A multicenter study of neurofibromatosis type 1 utilizing deep learning for whole body tumor identification.

Deep-learning models have shown promise in differentiating between benign and malignant lesions. Previous studies have primarily focused on specific anatomical regions, overlooking tumors occurring throughout the body with highly heterogeneous whole-body backgrounds. Using neurofibromatosis type 1 (NF1) as an example, this study developed highly accurate MRI-based deep-learning models for the early automated screening of malignant peripheral nerve sheath tumors (MPNSTs) against complex whole-body background.

Influences of age and sex on the diagnostic accuracy of human epididymis secretory protein 4 for malignant pleural effusion.

Previous studies have suggested that the presence of human epididymal protein 4 (HE4) in pleural fluid can be used to diagnose malignant pleural effusion (MPE) with moderate accuracy. However, the factors that affect the diagnostic accuracy of HE4 remain unknown. This study aimed to examine how age and sex influence the diagnostic accuracy of HE4.

Analysis of pathogen distribution, drug sensitivity and inflammatory indicators related to pelvic infection after hysterectomy.

Objective: To analyse the distribution of pathogens, risk factors and inflammatory indicators related to pelvic infection after hysterectomy.

Methods: Patients who underwent hysterectomy at Women's Hospital of Nanjing Medical University between January 2022 and January 2023 were recruited into this study. Vaginal secretions from patients with suspected postoperative pelvic infection were collected for pathogen cultivation, identification, and antimicrobial susceptibility analysis.

RMKD: Relaxed matching knowledge distillation for short-length SSVEP-based brain-computer interfaces.

Accurate decoding of electroencephalogram (EEG) signals in the shortest possible time is essential for the realization of a high-performance brain-computer interface (BCI) system based on the steady-state visual evoked potential (SSVEP). However, the degradation of decoding performance of short-length EEG signals is often unavoidable due to the reduced information, which hinders the development of BCI systems in real-world applications. In this paper, we propose a relaxed matching knowledge distillation (RMKD) method to transfer both feature-level and logit-level knowledge in a relaxed manner to improve the decoding performance of short-length EEG signals.

An Effective Approach to Get Aluminum Foam Sandwich with High and Stable Interfacial Properties.

The interfacial mechanical characteristics of sandwich structures are crucial in defining the comprehensive mechanical performance of the whole structure. Nevertheless, in practical applications, the interface often emerges as the weakest segment due to potential defects in the interface of porous metal sandwich plates (PMSP). This study aims to explore the regulatory mechanisms influencing the mechanical characteristics of nano-SiO-reinforced aluminum foam sandwich structure (AFS) interfaces and to propose an effective strategy to achieve AFS interfaces with superior and stable mechanical properties.

Photoprotective Effects of Phytochemicals on Blue Light-Induced Retinal Damage: Current Evidence and Future Perspectives.

The widespread use of light-emitting diodes (LEDs) has increased blue light (BL) exposure, raising concerns about its potential adverse effects on ocular health. Prolonged exposure to BL has been implicated in the pathogenesis of various retinal disorders, including age-related macular degeneration (AMD), primarily through mechanisms involving oxidative stress and inflammation mediated by the overproduction of reactive oxygen species (ROS). This review synthesizes current evidence on the photoprotective properties of dietary bioactive compounds, (e.

Dose-dependent enhancement of in vitro osteogenic activity on strontium-decorated polyetheretherketone.

Polyetheretherketone (PEEK) is widely used in orthopedic and dental implants due to its excellent mechanical properties, chemical stability, and biocompatibility. However, its inherently bioinert nature makes it present weak osteogenic activity, which greatly restricts its clinical adoption. Herein, strontium (Sr) is incorporated onto the surface of PEEK using mussel-inspired polydopamine coating to improve its osteogenic activity.

Thermodynamics insights of lignin dissolution in deep eutectic solvents.

To develop a green solvent for lignin dissolution, the most fundamental aspects of its mechanism must be elucidated. Understanding the thermodynamic behaviors is of significant importance for designing novel deep eutectic solvents (DESs) to dissolve lignin. Herein, the heat of dissolution of lignin in acidic, alkaline or neutral DESs was determined by high-precision solution microcalorimetry, and comprehensively investigated the effect of physicochemical properties of DESs on the heat of dissolution and solubility of lignin.

Double Attention: An Optimization Method for the Self-Attention Mechanism Based on Human Attention.

Artificial intelligence, with its remarkable adaptability, has gradually integrated into daily life. The emergence of the self-attention mechanism has propelled the Transformer architecture into diverse fields, including a role as an efficient and precise diagnostic and predictive tool in medicine. To enhance accuracy, we propose the Double-Attention (DA) method, which improves the neural network's biomimetic performance of human attention.

Structural Modifications for Tuning Performance and Operational Modes in n-Type Organic Electrochemical Transistors.

Organic mixed ionic-electronic conductors (OMIECs) are crucial in defining the operational modes and performance of organic electrochemical transistors (OECTs). However, studies on the design and structure-performance correlations of small-molecule n-type OMIECs remain scarce. Herein, we designed and synthesized a series of naphthalene diimide (NDI)-based n-type small molecules by extending π-conjugation and increasing the number of electron-withdrawing groups, achieving performance optimization and even changes in operational modes through structural regulations.

Impact of co-infections and immune responses on clinical severity of human adenovirus 3 and 7 infections in hospitalized children with lower respiratory tract infections: a comparative study.

Background: The pathogenic distribution of co-infections and immunological status of patients infected with human adenovirus serotypes 3 or 7 (HAdV-3 or HAdV-7) were poorly understood.

Methods: This study involved a retrospective analysis of respiratory specimens collected from enrolled children with lower respiratory tract infections (LRTIs), positive for HAdV-3 or HAdV-7 from January 2017 to December 2019. Demographic data, clinical features, laboratory and radiographic findings were compared to delineate the impact of co-infections, and immune responses on clinical severity of HAdV-3 or HAdV-7 infections.

Establishment and evaluation of a nomogram prediction model for risk of atrial fibrillation recurrence after the cox-maze IV procedure.

The Cox-Maze IV (CMIV) procedure is the mainstay in surgical treatment of atrial fibrillation (AF), but the rate of AF recurrence after the CMIV procedure in patients with persistent AF is difficult to accurately evaluate. In this study, we aimed to develop and validate a risk prediction model of AF recurrence within 1 year after undergoing the Cox-Maze IV procedure. We retrospectively enrolled 303 consecutive patients who underwent the Cox-Maze IV procedure for persistent AF concomitant with other cardiac procedures at our institute between 2019 and 2021.

Uncovering the chromatin-mediated transcriptional regulatory network governing cold stress responses in fish immune cells.

Temperature fluctuations challenge ectothermic species, particularly tropical fish dependent on external temperatures for physiological regulation. However, the molecular mechanisms through which low-temperature stress impacts immune responses in these species, especially in relation to chromatin accessibility and epigenetic regulation, remain poorly understood. In this study, we investigate chromatin and transcriptional changes in the head kidney and thymus tissues of Nile tilapia (Oreochromis niloticus), a tropical fish of significant economic importance, under cold stress.

A non-inferiority randomized controlled study of Perampanel versus Oxcarbazepine monotherapy for post-stroke epilepsy.

Background: Post-stroke epilepsy (PSE) poses a significant challenge despite advances in stroke treatment. This study compares the efficacy of the novel anti-seizure medication (ASM) Perampanel with the classical ASM Oxcarbazepine in treating PSE.

Methods: This prospective randomized controlled trial recruited PSE patients from September 2022 to January 2024 across multiple hospitals.

Combining Electrosorption and Electrochemical Reduction Mechanisms for Uranium Removal Using 1,2,3,4-Butane Tetracarboxylic Acid-Modified MIL-101: An In-Depth Exploration of Uranyl-Adsorbent Interactions.

Extracting uranium from nuclear wastewater is vital for environmental and human health protection. However, despite progress in uranium extraction, there remains a demand for an optimized adsorbent with improved capability, efficiency, and selectivity. To bridge this gap, 1,2,3,4-butane tetracarboxylic acid (BTCA)-modified MIL-101 was synthesized through a simple hydrothermal reaction between amino-modified MIL-101 (MIL-101-NH) and BTCA.

Constructing Accessible Closed Nanopores in Coal-Derived Hard Carbon for Sodium-Ion Batteries.

Hard carbon (HC) materials are suitable anodes for sodium-ion batteries (SIBs) but still suffer from insufficient initial Coulombic efficiency (ICE). Promoting sodium storage via the pore filling mechanism is an effective way to improve the ICE, and the key here is regulating the pore structures of HC. In this work, coal-derived HC is successfully engineered with abundant accessible closed nanopores by treating the coal precursors with a facile destructive oxidation strategy.

NEDD4-Mediated GSNOR Degradation Aggravates Cardiac Hypertrophy and Dysfunction.

Background: The decrease in S-nitrosoglutathione reductase (GSNOR) leads to an elevation of S-nitrosylation, thereby exacerbating the progression of cardiomyopathy in response to hemodynamic stress. However, the mechanisms under GSNOR decrease remain unclear. Here, we identify NEDD4 (neuronal precursor cell expressed developmentally downregulated 4) as a novel molecule that plays a crucial role in the pathogenesis of pressure overload-induced cardiac hypertrophy, by modulating GSNOR levels, thereby demonstrating significant therapeutic potential.

Analysis of the relevant factors for corneal graft rejection in the southern Liaoning region from 2019 to 2023.

Background: The study aimed to review the etiology of corneal blindness and investigate the relative risk of corneal graft rejection (CGR) in the southern Liaoning region.

Methods: The clinical records of 359 patients (394 eyes) who underwent corneal transplantation at the Department of Keratoconus of the Third People's Hospital of Dalian from January 2019 to December 2023 were retrospectively analyzed. The data included patients' age, gender, occupation, diagnosis, surgical procedure, postoperative immune rejection, and neovascularization.

Dynamics of the mammalian pyruvate dehydrogenase complex revealed by in-situ structural analysis.

The multi-enzyme pyruvate dehydrogenase complex (PDHc) links glycolysis to the citric acid cycle and plays vital roles in metabolism, energy production, and cellular signaling. Although all components have been individually characterized, the intact PDHc structure remains unclear, hampering our understanding of its composition and dynamical catalytic mechanisms. Here, we report the in-situ architecture of intact mammalian PDHc by cryo-electron tomography.

Age-specific abnormal glucose metabolism in HIV-positive people on antiviral therapy in China: a multicenter case-control study.

Background: Update, the link between HIV infection and abnormal glucose metabolism (AGM) is still unclear. This study aims to investigate the impact of HIV infection on AGM, including insulin resistance (IR), impaired fasting glucose (IFG), and diabetes mellitus (DM).

Methods: A multicenter case-control study was conducted in Zhejiang province, China.

Bioprinted Fibroblast Mediated Heterogeneous Tumor Microenvironment for Studying Tumor-Stroma Interaction and Drug Screening.

Cancer-associated fibroblasts (CAFs) are crucial stromal cells in the tumor microenvironment, affecting cancer growth, angiogenesis, and matrix remodeling. Developing an effective in vitro tumor model that accurately recapitulates the dynamic interplay between tumor and stromal cells remains a challenge. In this study, a 3D bioprinted fibroblast - mediated heterogeneous breast tumor model was created, with tumor cells and fibroblasts in a bionic matrix.

The safety of cyclosporine and tacrolimus in pediatric nephrotic syndrome patients: a disproportionate analysis based on the FAERS database.

Objective: This study aimed to systematically evaluate the safety of cyclosporine (CsA) and tacrolimus (TAC) in pediatric nephrotic syndrome (NS) patients using real-world data from the FDA Adverse Event Reporting System (FAERS).

Methods: We analyzed adverse event (AE) reports from the FAERS database between Q4 2003 and Q2 2024, focusing on AEs associated with CsA and TAC in NS patients aged 18 years and younger. We employed three signal detection methods-Proportional Reporting Ratio (PRR), Relative Reporting Ratio (RRR), and Reporting Odds Ratio (ROR)-to assess the risk of drug-related AEs.

A two-dimensional fluorescence and chemiluminescence orthogonal probe for discriminating and quantifying similar proteins.

Given that proteins with minor variations in amino acid sequences cause distinct functional outcomes, identifying and quantifying similar proteins is crucial, but remains a long-standing challenge. Herein, we present a two-dimensional orthogonal fluorescence and chemiluminescence design strategy for the probe DCM-SA, which is sequentially activated by albumin-mediated hydrolysis, exhibiting light-up fluorescence and photo-induced cycloaddition generating chemiluminescence, enabling orthogonal signal amplification for discrimination of subtle differences between similar proteins. By orthogonalizing these dual-mode signals, a two-dimensional work curve of fluorescence and chemiluminescence is established to distinguish and quantify similar proteins HSA and BSA.

A case report of comprehensive treatment for primary intraspinal carcinosarcoma.

Background: Carcinosarcoma is a rare and highly aggressive biphasic malignant tumor. To date, no cases of primary intraspinal carcinosarcoma have been reported.

Case Presentation: This study reports a case of a 36-year-old female with primary intra dural extramedullary carcinosarcoma.

Blood cadmium levels of children aged 0-6 years in China: A national cross-sectional study.

Background: Cd has no known biological function and poses significant health risks in humans. Children are particularly susceptible to Cd toxicity due to their higher absorption rates and weaker biological defenses. However, national blood Cd levels (BCLs) in Chinese children aged 0-6 years remain unclear.