Global impact of ten-valent and 13-valent pneumococcal conjugate vaccines on invasive pneumococcal disease in all ages (the PSERENADE project): a global surveillance analysis.

Background: Pneumococcal conjugate vaccines (PCVs) that are ten-valent (PCV10) and 13-valent (PCV13) became available in 2010. We evaluated their global impact on invasive pneumococcal disease (IPD) incidence in all ages.

Methods: Serotype-specific IPD cases and population denominators were obtained directly from surveillance sites using PCV10 or PCV13 in their national immunisation programmes and with a primary series uptake of at least 50%.

Enhancing AI reliability: A foundation model with uncertainty estimation for optical coherence tomography-based retinal disease diagnosis.

Inability to express the confidence level and detect unseen disease classes limits the clinical implementation of artificial intelligence in the real world. We develop a foundation model with uncertainty estimation (FMUE) to detect 16 retinal conditions on optical coherence tomography (OCT). In the internal test set, FMUE achieves a higher F1 score of 95.

Changes in iPSC-Astrocyte morphology reflect Alzheimer's disease patient clinical markers.

Human induced pluripotent stem cells (iPSCs) provide powerful cellular models of Alzheimer's disease (AD) and offer many advantages over non-human models, including the potential to reflect variation in individual-specific pathophysiology and clinical symptoms. Previous studies have demonstrated that iPSC-neurons from individuals with Alzheimer's disease (AD) reflect clinical markers, including β-amyloid (Aβ) levels and synaptic vulnerability. However, despite neuronal loss being a key hallmark of AD pathology, many risk genes are predominantly expressed in glia, highlighting them as potential therapeutic targets.

Synergy of sodium dodecyl sulfate and citric acid in removing bacterial biofilms in hydroponic farming facilities.

This research explored various concentrations of sodium dodecyl sulfate (SDS) and citric acid (CA), both individually and in combination, to assess their effectiveness against Salmonella biofilms in hydroponic agriculture systems. Results demonstrated that a combined sanitizer of 0.1% SDS (1.

Global prevalence of depression, anxiety, and stress symptoms in different trimesters of pregnancy: A meta-analysis and meta-regression.

The global prevalence of psychological problems in different trimesters is unclear due to methodological constraints in previous reviews. A precise estimate would be a key first step in raising awareness and allocating resources. This review aims to (1) calculate the global prevalence of depression, anxiety, and stress symptoms during different trimesters and (2) determine the factors influencing their prevalence estimates.

Hydrodynamic moiré superlattice.

The structural periodicity in photonic crystals guarantees the crystal's effective energy band structure, which is the fundamental cornerstone of topological and moiré physics. However, the shear modulus in most fluids is close to zero, which makes it challenging for fluids to maintain spatial periodicity akin to photonic crystals. We realized periodic vortices in hydrodynamic metamaterials and created a bilayer moiré superlattice by stacking and twisting two such vortex fluids.

Triboelectric Mat Multimodal Sensing System (TMMSS) Enhanced by Infrared Image Perception for Sleep and Emotion-Relevant Activity Monitoring.

To implement digital-twin smart home applications, the mat sensing system based on triboelectric sensors is commonly used for gait information collection from daily activities. Yet traditional mat sensing systems often miss upper body motions and fail to adequately project these into the virtual realm, limiting their specific application scenarios. Herein, triboelectric mat multimodal sensing system is designed, enhanced with a commercial infrared imaging sensor, to capture diverse sensory information for sleep and emotion-relevant activity monitoring without compromising privacy.

Heme promotes venetoclax resistance in multiple myeloma through MEK-ERK signaling and purine biosynthesis.

We previously demonstrated that reduced intrinsic electron transport chain (ETC) activity predicts and promotes sensitivity to the BCL-2 antagonist, venetoclax (Ven) in multiple myeloma (MM). Heme, an iron-containing prosthetic group, and metabolite is fundamental to maintaining ETC activity. Interrogation of the CD2 subgroup of MM from the CoMMpass trial (NCT01454297), which can be used as a proxy for Ven-sensitive MM (VS MM), shows reduced expression of the conserved heme biosynthesis pathway gene signature.

Infrared imaging with visible light in microfluidic devices: the water absorption barrier.

Infrared spectro-microscopy is a powerful technique for analysing chemical maps of cells and tissues for biomedical and clinical applications, yet the strong water absorption in the mid-infrared region is a challenge to overcome, as it overlaps with the spectral fingerprints of biological components. Microfluidic chips offer ultimate control over the water layer thickness and are increasingly used in infrared spectro-microscopy. However, the actual impact of the water layer thickness on the instrument's performance is often left to the experimentalist's intuition and the peculiarities of specific instruments.

Museomics Sheds Light on Evolutionary Diversity in a Critically Endangered Cockatoo Species From Wallacea.

Accurate identification of evolutionarily significant units of rare and threatened organisms provides a foundation for effective management and conservation. Up to seven subspecies of the critically endangered Yellow-crested Cockatoo (Cacatua sulphurea) have been described, four of which were commonly recognised pre-2014. In the absence of genotypic data, C.

Trends in nationwide incidence of uveitis in South Korea using the National Health Insurance claims database from 2010 to 2021.

Objectives: To investigate the population-based incidence of uveitis and the differences between anterior and non-anterior uveitis using the comprehensive Korean National Health Insurance Service (NHIS) database.

Methods: We extracted data of patients who visited the clinic and were diagnosed with uveitis (based on Korean Classification of Diseases) from 2010 to 2021. The incidence of uveitis, differences between the demographics, and the underlying co-morbidities of anterior uveitis, non-anterior uveitis, and control groups were investigated.

Iron-glucose oxidase nanogel assembly for amplified starvation-ferroptosis anti-tumor therapy.

Developing advanced and effective enzyme-drug systems for cancer treatment is of significant interest. Herein, a novel approach is reported to create a highly active and robust enzyme-drug system. Glucose oxidase nanogels (nGOx) are first synthesized by polymerization on the surface of GOx using vinylimidazole as comonomers.

Hepatitis B Virus Exposure, Seroprotection Status, and Susceptibility in Health Care Workers From Lao People's Democratic Republic: Cross-Sectional Study.

Background: Despite the high prevalence of chronic hepatitis B virus (HBV) infection in adults in Lao People's Democratic Republic (Lao PDR), Lao health care workers (HCWs) have previously been shown to have low levels of protection against infection. Furthermore, the prevalence of hepatitis D virus (HDV), which increases disease severity in individuals infected with HBV, is not known in Lao PDR.

Objective: This study aimed to estimate the exposure and seroprotection against HBV, as well as exposure to HDV, in Lao HCWs from 5 provinces.

Iridium-Catalyzed Enantioconvergent Construction of Piperidines and Tetrahydroisoquinolines from Racemic 1,5-Diols.

We report herein a one-step synthesis of valuable enantioenriched piperidines and tetrahydroisoquinolines from readily available racemic 1,5-diols. Key to the success is the development of new iridacycle catalysts that enable efficient redox-neutral construction of two C-N bonds between diols and amines in an enantioconvergent fashion. Mechanistic studies identified an intriguing preferential oxidation of secondary versus primary alcohol in the diol substrate by the iridacycle catalyst, which set a challenging intermolecular amination of aryl-alkyl-substituted alcohol as the enantiodetermining step for this catalytic -heterocycle synthesis.

Selective Photocatalytic C─H Oxidation Using All-Inorganic Perovskite Quantum Dots Encapsulated in UiO-Series MOFs.

All-inorganic cesium lead halide (CsPbX, X = Cl, Br, I) perovskite quantum dots (PeQDs) are successfully incorporated within the cages of zirconium-based UiO-series metal-organic frameworks (MOFs) using in situ ship-in-a-bottle method at room temperature under ambient conditions. The resulting mBPP-MOF, which includes the 4,4'-(2,2'-bipyridyl-5,5'-diyl)dibenzoic acid (HBPP) linker, features a larger cavity size than UiO-66 and UiO-67-bpy, allowing for uniform accommodation of PeQDs within its cages. This PeQDs@MOF hybrid heterostructure enhances the separation and transfer of photogenerated charges, enabling the synthesized CsPbBr@mBPP-MOF to demonstrate highly selective and stable performance in the photocatalytic oxidation of toluene under visible light irradiation at 395 nm.

The Impact of a New Case-Based Payment System on Quality of Care: A Difference-in-Differences Analysis in China.

Purpose: China has developed and widely piloted a new case-based payment, ie, the "Diagnosis-Intervention Packet" (DIP) payment, which has a granular classification system. We evaluated the impact of DIP payment on the quality of care in a large pilot city in China and explored potential mechanisms of quality change.

Methods: The city started to implement DIP payment with a hospital-level cap on July 1, 2019.

Concurrently Boosting Activity and Stability of Oxygen Reduction Reaction Catalysts via Judiciously Crafting Fe-Mn Dual Atoms for Fuel Cells.

The ability to unlock the interplay between the activity and stability of oxygen reduction reaction (ORR) represents an important endeavor toward creating robust ORR catalysts for efficient fuel cells. Herein, we report an effective strategy to concurrent enhance the activity and stability of ORR catalysts via constructing atomically dispersed Fe-Mn dual-metal sites on N-doped carbon (denoted (FeMn-DA)-N-C) for both anion-exchange membrane fuel cells (AEMFC) and proton exchange membrane fuel cells (PEMFC). The (FeMn-DA)-N-C catalysts possess ample dual-metal atoms consisting of adjacent Fe-N and Mn-N sites on the carbon surface, yielded via a facile doping-adsorption-pyrolysis route.

TMP: A dual modulator of apoptosis and autophagy via SHP-1 regulation in hepatocellular carcinoma.

Background: Hepatocellular carcinoma (HCC) poses a significant health burden due to its high incidence, and current treatment effectiveness is hindered by drug resistance. Thus, investigation of novel therapeutic approaches derived from natural sources is crucial for improving patient outcomes.

Aims: This study aimed to explore the potential of Tetramethylpyrazine (TMP), bioactive alkaloid (ligustrazine) isolated from Chuanxiong (Ligusticum Wallichii), in targeting HCC by inducing apoptosis and enhancing autophagy.

Exploring the impact of force direction and phase on bone conduction hearing with bone conduction actuator.

A comprehensive understanding of the effects of bone conduction (BC) input force is essential for elucidating BC hearing mechanisms. However, this area remains underexplored due to the inherent difficulties in controlling input forces when BC transducers are anchored to the bone. In this study, the effects of both unilateral and bilateral BC input forces were investigated using a three-dimensional finite element (FE) model of the human head, which allows precise manipulation of input forces.

Current status and future directions of explainable artificial intelligence in medical imaging.

The inherent "black box" nature of AI algorithms presents a substantial barrier to the widespread adoption of the technology in clinical settings, leading to a lack of trust among users. This review begins by examining the foundational stages involved in the interpretation of medical images by radiologists and clinicians, encompassing both type 1 (fast thinking - ability of the brain to think and act intuitively) and type 2 (slow analytical - slow analytical, laborious approach to decision-making) decision-making processes. The discussion then delves into current Explainable AI (XAI) approaches, exploring both inherent and post-hoc explainability for medical imaging applications and highlighting the milestones achieved.

Sintering Evolving MnO-LaMnO Perovskite Heterointerfaces as Highly Active and Durable Catalysts for Catalytic Removal of Volatile Organic Compounds.

Improving the catalyst performance for the thermal oxidation reaction faces the daunting challenge of the activity-stability trade-off. Herein, an evolved heterointerface was constructed on spherical MnO nanocatalysts to achieve exceptional stability while maintaining adequate activity by simply introducing La. The generation of the active MnO-MnO heterointerfaces by La doping was experimentally observed, which further segregates to the surface during thermal aging and forms epitaxially grown heterostructured LaMnO-MnO with Mn atoms.

Water sorption performance of the zeolitic metal azolate framework MAF-7.

Water sorption isotherms of [Zn(mtz)] (MAF-7) were collected over a wide temperature range (15-45 °C) and its water sorption performance was assessed in terms of water uptake, sorption kinetics, recyclability, and regeneration temperature. Additionally, molecular simulations were conducted to elucidate the locations of water molecules within the pore cavity of MAF-7.

2D Conjugated Metal-Organic Frameworks for New Generation Flexible Multicolor Electrochromic Devices.

There has been considerable interest in 2D conductive conjugated MOFs (2D c-MOFs) for their potential applications in sensors, opto-electronics, catalysis, and energy storage, owing to their ultra-high specific surface area, relatively high electrical conductivity, and tunable pore channel sizes for ion/charge diffusion/adsorption. The unique advantages brought by systematic tunings in the metal nodes and organic ligands enable the creation of highly accessible and remarkable structures with diverse chemical and physical behaviors. While the 2D c-MOFs are being explored for the rapid widening spectrum of applications, in this work, the great potential of multicolor transitions and functional properties of these 2D c-MOFs are examined for the new generation of flexible multicolor electrochromic devices (FMEDs).

Machine Learning-based Prognostic Subgrouping of Glioblastoma: A Multi-center Study.

Background: Glioblastoma is the most aggressive adult primary brain cancer, characterized by significant heterogeneity, posing challenges for patient management, treatment planning, and clinical trial stratification.

Methods: We developed a highly reproducible, personalized prognostication and clinical subgrouping system using machine learning (ML) on routine clinical data, MRI, and molecular measures from 2,838 demographically diverse patients across 22 institutions and 3 continents. Patients were stratified into favorable, intermediate, and poor prognostic subgroups (I, II, III) using Kaplan-Meier analysis (Cox proportional model and hazard ratios [HR]).

Impact of grain boundaries on the electronic properties and Schottky barrier height in MoS@Au heterojunctions.

Using density functional theory (DFT) calculations we thoroughly explored the influence of grain boundaries (GBs) in monolayer MoS composed of S-polar (S5|7), Mo-polar (Mo5|7), and (4|8) edge dislocation, as well as an edge dislocation-double S vacancy complex (S4|6), and a dislocation-double S interstitial complex (S6|8), respectively, on the electronic properties of MoS and the Schottky barrier height (SBH) in MoS@Au heterojunctions. Our findings demonstrate that GBs formed by edge dislocations can significantly reduce the SBH in defect-free MoS, with the strongest effect for zigzag (4|8) GBs (-20% reduction) and the weakest for armchair (5|7) GBs (-10% reduction). In addition, a larger tilt angle in the GBs leads to a more pronounced decrease in the SBH, suggesting that the modulation of SBH in the MoS@Au heterostructure and analogous systems can be accomplished by GB engineering.