implant Pocket and Two-Stage Surgery.

Capsular contracture (CC) is a concerning issue for individuals undergoing postmastectomy radiation therapy (PMRT) with implant-based breast reconstruction. This study investigated whether the extent of CC and implant migration differs based on implant placement and the reconstruction stage. Insertion plane and stage of breast implants were investigated, and the presence and severe cases of CC and implant migration were analyzed.

Exponentially Enhanced Scheme for the Heralded Qudit Greenberger-Horne-Zeilinger State in Linear Optics.

High-dimensional multipartite entanglement plays a crucial role in quantum information science. However, existing schemes for generating such entanglement become complex and costly as the dimension of quantum units increases. In this Letter, we overcome the limitation by proposing a significantly enhanced linear optical heralded scheme that generates the d-level N-partite Greenberger-Horne-Zeilinger (GHZ) state with single-photon sources and linear operations.

Predicting persistent SARS-CoV-2 shedding in immunocompromised patients: a probability-based approach.

Background: Although recommended isolation periods for Coronavirus disease 2019 (COVID-19) have been shortened as the pandemic has subsided, prolonged Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) shedding remains common in immunocompromised patients. This study estimated the probability of viral clearance in these patients based on elapsed days and specific risk factors.

Methods: We prospectively enrolled immunocompromised patients with a confirmed COVID-19 diagnosis from January 2022 to May 2023 during the Omicron variant era.

Evidence-based clinical recommendations for hypofractionated radiotherapy: exploring efficacy and safety - Part 4: Liver and locally recurrent rectal cancer.

In this paper, we review the use of hypofractionated radiotherapy for gastrointestinal malignancies, focusing on primary and metastatic liver cancer, and recurrent rectal cancer. Technological advancements in radiotherapy have facilitated the direct delivery of high-dose radiation to tumors, while limiting normal tissue exposure, supporting the use of hypofractionation. Hypofractionated radiotherapy is particularly effective for primary and metastatic liver cancer where high-dose irradiation is crucial to achieve effective local control.