A safe-enhanced fully closed-loop artificial pancreas controller based on deep reinforcement learning.

Patients with type 1 diabetes and their physicians have long desired a fully closed-loop artificial pancreas (AP) system that can alleviate the burden of blood glucose regulation. Although deep reinforcement learning (DRL) methods theoretically enable adaptive insulin dosing control, they face numerous challenges, including safety and training efficiency, which have hindered their clinical application. This paper proposes a safe and efficient adaptive insulin delivery controller based on DRL.

An evolutionary game theory analysis on the environmental impact of discharging Fukushima's nuclear wastewater: International stakeholders and strategic dynamics.

On August 24, 2023, Japan controversially decided to discharge nuclear wastewater from the Fukushima Daiichi Nuclear Power Plant into the ocean, initiating intense domestic and global debates. This study employs a mixed-method approach, integrating quantitative evolutionary game theory and qualitative data analysis to explore the strategic dynamics among Japan, other nations, and the Japan Fisheries Association regarding this decision. The data includes international environmental reports and economic statistics, served as the basis for simulating decision-making processes under various legal, economic, and environmental pressures.

The impact of the reform of rural collective property rights system on villagers' public participation: An empirical study based on CRRS 2020 data.

The reform of rural collective property rights system is of great significance for protecting the collective asset rights and interests of villagers, activating rural resource elements, and achieving rural revitalization. This study is based on 284 village committee questionnaires and 7451 villager questionnaires from 10 provinces in China, and uses multi-layer linear regression models to explore the impact of the reform of rural collective property rights system on villagers' public participation. Research has found that:(1) the reform of rural collective property rights system that has been completed at the rural level can significantly enhance the public participation of villagers, including total participation (β = 0.

The impact of depression and anxiety disorders on postoperative outcomes for patients having total hip or knee arthroplasty: Protocol of a meta-analytic study from cohort studies.

Background And Purpose: Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are widely performed surgeries for end-stage joint disease, yet the influence of depression and anxiety on postoperative outcomes remains unclear. This study aims to consolidate current evidence on the relationship between preoperative depression and/or anxiety disorders and postoperative outcomes in adult patients undergoing primary THA or TKA. Given the potential for these psychiatric conditions to affect recovery, pain management, and overall satisfaction, the results of this study are crucial to inform targeted perioperative interventions and improve patient-centered care.

Improving the Electrochemical Properties of SiO Anode for High-Performance Lithium-Ion Batteries by Magnesiothermic Reduction and Prelithiation.

For lithium-ion batteries, silicon monoxide is a potential anode material, but its application is limited by its relatively large irreversible capacity loss, which leads to its low initial Coulombic efficiency (ICE). In this study, we conduct a two-step reaction for the formation of silicon oxide-based materials, including a magnesiothermic reduction of SiO with Mg, followed by the solid-state lithiation of silicon oxide with LiCO. Our results demonstrate that Mg can reduce SiO to Si and form MgSiO, while LiCO reacts with SiO to form LiSiO.

Homochiral BINOL-Based Metal-Organic Frameworks for Luminescence Sensing of Hydrobenzoin Enantiomers.

Luminescent chiral metal-organic frameworks (CMOFs) are promising candidates for the enantioselective sensing of important chiral molecules. Herein, we report the synthesis and characterization of Zn and Cd CMOFs based on 1,1'-bi-2-naphthol (BINOL)-derived 3,3',6,6'-tetra(benzoic acids), H-OEt and H-OH. Four CMOFs, -OEt, -OH, -OEt, and -OH, based on these ligands were crystallographically characterized.

ELONGATED HYPOCOTYL 5 promotes root growth by maintaining redox homeostasis and repressing oxidative stress response.

Oxidative stress is a major threat to plant growth and survival. To understand how plants cope with oxidative stress, we carried out a genetic screen for Arabidopsis (Arabidopsis thaliana) mutants with altered response to hydrogen peroxide (H2O2) in root growth. Herein, we report the characterization of one of the hypersensitive mutants obtained.

A Granzyme B-Cleavable T Cell-Targeted Bispecific Cell Vesicle Connector for Reversing New-Onset Type 1 Diabetes.

Type 1 diabetes (T1D) is an autoimmune disorder in which pancreatic β-cells are destroyed by CD8 T cells. Anti-CD3 antibody effectively treats early-stage T1D when β-cell autoantibodies are detected but before symptoms appear. However, it impairs the immune system temporarily, exposing individuals to infection.

M6a demethylase FTO regulates the oxidative stress, mitochondrial biogenesis of cardiomyocytes and PGC-1a stability in myocardial ischemia-reperfusion injury.

Objective: Myocardial ischemia-reperfusion injury (MIRI) is a highly complex disease with high morbidity and mortality. Studying the molecular mechanism of MIRI and discovering new targets are crucial for the future treatment of MIRI.

Methods: We constructed the MIRI rat model and hypoxia/reoxygenation (H/R) injury cardiomyocytes model.

Green Manufacture of Hydrated Polymers Coatings with On-Demand Mechanics and Lubricity Based on Novel Biobased Polymerizable Deep Eutectic Solvents.

The aging population necessitates a critical need for medical devices, where polymers-based surface lubrication coating is essential for optimal functionality. In fact, lubrication and mechanical requirements vary depending on the service environment of different medical devices. Until now, key mean is still blank for general preparation of hydrophilic polymers-based lubrication coatings with on-demand mechanics and lubricity.

Label-Free and Sequence-Independent Isothermal Amplification Strategy for the Simultaneous Detection of Genomic 5-Methylcytosine and 5-Hydroxymethylcytosine.

5-Methylcytosine (5mC) and 5-hydroxymethylcytosine (5hmC) are crucial epigenetic modifications in eukaryotic genomic DNA that regulate gene expression and are associated with the occurrence of various cancers. Here, we combined bisulfite conversion with 4-acetamido-2,2,6,6-tetramethyl-1-oxopiperridinium tetrafluoroborate (ACTBF, TCI) oxidation to develop a label-free and sequence-independent isothermal amplification (BTIA) assay for a genome-wide 5mC and 5hmC analysis. The BTIA strategy can distinguish 5mC and 5hmC signatures from other bases with high sensitivity and good specificity, avoiding sophisticated chemical modifications and expensive protein labeling.

Constructing an Organic-Inorganic Hybrid Solid-Electrolyte Interface In Situ via an Organo-Polysulfide Electrolyte Additive for Lithium-Sulfur Batteries.

Lithium (Li) metal's extremely high specific energy and low potential make it critical for high-performance batteries. However, uncontrolled dendrite growth and an unstable solid-electrolyte interphase (SEI) during repeated cycling still seriously hinder its practical application in Li metal batteries. Herein, we demonstrate a facile and effective approach to fabricate a flexible and robust hybrid SEI layer using two kinds of organo-polysulfides with different sulfur chain lengths [bis(3-(triethoxysilyl)propyl)disulfide (Si-O-2S) and bis(3-(triethoxysilyl)propyl)tetrasulfide (Si-O-4S)] as the additives in the electrolyte.

Pressure-Induced Emission Enhancement of Multi-Resonance o-Carborane Derivatives via Exciton‒Vibration Coupling Suppression.

Polycyclic multiple resonance (MR) molecules reveal narrowband emission, making them very promising emitters for high color purity display. Nevertheless, they still have challenges such as aggregation-induced emission quenching and spectral broadening. Overcoming these obstacles requires an in-depth understanding of the correlations among the alterations in their geometries, packing structures, and molecular vibrations and their corresponding changes in their photoluminescence (PL) properties.

METTL3 Potentiates M2 Macrophage-Driven MMT to Aggravate Renal Allograft Fibrosis via the TGF-β1/Smad3 Pathway.

METTL3, a key enzyme in N6-methyladenosine (m6A) modification, plays a crucial role in the progression of renal fibrosis, particularly in chronic active renal allograft rejection (CAR). This study explored the mechanisms by which METTL3 promotes renal allograft fibrosis, focusing on its role in the macrophage-to-myofibroblast transition (MMT). Using a comprehensive experimental approach, including TGF-β1-induced MMT cell models, METTL3 conditional knockout (METTL3 KO) mice, and renal biopsy samples from patients with CAR, the study investigates the involvement of METTL3/Smad3 axis in driving MMT and renal fibrosis during the episodes of CAR.

Cyano-Modified Multi-Resonance Thermally Activated Delayed Fluorescent Emitters towards Pure-Green OLEDs with a CIE y Value of 0.74.

The development of pure-green organic emitters with ideal emission peak and ultra-narrow full-widths at half-maximum (FWHMs) remains a formidable challenge. Herein, we report two new green emitters, CNBN and MCNBN, which achieve extremely narrow FWHMs by synergistic rigid π-extension and cyano-substitution for sky-blue multi-resonance thermally activated delayed fluorescence (MR-TADF) core. The introduction of cyano groups induces red-shifts of emission to green region and dramatically minimize the FWHMs.

Electroacupuncture alleviates motor dysfunction after intracerebral hemorrhage via the PPARγ-EAAT2 pathway.

Nowadays, intracerebral hemorrhage (ICH) is the main cause of death and disability, and motor impairment is a common sequel to ICH. Electroacupuncture (EA) has been widely used for functional recovery after ICH. However, its role and associated regulatory mechanisms in rehabilitation after ICH remain poorly understood.

Comparison of stop-jump muscle synergies in amateur basketball players with and without asymptomatic patellar tendon abnormalities during simulated games.

: Asymptomatic patellar tendon abnormality (APTA) is considered a precursor to patellar tendinopathy (PT), but its pathogenesis remains unclear, especially regarding changes in muscle coordination. Therefore, it is essential to explore the muscle synergy patterns in individuals with APTA. This study recorded sEMG data during stop-jump tasks in 8 APTA and 8 healthy amateur male basketball players in a simulated basketball game.

Kinetic characterization of adolescent scoliosis patients with Lenke 1B.

: The purpose of this study was to investigate dynamic responses of Lenke1B+ spines of adolescent scoliosis patients to different frequencies. : Modal analysis, harmonic response analysis and transient dynamics of a full spine model inverted by the finite element method using Abaqus. : The first-order axial resonance frequency of 4.

Biomechanical study of elbow joint: different stages after the elbow anterior capsule injury.

: Elbow contracture is a common complication post-elbow trauma, the biomechanical environment after anterior capsule injury was complex. This study aimed to use a finite element model to investigate the biomechanical environment within elbow capsule and its surrounding tissues at various stages after anterior capsule injury. : A finite element model of the elbow joint, incorporating muscle activation behavior, was developed to simulate elbow flexion under normal condition (no injury) and at 2, 4, 6 and 8 weeks following anterior joint capsular injury.

A study on the performance of WordSID thorax module for thorax injury prediction in e-Bike rider based on real accident data.

In this study, the analysis of 2824 vulnerable road users (VRU) accident data from China's FASS (Future mobile traffic Accident Scenario Study) database indicates that VRU side impacts are the most common collision scenarios. A typical accident (minivan-toeBike) from the FASS database was selected for accident reconstruction. WordSID thorax module has been employed to evaluate e-Bike rider thorax injuries and its kinematic difference has been investigated as well.

Consciousness trajectories and functional independence after acute brain injury in children with prolonged disorder of consciousness.

Aim: To explore the trajectories of consciousness recovery and prognosis-associated predictors in children with prolonged disorder of consciousness (pDoC).

Method: This single-centre, retrospective, observational cohort involved 134 (87 males, 47 females) children diagnosed with pDoC and hospitalized at the Department of Rehabilitation at the Children's Hospital of Chongqing Medical University in China. The median onset age was 30 (interquartile range [IQR] 18-54) months, with onset ages ranging from 3 to 164 months.

In situ-Induced Crystal Facet Engineering to Enhance the Rate Performance of Zn Storage.

In recent years, aqueous zinc-ion batteries (ZIBs) have shown considerable promise in the energy storage sector, attributed to their inherent high safety and cost-effectiveness. ZnVO(OH)·2HO (ZVO) has emerged as a promising candidate for Zn storage in recent years, owing to its exceptional structural stability that endows it with an excellent cycle life. However, an unsatisfactory rate performance is a limiting factor for its development in ZIBs.

MiR-423 Coding Region Genetic Polymorphism rs8067576 May Associate With the Risk of Developing Recurrent Spontaneous Abortion: A Case-Control Study in a Chinese Han Population.

Background: Our previous study has identified an association of a single nucleotide polymorphism (SNP) in the miR-423 gene with recurrent spontaneous abortion (RSA). The presence of additional RSA-linked SNPs in the miR-423 gene remains unclear.

Methods: We evaluated polymorphisms in the coding region of miR-423 in Han Chinese women with unexplained RSA (URSA).

The Ubiquitin Ligase CHIP Accelerates Papillary Thyroid Carcinoma Metastasis via the Transgelin-Matrix Metalloproteinase-9 Axis.

The carboxyl-terminus of Hsp70-interacting protein (CHIP) plays crucial roles in tumorigenesis and immunity, with previous studies suggesting a double-edged sword in thyroid cancer. However, its precise functions and underlying molecular mechanisms in thyroid cancer remained unclear. Here, we demonstrate through immunohistochemistry (IHC) that CHIP expression progressively increases from normal thyroid tissue to primary papillary thyroid carcinoma (PTC) and lymph node metastases, with CHIP levels positively correlating with lymph node metastasis ( = 0.

Clone-Resolved Chemical Depletion of T cells via Cellular Proximity Chemistry.

T cells play a pivotal role in the development of autoimmune diseases. To mitigate autoimmune inflammation without inducing global immunosuppression, it is crucial to selectively eliminate autoreactive T cell clones while preserving the normal T cell repertoire. In this study, we applied cellular proximity chemistry to develop a T-cell depletion method with clonal precision.