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Predicting the HbA

To investigate whether the prediction of post-treatment HbA

Slip or fallacy? Effects of error severity on own and observed pitch error processing in pianists.

Errors elicit a negative, mediofrontal, event-related potential (ERP), for both own errors (error-related negativity; ERN) and observed errors (here referred to as observer mediofrontal negativity; oMN). It is unclear, however, if the action-monitoring system codes action valence as an all-or-nothing phenomenon or if the system differentiates between errors of different severity. We investigated this question by recording electroencephalography (EEG) data of pianists playing themselves (Experiment 1) or watching others playing (Experiment 2). Piano pieces designed to elicit large errors were used. While active participants' ERN amplitudes differed between small and large errors, observers' oMN amplitudes did not. The different pattern in the two groups of participants was confirmed in an exploratory analysis comparing ERN and oMN directly. We suspect that both prediction and action mismatches can be coded in action monitoring systems, depending on the task, and a need-to-adapt signal is sent whenever mismatches happen to indicate the magnitude of the needed adaptation.

Dynamic NLR and PLR in Predicting COVID-19 Severity: A Retrospective Cohort Study.

The hyperinflammation phase of severe SARS-CoV-2 is characterised by complete blood count alterations. In this context, the neutrophil-to-lymphocyte ratio (NLR) and the platelet-to-lymphocyte ratio (PLR) can be used as prognostic factors. We studied NLR and PLR trends at different timepoints and computed optimal cutoffs to predict four outcomes: use of continuous positive airways pressure (CPAP), intensive care unit (ICU) admission, invasive ventilation and death.

Detection of dengue virus infection in children presenting with fever in Hawassa, southern Ethiopia.

Dengue fever is a mosquito-borne viral infection, with rising incidence globally. Eastern Ethiopia has had dengue fever outbreaks in recent years. However, the extent to which the infection contributes to hospital presentation among children with fever in southern Ethiopia is unknown. We examined 407 stored plasma samples collected to investigate the aetiology of fever in children aged at least 2 months and under 13 years presenting to the outpatient of the largest tertiary hospital in southern Ethiopia. We analyzed samples for dengue virus non-structural 1 antigen using enzyme-linked immunosorbent assay. The median (interquartile range) age of the 407 children examined was 20 (10-48) months, and 166 (40.8%) of the children were females. Of 407 samples analyzed, 9 (2.2%) were positive for dengue virus non-structural 1 antigen, of whom 2 were initially treated with antimalarial drugs despite having negative malaria microscopy, and 1 of the 8 patients had a persistent fever at the seventh day of follow-up time. The presence of active dengue virus infection in the study area highlights the need for studies at the community level as well as the integration of dengue diagnostics into fever-management strategies. Further research to characterize circulating strains is warranted.

Brg1 controls stemness and metastasis of pancreatic cancer through regulating hypoxia pathway.

Pancreatic ductal adenocarcinoma (PDAC) is a devastating disease. We previously reported that chromatin remodeler Brg1 is essential for acinar cell-derived PDAC formation in mice. However, the functional role of Brg1 in established PDAC and its metastasis remains unknown. Here, we investigated the importance of Brg1 for established PDAC by using a mouse model with a dual recombinase system. We discovered that Brg1 was a critical player for the cell survival and growth of spontaneously developed PDAC in mice. In addition, Brg1 was essential for metastasis of PDAC cells by inhibiting apoptosis in splenic injection and peritoneal dissemination models. Moreover, cancer stem-like property was compromised in PDAC cells by Brg1 ablation. Mechanistically, the hypoxia pathway was downregulated in Brg1-deleted mouse PDAC and BRG1-low human PDAC. Brg1 was essential for HIF-1α to bind to its target genes to augment the hypoxia pathway, which was important for PDAC cells to maintain their stem-like properties and to metastasize to the liver. Human PDAC cells with high BRG1 expression were more susceptible to BRG1 suppression. In conclusion, Brg1 plays a critical role for cell survival, stem-like property and metastasis of PDAC through the regulation of hypoxia pathway, and thus could be a novel therapeutic target for PDAC.

New genetic and epigenetic insights into the chemokine system: the latest discoveries aiding progression toward precision medicine.

Over the past thirty years, the importance of chemokines and their seven-transmembrane G protein-coupled receptors (GPCRs) has been increasingly recognized. Chemokine interactions with receptors trigger signaling pathway activity to form a network fundamental to diverse immune processes, including host homeostasis and responses to disease. Genetic and nongenetic regulation of both the expression and structure of chemokines and receptors conveys chemokine functional heterogeneity. Imbalances and defects in the system contribute to the pathogenesis of a variety of diseases, including cancer, immune and inflammatory diseases, and metabolic and neurological disorders, which render the system a focus of studies aiming to discover therapies and important biomarkers. The integrated view of chemokine biology underpinning divergence and plasticity has provided insights into immune dysfunction in disease states, including, among others, coronavirus disease 2019 (COVID-19). In this review, by reporting the latest advances in chemokine biology and results from analyses of a plethora of sequencing-based datasets, we outline recent advances in the understanding of the genetic variations and nongenetic heterogeneity of chemokines and receptors and provide an updated view of their contribution to the pathophysiological network, focusing on chemokine-mediated inflammation and cancer. Clarification of the molecular basis of dynamic chemokine-receptor interactions will help advance the understanding of chemokine biology to achieve precision medicine application in the clinic.

Recombinant Streptomyces netropsis transglutaminase expressed in Komagataella phaffii (Pichia pastoris) and applied in plant-based chicken nugget.

Transglutaminase (TG, EC 2.3.2.13) is widely used to modify functional properties in food systems, which can catalyze cross-linking reaction of proteins. In this work, microbial transglutaminase (MTG) from Streptomyces netropsis was heterologously expressed in the methylotrophic yeast Komagataella phaffii (Pichia pastoris). The specific activity of recombinant microbial transglutaminase (RMTG) was 26.17 ± 1.26 U/mg, and the optimum pH and temperature were measured as 7.0 and 50 °C, respectively. Bovine serum albumin (BSA) was used as a substrate to evaluate the effect of cross-linking reaction, and we found that RMTG had significant (p < 0.05) cross-linking effect for more than 30 min reactions. RMTG was further utilized in the investigation of plant-based chicken nuggets. Results showed that the hardness, springiness and chewiness of nuggets increased, and the adhesiveness decreased after RMTG treatment, which can prove that RMTG has the potential to improve the texture properties of plant-based chicken nuggets.

Identify Primary Air Pollution Sources of BTEX by Using Positive Matrix Factorization (PMF): A Case Study of Ho Chi Minh City, Vietnam.

Ho Chi Minh City (HCMC) is one of the main socioeconomic and financial centers of Vietnam. The city also faces serious air pollution. However, the city polluted with benzene, toluene, ethylbenzene, and xylene (BTEX) has rarely been studied. We used positive matrix factorization (PMF) to analyze BTEX concentrations measured at two sampling locations to identify the main sources of BTEX in HCMC. The locations represented residential area (i.e., To Hien Thanh) and industrial area (i.e., Tan Binh Industrial Park). At the To Hien Thanh location, the average concentrations of benzene, ethylbenzene, toluene, and xylene were 6.9, 14.4, 4.9, and 12.7 µg/m

Evaluation of immunodominant peptides of in vivo expressed mycobacterial antigens in an ELISA-based diagnostic assay for pulmonary tuberculosis.

Non-sputum-based biomarker assay is urgently required as per WHO's target product pipeline for diagnosis of tuberculosis. Therefore, the current study was designed to evaluate the utility of previously identified proteins, encoded by in vivo expressed mycobacterial transcripts in pulmonary tuberculosis, as diagnostic targets for a serodiagnostic assay. A total of 300 subjects were recruited including smear+, smear- pulmonary tuberculosis (PTB) patients, sarcoidosis patients, lung cancer patients and healthy controls. Proteins encoded by eight in vivo expressed transcripts selected from previous study including those encoded by two topmost expressed and six RD transcripts (Rv0986, Rv0971, Rv1965, Rv1971, Rv2351c, Rv2657c, Rv2674, Rv3121) were analyzed for B-cell epitopes by peptide arrays/bioinformatics. Enzyme-linked immunosorbent assay was used to evaluate the antibody response against the selected peptides in sera from PTB and controls. Overall 12 peptides were selected for serodiagnosis. All the peptides were initially screened for their antibody response. The peptide with highest sensitivity and specificity was further assessed for its serodiagnostic ability in all the study subjects. The mean absorbance values for antibody response to selected peptide were significantly higher (p<0.001) in PTB patients as compared to healthy controls; however, the sensitivity for diagnosis of PTB was 31% for smear+ and 20% for smear- PTB patients. Thus, the peptides encoded by in vivo expressed transcripts elicited a significant antibody response, but are not suitable candidates for serodiagnosis of PTB.

Wavelet clustering analysis as a tool for characterizing community structure in the human microbiome.

Human microbiome research is helped by the characterization of microbial networks, as these may reveal key microbes that can be targeted for beneficial health effects. Prevailing methods of microbial network characterization are based on measures of association, often applied to limited sampling points in time. Here, we demonstrate the potential of wavelet clustering, a technique that clusters time series based on similarities in their spectral characteristics. We illustrate this technique with synthetic time series and apply wavelet clustering to densely sampled human gut microbiome time series. We compare our results with hierarchical clustering based on temporal correlations in abundance, within and across individuals, and show that the cluster trees obtained by using either method are significantly different in terms of elements clustered together, branching structure and total branch length. By capitalizing on the dynamic nature of the human microbiome, wavelet clustering reveals community structures that remain obscured in correlation-based methods.

Role of decomposition products in the oxidation of cyclohexene using a manganese(III) complex.

Metal complexes are extensively explored as catalysts for oxidation reactions; molecular-based mechanisms are usually proposed for such reactions. However, the roles of the decomposition products of these materials in the catalytic process have yet to be considered for these reactions. Herein, the cyclohexene oxidation in the presence of manganese(III) 5,10,15,20-tetra(4-pyridyl)-21H,23H-porphine chloride tetrakis(methochloride) (1) in a heterogeneous system via loading the complex on an SBA-15 substrate is performed as a study case. A molecular-based mechanism is usually suggested for such a metal complex. Herein, 1 was selected and investigated under the oxidation reaction by iodosylbenzene or (diacetoxyiodo)benzene (PhI(OAc)

Material risk: vitreoretinal surgery, evisceration, enucleation and sympathetic ophthalmia-where are we currently?

Sympathetic ophthalmia (SO) is known to occur after severe penetrating eye injury, evisceration and even enucleation surgery. Recent evidence suggests that a greater risk lies after multiple vitreoretinal procedures. The risk of SO following evisceration is only minimally greater than that following enucleation surgery. This review evaluates literature on SO to date and provides figures for the risk of developing SO for the purposes of the consent process. The issue of SO and Material Risk following vitreoretinal surgery is reviewed and figures for the purposes of consent are outlined. This is of particular relevance for patients in whom the contralateral eye is and will likely remain the better seeing eye. Sympathetic ophthalmitis is known to occur after severe penetrating eye injury, after evisceration and enucleation. More recently, sympathetic ophthalmitis has been recognised to occur after vitreoretinal surgery. This article reviews the evidence on material risk when consenting patients for elective and emergency eye procedures after ocular trauma or surgery. When a globe needs to be removed because of irreparable ocular injury, previous publications dictated the procedure to be an enucleation because of the fear of an increased risk of SO after an evisceration. Perhaps the issue of material risk of sympathetic ophthalmia (SO) remains over-emphasised by ophthalmic plastic surgeons and under-recognised by vitreoretinal surgeons during the consent process for evisceration, enucleation and vitreoretinal surgery. Antecedent trauma and number of previous surgeries may actually be a more significant risk factor than the type of eye removal. Recent medicolegal cases also help us understand the importance of the discussion of this risk. We present our current understanding of the risk of SO after different procedures and suggest how this information may be included in a patient consent.

Recent progress in the diagnosis and treatment of primary aldosteronism.

Primary aldosteronism (PA) is caused by excessive secretion of aldosterone from the adrenal glands, with subsequent changes in the renin-angiotensin system. In Japan, chemiluminescent enzyme immunoassay is currently performed for aldosterone assay rather than the earlier method of radioimmunoassay. This change in aldosterone measurement methods has resulted in faster and more accurate measurement of blood aldosterone levels. Since 2019, esaxerenone, a mineralocorticoid receptor antagonist (MRA) with a non-steroidal skeleton, has been available in Japan for the treatment of hypertension. Esaxerenone has been reported to have various effects, such as strong antihypertensive and anti-albuminuric/proteinuric effects. Treatment of PA with MRAs has been reported to improve the patient's quality of life and to suppress the onset of cardiovascular events independent of their effects on blood pressure. Measuring renin levels is recommended for monitoring the extent of mineralocorticoid receptor blockade during MRA treatment. Patients receiving MRAs are prone to developing hyperkalemia, and combining MRAs with sodium/glucose cotransporter 2 inhibitors is expected to prevent severe hyperkalemia and provide additional cardiorenal protection. Mineralocorticoid receptor-associated hypertension is a broad concept of hypertension that includes not only PA, but also hypertension caused by borderline aldosteronism, obesity, diabetes, and sleep apnea syndrome. New findings on primary aldosteronism, which is part of MR-associated hypertension. Aldosterone measurements have been changed to the CLEIA method. Treatment of primary aldosteronism with MRAs has a variety of positive effects. CT-guided radiofrequency ablation and transarterial embolization are alternatives to surgery for aldosterone-producing adenomas. BP blood pressure, CLEIA chemiluminescent enzyme immunoassay, CT computed tomography, K serum potassium, MR mineralocorticoid receptor, MRA mineralocorticoid receptor antagonist, QOL quality of life, SGLT2i sodium/glucose cotransporter 2 inhibitor.

Quality of life in children operated for spina bifida; low- and middle-income country perspective.

Spina bifida is a potentially disabling congenital condition and affects the quality of life (QOL). We aimed to assess clinical outcomes and QOL in children who underwent spina bifida repair at our hospital.

Ancient gene linkages support ctenophores as sister to other animals.

A central question in evolutionary biology is whether sponges or ctenophores (comb jellies) are the sister group to all other animals. These alternative phylogenetic hypotheses imply different scenarios for the evolution of complex neural systems and other animal-specific traits

ERα-associated translocations underlie oncogene amplifications in breast cancer.

Focal copy-number amplification is an oncogenic event. Although recent studies have revealed the complex structure

Atmospheric molecular blobs shape up circumstellar envelopes of AGB stars.

During their thermally pulsing phase, asymptotic giant branch (AGB) stars eject material that forms extended dusty envelopes

A highly magnetized environment in a pulsar binary system.

Spider pulsars are millisecond pulsars in short-period (≲12-h) orbits with low-mass (~0.01-0.4 M

Simultaneous tibio-talar fusion and tibial lengthening for end-stage ankle arthritis.

Arthrodesis of the ankle joint is an accepted treatment option in patients with end-stage ankle arthritis. The goal is to achieve fusion between the tibia and the talus, thereby stabilizing the joint and alleviating pain. There might be associated limb length discrepancy, especially in post-traumatic and post-infectious cases. These patients require limb lengthening and arthrodesis. The purpose of this study is to report our experience with simultaneous ankle arthrodesis and lengthening using external fixation in adolescent and young adult patients.

Sports activity level after ACL reconstruction is predicted by vastus medialis or vastus medialis obliquus thickness, single leg triple hop distance or 6-m timed hop, and quality of life score.

Recovery after anterior cruciate ligament reconstruction (ACLR) may take > 2 years, and younger athletes have higher re-injury risk. The purpose of this prospective longitudinal study was to determine how the early to mid-term Tegner Activity Level Scale (TALS) scores of athletically active males ≥ 2 years post-ACLR follow-up was predicted by bilateral isokinetic knee extensor and flexor torque, quadriceps femoris thickness, single leg hop test performance, and self-reported knee function (Knee Injury and Osteoarthritis Outcome Score (KOOS); International Knee Documentation Committee (IKDC) Subjective Assessment score).

Outcomes of different zero-profile spacers in the treatment of two-level cervical degenerative disk disease.

The purpose of this study was to analyze the clinical and radiological outcomes of two different zero-profile spacers (ROI-C and anchor-C) in contiguous two-level ACDF for CDDD patients.

The Possible Role of COVID-19 in the Triggering of Underlying Mitochondrial Dysfunction in MELAS Syndrome, A Brief Report of three cases.

During corona virus pandemic, various neurological complications of COVID-19 have been reported. Recent studies demonstrated different pathophysiology for neurological manifestations of COVID-19 such as mitochondrial dysfunction and damage to cerebral vasculature. In addition, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is a mitochondrial disorder with a variety of neurological symptoms. In this study, we aim to assess a potential predisposition in mitochondrial dysfunction of COVID-19, leading to MELAS presentation.

Blunt traumatic female urethral and bladder neck injuries: a 15-year single-institution experience.

To describe our experience in the management and outcomes of female patients with urethral or bladder neck (BN) injury at a high-volume Level 1 trauma center.

Recent development of metal oxides and chalcogenides as antimicrobial agents.

Pathogenic microbes are a major concern in hospitals and other healthcare facilities because they affect the proper performance of medical devices, surgical devices, etc. Due to the antimicrobial resistance or multidrug resistance, combatting these microbial infections has grown to be a significant research area in science and medicine as well as a critical health concern. Antibiotic resistance is where microbes acquire and innately exhibit resistance to antimicrobial agents. Therefore, the development of materials with promising antimicrobial strategy is a necessity. Amongst other available antimicrobial agents, metal oxide and chalcogenide-based materials have shown to be promising antimicrobial agents due to their inherent antimicrobial activity as well as their ability to kill and inhibit the growth of microbes effectively. Moreover, other features including the superior efficacy, low toxicity, tunable structure, and band gap energy has makes metal oxides (i.e. TiO

Gene regulation and ionome homeostasis in rice plants in response to arsenite stress: potential connection between transcriptomics and ionomics.

Ionomics and transcriptomics were applied to demonstrate response of rice to arsenite [As(III)] stress in the current study. Rice plants were cultured in nutrient solutions treated with 0, 100 and 500 μg/L As(III) coded as CK, As1 and As5, respectively. The rice ionomes exhibited discriminatory response to environmental disturbances. Solid evidence of the effects of As(III) stress on binding, transport or metabolism of P, K, Ca, Zn and Cu was obtained in this work. Differentially expressed genes (DEGs) in the shoots were identified in three datasets: As1 vs CK, As5 vs CK and As5 vs As1. DEGs identified simultaneously in two or three datasets were selected for subsequent interaction and enrichment analyses. Upregulation of genes involved in protein kinase activity, phosphorus metabolic process and phosphorylation were detected in the rice treated with As(III), resulting in the maintenance of P homeostasis in the shoots. Zn and Ca binding genes were up-regulated since excess As inhibited the translocation of Zn and Ca from roots to shoots. Increased expression of responsive genes including HMA, WRKY, NAC and PUB genes conferred As tolerance in the rice plants to cope with external As(III) stress. The results suggested that As(III) stress could disturb the uptake and translocation of macro and essential elements by rice. Plants could regulate the expression of corresponding genes to maintain mineral nutrient homeostasis for essential metabolic processes.

Identification of essential proteins based on edge features and the fusion of multiple-source biological information.

A major current focus in the analysis of protein-protein interaction (PPI) data is how to identify essential proteins. As massive PPI data are available, this warrants the design of efficient computing methods for identifying essential proteins. Previous studies have achieved considerable performance. However, as a consequence of the features of high noise and structural complexity in PPIs, it is still a challenge to further upgrade the performance of the identification methods.

Migraine with aura: less control over pain and fragrances?

Accumulating data emphasizes the importance of olfaction in migraine pathophysiology. However, there are only a few studies evaluating how the migraine brain processes olfactory stimulation, and virtually no studies comparing patients with and without aura in this context.

Primary SARS-CoV-2 infection in patients with immune-mediated inflammatory diseases: long-term humoral immune responses and effects on disease activity.

Patients with immune-mediated inflammatory diseases (IMIDs) on immunosuppressants (ISPs) may have impaired long-term humoral immune responses and increased disease activity after SARS-CoV-2 infection. We aimed to investigate long-term humoral immune responses against SARS-CoV-2 and increased disease activity after a primary SARS-CoV-2 infection in unvaccinated IMID patients on ISPs.

Comparison between central and automated peripheral blood pressure measurement for early detection of kidney dysfunction in hypertensive patients.

There is a close relationship between blood pressure levels and the risk of cardiovascular events, strokes, and kidney disease. For many years, the gold standard instrument for blood pressure measurement was a mercury sphygmomanometer and a stethoscope, but this century-old technique of Riva-Rocci/Korotkov is being progressively removed from clinical practice. Central blood pressure is considered better than peripheral blood pressure in predicting cardiovascular events, as it assesses wave reflections and viscoelastic properties of the arterial wall which make systolic and pulse pressures vary from central to peripheral arteries, but mean blood pressure is constant in the conduit arteries.

Dysphagia is closely related to frailty in mild-to-moderate Alzheimer's disease.

Physical phenotype and the cumulative deficit model are two well-known concepts of frailty. One of the main components of frailty is loss of muscle mass and function, which may also include swallowing muscles, therefore is a risk factor for dysphagia. Since dysphagia is seen starting from the early stages of Alzheimer's Disease (AD), in this study we aimed to reveal the relationship between frailty and dysphagia and dysphagia-related quality of life through Swallow Quality of Life (SwalQoL) tool in patients with AD and compare them with cognitively intact older adults.

Availability of healthy foods, fruit and vegetable consumption, and cognition among urban older adults.

. Although prior studies have examined the associations between neighborhood characteristics and cognitive health, little is known about whether local food environments, which are critical for individuals' daily living, are associated with late-life cognition. Further, little is known about how local environments may shape individuals' health-related behaviors and impact cognitive health. The aim of this study is to examine whether objective and subjective measures of healthy food availability are associated with ambulatory cognitive performance and whether behavioral and cardiovascular factors mediate these associations among urban older adults.

Association between sleep parameters and chronic kidney disease: findings from iranian ravansar cohort study.

The relationship between sleep duration and chronic kidney disease (CKD) has received relatively little attention in the Kurdish community. Considering the ethnic diversity of Iran and the importance of the Kurdish community, the present study investigated the association between sleep parameters and CKD among a large sample of Iranian-Kurds.

Spontaneous regression of secondary vitreoretinal lymphoma after diagnostic vitrectomy: case report.

Our purpose is to report a patient with secondary intraocular mucosa-associated lymphoid tissue (MALT) who experienced spontaneous regression after diagnostic vitrectomy.

Post-progression treatment in cancer randomized trials: a cross-sectional study of trials leading to FDA approval and published trials between 2018 and 2020.

Suboptimal treatment upon progression may affect overall survival (OS) results in oncology randomized controlled trials (RCTs). We aim to assess the proportion of trials reporting post-progression treatment.

Pulmonary syphilis with a cicatricial variant of organizing pneumonia: a case report.

Syphilis is a chronic disease that progresses in the primary, secondary, latent, and tertiary stages. Pulmonary manifestations of syphilis are rare, and their histological features have not been well-described.

MiR-210 improves postmenopausal osteoporosis in ovariectomized rats through activating VEGF/Notch signaling pathway.

To explore the effect and mechanism of action of miR-210 on postmenopausal osteoporosis (PMPO) in ovariectomized rats in vivo.

Mortality risk factors in community-dwelling, subjectively healthy, Swiss older adults: update after 8-years follow-up.

Worldwide population is ageing, but little is known regarding risk factors associated with increased mortality in subjectively healthy, community-dwelling older adults. We present the updated results of the longest follow-up carried out on Swiss pensioners and we provide results on potential risk factors associated with mortality before the onset of the COVID-19 pandemic.

Systematic orientation of fresh rectal suction biopsies improves histopathological diagnostics in hirschsprung's disease - a method description and preliminary report.

Optimizing rectal suction biopsy (RSB) diagnostics in Hirschsprung's disease (HD) may shorten diagnostic time and prevent need for repeated biopsies.

The concept of developmental anatomy: the greater omentum should be resected in right-sided colon cancer?

The greater omentum is derived from the foregut, and the right hemicolon is derived from the midgut based on developmental anatomy. This study aimed to investigate whether the greater omentum should be resected in laparoscopic complete mesocolic excision based on developmental anatomy for right-sided colon cancer.

Hypergonadotropic hypogonadism and chromosomal aberrations: clinical heterogeneity and implications on the health of elderly men, case series.

Hypogonadism in older men is often considered as late onset hypogonadism. However, this clinical condition results from primary testicular failure which could be of genetic origin with Klinefelter syndrome being the most common chromosomal abnormality associated with it.

Prioritizing rehabilitation in low- and middle-income country national health systems: a qualitative thematic synthesis and development of a policy framework.

There is a large and growing unmet need for rehabilitation - a diverse category of services that aim to improve functioning across the life course - particularly in low- and middle-income countries. Yet despite urgent calls to increase political commitment, many low- and middle-income country governments have dedicated little attention to expanding rehabilitation services. Existing policy scholarship explains how and why health issues reach the policy agenda and offers applicable evidence to advance access to physical, medical, psychosocial, and other types of rehabilitation services. Drawing from this scholarship and empirical data on rehabilitation, this paper proposes a policy framework to understand national-level prioritization of rehabilitation in low- and middle-income countries.

Celloscope: a probabilistic model for marker-gene-driven cell type deconvolution in spatial transcriptomics data.

Spatial transcriptomics maps gene expression across tissues, posing the challenge of determining the spatial arrangement of different cell types. However, spatial transcriptomics spots contain multiple cells. Therefore, the observed signal comes from mixtures of cells of different types. Here, we propose an innovative probabilistic model, Celloscope, that utilizes established prior knowledge on marker genes for cell type deconvolution from spatial transcriptomics data. Celloscope outperforms other methods on simulated data, successfully indicates known brain structures and spatially distinguishes between inhibitory and excitatory neuron types based in mouse brain tissue, and dissects large heterogeneity of immune infiltrate composition in prostate gland tissue.

Autophagy-related genes analysis reveals potential biomarkers for prediction of the impaired walking capacity of peripheral arterial disease.

The role of autophagy and autophagy-related genes in peripheral arterial disease (PAD) remains unknown and may be of diagnostic and prognostic value. The aim of this study is to investigate the relationship between autophagy and PAD, and identify potential diagnostic or prognostic biomarkers for medical practice.

Breast cancer with scalp metastases: a case report.

While breast cancer is the most common cancer in women, cutaneous metastases are rare in breast cancer. Additionally, scalp involvement in breast cancer metastasis is extremely rare. That being said, scalp lesions should always be thoroughly investigated to distinguish metastatic lesions from other neoplasms.

Construct validity of the Mini-BESTest in individuals with chronic pain in specialized pain care.

Balance assessment scales are important clinical tests to identify balance impairments. Chronic pain (> 3 months) is associated with impaired dynamic balance; however, very few balance assessment scales are psychometrically evaluated for the population. The purpose of this study was to evaluate the construct validity and internal consistency of the Mini-BESTest for individuals with chronic pain in specialized pain care.

Effect of Kinesio tape and Compression sleeves on delayed onset of muscle soreness: a single-blinded randomized controlled trial.

Both Kinesio Tape (KT) and Compression Sleeves (CS) can relieve Delayed Onset Muscle Soreness (DOMS) to a certain extent, but there is no study report on the difference in the effectiveness of the KT and CS whether the effect is better when used at the same time. The purpose of this study was to compare the effects of KT and CS on the recovery of muscle soreness, isokinetic strength, and body fatigue after DOMS.

The impact of non-alcoholic fatty liver disease and liver fibrosis on adverse clinical outcomes and mortality in patients with chronic kidney disease: a prospective cohort study using the UK Biobank.

Chronic kidney disease (CKD) and non-alcoholic fatty liver disease (NAFLD) frequently co-exist. We assess the impact of having NAFLD on adverse clinical outcomes and all-cause mortality for people with CKD.

Practice education facilitators perceptions and experiences of their role in the clinical learning environment for nursing students: a qualitative study.

Clinical placement is recognised as essential for nursing students' development of clinical competence. However, difficulties in providing supportive clinical learning environments are a well-known challenge in nursing education. In Norway, the use of nurse educators in joint university and clinical roles has been recommended as an initiative to strengthen the clinical learning environment and enhance the educational quality. In this study we use the term practice education facilitator in a generic sense for these roles. The aim of this study was to explore how practice education facilitators can contribute to strengthen the clinical learning environments for nursing students.

Assessing association of dental caries with child oral impact on daily performance; a cross-sectional study of adolescents in Copperbelt province, Zambia.

Dental caries and child oral impact on daily performance (C-OIDP) have been linked in several studies. However, the studies used caries indices, which limit the ability to examine how C-OIDP prevalence varies across various stages of the dental caries process. Furthermore, cross-cultural differences between Zambia and other African countries where the C-OIDP instrument has been widely used necessitate testing its pychometric properties. This study's primary aim was to evaluate the association between dental caries and C-OIDP. Secondarily, the study reports the psychometric properties of the C-OIDP index among Zambian adolescents.

Establishing the safety of selective digestive decontamination within the ICU population: a bridge too far?

Infection prevention interventions within the intensive care unit (ICU) setting, whether studied within quality improvement projects or cluster randomized trials (CRT), are seen as low risk and grounded in an ethical imperative. Selective digestive decontamination (SDD) appears highly effective at preventing ICU infections within randomized concurrent control trials (RCCTs) prompting mega-CRTs with mortality as the primary endpoint.

Manufacture and evaluation of a HER2-positive breast cancer immunotoxin 4D5Fv-PE25.

Human epidermal growth factor receptor 2 (HER2) positive breast cancer is an aggressive subtype, accounting for around 20% of all breast cancers. The development of HER2-targeted therapy has substantially improved patient outcomes. Nevertheless, the increasing rate of side effects and resistance to targeted drugs limit their efficacy in clinical practice. In this study, we designed and synthesized a new immunotoxin, 4D5Fv-PE25, which targets HER2-positive breast cancer, and evaluated its effectiveness in vitro and in vivo.

Optimization of in-brace corrective force in adolescents with Lenke type 5 curve using finite element model.

Pelvic parameters have been taken into consideration for the evaluation of the outcomes of bracing in AIS. To discuss the stress required to correct the pelvic deformity related to Lenke5 adolescent idiopathic scoliosis (AIS) by finite element analysis, and provide a reference for the shaping of the pelvic region of the brace.

Is there any role of staging laparoscopy in pancreatic adenocarcinoma?

This is a letter to the editor on a study by Jambor et al. on the role of staging laparoscopy in identifying occult and distant metastases in pancreatic adenocarcinoma patients. In this study, inclusion of staging laparoscopy as an adjunct to computed tomography resulted in an absolute risk reduction of 12.5% for non-therapeutic laparotomy. The study found no correlation between the presence of occult and distant metastases, and serum CA 19-9 level, tumour size or location, which was in significant contrast to a number of other studies. This was likely due to the smaller sample size of the study and restriction to a single high-volume referral centre. It is also noted that staging laparoscopy cannot detect vascular invasion, lymph node involvement and deep hepatic metastases. The sensitivity of peritoneal lavage cytology in detecting occult metastases is low as well. Inclusion of biomarkers like peritoneal lavage tumour DNA may improve sensitivity. Hence, even as this study adds to the evidence supporting staging laparoscopy, further studies on improving the sensitivity of staging laparoscopy are warranted.

Comparing the clinical efficacy of three surgical methods for cesarean scar pregnancy.

We aimed to compare the clinical efficacy of three surgical methods in the treatment of various types of cesarean scar pregnancy (CSP).

Sex-based differences in cardiovascular proteomic profiles and their associations with adverse outcomes in patients with chronic heart failure.

Studies focusing on sex differences in circulating proteins in patients with heart failure with reduced ejection fraction (HFrEF) are scarce. Insight into sex-specific cardiovascular protein profiles and their associations with the risk of adverse outcomes may contribute to a better understanding of the pathophysiological processes involved in HFrEF. Moreover, it could provide a basis for the use of circulating protein measurements for prognostication in women and men, wherein the most relevant protein measurements are applied in each of the sexes.

Blockage of retinoic acid signaling via RARγ suppressed the proliferation of pancreatic cancer cells by arresting the cell cycle progression of the G1-S phase.

Our study and several studies have reported that in some cancers, including pancreatic ductal adenocarcinoma (PDAC), the expression of squamous lineage markers, such as esophagus-tissue-specific genes, correlated with a poor prognosis. However, the mechanism by which the acquisition of squamous lineage phenotypes leads to a poor prognosis remains unclear. We previously reported that retinoic acid signaling via retinoic acid receptor γ (RARγ signaling) determines the differentiation lineage into the esophageal squamous epithelium. These findings hypothesized that the activation of RARγ signaling contributed to acquiring squamous lineage phenotypes and malignant behavior in PDAC.

PRECYCLE: multicenter, randomized phase IV intergroup trial to evaluate the impact of eHealth-based patient-reported outcome (PRO) assessment on quality of life in patients with hormone receptor positive, HER2 negative locally advanced or metastatic breast cancer treated with palbociclib and an aromatase inhibitor or palbociclib and fulvestrant.

Efficacy and quality of life (QoL) are key criteria for therapy selection in metastatic breast cancer (MBC). In hormone receptor positive (HR +) human epidermal growth factor receptor 2 negative (HER2 -) MBC, addition of targeted oral agents such as everolimus or a cycline-dependent kinase 4/6 (CDK 4/6) inhibitor (e.g., palbociclib, ribociclib, abemaciclib) to endocrine therapy substantially prolongs progression-free survival and in the case of a CDK 4/6i also overall survival. However, the prerequisite is adherence to therapy over the entire course of treatment. However, particularly with new oral drugs, adherence presents a challenge to disease management. In this context, factors influencing adherence include maintaining patients' satisfaction and early detection/management of side effects. New strategies for continuous support of oncological patients are needed. An eHealth-based platform can help to support therapy management and physician-patient interaction.

Realising radical potential: building community power in primary health care through Participatory Action Research.

While community participation is an established pro-equity approach in Primary Health Care (PHC), it can take many forms, and the central category of power is under-theorised. The objectives were to (a) conduct theory-informed analysis of community power-building in PHC in a setting of structural deprivation and (b) develop practical guidance to support participation as a sustainable PHC component.

Targeting the hallmarks of aging to improve influenza vaccine responses in older adults.

Age-related declines in immune response pose a challenge in combating diseases later in life. Influenza (flu) infection remains a significant burden on older populations and often results in catastrophic disability in those who survive infection. Despite having vaccines designed specifically for older adults, the burden of flu remains high and overall flu vaccine efficacy remains inadequate in this population. Recent geroscience research has highlighted the utility in targeting biological aging to improve multiple age-related declines. Indeed, the response to vaccination is highly coordinated, and diminished responses in older adults are likely not due to a singular deficit, but rather a multitude of age-related declines. In this review we highlight deficits in the aged vaccine responses and potential geroscience guided approaches to overcome these deficits. More specifically, we propose that alternative vaccine platforms and interventions that target the hallmarks of aging, including inflammation, cellular senescence, microbiome disturbances, and mitochondrial dysfunction, may improve vaccine responses and overall immunological resilience in older adults. Elucidating novel interventions and approaches that enhance immunological protection from vaccination is crucial to minimize the disproportionate effect of flu and other infectious diseases on older adults.

Biased data, biased AI: deep networks predict the acquisition site of TCGA images.

Deep learning models applied to healthcare applications including digital pathology have been increasing their scope and importance in recent years. Many of these models have been trained on The Cancer Genome Atlas (TCGA) atlas of digital images, or use it as a validation source. One crucial factor that seems to have been widely ignored is the internal bias that originates from the institutions that contributed WSIs to the TCGA dataset, and its effects on models trained on this dataset.

Access to and application of recanalizing therapies for severe acute ischemic stroke caused by large vessel occlusion.

Groundbreaking study results since 2014 have dramatically changed the therapeutic options in acute therapy for severe ischemic stroke caused by large vessel occlusion (LVO). The scientifically proven advances in stroke imaging and thrombectomy techniques have allowed to offer the optimal version or combination of best medical and interventional therapy to the selected patient, yielding favorable or even excellent clinical outcomes within time windows unheard of before. The provision of the best possible individual therapy has become a guideline-based gold standard, but remains a great challenge. With geographic, regional, cultural, economic and resource differences worldwide, optimal local solutions have to be strived for.

Appropriate antibiotic use and antimicrobial resistance: knowledge, attitudes and behaviour of medical students and their needs and preferences for learning.

The impact of an appropriate use of antibiotics on the prevention of antimicrobial resistance (AMR) has been demonstrated. Surveys have shown, however, that medical students do not feel sufficiently trained to use antibiotics wisely. The aims of our study were (1) to describe what medical students currently know about appropriate antibiotic use, and (2) to identify students' learning preferences as a basis for developing student-centred teaching modules to convey the basics of AMR prevention.

The impact of COVID-19 on mental health and well-being in critical care nurses - a longitudinal, qualitative study.

The COVID-19 pandemic has had both a psychological and physiological effect on the human race. For those working in health care, particularly in critical care, the pandemic has put unprecedented strain on staff. Witnessing suffering during crisis in an organizational setting can be a traumatic experience and critical care nurses often risked, not only their own lives, but their psychological well-being, so that those infected with the virus might have a better chance at survival.

Defining a successful total knee arthroplasty: a systematic review of metrics of clinically important changes.

Despite the increasing use of patient-reported outcome measures (PROMs), the methodology used to evaluate clinically significant postoperative outcomes after total knee arthroplasty (TKA) is variable. The review aimed to survey studies with identified PROM-based metrics of clinical efficacy and the assessment procedures after TKA.

Social distance of bystanders affects people's embarrassment via changing fear of negative evaluation and feelings of attachment security.

Embarrassment is a self-conscious emotion with important social functions, but it is not well understood. The perception of bystanders is considered a precondition for embarrassment, which makes it unique from other self-conscious emotions. Studies have shown that socially close bystanders can reduce individuals' embarrassment. However, whether and how the embarrassment of individuals varies with the changes in social distance between them and their bystanders remained unclear, which indicates the key characteristics of embarrassment.

Functional outcomes and associated factors of cerebral infarction and intracerebral hemorrhage in an area with aging populations in change over time: Evidence from the Akita Stroke Registry.

To examine secular change in functional outcomes and associated factors of stroke in a rapidly aging region.

Mapping the Environmental Risk of Beech Leaf Disease in the Northeastern United States.

The recently emerged beech leaf disease (BLD) is causing the decline and death of American beech in North America. First observed in 2012 in northeast Ohio, U.S.A., BLD had been documented in 10 northeastern states and the Canadian province of Ontario as of July 2022. A foliar nematode has been implicated as the causal agent, along with some bacterial taxa. No effective treatments have been documented in the primary literature. Irrespective of potential treatments, prevention and prompt eradication (rapid responses) remain the most cost-effective approaches to the management of forest tree disease. For these approaches to be feasible, however, it is necessary to understand the factors that contribute to BLD spread and use them in estimation of risk. Here, we conducted an analysis of BLD risk across northern Ohio, western Pennsylvania, western New York, and northern West Virginia, U.S.A. In the absence of symptoms, an area cannot necessarily be deemed free of BLD (i.e., absence of BLD cannot be certain) due to its fast spread and the lag in symptom expression (latency) after infection. Therefore, we employed two widely used presence-only species distribution models (SDMs), one-class support vector machine (OCSVM), and maximum entropy (Maxent) to predict the spatial pattern of BLD risk based on BLD presence records and associated environmental variables. Our results show that both methods work well for BLD environmental risk modeling purposes, but Maxent outperforms OCSVM with respect to both the quantitative receiver operating characteristics (ROC) analysis and the qualitative evaluation of the spatial risk maps. Meanwhile, the Maxent model provides a quantification of variable contribution for different environmental factors, indicating that meteorological (isothermality and temperature seasonality) and land cover type (closed broadleaved deciduous forest) factors are likely key contributors to BLD distribution. Moreover, the future trajectories of BLD risk over our study area in the context of climate change were investigated by comparing the current and future risk maps obtained by Maxent. In addition to offering the ability to predict where the disease may spread next, our work contributes to the epidemiological characterization of BLD, providing new lines of investigation to improve ecological or silvicultural management. Furthermore, this study shows strong potential for extension of environmental risk mapping over the full American beech distribution range so that proactive management measures can be put in place. Similar approaches can be designed for other significant or emerging forest pest problems, contributing to overall management efficiency and efficacy.

Conformal Hydrogel-Skin Coating on a Microfluidic Channel through Microstamping Transfer of the Masking Layer.

Poly(dimethylsiloxane) (PDMS) is used in microfluidics owing to its biocompatibility and simple fabrication. However, its intrinsic hydrophobicity and biofouling inhibit its microfluidic applications. Conformal hydrogel-skin coating for PDMS microchannels, involving the microstamping transfer of the masking layer, is reported herein. A selective uniform hydrogel layer with a thickness of ∼1 μm was coated in diverse PDMS microchannels with a resolution of ∼3 μm, maintaining its structure and hydrophilicity after 180 days (6 months). The wettability transition of PDMS was demonstrated through the switched emulsification in a flow-focusing device (water-in-oil [pristine PDMS] to oil-in-water [hydrophilic PDMS]). A one-step bead-based immunoassay was performed to detect the anti-severe acute respiratory syndrome coronavirus 2 IgG using a hydrogel-skin-coated point-of-care platform.

Modulating Sensitivity of an Erythromycin Biosensor for Precise High-Throughput Screening of Strains with Different Characteristics.

Genetically encoded biosensors are powerful tools for product-driven high-throughput screening in synthetic biology and metabolic engineering. However, most biosensors can only properly function in a limited concentration cutoff, and the incompatible performance characteristics of biosensors will lead to false positives or failure in screening. The transcription factor (TF)-based biosensors are usually organized in modular architecture and function in a regulator-depended manner, whose performance properties can be fine-tuned by modifying the expression level of the TF. In this study, we modulated the performance characteristics, including sensitivity and operating range, of an MphR-based erythromycin biosensor by fine-adjusting regulator expression levels via ribosome-binding site (RBS) engineering and obtained a panel of biosensors with varied sensitivities by iterative fluorescence-assisted cell sorting (FACS) in

Assessing lexical ambiguity of simplified Chinese characters: Plurality and relatedness of character meanings.

Lexical ambiguity is pervasive among Chinese characters as many of them are polysemantic, with one orthographic form carrying unrelated meanings, related meanings, or sometimes both unrelated and related meanings. A large-scale database with ambiguity measures for simplified Chinese characters has yet to be developed, which could greatly benefit psycholinguistic research on the Chinese language or cross-language comparisons. This article reports two sets of ratings by native speakers, the perceived number of meanings (pNoM) for 4,363 characters and the perceived relatedness of meanings (pRoM) for a subset of 1,053 characters. These rating-based ambiguity measures capture the representational nuance about a character's meanings stored in average native speakers' mental lexicon, which tends to be obscured by dictionary- and corpus-based ambiguity measures. Consequently, they each account for a reliable portion of variance in the efficiency of character processing, above and beyond the effects of character frequency, age of acquisition, and other types of ambiguity measures. Theoretical and empirical implications with regard to the plurality and the relatedness of character meanings, the two focal aspects of debate on lexical ambiguity, are discussed.

Negotiating with digital self-monitoring: A qualitative study on how patients with multiple sclerosis use and experience digital self-monitoring within a scientific study.

Research shows that patients can have values and use practices that are different from those envisioned by technology developers. Using sociomaterialism as an analytical lens, we show how patients negotiated with digital self-monitoring in the context of a scientific study. Our paper draws on interviews with 26 patients with the chronic neurological disease multiple sclerosis (MS) who were invited to use an activity tracker and a self-monitoring app for a period of 12 months as part of their everyday life. Our study aims to fill a gap: relatively little is known about how digital self-monitoring becomes materialized in the everyday lives of patients with chronic diseases. We show that patients engaged in digital self-monitoring because they are eager to participate in research to contribute knowledge that will benefit the larger community of patients rather than to improve their personal self-management. Although respondents adhered to digital self-monitoring during the study, it is not self-evident that they would do so for private self-monitoring purposes. It became clear that respondents did not necessarily perceive digital self-monitoring as useful for their self-management practices due to their established knowledge and routines. Moreover, respondents referred to the inconvenience of having to perform self-monitoring tasks and the emotional burden of being reminded of the MS because of the digital self-monitoring. We conclude by indicating what could be considered when designing scientific studies, including the suitability of conventional study designs for evaluating technologies used daily by patients and the challenge of integrating patients' experiential knowledge into scientific practices.

Infection mimicking skin condition: pyoderma gangrenosum.

The a priori risk of infection is high when a patient presents with an ulcerative skin condition and elevated inflammatory parameters. If the ulceration is progressive despite adequate antibiotic therapy and tissue cultures are negative, pyoderma gangrenosum should be considered as the diagnosis. This rare infection mimicking skin condition can develop and worsen due to surgery. In this paper, we report two cases that illustrate the importance of making this clinical diagnosis in a timely manner in order to avoid unnecessary surgical interventions and worsening of the clinical picture.

Quantum Otto cycle under strong coupling.

Quantum heat engines are often discussed under the weak-coupling assumption that the interaction between the system and the reservoirs is negligible. Although this setup is easier to analyze, this assumption cannot be justified on the quantum scale. In this study, a quantum Otto cycle model that can be generally applied without the weak-coupling assumption is proposed. We replace the thermalization process in the weak-coupling model with a process comprising thermalization and decoupling. The efficiency of the proposed model is analytically calculated and indicates that, when the contribution of the interaction terms is neglected in the weak-interaction limit, it reduces to that of the earlier model. The sufficient condition for the efficiency of the proposed model not to surpass that of the weak-coupling model is that the decoupling processes of our model have a positive cost. Moreover, the relation between the interaction strength and the efficiency of the proposed model is numerically examined by using a simple two-level system. Furthermore, we show that our model's efficiency can surpass that of the weak-coupling model under particular cases. From analyzing the majorization relation, we also find a design method of the optimal interaction Hamiltonians, which are expected to provide the maximum efficiency of the proposed model. Under these interaction Hamiltonians, the numerical experiment shows that the proposed model achieves higher efficiency than that of its weak-coupling counterpart.

Time-dependent dynamics of radio-frequency-bunched ions in an electrostatic ion beam trap.

The dynamics of ions in an electrostatic ion beam trap in the presence of an external time-dependent field is studied with a recently developed particle-in-cell simulation technique. The simulation technique, capable of accounting for space-charge effects, has reproduced all the experimental results on the bunch dynamics in the radio frequency mode. With simulation, the motion of ions is visualized in phase space and it is shown that the ion-ion interaction strongly affects the distribution of ions in phase space in the presence of an rf driving voltage.

Local and global magnetization on the Sierpiński carpet.

The phase transition of the classical Ising model on the Sierpiński carpet, which has the fractal dimension log_{3}^{}8≈1.8927, is studied by an adapted variant of the higher-order tensor renormalization group method. The second-order phase transition is observed at the critical temperature T_{c}^{}≈1.478. Position dependence of local functions is studied through impurity tensors inserted at different locations on the fractal lattice. The critical exponent β associated with the local magnetization varies by two orders of magnitude, depending on lattice locations, whereas T_{c}^{} is not affected. Furthermore, we employ automatic differentiation to accurately and efficiently compute the average spontaneous magnetization per site as a first derivative of free energy with respect to the external field, yielding the global critical exponent of β≈0.135.

Generalized network density matrices for analysis of multiscale functional diversity.

The network density matrix formalism allows for describing the dynamics of information on top of complex structures and it has been successfully used to analyze, e.g., a system's robustness, perturbations, coarse-graining multilayer networks, characterization of emergent network states, and performing multiscale analysis. However, this framework is usually limited to diffusion dynamics on undirected networks. Here, to overcome some limitations, we propose an approach to derive density matrices based on dynamical systems and information theory, which allows for encapsulating a much wider range of linear and nonlinear dynamics and richer classes of structure, such as directed and signed ones. We use our framework to study the response to local stochastic perturbations of synthetic and empirical networks, including neural systems consisting of excitatory and inhibitory links and gene-regulatory interactions. Our findings demonstrate that topological complexity does not necessarily lead to functional diversity, i.e., the complex and heterogeneous response to stimuli or perturbations. Instead, functional diversity is a genuine emergent property which cannot be deduced from the knowledge of topological features such as heterogeneity, modularity, the presence of asymmetries, and dynamical properties of a system.

Multiple reentrance transitions in exclusion process with finite reservoir.

The proposed study is motivated by the scenario of two-way vehicular traffic. We consider a totally asymmetric simple exclusion process in the presence of a finite reservoir along with the particle attachment, detachment, and lane-switching phenomena. The various system properties in terms of phase diagrams, density profiles, phase transitions, finite size effect, and shock position are analyzed, considering the available number of particles in the system and different values of coupling rate, by employing the generalized mean-field theory and the obtained results are detected to be a good match with the Monte Carlo simulation outcomes. It is discovered that the finite resources significantly affect the phase diagram for different coupling rate values, which leads to nonmonotonic changes in the number of phases in the phase plane for comparatively minor lane-changing rates and produces various exciting features. We calculate the critical value of the total number of particles in the system at which the multiple phases in the phase diagram appear or disappear. The competition between the limited particles, bidirectional motion, Langmuir kinetics, and particle lane-shifting behavior yields unanticipated and unique mixed phases, including the double shock phase, multiple reentrance and bulk-induced phase transitions, and phase segregation of the single shock phase.

Compacton existence and spin-orbit density dependence in Bose-Einstein condensates.

We demonstrate the existence of compactons matter waves in binary mixtures of Bose-Einstein condensates (BEC) trapped in deep optical lattices (OL) subjected to equal contributions of intraspecies Rashba and Dresselhaus spin-orbit coupling (SOC) under periodic time modulations of the intraspecies scattering length. We show that these modulations lead to a rescaling of the SOC parameters that involves the density imbalance of the two components. This gives rise to density dependent SOC parameters that strongly influence the existence and the stability of compacton matter waves. The stability of SOC-compactons is investigated both by linear stability analysis and by time integrations of the coupled Gross-Pitaevskii equations. We find that SOC restricts the parameter ranges for stable stationary SOC-compacton existence but, on the other side, it gives a more stringent signature of their occurrence. In particular, SOC-compactons should appear when the intraspecies interactions and the number of atoms in the two components are perfectly balanced (or close to being balanced for the metastable case). The possibility to use SOC-compactons as a tool for indirect measurements of the number of atoms and/or the intraspecies interactions is also suggested.

Geometric scaling behaviors of the Fortuin-Kasteleyn Ising model in high dimensions.

Recently, we argued [Chin. Phys. Lett. 39, 080502 (2022)0256-307X10.1088/0256-307X/39/8/080502] that the Ising model simultaneously exhibits two upper critical dimensions (d_{c}=4,d_{p}=6) in the Fortuin-Kasteleyn (FK) random-cluster representation. In this paper, we perform a systematic study of the FK Ising model on hypercubic lattices with spatial dimensions d from 5 to 7, and on the complete graph. We provide a detailed data analysis of the critical behaviors of a variety of quantities at and near the critical points. Our results clearly show that many quantities exhibit distinct critical phenomena for 4<d<6 and d≥6, and thus strongly support the argument that 6 is also an upper critical dimension. Moreover, for each studied dimension, we observe the existence of two configuration sectors, two lengthscales, as well as two scaling windows, and thus two sets of critical exponents are needed to describe these behaviors. Our finding enriches the understanding of the critical phenomena in the Ising model.

Mean first-passage time of an active fluctuating membrane with stochastic resetting.

We study the mean first-passage time of a one-dimensional active fluctuating membrane that is stochastically returned to the same flat initial condition at a finite rate. We start with a Fokker-Planck equation to describe the evolution of the membrane coupled with an Ornstein-Uhlenbeck type of active noise. Using the method of characteristics, we solve the equation and obtain the joint distribution of the membrane height and active noise. In order to obtain the mean first-passage time (MFPT), we further obtain a relation between the MFPT and a propagator that includes stochastic resetting. The derived relation is then used to calculate it analytically. Our studies show that the MFPT increases with a larger resetting rate and decreases with a smaller rate, i.e., there is an optimal resetting rate. We compare the results in terms of MFPT of the membrane with active and thermal noises for different membrane properties. The optimal resetting rate is much smaller with active noise compared to thermal. When the resetting rate is much lower than the optimal rate, we demonstrate how the MFPT scales with resetting rates, distance to the target, and the properties of the membranes.

Time-reversal symmetries and equilibriumlike Langevin equations.

Graham has shown [Z. Phys. B 26, 397 (1977)0340-224X10.1007/BF01570750] that a fluctuation-dissipation relation can be imposed on a class of nonequilibrium Markovian Langevin equations that admit a stationary solution of the corresponding Fokker-Planck equation. The resulting equilibrium form of the Langevin equation is associated with a nonequilibrium Hamiltonian. Here we provide some explicit insight into how this Hamiltonian may lose its time-reversal invariance and how the "reactive" and "dissipative" fluxes loose their distinct time-reversal symmetries. The antisymmetric coupling matrix between forces and fluxes no longer originates from Poisson brackets and the "reactive" fluxes contribute to the ("housekeeping") entropy production, in the steady state. The time-reversal even and odd parts of the nonequilibrium Hamiltonian contribute in qualitatively different but physically instructive ways to the entropy. We find instances where fluctuations due to noise are solely responsible for the dissipation. Finally, this structure gives rise to a new, physically pertinent instance of frenesy.

Quantum heat diode versus light emission in circuit quantum electrodynamical system.

Precisely controlling heat transfer in a quantum mechanical system is particularly significant for designing quantum thermodynamical devices. With the technology of experiment advances, circuit quantum electrodynamics (circuit QED) has become a promising system due to controllable light-matter interactions as well as flexible coupling strengths. In this paper, we design a thermal diode in terms of the two-photon Rabi model of the circuit QED system. We find that the thermal diode can not only be realized in the resonant coupling but also achieve better performance, especially for the detuned qubit-photon ultrastrong coupling. We also study the photonic detection rates and their nonreciprocity, which indicate similar behaviors with the nonreciprocal heat transport. This provides the potential to understand thermal diode behavior from the quantum optical perspective and could shed new insight into the relevant research on thermodynamical devices.

Lyapunov exponents for temporal networks.

By interpreting a temporal network as a trajectory of a latent graph dynamical system, we introduce the concept of dynamical instability of a temporal network and construct a measure to estimate the network maximum Lyapunov exponent (nMLE) of a temporal network trajectory. Extending conventional algorithmic methods from nonlinear time-series analysis to networks, we show how to quantify sensitive dependence on initial conditions and estimate the nMLE directly from a single network trajectory. We validate our method for a range of synthetic generative network models displaying low- and high-dimensional chaos and finally discuss potential applications.

Experimental test of power-efficiency trade-off in a finite-time Carnot cycle.

The Carnot cycle is a prototype of an ideal heat engine cycle to draw mechanical energy from the heat flux between two thermal baths with the maximum efficiency, dubbed as the Carnot efficiency η_{C}. Such efficiency is reached by thermodynamical equilibrium processes with infinite time, accompanied unavoidably with vanishing power-energy output per unit time. The quest to acquire high power leads to an open question of whether a fundamental maximum efficiency exists for finite-time heat engines with given power. We experimentally implement a finite-time Carnot cycle with sealed dry air as a working substance and verify the existence of a trade-off relation between power and efficiency. Efficiency up to (0.524±0.034)η_{C} is reached for the engine to generate the maximum power, consistent with the theoretical prediction η_{C}/2. Our experimental setup shall provide a platform for studying finite-time thermodynamics consisting of nonequilibrium processes.

Increase in rod diffusivity emerges even in Markovian nature.

Rod-shaped particles embedded in certain matrices have been reported to exhibit an increase in their center of mass diffusivity upon increasing the matrix density. This increase has been considered to be caused by a kinetic constraint in analogy with tube models. We investigate a mobile rodlike particle in a sea of immobile point obstacles using a kinetic Monte Carlo scheme equipped with a Markovian process, that generates gaslike collision statistics, so that such kinetic constraints do essentially not exist. Even in such a system, provided the particle's aspect ratio exceeds a threshold value of about 24, the unusual increase in the rod diffusivity emerges. This result implies that the kinetic constraint is not a necessary condition for the increase in the diffusivity.

Emergent statistical laws in single-cell transcriptomic data.

Large-scale data on single-cell gene expression have the potential to unravel the specific transcriptional programs of different cell types. The structure of these expression datasets suggests a similarity with several other complex systems that can be analogously described through the statistics of their basic building blocks. Transcriptomes of single cells are collections of messenger RNA abundances transcribed from a common set of genes just as books are different collections of words from a shared vocabulary, genomes of different species are specific compositions of genes belonging to evolutionary families, and ecological niches can be described by their species abundances. Following this analogy, we identify several emergent statistical laws in single-cell transcriptomic data closely similar to regularities found in linguistics, ecology, or genomics. A simple mathematical framework can be used to analyze the relations between different laws and the possible mechanisms behind their ubiquity. Importantly, treatable statistical models can be useful tools in transcriptomics to disentangle the actual biological variability from general statistical effects present in most component systems and from the consequences of the sampling process inherent to the experimental technique.

Hidden scale invariance in the Gay-Berne model. II. Smectic-B phase.

This paper complements a previous study of the isotropic and nematic phases of the Gay-Berne liquid-crystal model [Mehri et al., Phys. Rev. E 105, 064703 (2022)2470-004510.1103/PhysRevE.105.064703] with a study of its smectic-B phase found at high density and low temperatures. We find also in this phase strong correlations between the virial and potential-energy thermal fluctuations, reflecting hidden scale invariance and implying the existence of isomorphs. The predicted approximate isomorph invariance of the physics is confirmed by simulations of the standard and orientational radial distribution functions, the mean-square displacement as a function of time, and the force, torque, velocity, angular velocity, and orientational time-autocorrelation functions. The regions of the Gay-Berne model that are relevant for liquid-crystal experiments can thus fully be simplified via the isomorph theory.

Clique densification in networks.

Real-world networks are rarely static. Recently, there has been increasing interest in both network growth and network densification, in which the number of edges scales superlinearly with the number of nodes. Less studied but equally important, however, are scaling laws of higher-order cliques, which can drive clustering and network redundancy. In this paper, we study how cliques grow with network size, by analyzing several empirical networks from emails to Wikipedia interactions. Our results show superlinear scaling laws whose exponents increase with clique size, in contrast to predictions from a previous model. We then show that these results are in qualitative agreement with a model that we propose, the local preferential attachment model, where an incoming node links not only to a target node, but also to its higher-degree neighbors. Our results provide insights into how networks grow and where network redundancy occurs.

Nonisothermal evaporation.

Evaporation of a liquid layer on a substrate is examined without the often-used isothermality assumption, i.e., temperature variations are accounted for. Qualitative estimates show that nonisothermality makes the evaporation rate depend on the conditions at which the substrate is maintained. If it is thermally insulated, evaporative cooling dramatically slows evaporation down; the evaporation rate tends to zero with time and cannot be determined by measuring the external parameters only. If, however, the substrate is maintained at a fixed temperature, the heat flux coming from below sustains evaporation at a finite rate, deducible from the fluid's characteristics, relative humidity, and the layer's depth. The qualitative predictions are quantified using the diffuse-interface model applied to a liquid evaporating into its own vapor.

Stochastic dynamics of a nonlinear thermal circuit with bistability.

Stochastic dynamics of a nonlinear thermal circuit is studied. Due to the existence of negative differential thermal resistance, there exist two stable steady states that satisfy both the continuity and stability conditions. The dynamics of such a system is governed by a stochastic equation which describes originally an overdamped Brownian particle that undergoes a double-well potential. Correspondingly, the finite time temperature distribution takes a double-peak profile and each peak is approximately Gaussian. Owing to the thermal fluctuation, the system is able to jump occasionally from one stable steady state to the other. The probability density distribution of the lifetime τ for each stable steady state follows a power-law decay τ^{-3/2} in the short-τ regime and an exponential decay e^{-τ/τ_{0}} in the long-τ regime. All these observations can be well explained analytically.

Universal turbulent relaxation of fluids and plasmas by the principle of vanishing nonlinear transfers.

A 70-year-old problem of fluid and plasma relaxation has been revisited. A principal based on vanishing nonlinear transfer is proposed to develop a unified theory of the turbulent relaxation of neutral fluids and plasmas. Unlike previous studies, the proposed principle enables us to find the relaxed states unambiguously without going through any variational principle. The general relaxed states obtained herein are found to support naturally a pressure gradient which is consistent with several numerical studies. Relaxed states are reduced to Beltrami-type aligned states where the pressure gradient is negligibly small. According to the present theory, the relaxed states are attained in order to maximize a fluid entropy S calculated from the principles of statistical mechanics [Carnevale et al., J. Phys. A: Math. Gen. 14, 1701 (1981)10.1088/0305-4470/14/7/026]. This method can be extended to find the relaxed states for more complex flows.

Initial phase and frequency modulations of pumping a playground swing.

The playground swing is a dynamic, coupled oscillator system consisting of the swing as an object and a human as the swinger. Here, we propose a model for capturing the effect of the initial phase of natural upper body motion on the continuous pumping of a swing and validate this model from the motion data of ten participants pumping swings of three different swing chain lengths. Our model predicts that the swing pumps the most if the phase of maximum lean back, which we call the initial phase, occurs when the swing is at a vertical (midpoint) position and moving forward when the amplitude is small. As the amplitude grows, the optimal initial phase gradually shifts towards an earlier phase of the cycle, the back extreme of the swing's trajectory. As predicted by our model, all participants shifted the initial phase of their upper body movements earlier as swing amplitude increased. This indicated that swingers adjust both the frequency and initial phase of their upper body movements to successfully pump a playground swing.

Asymmetric coupling induces two-directional reentrance transition in three-lane exclusion process.

Inspired by vehicular traffic phenomena, we study a three-lane open totally asymmetric simple exclusion process with both-sided lane switching in the companionship of Langmuir kinetics. We calculate the phase diagrams, density profiles, and phase transitions through mean-field theory and successfully validate these findings with Monte Carlo simulation results. It has been found that both the qualitative and quantitative topology of phase diagrams crucially rely on the ratio of lane-switching rates called coupling strength. The proposed model has various unique mixed phases, including a double shock resulting in bulk-induced phase transitions. The interplay between both-sided coupling, third lane, and Langmuir kinetics produces unusual features, including a back-and-forth phase transition, also called a reentrance transition, in two directions for relatively nominal values of coupling strength. The presence of reentrance transition and peculiar phase boundaries leads to a rare type of phase division in which one phase lies entirely within another region. Moreover, we scrutinize the shock dynamics by analyzing four different types of shock and finite-size effects.

Stochastic kinetics under combined action of two noise sources.

We are exploring two archetypal noise-induced escape scenarios: Escape from a finite interval and from the positive half-line under the action of the mixture of Lévy and Gaussian white noises in the overdamped regime, for the random acceleration process and higher-order processes. In the case of escape from finite intervals, the mixture of noises can result in the change of value of the mean first passage time in comparison to the action of each noise separately. At the same time, for the random acceleration process on the (positive) half-line, over the wide range of parameters, the exponent characterizing the power-law decay of the survival probability is equal to the one characterizing the decay of the survival probability under action of the (pure) Lévy noise. There is a transient region, the width of which increases with stability index α, when the exponent decreases from the one for Lévy noise to the one corresponding to the Gaussian white noise driving.

Nonstationary but quasisteady states in self-organized criticality.

The notion of self-organized criticality (SOC) was conceived to interpret the spontaneous emergence of long-range correlations in nature. Since then many different models have been introduced to study SOC. All of them have a few common features: externally driven dynamical systems self-organize themselves to nonequilibrium stationary states exhibiting fluctuations of all length scales as the signatures of criticality. In contrast, we have studied here in the framework of the sandpile model a system that has mass inflow but no outflow. There is no boundary, and particles cannot escape from the system by any means. Therefore, there is no current balance, and consequently it is not expected that the system would arrive at a stationary state. In spite of that, it is observed that the bulk of the system self-organizes to a quasisteady state where the grain density is maintained at a nearly constant value. Power law distributed fluctuations of all lengths and time scales have been observed, which are the signatures of criticality. Our detailed computer simulation study gives the set of critical exponents whose values are very close to their counterparts in the original sandpile model. This study indicates that (i) a physical boundary and (ii) the stationary state, though sufficient, may not be the necessary criteria for achieving SOC.

Optimal figure of merit of low-dissipation quantum refrigerators.

The Drazin inverse of the Liouvillian superoperator provides a solution to determine the dynamics of a time-dependent system governed by the Markovian master equation. Under the condition of slow driving, the perturbation expansion of the density operator of the system in powers of time can be derived. As an application, a finite-time cycle model of the quantum refrigerator driven by a time-dependent external field is established. The method of the Lagrange multiplier is adopted as a strategy to find the optimal cooling performance. The figure of merit given by the product of the coefficient of performance and the cooling rate is taken as a new objective function, and, consequently, the optimally operating state of the refrigerator is revealed. The effects of the frequency exponent determining dissipation characteristics on the optimal performance of the refrigerator are discussed systemically. The results obtained show that the adjacent areas of the state of the maximum figure of merit are the best operation region of low-dissipative quantum refrigerators.

Multiscale steady discrete unified gas kinetic scheme with macroscopic coarse mesh acceleration using preconditioned Krylov subspace method for multigroup neutron Boltzmann transport equation.

A multiscale steady discrete unified gas kinetic scheme with macroscopic coarse mesh acceleration [accelerated steady discrete unified gas kinetic scheme (SDUGKS)] is proposed to improve the convergence of the original SDUGKS for an optically thick system in solving the multigroup neutron Boltzmann transport equation (NBTE) to analyze the distribution of fission energy in the reactor core. In the accelerated SDUGKS, by solving the coarse mesh macroscopic governing equations (MGEs) derived from the moment equations of the NBTE, the numerical solutions of the NBTE on fine meshes at the mesoscopic level can be rapidly obtained from the prolongation of the coarse mesh solutions of the MGE. Furthermore, the use of the coarse mesh can greatly reduce the computational variables and improve the computational efficiency of the MGE. The biconjugate gradient stabilized Krylov subspace method with the modified incomplete LU preconditioner and the lower-upper symmetric-Gauss-Seidel sweeping method are implemented to solve the discrete systems of the macroscopic coarse mesh acceleration model and mesoscopic SDUGKS to further improve the numerical efficiency. Numerical solutions validate good numerical accuracy and high acceleration efficiency of the proposed accelerated SDUGKS for the complicated multiscale neutron transport problems.

Complexity in the Lipkin-Meshkov-Glick model.

We study complexity in a spin system with infinite-range interaction, via the paradigmatic Lipkin-Meshkov-Glick (LMG) model, in the thermodynamic limit. Exact expressions for the Nielsen complexity (NC) and the Fubini-Study complexity (FSC) are derived, which helps us to establish several distinguishing features compared to complexity in other known spin models. In a time-independent LMG model, close to phase transition, the NC diverges logarithmically, much like the entanglement entropy. Remarkably, however, in a time-dependent scenario, this divergence is replaced by a finite discontinuity, as we show by using the Lewis-Riesenfeld theory of time-dependent invariant operators. The FSC of a variant of the LMG model shows different behavior compared to quasifree spin models. Namely, it diverges logarithmically when the target (or reference) state is near the separatrix. Numerical analysis indicates that this is due to the fact that geodesics starting with arbitrary boundary conditions are "attracted" toward the separatrix and that near this line, a finite change in the affine parameter of the geodesic produces an infinitesimal change of the geodesic length. The same divergence is shared by the NC of this model as well.

Population effects driving active material degradation in intercalation electrodes.

In battery modeling, the electrode is discretized at the macroscopic scale with a single representative particle in each volume. This lacks the accurate physics to describe interparticle interactions in electrodes. To remedy this, we formulate a model that describes the evolution of degradation of a population of battery active material particles using ideas in population genetics of fitness evolution, where the state of a system depends on the health of each particle that contributes to the system. With the fitness formulation, the model incorporates effects of particle size and heterogeneous degradation effects which accumulate in the particles as the battery is cycled, accounting for different active material degradation mechanisms. At the particle scale, degradation progresses nonuniformly across the population of active particles, observed from the autocatalytic relationship between fitness and degradation. Electrode-level degradation is formed from various contributions of the particle-level degradation, especially from smaller particles. It is shown that specific mechanisms of particle-level degradation can be associated with characteristic signatures in the capacity-loss and voltage profiles. Conversely, certain features in the electrode-level phenomena can also provide insight into the relative importance of different particle-level degradation mechanisms.

Updates on the profile of GenMark's ePlex blood culture identification fungal pathogen panel.

The clinical and economical burdens of invasive fungal diseases (IFDs) remain substantial despite advances in diagnostics and therapeutics. Major challenges in diagnosis of IFDs are difficulty in obtaining appropriate specimens for histopathology examination and prolonged turnaround time for fungal cultures. Molecular assays for direct detection of fungal DNA from sterile sites such as blood can provide definitive diagnosis of IFDs in a reduced turnaround time. The ePlex BCID-FP Panel from GenMark Diagnostics, a member of the Roche corporation, is currently the largest commercial multiplex fungal pathogen identification panel for blood cultures and has potential for early optimization of treatment and improvement of patient outcomes.