Heart transplantation is a life-saving procedure for many people throughout the world.Data shows that in 2024,there was an increase in the volume of adult heart transplantation in the United States even as there was a...Heart transplantation is a life-saving procedure for many people throughout the world.Data shows that in 2024,there was an increase in the volume of adult heart transplantation in the United States even as there was a decrease in the volume of pediatric heart transplantation to the lowest volume in a decade.Organ availability remains a major limiting factor affecting transplant volume.This mandates that innovation must take place to increase the supply of donor organs.While some strategies such as donation after cardiac death,hepatitis C virus+transplantation,and ABO-incompatible transplantation have increased the pool for donation,it still falls short of meeting the demand.Other proposed strategies include splitting the donor heart to provide multiple partial heart transplants,domino partial heart transplantation,changes in legislation including opt-out legislation,and xenotransplantation.Further evolution and refinement of these strategies will make a meaningful impact on patients awaiting life-saving heart transplants.展开更多
Remote sensing technologies play a vital role in our understanding of earthquakes and their impact on the Earth's surface.These technologies,including satellite imagery,aerial surveys,and advanced sensors,contribu...Remote sensing technologies play a vital role in our understanding of earthquakes and their impact on the Earth's surface.These technologies,including satellite imagery,aerial surveys,and advanced sensors,contribute significantly to our understanding of the complex nature of earthquakes.This review highlights the advancements in the integration of remote sensing technologies into earthquake studies.The combined use of satellite imagery and aerial photography in conjunction with geographic information systems(GIS)has been instrumental in showcasing the significance of fusing various types of satеllitеdata sourcеs for comprеhеnsivееarthquakеdamagеassеssmеnts.However,remote sensing encounters challenges due to limited pre-event imagery and restricted postearthquake site access.Furthеrmorе,thеapplication of dееp-lеarning mеthods in assеssingеarthquakе-damagеd buildings dеmonstratеs potеntial for furthеr progrеss in this fiеld.Overall,the utilization of remote sensing technologies has greatly enhanced our comprehension of earthquakes and their effects on the Earth's surface.The fusion of remote sensing technology with advanced data analysis methods holds tremendous potential for driving progress in earthquake studies and damage assessment.展开更多
Gastrointestinal(GI)bleeding is a critical and potentially life-threatening condition frequently observed in the intensive care unit(ICU).This literature review consolidates current insights on the epidemiology,etiolo...Gastrointestinal(GI)bleeding is a critical and potentially life-threatening condition frequently observed in the intensive care unit(ICU).This literature review consolidates current insights on the epidemiology,etiology,management,and outcomes of GI bleeding in critically ill patients.GI bleeding remains a significant concern,especially among patients with underlying risk factors such as coagulopathy,mechanical ventilation,and renal failure.Managing GI bleeding in the ICU requires a multidisciplinary approach,including resuscitation,endoscopic intervention,pharmacologic therapy,and sometimes surgical procedures.Even with enhanced management strategies,GI bleeding in the ICU is associated with considerable morbidity and mortality,particularly when complicated by multi-organ failure.This review reiterates the need for adequate resuscitation and interventions in managing GI bleeding in critically ill patients,aiming to enhance survival rates and improve the quality of care within the ICU setting.展开更多
While numerous allometric models exist for estimating biomass in trees with single stems,models for multi-stemmed species are scarce.This study presents models for predicting aboveground biomass(AGB)in European hazel(...While numerous allometric models exist for estimating biomass in trees with single stems,models for multi-stemmed species are scarce.This study presents models for predicting aboveground biomass(AGB)in European hazel(Corylus avellana L.),growing in multi-stemmed shrub form.We measured the size and harvested the biomass of 30 European hazel shrubs,drying and weighing their woody parts and leaves separately.AGB(dry mass)and leaf area models were established using a range of predictors,such as the upper height of the shrub,number of shoots per shrub,canopy projection area,stem base diameter of the thickest stem,and the sum of cross-sectional areas of all stems at the stem base.The latter was the best predictor of AGB,but the most practically useful variables,defined as relatively easy to measure by terrestrial or aerial approaches,were the upper height of the shrub and the canopy projection area.The leaf biomass to AGB ratio decreased with the shrub's height.Specific leaf area of shaded leaves increases with shrub height,but that of leaves at the top of the canopy does not change significantly.Given that the upper shrub height and crown projection of European hazel can be estimated using remote sensing approaches,especially UAV and LIDAR,these two variables appear the most promising for effective measurement of AGB in hazel.展开更多
Ten physical and environmental variables collected from an on-the-go soil sensor at two field sites (MF3E and MF11S) in Mississippi, USA, were analyzed to assess soil variability and the interrelationships among the m...Ten physical and environmental variables collected from an on-the-go soil sensor at two field sites (MF3E and MF11S) in Mississippi, USA, were analyzed to assess soil variability and the interrelationships among the measurements. At MF3E, moderate variability was observed in apparent electrical conductivity shallow (ECas), slope, and ECa ratio measurements, with coefficients of variation ranging from 20% to 27%. In contrast, MF11S exhibited higher variability, particularly in ECas and ECad (deep) measurements, which exceeded 30% in their coefficient of variation values, indicating significant differences in soil composition and moisture content. Correlation analysis revealed strong positive relationships between the near-infrared-to-red ratio and red reflectance (r = 0.897***) soil values at MF3E. MF11S demonstrated a strong negative correlation between ECas and ECad readings with the x-coordinate (r ***). Scatter plots and fitted models illustrated the complexity of relationships, with many showing nonlinear trends. These findings emphasize the need for continuous monitoring and advanced modeling to understand the dynamic nature of soil properties and their implications for agricultural practices. Future research should explore the underlying mechanisms driving variability in the soil characteristics to enhance soil management strategies at the study sites.展开更多
Basal cell carcinoma(BCC)is the most prevalent form of skin cancer in the world,primarily affecting sun-exposed areas,including the periocular region.When BCC occurs near the eyes,surgical treatment becomes uniquely c...Basal cell carcinoma(BCC)is the most prevalent form of skin cancer in the world,primarily affecting sun-exposed areas,including the periocular region.When BCC occurs near the eyes,surgical treatment becomes uniquely complex.Excess excisions may cause detrimental effects to eyelid function and undesirable aesthetic outcomes.Conversely,adequate resection must occur to prevent further disease progression.Mohs micrographic surgery(MMS),a technique offering high remission rates,is often employed for periocular BCC.This method allows for precise cancer removal while preserving as much healthy tissue as possible,balancing the need for both effective treatment and aesthetic and functional preservation.Following Mohs surgery of periocular BCC,reconstruction methods vary and can be tailored based on the size of the resection and the functional requirements of the affected tissue.Amongst these methods,primary closure with and without secondary intentions,direct margin repair,local flap closure and advance flap,Tenzel flap,tarso-conjunctival flap,periocular skin grafting,and structural grafting are commonly utilized and each has its advantages and limitations.In the future,advancements in synthetic flaps and stabilizing glues in the periocular region may provide additional tools for post-Mohs reconstruction.However,these emerging techniques require further research to establish efficacy and safety,especially in more complex and sensitive regions like the periocular tissues.The primary purpose of this review is to provide a comprehensive analysis of periocular reconstructive techniques following Mohs surgery,comparing their efficacy,functional outcomes,and aesthetic considerations while addressing recent advancements such as synthetic flaps and stabilizing glues to guide clinical decision-making.展开更多
Blast-induced ground vibration,quantified by peak particle velocity(PPV),is a crucial factor in mitigating environmental and structural risks in mining and geotechnical engineering.Accurate PPV prediction facilitates ...Blast-induced ground vibration,quantified by peak particle velocity(PPV),is a crucial factor in mitigating environmental and structural risks in mining and geotechnical engineering.Accurate PPV prediction facilitates safer and more sustainable blasting operations by minimizing adverse impacts and ensuring regulatory compliance.This study presents an advanced predictive framework integrating Cat Boost(CB)with nature-inspired optimization algorithms,including the Bat Algorithm(BAT),Sparrow Search Algorithm(SSA),Butterfly Optimization Algorithm(BOA),and Grasshopper Optimization Algorithm(GOA).A comprehensive dataset from the Sarcheshmeh Copper Mine in Iran was utilized to develop and evaluate these models using key performance metrics such as the Index of Agreement(IoA),Nash-Sutcliffe Efficiency(NSE),and the coefficient of determination(R^(2)).The hybrid CB-BOA model outperformed other approaches,achieving the highest accuracy(R^(2)=0.989)and the lowest prediction errors.SHAP analysis identified Distance(Di)as the most influential variable affecting PPV,while uncertainty analysis confirmed CB-BOA as the most reliable model,featuring the narrowest prediction interval.These findings highlight the effectiveness of hybrid machine learning models in refining PPV predictions,contributing to improved blast design strategies,enhanced structural safety,and reduced environmental impacts in mining and geotechnical engineering.展开更多
Individual tree health plays a vital role in maintaining a forest's ecological functions,including resources for waterfowl and other wildlife.Seasonal flooding due to altered hydrology is a major stressor on indiv...Individual tree health plays a vital role in maintaining a forest's ecological functions,including resources for waterfowl and other wildlife.Seasonal flooding due to altered hydrology is a major stressor on individual tree health in Greentree reservoirs(GTR),impounded bottomland hardwood forests especially less water tolerant species like red oaks(Quercus spp.).We evaluated the health of individual red oak species(n=6,432)in 662 plots across elevation gradients in 12 GTRs within the lower Mississippi Alluvial Valley using two tree health assessment approaches.The first approach assigns tree conditions(i.e.,stressed,moderate,low)based on overall qualitative tree attributes,while the second approach ranks stress,assigning numerical value based on the severity of four distinct qualitative tree attributes(i.e.,tip dieback,epicormics branch,bark condition,basal swell).The result indicated that the highest mean stress rank and the highest proportion of stressed tree conditions were red oak species,nuttall oak(Q.texana;18.59,0.44),willow oak(Q.phellos;18.66,0.38)and cherrybark oak(Q.pagoda;18.90,0.37).Red oak stress is positively correlated to elevation across the landscape(τ=0.10,p<0.001),but is negatively correlated to relative elevation,topographical changes,within each GTR(τ=-0.11,p<0.001).Additionally,the two health assessments are significantly associated(χ^(2)=313.78,df=2,p<0.001)and had a 13.1%misclassification rate.By utilizing the stress rank method for better classification of tree conditions to understand the adverse effect of prolonged flooding on the health of desirable red oak and other native tree species,management practices can be adjusted to improve tree health in GTRs,benefiting both wildlife and economic value.展开更多
A bicuspid aortic valve,from autologous tissue,with growth potential can be constructed using the simple,and reproducible telescoping arterial trunk technique.
Microbes are good sources of biologically active compounds that can be used as pharmaceuticals and agrochemicals. As part of our continuous efforts in search for biopesticides from natural sources, a fungus is isolate...Microbes are good sources of biologically active compounds that can be used as pharmaceuticals and agrochemicals. As part of our continuous efforts in search for biopesticides from natural sources, a fungus is isolated from leaves of Pandanus amaryllifolius that shows severe necrosis. This fungus is cultured in potato dextrose agar and identified as Curvularia intermedia. The ethyl acetate extract of the liquid culture medium is phytotoxic. Identification and bioassay of αβ-dehydrocurvularin (1) and curvularin (2) from this fungus are described. Monoacetyldehydrocurvularin (3), and diacetyldehydrocurvularin (4) are synthesized from 1. Phytoxicity rankings in a variety of bioassays are 1 > 2 > 4 > 3.展开更多
Steatotic liver disease(SLD)encompasses a group of disorders characterized by the excessive accumulation of fat in the liver.It is classified into four categories based on clinical manifestations:Metabolic dysfunction...Steatotic liver disease(SLD)encompasses a group of disorders characterized by the excessive accumulation of fat in the liver.It is classified into four categories based on clinical manifestations:Metabolic dysfunction-associated SLD(MASLD),metabolic-alcohol-associated liver disease(ALD),ALD,and cryptogenic SLD.In the United States,its prevalence stands at 34.2%,making it the most common cause of cirrhosis and hepatocellular carcinoma(HCC).In addition to factors related to endocrine,nutrition,and medications,several genetic markers have been implicated in the disease's pathogenesis.Notable genes include PNPLA3,TM6SF2,GCKR,MBOAT7 and HSD17B13.These genetic polymorphisms can significantly impact prognosis and disease outcomes.For example,PNPLA3 is the most frequently associated gene with MASLD,increasing the risk of HCC by 12-fold and liver-related mortality by 18-fold.Furthermore,certain genetic markers are more prevalent in specific ethnic groups;for instance,PNPLA3 is common among Hispanics,while TM6SF2 is linked to higher fat content in African Americans.With a better understanding of the genetic factors involved in the pathogenesis of SLD,significant advancements have been made in diagnostics and therapeutics.This review explores the role of genetic factors in the disease's development,discusses current advancements in non-invasive diagnostic modalities,and examines therapeutic improvements based on these genetic insights to achieve better outcomes.展开更多
In developed countries,age-related macular degeneration(AMD)is the main cause of visual impairment in the elderly.Though the etiology of AMD is still unclear,it has been well understood that vascular endothelial growt...In developed countries,age-related macular degeneration(AMD)is the main cause of visual impairment in the elderly.Though the etiology of AMD is still unclear,it has been well understood that vascular endothelial growth factor(VEGF)is involved in the development of aberrant vasculature that represents the neovascular AMD(nAMD).Hence,VEGF inhibition is a more effective way to control nAMD.Pegaptanib,ranibizumab,and aflibercept are three drugs approved by the US Food and Drug Administration(FDA)to treat nAMD.Bevacizumab(an anti-VEGF medication comparable to ranibizumab)is already widely used off label.Existing anti-VEGF medicines are made up of antibodies or pieces of antibodies.Synthetic designed ankyrin repeat proteins(DARPins)imitate antibodies introduced recently by evolutions in bioengineering technology.These agents are designed to have high specificity and affinity to a specific target,smaller molecular size,and better tissue penetration,making them more stable and longer-acting at less concentration.Abicipar pegol(Allergan,Dublin,Ireland)is a DARPin that interlocks all VEGF-A isoforms.It has a greater affinity for VEGF and a longer intraocular half-life than ranibizumab,making it a feasible anti-VEGF agent.This review describes the properties and efficacy of abicipar,the new anti-VEGF agent,in clinical practice,which aims to improve outcomes,safety,and treatment burden of nAMD.展开更多
Background GOSSYM is a mechanistic,process-based cotton model that can simulate cotton crop growth and development,yield,and fiber quality.Its fiber quality module was developed based on controlled experiments explici...Background GOSSYM is a mechanistic,process-based cotton model that can simulate cotton crop growth and development,yield,and fiber quality.Its fiber quality module was developed based on controlled experiments explicitly conducted on the Texas Marker^(-1)(TM1)variety,potentially making its functional equations more aligned with this cultivar.To assess the model’s broader applicability,this study analyzed fiber quality data from 40 upland cotton cultivars,including TM1.The measured fiber quality from all cultivars was then compared with the modelsimulated fiber quality.Results Among the 40 upland cultivars,fiber strength varied from 28.4 cN·tex^(-1) to 34.6 cN·tex^(-1),fiber length ranged from 27.1 mm to 33.3 mm,micronaire value ranged from 2.7 to 4.6,and length uniformity index varied from 82.3%to 85.5%.The model simulated fiber quality closely matched the measured values for TM1,with the absolute percentage error(APE)being less than 0.92%for fiber strength,fiber length,and length uniformity index and 4.7%for micronaire.However,significant differences were observed for the other cultivars.The Pearson correlation coefficient(r)between the measured and simulated values was negative for all fiber quality traits,and Wilmotts’s index of agreement(WIA)was below 0.45,indicating a strong model bias toward TM1 without incorporating cultivar-specific parameters.After incorporating cultivar-specific parameters,the model’s performance improved significantly,with an average r-value of 0.84 and WIA of 0.88.Conclusions The adopted methodology and estimated cultivar-specific parameters improved the model’s simulation accuracy.This approach can be applied to newer cotton cultivars,enhancing the GOSSYM model’s utility and its applicability for agricultural management and policy decisions.展开更多
Wheat grains contain various bioactive substances,of which,condensed tannins(CT)are polymeric flavan-3-ols that accumulate in wheat seed coat influencing the end-use quality and nutritional value.However,the genetic a...Wheat grains contain various bioactive substances,of which,condensed tannins(CT)are polymeric flavan-3-ols that accumulate in wheat seed coat influencing the end-use quality and nutritional value.However,the genetic architecture underlying CT biosynthesis in wheat grain remains unclear.Here,we studied the deposition and genetic regulation of CT in wheat grains,and found that CT deposited specifically in the testa layer of red-grained wheat as catechin-and epicatechin-formed polymers.Genome-wide association study identified 22 genetic loci affecting CT content,one of which,TaTAN,a single dominant gene controlling CT presence,was mapped to chromosome 3A in a segregation population.Further pan-genome analysis,transcriptome profiling and ethyl methanesulfonate induced mutants sequencing revealed a R2R3-MYB transcription factor,TaMYB10-3A,as the causal gene.Three loss-of-function alleles in TaMYB10-3A caused by large fragment inversion-deletion and insertion were identified which abolish both CT deposition and red pigmentation,demonstrating the pleiotropic effect of TaMYB10-3A on CT presence and grain color.TaMYB10-3A directly trans-activates core flavonoid genes such as chalcone synthase and dihydroflavonol 4-reductase to initiate CT biosynthesis.Our investigation provides a comprehensive understanding of CT presence in wheat grains and lays a solid foundation for manipulating CT metabolites to improve wheat grain end-use quality and nutrition values in wheat.展开更多
Endoscopic ultrasound(EUS)is one of the significant breakthroughs in the field of advanced endoscopy.In the last two decades,EUS has evolved from a diagnostic tool to a real-time therapeutic modality.The luminal gastr...Endoscopic ultrasound(EUS)is one of the significant breakthroughs in the field of advanced endoscopy.In the last two decades,EUS has evolved from a diagnostic tool to a real-time therapeutic modality.The luminal gastrointestinal(GI)tract provides a unique opportunity to access multiple vascular structures,especially in the mediastinum and abdomen,thus permitting a variety of EUS-guided vascular interventions.The addition of the doppler and contrast-enhanced capability to EUS has further helped provide real-time visualization of blood flow in vessels through the GI tract.EUS-guided vascular interventions rely on standard endoscopic accessories and interventional tools such as fine-needle aspiration needles and fine-needle biopsy.EUS allows the visualization of various structures in real-time by differentiating tissue densities and vascularity,thus,avoiding radiation exposure.EUS-guided techniques also allow real-time microscopic examination after target biopsy.Furthermore,many necessary interventions can be done during the same procedure after diagnosis.This article provides an overview of EUS-guided vascular interventions such as variceal,non-variceal bleeding interventions,EUSguided portal vein(PV)access with the formation of an intrahepatic portosystemic shunt,and techniques related to diagnosis of GI malignancies.Furthermore,we discuss current insights and future outlook of therapeutic modalities like PV embolization,PV sampling,angiography,drug administration,and portal pressure measurement.展开更多
Integrative data from plastid and nuclear loci are increasingly utilized to resolve species boundaries and phylogenetic relationships within major angiosperm clades.Debregeasia(Urticaceae),an economically important ge...Integrative data from plastid and nuclear loci are increasingly utilized to resolve species boundaries and phylogenetic relationships within major angiosperm clades.Debregeasia(Urticaceae),an economically important genus,presents challenges in species delimitation due to its overlapping morphological traits and unstable taxonomic assignments.Here,we analyzed 14 morphological traits and generated 12 data matrices from the plastomes and nrDNA using genome skimming from the nine recognized morphospecies to clarify species boundaries and assess barcode performance in Debregeasia.We also used a universal set of 353 nuclear genes to explore reticulate evolution and biogeographic history of Debregeasia.Plastomes of Debregeasia exhibited the typical quadripartite structure with conserved gene content and marginal independent variations in the SC/IR boundary at inter-and intra-specific levels.Three Debregeasia species were non-monophyletic and could not be discerned by any barcode;however,ultra-barcodes identified the remaining six(67%),outperforming standard barcodes(56%).Our phylogenetic analyses placed Debregeasia wallichiana outside the genus and suggested six monophyletic clades in Debregeasia,although the placement between Debregeasia hekouensis and Debregeasia libera varied.There was extensive trait overlap in key morphologically diagnostic characters,with reticulation analysis showing potentially pervasive hybridization,likely influenced by speciation patterns and overlaps between species ranges.We inferred that Debregeasia crown diversification began at ca.12.82 Ma(95%HPD:11.54-14.63 Ma)in the mid-Miocene within Australia,followed by vicariance and later longdistance dispersal,mainly out of southern China.Our findings highlight the utility of genomic data with integrative lines of evidence to refine species delimitation and explore evolutionary relationships in complex plant lineages.展开更多
Combinatorial chemistry involves the chemical or biological synthesis of diverse variation of the structures of a target molecule and the library is then screened for variants of desirable target properties. The appro...Combinatorial chemistry involves the chemical or biological synthesis of diverse variation of the structures of a target molecule and the library is then screened for variants of desirable target properties. The approach has been a focus of research activity in drug discovery and biotechnology. This report is to demonstrate the application of enzyme technology using the concept of combinatorial chemistry as a novel approach for the bioconversion of plant fibers. Wheat insoluble fiber was subjected to combinatorial enzyme digestion to create structural variants of feruloyl oligosaccharides (FOS). Fractionation and screening resulted in the isolation of a fraction of bioactive FOS species showing antimicrobial activity. These results demonstrate the feasibility and usefulness of the combinatorial enzyme technique in the transformation of plant biomass to value-added products.展开更多
BACKGROUND Gastrointestinal bleeding(GIB)is a critical complication often seen in patients with acute coronary syndrome(ACS),especially those undergoing dual antiplatelet therapy.GIB is associated with increased morta...BACKGROUND Gastrointestinal bleeding(GIB)is a critical complication often seen in patients with acute coronary syndrome(ACS),especially those undergoing dual antiplatelet therapy.GIB is associated with increased mortality and prolonged hospitalization,particularly in ACS patients.Despite advancements in management strategies,the role of gastrointestinal endoscopy(GIE)in this population remains controversial,with concerns about timing,safety,and clinical outcomes.AIM To evaluate the safety and efficacy of GIE in patients with ACS and acute GIB,focusing on outcomes such as mortality,hospital length of stay(LOS),hemorrhage control,rebleeding,and blood transfusion requirements.METHODS Following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines,a systematic review was conducted using databases including PubMed,Cochrane,and EMBASE,up to December 2024.The protocol was registered with the International Prospective Register of Systematic Reviews(CRD42025630188).Study quality was assessed using the Cochrane Risk of Bias 2.0 tool for randomized controlled trials(RCTs)and the Newcastle-Ottawa Scale for cohort studies.RESULTS Four studies met the inclusion criteria,comprising one RCT and three cohort studies with a total population of 1676130 patients.Most studies indicated that GIE was associated with improved survival in ACS patients with GIB.Three of our studies reported lower mortality rates in patients undergoing GIE compared to those managed without endoscopy,although this varied by study.While GIE demonstrated effectiveness in controlling hemorrhage and reducing rebleeding rates in one study.The rest of the studies did not evaluate these outcomes comprehensively.Hospital LOS outcomes were inconsistent,with two studies suggesting no significant difference,while only one study indicated potential reductions in LOS with GIE.Blood transfusion requirements were reported in one study to be higher in patients undergoing GIE,reflecting its frequent use in severe cases.The safety and effectiveness of GIE varied depending on patient characteristics,timing of the procedure,and type of intervention.CONCLUSION GIE has the potential to improve survival in certain patients with ACS complicated by GIB;however,determining the ideal timing and appropriate candidates necessitates careful individual assessment.While evidence suggests benefits,the limitations of observational studies warrant caution.Collaboration between cardiology and gastroenterology is essential to optimizing outcomes.Future randomized trials should focus on timing,severity,and diverse populations to refine guidelines and improve care for this high-risk group.展开更多
Controlled intracellular delivery of biomolecular cargo is critical for developing targeted therapeutics and cell reprogramming.Conventional delivery approaches(e.g.,endocytosis of nano-vectors,microinjection,and elec...Controlled intracellular delivery of biomolecular cargo is critical for developing targeted therapeutics and cell reprogramming.Conventional delivery approaches(e.g.,endocytosis of nano-vectors,microinjection,and electroporation)usually require time-consuming uptake processes,labor-intensive operations,and/or costly specialized equipment.Here,we present an acoustofluidics-based intracellular delivery approach capable of effectively delivering various functional nanomaterials to multiple cell types(e.g.,adherent and suspension cancer cells).By tuning the standing acoustic waves in a glass capillary,our approach can push cells in flow to the capillary wall and enhance membrane permeability by increasing membrane stress to deform cells via acoustic radiation forces.Moreover,by coating the capillary with cargo-encapsulated nanoparticles,our approach can achieve controllable cell-nanoparticle contact and facilitate nanomaterial delivery beyond Brownian movement.Based on these mechanisms,we have successfully delivered nanoparticles loaded with small molecules or protein-based cargo to U937 and HeLa cells.Our results demonstrate enhanced delivery efficiency compared to attempts made without the use of acoustofluidics.Moreover,compared to conventional sonoporation methods,our approach does not require special contrast agents with microbubbles.This acoustofluidics-based approach creates exciting opportunities to achieve controllable intracellular delivery of various biomolecular cargoes to diverse cell types for potential therapeutic applications and biophysical studies.展开更多
The novel coronavirus disease 2019(COVID-19)is a pandemic disease that is currently affecting over 200 countries around the world and impacting billions of people.The first step to mitigate and control its spread is t...The novel coronavirus disease 2019(COVID-19)is a pandemic disease that is currently affecting over 200 countries around the world and impacting billions of people.The first step to mitigate and control its spread is to identify and isolate the infected people.But,because of the lack of reverse transcription polymerase chain reaction(RT-CPR)tests,it is important to discover suspected COVID-19 cases as early as possible,such as by scan analysis and chest X-ray by radiologists.However,chest X-ray analysis is relatively time-consuming since it requires more than 15 minutes per case.In this paper,an automated novel detection model of COVID-19 cases is proposed to perform real-time detection of COVID-19 cases.The proposed model consists of three main stages:image segmentation using Harris Hawks optimizer,synthetic image augmentation using an enhanced Wasserstein And Auxiliary Classifier Generative Adversarial Network,and image classification using Conventional Neural Network.Raw chest X-ray images datasets are used to train and test the proposed model.Experiments demonstrate that the proposed model is very efficient in the automatic detection of COVID-19 positive cases.It achieved 99.4%accuracy,99.15%precision,99.35%recall,99.25%F-measure,and 98.5%specificity.展开更多
文摘Heart transplantation is a life-saving procedure for many people throughout the world.Data shows that in 2024,there was an increase in the volume of adult heart transplantation in the United States even as there was a decrease in the volume of pediatric heart transplantation to the lowest volume in a decade.Organ availability remains a major limiting factor affecting transplant volume.This mandates that innovation must take place to increase the supply of donor organs.While some strategies such as donation after cardiac death,hepatitis C virus+transplantation,and ABO-incompatible transplantation have increased the pool for donation,it still falls short of meeting the demand.Other proposed strategies include splitting the donor heart to provide multiple partial heart transplants,domino partial heart transplantation,changes in legislation including opt-out legislation,and xenotransplantation.Further evolution and refinement of these strategies will make a meaningful impact on patients awaiting life-saving heart transplants.
基金funded through an appointment with the Agricultural Research Service,managed by the Oak Ridge Institute for Science and Education。
文摘Remote sensing technologies play a vital role in our understanding of earthquakes and their impact on the Earth's surface.These technologies,including satellite imagery,aerial surveys,and advanced sensors,contribute significantly to our understanding of the complex nature of earthquakes.This review highlights the advancements in the integration of remote sensing technologies into earthquake studies.The combined use of satellite imagery and aerial photography in conjunction with geographic information systems(GIS)has been instrumental in showcasing the significance of fusing various types of satеllitеdata sourcеs for comprеhеnsivееarthquakеdamagеassеssmеnts.However,remote sensing encounters challenges due to limited pre-event imagery and restricted postearthquake site access.Furthеrmorе,thеapplication of dееp-lеarning mеthods in assеssingеarthquakе-damagеd buildings dеmonstratеs potеntial for furthеr progrеss in this fiеld.Overall,the utilization of remote sensing technologies has greatly enhanced our comprehension of earthquakes and their effects on the Earth's surface.The fusion of remote sensing technology with advanced data analysis methods holds tremendous potential for driving progress in earthquake studies and damage assessment.
文摘Gastrointestinal(GI)bleeding is a critical and potentially life-threatening condition frequently observed in the intensive care unit(ICU).This literature review consolidates current insights on the epidemiology,etiology,management,and outcomes of GI bleeding in critically ill patients.GI bleeding remains a significant concern,especially among patients with underlying risk factors such as coagulopathy,mechanical ventilation,and renal failure.Managing GI bleeding in the ICU requires a multidisciplinary approach,including resuscitation,endoscopic intervention,pharmacologic therapy,and sometimes surgical procedures.Even with enhanced management strategies,GI bleeding in the ICU is associated with considerable morbidity and mortality,particularly when complicated by multi-organ failure.This review reiterates the need for adequate resuscitation and interventions in managing GI bleeding in critically ill patients,aiming to enhance survival rates and improve the quality of care within the ICU setting.
基金funded by grants EVA4.0 No.Z.02.1.01/0.0/0.0/16_019/0000803 and ITMS2014+313011W580s provided by EU OP RDEin CZ and SKprojects APVV-18-0086,APVV-19-0387,APVV-20-0168,APVV-20-0215 and APVV-22-0056 from the Slovak Research and Development Agencysupport from the European Research Executive Agency for ReForest,Grant Agreement Nr:101060635
文摘While numerous allometric models exist for estimating biomass in trees with single stems,models for multi-stemmed species are scarce.This study presents models for predicting aboveground biomass(AGB)in European hazel(Corylus avellana L.),growing in multi-stemmed shrub form.We measured the size and harvested the biomass of 30 European hazel shrubs,drying and weighing their woody parts and leaves separately.AGB(dry mass)and leaf area models were established using a range of predictors,such as the upper height of the shrub,number of shoots per shrub,canopy projection area,stem base diameter of the thickest stem,and the sum of cross-sectional areas of all stems at the stem base.The latter was the best predictor of AGB,but the most practically useful variables,defined as relatively easy to measure by terrestrial or aerial approaches,were the upper height of the shrub and the canopy projection area.The leaf biomass to AGB ratio decreased with the shrub's height.Specific leaf area of shaded leaves increases with shrub height,but that of leaves at the top of the canopy does not change significantly.Given that the upper shrub height and crown projection of European hazel can be estimated using remote sensing approaches,especially UAV and LIDAR,these two variables appear the most promising for effective measurement of AGB in hazel.
文摘Ten physical and environmental variables collected from an on-the-go soil sensor at two field sites (MF3E and MF11S) in Mississippi, USA, were analyzed to assess soil variability and the interrelationships among the measurements. At MF3E, moderate variability was observed in apparent electrical conductivity shallow (ECas), slope, and ECa ratio measurements, with coefficients of variation ranging from 20% to 27%. In contrast, MF11S exhibited higher variability, particularly in ECas and ECad (deep) measurements, which exceeded 30% in their coefficient of variation values, indicating significant differences in soil composition and moisture content. Correlation analysis revealed strong positive relationships between the near-infrared-to-red ratio and red reflectance (r = 0.897***) soil values at MF3E. MF11S demonstrated a strong negative correlation between ECas and ECad readings with the x-coordinate (r ***). Scatter plots and fitted models illustrated the complexity of relationships, with many showing nonlinear trends. These findings emphasize the need for continuous monitoring and advanced modeling to understand the dynamic nature of soil properties and their implications for agricultural practices. Future research should explore the underlying mechanisms driving variability in the soil characteristics to enhance soil management strategies at the study sites.
文摘Basal cell carcinoma(BCC)is the most prevalent form of skin cancer in the world,primarily affecting sun-exposed areas,including the periocular region.When BCC occurs near the eyes,surgical treatment becomes uniquely complex.Excess excisions may cause detrimental effects to eyelid function and undesirable aesthetic outcomes.Conversely,adequate resection must occur to prevent further disease progression.Mohs micrographic surgery(MMS),a technique offering high remission rates,is often employed for periocular BCC.This method allows for precise cancer removal while preserving as much healthy tissue as possible,balancing the need for both effective treatment and aesthetic and functional preservation.Following Mohs surgery of periocular BCC,reconstruction methods vary and can be tailored based on the size of the resection and the functional requirements of the affected tissue.Amongst these methods,primary closure with and without secondary intentions,direct margin repair,local flap closure and advance flap,Tenzel flap,tarso-conjunctival flap,periocular skin grafting,and structural grafting are commonly utilized and each has its advantages and limitations.In the future,advancements in synthetic flaps and stabilizing glues in the periocular region may provide additional tools for post-Mohs reconstruction.However,these emerging techniques require further research to establish efficacy and safety,especially in more complex and sensitive regions like the periocular tissues.The primary purpose of this review is to provide a comprehensive analysis of periocular reconstructive techniques following Mohs surgery,comparing their efficacy,functional outcomes,and aesthetic considerations while addressing recent advancements such as synthetic flaps and stabilizing glues to guide clinical decision-making.
基金the Deanship of Scientific Research at Northern Border University,Arar,KSA for funding this research work through the project number"NBUFFMRA-2025-2461-09"。
文摘Blast-induced ground vibration,quantified by peak particle velocity(PPV),is a crucial factor in mitigating environmental and structural risks in mining and geotechnical engineering.Accurate PPV prediction facilitates safer and more sustainable blasting operations by minimizing adverse impacts and ensuring regulatory compliance.This study presents an advanced predictive framework integrating Cat Boost(CB)with nature-inspired optimization algorithms,including the Bat Algorithm(BAT),Sparrow Search Algorithm(SSA),Butterfly Optimization Algorithm(BOA),and Grasshopper Optimization Algorithm(GOA).A comprehensive dataset from the Sarcheshmeh Copper Mine in Iran was utilized to develop and evaluate these models using key performance metrics such as the Index of Agreement(IoA),Nash-Sutcliffe Efficiency(NSE),and the coefficient of determination(R^(2)).The hybrid CB-BOA model outperformed other approaches,achieving the highest accuracy(R^(2)=0.989)and the lowest prediction errors.SHAP analysis identified Distance(Di)as the most influential variable affecting PPV,while uncertainty analysis confirmed CB-BOA as the most reliable model,featuring the narrowest prediction interval.These findings highlight the effectiveness of hybrid machine learning models in refining PPV predictions,contributing to improved blast design strategies,enhanced structural safety,and reduced environmental impacts in mining and geotechnical engineering.
基金Five Oaks Ag Research&Education Center(DS18849)the University of Arkansas Division of Agriculture(PR02276)funding was provided by the U.S.Department of Agriculture,the National Institute of Food and Agriculture,and the McIntire-Stennis Capacity Grant(2729 YR21-25 and ARK02594).
文摘Individual tree health plays a vital role in maintaining a forest's ecological functions,including resources for waterfowl and other wildlife.Seasonal flooding due to altered hydrology is a major stressor on individual tree health in Greentree reservoirs(GTR),impounded bottomland hardwood forests especially less water tolerant species like red oaks(Quercus spp.).We evaluated the health of individual red oak species(n=6,432)in 662 plots across elevation gradients in 12 GTRs within the lower Mississippi Alluvial Valley using two tree health assessment approaches.The first approach assigns tree conditions(i.e.,stressed,moderate,low)based on overall qualitative tree attributes,while the second approach ranks stress,assigning numerical value based on the severity of four distinct qualitative tree attributes(i.e.,tip dieback,epicormics branch,bark condition,basal swell).The result indicated that the highest mean stress rank and the highest proportion of stressed tree conditions were red oak species,nuttall oak(Q.texana;18.59,0.44),willow oak(Q.phellos;18.66,0.38)and cherrybark oak(Q.pagoda;18.90,0.37).Red oak stress is positively correlated to elevation across the landscape(τ=0.10,p<0.001),but is negatively correlated to relative elevation,topographical changes,within each GTR(τ=-0.11,p<0.001).Additionally,the two health assessments are significantly associated(χ^(2)=313.78,df=2,p<0.001)and had a 13.1%misclassification rate.By utilizing the stress rank method for better classification of tree conditions to understand the adverse effect of prolonged flooding on the health of desirable red oak and other native tree species,management practices can be adjusted to improve tree health in GTRs,benefiting both wildlife and economic value.
基金funded by internal grants from the Ward Family Heart Center.
文摘A bicuspid aortic valve,from autologous tissue,with growth potential can be constructed using the simple,and reproducible telescoping arterial trunk technique.
文摘Microbes are good sources of biologically active compounds that can be used as pharmaceuticals and agrochemicals. As part of our continuous efforts in search for biopesticides from natural sources, a fungus is isolated from leaves of Pandanus amaryllifolius that shows severe necrosis. This fungus is cultured in potato dextrose agar and identified as Curvularia intermedia. The ethyl acetate extract of the liquid culture medium is phytotoxic. Identification and bioassay of αβ-dehydrocurvularin (1) and curvularin (2) from this fungus are described. Monoacetyldehydrocurvularin (3), and diacetyldehydrocurvularin (4) are synthesized from 1. Phytoxicity rankings in a variety of bioassays are 1 > 2 > 4 > 3.
文摘Steatotic liver disease(SLD)encompasses a group of disorders characterized by the excessive accumulation of fat in the liver.It is classified into four categories based on clinical manifestations:Metabolic dysfunction-associated SLD(MASLD),metabolic-alcohol-associated liver disease(ALD),ALD,and cryptogenic SLD.In the United States,its prevalence stands at 34.2%,making it the most common cause of cirrhosis and hepatocellular carcinoma(HCC).In addition to factors related to endocrine,nutrition,and medications,several genetic markers have been implicated in the disease's pathogenesis.Notable genes include PNPLA3,TM6SF2,GCKR,MBOAT7 and HSD17B13.These genetic polymorphisms can significantly impact prognosis and disease outcomes.For example,PNPLA3 is the most frequently associated gene with MASLD,increasing the risk of HCC by 12-fold and liver-related mortality by 18-fold.Furthermore,certain genetic markers are more prevalent in specific ethnic groups;for instance,PNPLA3 is common among Hispanics,while TM6SF2 is linked to higher fat content in African Americans.With a better understanding of the genetic factors involved in the pathogenesis of SLD,significant advancements have been made in diagnostics and therapeutics.This review explores the role of genetic factors in the disease's development,discusses current advancements in non-invasive diagnostic modalities,and examines therapeutic improvements based on these genetic insights to achieve better outcomes.
文摘In developed countries,age-related macular degeneration(AMD)is the main cause of visual impairment in the elderly.Though the etiology of AMD is still unclear,it has been well understood that vascular endothelial growth factor(VEGF)is involved in the development of aberrant vasculature that represents the neovascular AMD(nAMD).Hence,VEGF inhibition is a more effective way to control nAMD.Pegaptanib,ranibizumab,and aflibercept are three drugs approved by the US Food and Drug Administration(FDA)to treat nAMD.Bevacizumab(an anti-VEGF medication comparable to ranibizumab)is already widely used off label.Existing anti-VEGF medicines are made up of antibodies or pieces of antibodies.Synthetic designed ankyrin repeat proteins(DARPins)imitate antibodies introduced recently by evolutions in bioengineering technology.These agents are designed to have high specificity and affinity to a specific target,smaller molecular size,and better tissue penetration,making them more stable and longer-acting at less concentration.Abicipar pegol(Allergan,Dublin,Ireland)is a DARPin that interlocks all VEGF-A isoforms.It has a greater affinity for VEGF and a longer intraocular half-life than ranibizumab,making it a feasible anti-VEGF agent.This review describes the properties and efficacy of abicipar,the new anti-VEGF agent,in clinical practice,which aims to improve outcomes,safety,and treatment burden of nAMD.
基金supported by United States Department of Agriculture,Agricultural Research Service(No.58-8042-9-072)United States Department of Agriculture-National Institute of Food and Agriculture(No.2019-34263-30552)+1 种基金Management Information System(No.043050)United States Department of Agriculture-Agricultural Research Service-Non-Assistance Cooperative Agreement(No.58-6066-2-030).
文摘Background GOSSYM is a mechanistic,process-based cotton model that can simulate cotton crop growth and development,yield,and fiber quality.Its fiber quality module was developed based on controlled experiments explicitly conducted on the Texas Marker^(-1)(TM1)variety,potentially making its functional equations more aligned with this cultivar.To assess the model’s broader applicability,this study analyzed fiber quality data from 40 upland cotton cultivars,including TM1.The measured fiber quality from all cultivars was then compared with the modelsimulated fiber quality.Results Among the 40 upland cultivars,fiber strength varied from 28.4 cN·tex^(-1) to 34.6 cN·tex^(-1),fiber length ranged from 27.1 mm to 33.3 mm,micronaire value ranged from 2.7 to 4.6,and length uniformity index varied from 82.3%to 85.5%.The model simulated fiber quality closely matched the measured values for TM1,with the absolute percentage error(APE)being less than 0.92%for fiber strength,fiber length,and length uniformity index and 4.7%for micronaire.However,significant differences were observed for the other cultivars.The Pearson correlation coefficient(r)between the measured and simulated values was negative for all fiber quality traits,and Wilmotts’s index of agreement(WIA)was below 0.45,indicating a strong model bias toward TM1 without incorporating cultivar-specific parameters.After incorporating cultivar-specific parameters,the model’s performance improved significantly,with an average r-value of 0.84 and WIA of 0.88.Conclusions The adopted methodology and estimated cultivar-specific parameters improved the model’s simulation accuracy.This approach can be applied to newer cotton cultivars,enhancing the GOSSYM model’s utility and its applicability for agricultural management and policy decisions.
基金supported by the Key R&D Program of Shandong Province (2024LZGC007, 2024CXPT072, 2022LZGC001)Shandong Provincial Natural Science Foundation (ZR2024YQ069)+1 种基金the National Natural Science Foundation of China (32201863,32272181)the Taishan Scholars Program
文摘Wheat grains contain various bioactive substances,of which,condensed tannins(CT)are polymeric flavan-3-ols that accumulate in wheat seed coat influencing the end-use quality and nutritional value.However,the genetic architecture underlying CT biosynthesis in wheat grain remains unclear.Here,we studied the deposition and genetic regulation of CT in wheat grains,and found that CT deposited specifically in the testa layer of red-grained wheat as catechin-and epicatechin-formed polymers.Genome-wide association study identified 22 genetic loci affecting CT content,one of which,TaTAN,a single dominant gene controlling CT presence,was mapped to chromosome 3A in a segregation population.Further pan-genome analysis,transcriptome profiling and ethyl methanesulfonate induced mutants sequencing revealed a R2R3-MYB transcription factor,TaMYB10-3A,as the causal gene.Three loss-of-function alleles in TaMYB10-3A caused by large fragment inversion-deletion and insertion were identified which abolish both CT deposition and red pigmentation,demonstrating the pleiotropic effect of TaMYB10-3A on CT presence and grain color.TaMYB10-3A directly trans-activates core flavonoid genes such as chalcone synthase and dihydroflavonol 4-reductase to initiate CT biosynthesis.Our investigation provides a comprehensive understanding of CT presence in wheat grains and lays a solid foundation for manipulating CT metabolites to improve wheat grain end-use quality and nutrition values in wheat.
文摘Endoscopic ultrasound(EUS)is one of the significant breakthroughs in the field of advanced endoscopy.In the last two decades,EUS has evolved from a diagnostic tool to a real-time therapeutic modality.The luminal gastrointestinal(GI)tract provides a unique opportunity to access multiple vascular structures,especially in the mediastinum and abdomen,thus permitting a variety of EUS-guided vascular interventions.The addition of the doppler and contrast-enhanced capability to EUS has further helped provide real-time visualization of blood flow in vessels through the GI tract.EUS-guided vascular interventions rely on standard endoscopic accessories and interventional tools such as fine-needle aspiration needles and fine-needle biopsy.EUS allows the visualization of various structures in real-time by differentiating tissue densities and vascularity,thus,avoiding radiation exposure.EUS-guided techniques also allow real-time microscopic examination after target biopsy.Furthermore,many necessary interventions can be done during the same procedure after diagnosis.This article provides an overview of EUS-guided vascular interventions such as variceal,non-variceal bleeding interventions,EUSguided portal vein(PV)access with the formation of an intrahepatic portosystemic shunt,and techniques related to diagnosis of GI malignancies.Furthermore,we discuss current insights and future outlook of therapeutic modalities like PV embolization,PV sampling,angiography,drug administration,and portal pressure measurement.
基金funded by the National Natural Science Foundation of China(42171071,42211540718)Key Research Program of Frontier Sciences,CAS(ZDBS-LY-7001)+3 种基金Yunnan Fundamental Research Projects(202401AT070190,202201BC070001)Top-notch Young Talents Project of Yunnan Provincial“Ten Thousand Talents Program”(YNWR-QNBJ-2018-146,YNWR-QNBJ-2020-293)CAS“Light of West China”Programsupported by the China Scholarship Council(202304910135 and 202304910138)for a one-year study at the University of Toronto.
文摘Integrative data from plastid and nuclear loci are increasingly utilized to resolve species boundaries and phylogenetic relationships within major angiosperm clades.Debregeasia(Urticaceae),an economically important genus,presents challenges in species delimitation due to its overlapping morphological traits and unstable taxonomic assignments.Here,we analyzed 14 morphological traits and generated 12 data matrices from the plastomes and nrDNA using genome skimming from the nine recognized morphospecies to clarify species boundaries and assess barcode performance in Debregeasia.We also used a universal set of 353 nuclear genes to explore reticulate evolution and biogeographic history of Debregeasia.Plastomes of Debregeasia exhibited the typical quadripartite structure with conserved gene content and marginal independent variations in the SC/IR boundary at inter-and intra-specific levels.Three Debregeasia species were non-monophyletic and could not be discerned by any barcode;however,ultra-barcodes identified the remaining six(67%),outperforming standard barcodes(56%).Our phylogenetic analyses placed Debregeasia wallichiana outside the genus and suggested six monophyletic clades in Debregeasia,although the placement between Debregeasia hekouensis and Debregeasia libera varied.There was extensive trait overlap in key morphologically diagnostic characters,with reticulation analysis showing potentially pervasive hybridization,likely influenced by speciation patterns and overlaps between species ranges.We inferred that Debregeasia crown diversification began at ca.12.82 Ma(95%HPD:11.54-14.63 Ma)in the mid-Miocene within Australia,followed by vicariance and later longdistance dispersal,mainly out of southern China.Our findings highlight the utility of genomic data with integrative lines of evidence to refine species delimitation and explore evolutionary relationships in complex plant lineages.
文摘Combinatorial chemistry involves the chemical or biological synthesis of diverse variation of the structures of a target molecule and the library is then screened for variants of desirable target properties. The approach has been a focus of research activity in drug discovery and biotechnology. This report is to demonstrate the application of enzyme technology using the concept of combinatorial chemistry as a novel approach for the bioconversion of plant fibers. Wheat insoluble fiber was subjected to combinatorial enzyme digestion to create structural variants of feruloyl oligosaccharides (FOS). Fractionation and screening resulted in the isolation of a fraction of bioactive FOS species showing antimicrobial activity. These results demonstrate the feasibility and usefulness of the combinatorial enzyme technique in the transformation of plant biomass to value-added products.
文摘BACKGROUND Gastrointestinal bleeding(GIB)is a critical complication often seen in patients with acute coronary syndrome(ACS),especially those undergoing dual antiplatelet therapy.GIB is associated with increased mortality and prolonged hospitalization,particularly in ACS patients.Despite advancements in management strategies,the role of gastrointestinal endoscopy(GIE)in this population remains controversial,with concerns about timing,safety,and clinical outcomes.AIM To evaluate the safety and efficacy of GIE in patients with ACS and acute GIB,focusing on outcomes such as mortality,hospital length of stay(LOS),hemorrhage control,rebleeding,and blood transfusion requirements.METHODS Following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines,a systematic review was conducted using databases including PubMed,Cochrane,and EMBASE,up to December 2024.The protocol was registered with the International Prospective Register of Systematic Reviews(CRD42025630188).Study quality was assessed using the Cochrane Risk of Bias 2.0 tool for randomized controlled trials(RCTs)and the Newcastle-Ottawa Scale for cohort studies.RESULTS Four studies met the inclusion criteria,comprising one RCT and three cohort studies with a total population of 1676130 patients.Most studies indicated that GIE was associated with improved survival in ACS patients with GIB.Three of our studies reported lower mortality rates in patients undergoing GIE compared to those managed without endoscopy,although this varied by study.While GIE demonstrated effectiveness in controlling hemorrhage and reducing rebleeding rates in one study.The rest of the studies did not evaluate these outcomes comprehensively.Hospital LOS outcomes were inconsistent,with two studies suggesting no significant difference,while only one study indicated potential reductions in LOS with GIE.Blood transfusion requirements were reported in one study to be higher in patients undergoing GIE,reflecting its frequent use in severe cases.The safety and effectiveness of GIE varied depending on patient characteristics,timing of the procedure,and type of intervention.CONCLUSION GIE has the potential to improve survival in certain patients with ACS complicated by GIB;however,determining the ideal timing and appropriate candidates necessitates careful individual assessment.While evidence suggests benefits,the limitations of observational studies warrant caution.Collaboration between cardiology and gastroenterology is essential to optimizing outcomes.Future randomized trials should focus on timing,severity,and diverse populations to refine guidelines and improve care for this high-risk group.
基金the support from the National Institutes of Health(R01GM141055)the National Science Foundation(CMMI2104295)+7 种基金the China Scholarship Councilthe NIH/NCATS UCLA CTSI(UL1TR001881)through the UC Center for Accelerated Innovationsupported by the National Science Foundation Graduate Research Fellowship(1644868)support from the UCLA Innovation Fund MedTech Innovator Awardthe Challenge Initiative at UCLAseed funding provided through a UCLA David Geffen School of Medicine Regenerative Medicine Theme Awardthe support provided by the NIH Common Fund through an NIH Director's Early Independence Award co-funded by the National Institute of Dental and Craniofacial Research and Office of the Director,NIH under award number(DP50D028181)the NIH for a predoctoral fellowship supported by the National Heart,Lung,and Blood Institute of the National Institutes of Health under Award Number(F31HL149356)。
文摘Controlled intracellular delivery of biomolecular cargo is critical for developing targeted therapeutics and cell reprogramming.Conventional delivery approaches(e.g.,endocytosis of nano-vectors,microinjection,and electroporation)usually require time-consuming uptake processes,labor-intensive operations,and/or costly specialized equipment.Here,we present an acoustofluidics-based intracellular delivery approach capable of effectively delivering various functional nanomaterials to multiple cell types(e.g.,adherent and suspension cancer cells).By tuning the standing acoustic waves in a glass capillary,our approach can push cells in flow to the capillary wall and enhance membrane permeability by increasing membrane stress to deform cells via acoustic radiation forces.Moreover,by coating the capillary with cargo-encapsulated nanoparticles,our approach can achieve controllable cell-nanoparticle contact and facilitate nanomaterial delivery beyond Brownian movement.Based on these mechanisms,we have successfully delivered nanoparticles loaded with small molecules or protein-based cargo to U937 and HeLa cells.Our results demonstrate enhanced delivery efficiency compared to attempts made without the use of acoustofluidics.Moreover,compared to conventional sonoporation methods,our approach does not require special contrast agents with microbubbles.This acoustofluidics-based approach creates exciting opportunities to achieve controllable intracellular delivery of various biomolecular cargoes to diverse cell types for potential therapeutic applications and biophysical studies.
文摘The novel coronavirus disease 2019(COVID-19)is a pandemic disease that is currently affecting over 200 countries around the world and impacting billions of people.The first step to mitigate and control its spread is to identify and isolate the infected people.But,because of the lack of reverse transcription polymerase chain reaction(RT-CPR)tests,it is important to discover suspected COVID-19 cases as early as possible,such as by scan analysis and chest X-ray by radiologists.However,chest X-ray analysis is relatively time-consuming since it requires more than 15 minutes per case.In this paper,an automated novel detection model of COVID-19 cases is proposed to perform real-time detection of COVID-19 cases.The proposed model consists of three main stages:image segmentation using Harris Hawks optimizer,synthetic image augmentation using an enhanced Wasserstein And Auxiliary Classifier Generative Adversarial Network,and image classification using Conventional Neural Network.Raw chest X-ray images datasets are used to train and test the proposed model.Experiments demonstrate that the proposed model is very efficient in the automatic detection of COVID-19 positive cases.It achieved 99.4%accuracy,99.15%precision,99.35%recall,99.25%F-measure,and 98.5%specificity.
