BACKGROUND Malabsorptive bariatric surgery,including Roux-en-Y gastric bypass and duodenal switch,are known to be more metabolically effective than restrictive surgery.However,the permanent alteration of gastrointesti...BACKGROUND Malabsorptive bariatric surgery,including Roux-en-Y gastric bypass and duodenal switch,are known to be more metabolically effective than restrictive surgery.However,the permanent alteration of gastrointestinal anatomy from these operations has been shown to alter the kinetics of drug absorption and may make subsequent surgeries more technically challenging.AIM To evaluate perioperative liver transplant outcomes and rates of acute cellular rejection in recipients with prior malabsorptive bariatric surgery.METHODS Patients who underwent liver transplantation at a single institution between 2005-2024 with a history of malabsorptive bariatric surgery were identified.Matched controls were selected based on age,sex,listing model for end-stage liver disease(MELD),and primary liver diagnosis.RESULTS A total of 12 liver transplant patients with prior malabsorptive surgery and 25 controls were included.The mean age in the malabsorptive group was 50.5 years at the time of transplant and 92%were female.The mean MELD at the time of transplant was 27.6 and mean body mass index was 28.There were no significant differences in length of stay,post operative complications,or 1 year survival between the controls and malabsorptive patients.However,the malabsorptive group was significantly more likely to experience biopsy-proven and clinically treated acute cellular rejection than the controls(24%vs 66.7%,P=0.012),more frequent rejection episodes(0.28±0.53 vs 1.0±0.91,P=0.006),and earlier time to first rejection episode(P=0.002).CONCLUSION Previous malabsorptive bariatric surgery in liver transplant recipients did not increase the risk of perioperative complications or mortality but significantly increased the rate and frequency of acute cellular rejection.展开更多
Advancements in machine learning have revolutionized preoperative risk assessment.In this article,we comment on the article by Huang et al,which presents a recent multicenter cohort study demonstrated that machine lea...Advancements in machine learning have revolutionized preoperative risk assessment.In this article,we comment on the article by Huang et al,which presents a recent multicenter cohort study demonstrated that machine learning algorithms effectively stratify recurrence-free survival,providing a robust predictive framework for maximizing surgical outcomes in intrahepatic cholangiocarcinoma.By leveraging interpretable models,the research enhances clinical decision-making,allowing for more precise patient selection and personalized surgical strategies.These findings highlight the growing role of artificial intelligence in optimizing surgical outcomes and improving prognostic accuracy in hepatobiliary oncology.展开更多
Current developments in magnetohydrodynamic(MHD)convection and nanofluid engineering technology have have greatly enhanced heat transfer performance in process systems,particularly through the use of carbon nanotube(C...Current developments in magnetohydrodynamic(MHD)convection and nanofluid engineering technology have have greatly enhanced heat transfer performance in process systems,particularly through the use of carbon nanotube(CNT)–based fluids that offer exceptional thermal conductivity.Despite extensive research on MHD natural convection in enclosures,the combined effects of complex obstacle geometries,magnetic fields,and CNT nanofluids in three-dimensional configurations remain insufficiently explored.This research investigates MHD natural convection of carbon nanotube(CNT)-water nanofluid within a three-dimensional cavity.The study considers an inclined cross-shaped hot obstacle,a configuration not extensively explored in previous works.The work aims to elucidate the combined effects of CNT nanofluid concentration,magnetic field strength,and obstacle inclination on fluid flow patterns and heat transfer characteristics.Numerical simulations are performed using the finite element method(FEM)based on the Galerkin Weighted Residual approach.The analysis systematically considers variations in Rayleigh number(Ra),Hartmann number(Ha),nanoparticle volume fraction(Φ),and obstacle inclination angle(θ).Results show that increasing Ra from 103 to 106 enhances convective heat transfer by up to 228%,while raising the CNT volume fraction to 4.5%improves heat transfer by about 64%.In contrast,strengthening the magnetic field from Ha=0 to Ha=100 suppresses fluid motion and reduces heat transfer by nearly 67%,whereas varying the obstacle inclination from 0○to 45○leads to a 4.6%decrease in efficiency.The addition of nanoparticles slightly increases viscosity,reducing flow intensity by 8.3%when Ha=0.Furthermore,a novel multiparametric correlation is proposed,accurately predicting the average Nusselt number as a function of Ra,Ha,ϕ,andθ,with an R2 of 0.98.These findings provide new insights into the role of geometry,magnetic effects,and nanofluids in heat transfer enhancement,offering practical guidance for the design and optimization of advanced thermal systems.展开更多
This letter discusses the study by Liu et al recently published in World Journal of Psychiatry,which examines the benefits of combining epirubicin(EPI)with mindfulness interventions for patients with urinary system tu...This letter discusses the study by Liu et al recently published in World Journal of Psychiatry,which examines the benefits of combining epirubicin(EPI)with mindfulness interventions for patients with urinary system tumors and depre-ssion.The study included 110 patients and compared an experimental group receiving EPI and a mindfulness intervention strategy with a control group treated with mitomycin and standard care.Results showed that the experimental group had significant improvements in immune function,tumor markers,depression severity,quality of life,cancer-related fatigue,and nursing satisfac-tion.Despite acknowledging the study limitations such as a relatively small sample size and a short duration,the study highlights the efficacy of integrating mindfulness interventions into cancer treatment strategies to enhance patient outcomes and address psychological distress.展开更多
Nitrogen(N)is crucial for maize(Zea mays L.)growth,development and yield.Dysfunction of the maize NIN-like protein 5(ZmNLP5)reduces N assimilation,but the precise mechanism by which ZmNLP5 modulates N metabolism and i...Nitrogen(N)is crucial for maize(Zea mays L.)growth,development and yield.Dysfunction of the maize NIN-like protein 5(ZmNLP5)reduces N assimilation,but the precise mechanism by which ZmNLP5 modulates N metabolism and its contribution to agricultural applications are not well understood.In this study,our transcriptomic profiling and chromatin immunoprecipitation followed by sequencing(ChIP-seq)analyses reveal 581 ZmNLP5-modulated target genes.We confirmed that ZmNLP5 physically interacted and transactivated contributors to N assimilation,including ZmNRT1.1D,ZmNIR1.1,ZmNR2.1,ZmGS4,ZmAS1,and ZmLBD6.Overexpression of ZmNLP5 upregulated N metabolism genes,and enhanced the enzymatic activities of nitrate reductase and glutamine synthase.Furthermore,overexpressing ZmNLP5 increased grain yield under both normal-N and low-N conditions.Introgression of the overexpressed ZmNLP5 allele into Zhengdan 958 resulted in comparable yield increases in field trials.Our study unveiled that ZmNLP5 is a potential genetic target for increasing nitrogen use efficiency and grain yield in maize.展开更多
The brood-parasitic brown-headed cowbird(Molothrus ater)has one of the shortest incubation periods of any bird.Brown-headed cowbird eggs,and those of other avian brood parasites,tend to be more spherical due to their ...The brood-parasitic brown-headed cowbird(Molothrus ater)has one of the shortest incubation periods of any bird.Brown-headed cowbird eggs,and those of other avian brood parasites,tend to be more spherical due to their greater relative width.The traditional explanation for this egg shape is that it,combined with the thicker eggshells,resists host puncture-ejection.However,very few North American hosts of the brownheaded cowbird actually engage in puncture-ejection and therefore wider eggs may instead provide greater contact with a host’s brood patch during incubation,especially in large host nests.We tested whether greater egg width increased mean temperature and reduced temperature variation in brown-headed cowbirds by inserting temperature probes into brown-headed cowbird and house sparrow(Passer domesticus)eggs and placing them into red-winged blackbird(Agelaius phoeniceus)nests.House sparrow eggs are similar in appearance and in length to cowbird eggs,but are not as wide.We found no signifcant relationship between brown-headed cowbird egg width and mean incubation temperature.However,brown-headed cowbird eggs experienced less temperature variation than house sparrow eggs,and within brown-headed cowbird eggs,more spherical eggs experienced less temperature variation when accounting for differences in width.These results suggest that brownheaded cowbirds may have short incubation periods in part because their eggs exhibit less temperature variation over the course of incubation.The brown-headed cowbird’s egg shape may contribute to its accelerated embryonic development rate relative to host eggs of similar size,which explains its ability to hatch in a variety of host nests.展开更多
Oats, frequently incorporated into skincare formulations for their anti-inflammatory, moisturizing, and barrier-repairing properties, may present an overlooked risk to individuals with celiac disease, particularly whe...Oats, frequently incorporated into skincare formulations for their anti-inflammatory, moisturizing, and barrier-repairing properties, may present an overlooked risk to individuals with celiac disease, particularly when applied to compromised skin. Although pure oats are inherently gluten-free, the widespread contamination with gluten-containing grains like wheat, barley, or rye during agricultural and processing stages introduces the potential for gluten exposure through topical application. This raises important questions about whether gluten proteins, when applied to damaged skin, might penetrate the epidermal barrier and contribute to immune responses in genetically predisposed celiac patients, given that even minute amounts of gluten can trigger systemic symptoms. Emerging evidence suggests that transdermal absorption of gluten peptides through impaired skin integrity might bypass the gastrointestinal route, yet the precise mechanisms and clinical significance of this pathway remain poorly understood. The role of compromised skin in facilitating gluten absorption and the possible activation of CD4+ T-cells, mimicking gastrointestinal pathways, warrants further investigation. Additionally, the ability of gluten peptides to reach deeper dermal layers and potentially enter the systemic circulation remains speculative, though theoretically possible in severely disrupted skin barriers. Without clinical and molecular studies to determine the risk of topical gluten exposure, particularly in celiac patients with skin injuries, there remains a potential for undetected immune activation and subsequent adverse health outcomes in this sensitive population.展开更多
Dear Editor,Robot-assisted partial nephrectomy(RAPN)has become the preferred surgical treatment for most renal tumors[1].Local recurrences occur in 1%-10% of patients undergoing partial nephrectomy,and they tend to ap...Dear Editor,Robot-assisted partial nephrectomy(RAPN)has become the preferred surgical treatment for most renal tumors[1].Local recurrences occur in 1%-10% of patients undergoing partial nephrectomy,and they tend to appear within the first 5 years after surgery[2].展开更多
Due to the high water content in warm frozen soil,the pore water pressure and pore ice pressure generated within the sample during loading significantlyinfluencethe deformation and strength of the soil skeleton.Theref...Due to the high water content in warm frozen soil,the pore water pressure and pore ice pressure generated within the sample during loading significantlyinfluencethe deformation and strength of the soil skeleton.Therefore,it is essential to develop a constitutive model for warm frozen soil that can capture the changes in ice pressure and water pressure.This study introduces a macro-meso constitutive model based on a binary-medium framework to describe the mechanical behavior of warm frozen soil.In this model,warm frozen soil is conceptualized as consisting of bonded and frictional elements from a meso perspective.The bonded elements are modeled using a macro-meso elastic constitutive approach based on poromechanics,while the frictional elements employ a macro-meso elastoplastic approach,also grounded in poromechanics.These two elements are then linked within the binarymedium model framework.By replicating the experimental curves of warm frozen soils,the theoretical results from the proposed model show excellent agreement with experimental data.This consistency indicates that the model effectively simulates the strain softening and volumetric expansion behaviors of warm frozen soil samples under various conditions.Additionally,the constitutive model predicts changes in unfrozen water pressure,frozen temperature,unfrozen water saturation,and porosity during the loading process of warm frozen soil samples.展开更多
The^(6)Li+^(89)Y experiment was performed to explore the reaction mechanism induced by a weakly bound nucleus^(6)Li and its cluster configuration.The particle-γcoincidence method was used to identify the different re...The^(6)Li+^(89)Y experiment was performed to explore the reaction mechanism induced by a weakly bound nucleus^(6)Li and its cluster configuration.The particle-γcoincidence method was used to identify the different reaction channels.Theγ-rays coincident with^(3)He/^(3)H indicate that the^(3)H/^(3)He stripping reaction plays a significant role in the formation of Zr/Nb isotopes.The obtained results support the existence of a^(3)He-^(3)H cluster in^(6)Li.Direct and sequential transfer reactions are adequately discussed,and the FRESCO code is used to perform precise finite-range cyclic redundancy check calculations.In the microscopic calculation,direct cluster transfer is more predominant than sequential transfer in^(3)H transfer.However,the direct cluster transfer is of comparable magnitude to the sequential transfer in the^(3)He transfer.展开更多
Optimizing routing and resource allocation in decentralized unmanned aerial vehicle(UAV)networks remains challenging due to interference and rapidly changing topologies.The authors introduce a novel framework combinin...Optimizing routing and resource allocation in decentralized unmanned aerial vehicle(UAV)networks remains challenging due to interference and rapidly changing topologies.The authors introduce a novel framework combining double deep Q-networks(DDQNs)and graph neural networks(GNNs)for joint routing and resource allocation.The framework uses GNNs to model the network topology and DDQNs to adaptively control routing and resource allocation,addressing interference and improving network performance.Simulation results show that the proposed approach outperforms traditional methods such as Closest-to-Destination(c2Dst),Max-SINR(mSINR),and Multi-Layer Perceptron(MLP)-based models,achieving approximately 23.5% improvement in throughput,50% increase in connection probability,and 17.6% reduction in number of hops,demonstrating its effectiveness in dynamic UAV networks.展开更多
Human spinal cord organoids(hSCOs)offer a promising platform to study neurotrauma by addressing many limitations of traditional research models.These organoids provide access to human-specific physiological and geneti...Human spinal cord organoids(hSCOs)offer a promising platform to study neurotrauma by addressing many limitations of traditional research models.These organoids provide access to human-specific physiological and genetic mechanisms and can be derived from an individual's somatic cells(e.g.,blood or skin).This enables patient-specific paradigms for precision neurotrauma research,pa rticula rly relevant to the over 300,000 people in the United States living with chronic effects of spinal cord injury(SCI).展开更多
Protein aggregates,mitochondrial import stress and neurodegenerative disorders:A salient hallmark of several neurodegenerative diseases,including Parkinson’s disease,is the abundance of protein aggregates(Goiran et a...Protein aggregates,mitochondrial import stress and neurodegenerative disorders:A salient hallmark of several neurodegenerative diseases,including Parkinson’s disease,is the abundance of protein aggregates(Goiran et al.,2022).This molecular event is believed to lead to activation of stress pathways ultimately resulting in cellular dysfunction(Eldeeb et al.,2022).Accordingly,many lines of research investigations focused on dampening the formation of protein aggregates or augmenting the clearance of protein aggregates as a potential therapeutic strategy to counteract the progression of neurodegenerative diseases,albeit with little success(Costa-Mattioli and Walter,2020).Cell stress cues such as the accumulation of protein aggregates lead to the activation of stress response pathways that aid cells in responding to the damage.Despite the notion that the transient activation of these pathways helps cells cope with stressors,persistent activation can induce unwanted apoptosis of cells and reduce overall tissue strength as well as lead to an accumulation of aggregation-prone proteins(Hetz and Papa,2018).Mutations in proteins involved in stress signaling termination can cause conditions like ataxia and early-onset dementia(Conroy et al.,2014).Therefore,it is crucial for stress response signaling to be turned off once conditions have improved.Nevertheless,the mechanisms by which cells silence these signals are still elusive.展开更多
Background Goat milk is increasingly recognized for high digestibility and a distinctive compositional profile.Protein acetylation,an important post-translational modification,regulates biosynthetic and metabolic path...Background Goat milk is increasingly recognized for high digestibility and a distinctive compositional profile.Protein acetylation,an important post-translational modification,regulates biosynthetic and metabolic pathways.This study aimed to identify critical acetylated proteins and specific modification sites involved in milk production and component synthesis in dairy goats,thereby elucidating the molecular mechanisms of lactation.We performed a comparative TMT-based acetylomic and proteomic analysis of mammary tissues from Saanen dairy goats during peak lactation and the dry period using LC–MS/MS.A candidate acetylation site was further investigated in goat mammary epithelial cells(GMECs)through site-directed mutagenesis and lipid metabolic assays,establishing functional links between acetylation and mammary lipid metabolism and providing a foundation for molecular strategies to improve milk quality and yield.Results We established a comprehensive mammary acetylome,identifying 862 significantly acetylated proteins and 2,028 modification sites across the two physiological phases.Differentially acetylated proteins were predominantly localized to the cytoplasm(39.98%).From these,54 key acetylated proteins,including MTOR,BCAT2,QARS1,GOT1,GOT2,BDH1,ACSS1,STAT5B,FABP5,and GPAM were prioritized as candidates involved in milk protein synthesis,milk fat synthesis,lactose synthesis,and other lactation-related processes.Among them,β-hydroxybutyrate dehydrogenase 1(BDH1)acetylation was characterized in detail.Members of the HDAC family were identified as primary regulators mediating BDH1 deacetylation.BDH1 acetylation promoted lipid droplet formation and triglyceride synthesis in GMECs.At the transcriptional level,BDH1 acetylation upregulated LXRα,ACSL1 and SCD1,whereas deacetylation downregulated SCD1,FASN,and ACSL1.Notably,BDH1 acetylation/deacetylation significantly reduced SREBP1 expression,linking this modification to coordinated control of lipogenic gene networks.Conclusions This study established,for the first time,the comprehensive acetylome of mammary gland tissues in dairy goats,revealing a substantial number of differentially acetylated proteins and modification sites.We demonstrate that acetylation of BDH1 regulated by HDACs promotes lipid droplet biogenesis and triglyceride synthesis in GMECs through transcriptional modulation of key lipogenic genes and suppression of SREBP1.These findings provide mechanistic insights into the post-translational regulation of mammary lipid metabolism and offer molecular targets for future genetic and nutritional strategies aimed at enhancing milk quality and yield in dairy goats.展开更多
Mechanoluminescent(ML)materials that emit light under mechanical stress are attracting growing attention for their potential in next-generation sensing,display,and energy-harvesting technologies[1].Among these,Mn/Cu-d...Mechanoluminescent(ML)materials that emit light under mechanical stress are attracting growing attention for their potential in next-generation sensing,display,and energy-harvesting technologies[1].Among these,Mn/Cu-doped zinc sulfide(ZnS)has emerged as a leading candidate due to its bright emission,low activation threshold,and remarkable self-recovery over thousands of cycles[2-5].展开更多
As silicon-based transistors face fundamental scaling limits,the search for breakthrough alternatives has led to innovations in 3D architectures,heterogeneous integration,and sub-3 nm semiconductor body thicknesses.Ho...As silicon-based transistors face fundamental scaling limits,the search for breakthrough alternatives has led to innovations in 3D architectures,heterogeneous integration,and sub-3 nm semiconductor body thicknesses.However,the true effectiveness of these advancements lies in the seamless integration of alternative semiconductors tailored for next-generation transistors.In this review,we highlight key advances that enhance both scalability and switching performance by leveraging emerging semiconductor materials.Among the most promising candidates are 2D van der Waals semiconductors,Mott insulators,and amorphous oxide semiconductors,which offer not only unique electrical properties but also low-power operation and high carrier mobility.Additionally,we explore the synergistic interactions between these novel semiconductors and advanced gate dielectrics,including high-K materials,ferroelectrics,and atomically thin hexagonal boron nitride layers.Beyond introducing these novel material configurations,we address critical challenges such as leakage current and long-term device reliability,which become increasingly crucial as transistors scale down to atomic dimensions.Through concrete examples showcasing the potential of these materials in transistors,we provide key insights into overcoming fundamental obstacles—such as device reliability,scaling down limitations,and extended applications in artificial intelligence—ultimately paving the way for the development of future transistor technologies.展开更多
The onset,cessation,and length of the rainy season are crucial for global water resources,agricultural practices,and food security.However,the response of precipitation seasonality to global warming remains uncertain....The onset,cessation,and length of the rainy season are crucial for global water resources,agricultural practices,and food security.However,the response of precipitation seasonality to global warming remains uncertain.In this study,we analyze how global warming levels(GWLs)of 1.5℃ and 2℃ could affect the timing of rainfall onset(RODs),rainfall cessation(RCDs),and the overall duration of the rainy season(LRS)over global land monsoon(GLM)regions using simulations from CMIP6 under the SSP2-4.5 and SSP5-8.5 scenarios.With high model consensus,our results reveal that RODs are projected to occur later over Southern Africa,North Africa,and South America,but earlier over South Asia and Australia,in a warmer climate.The projected early RODs in Australia are more pronounced at the 2℃ GWL under SSP5-8.5.On the other hand,early RCDs are projected over South America and East Asia,while late RCDs are projected over North Africa,with high inter-model agreement.These changes are associated with a future decrease in LRS in most GLM regions.Additionally,we found that continuous warming over 1.5℃ will further reduce the length of the rainy season,especially over the South America,North Africa,and Southern Africa monsoon regions.The findings underscore the urgent need to mitigate global warming.展开更多
The nervous system processes a vast amount of information,performing computations that underlie perception,cognition,and behavior.During development,neuronal guidance genes,which encode extracellular cues,their recept...The nervous system processes a vast amount of information,performing computations that underlie perception,cognition,and behavior.During development,neuronal guidance genes,which encode extracellular cues,their receptors,and downstream signal transducers,organize neural wiring to generate the complex architecture of the nervous system.It is now evident that many of these neuroguidance cues and their receptors are active during development and are also expressed in the adult nervous system.This suggests that neuronal guidance pathways are critical not only for neural wiring but also for ongoing function and maintenance of the mature nervous system.Supporting this view,these pathways continue to regulate synaptic connectivity,plasticity,and remodeling,and overall brain homeostasis throughout adulthood.Genetic and transcriptomic analyses have further revealed many neuronal guidance genes to be associated with a wide range of neurodegenerative and neuropsychiatric disorders.Although the precise mechanisms by which aberrant neuronal guidance signaling drives the pathogenesis of these diseases remain to be clarified,emerging evidence points to several common themes,including dysfunction in neurons,microglia,astrocytes,and endothelial cells,along with dysregulation of neuron-microglia-astrocyte,neuroimmune,and neurovascular interactions.In this review,we explore recent advances in understanding the molecular and cellular mechanisms by which aberrant neuronal guidance signaling contributes to disease pathogenesis through altered cell-cell interactions.For instance,recent studies have unveiled two distinct semaphorin-plexin signaling pathways that affect microglial activation and neuroinflammation.We discuss the challenges ahead,along with the therapeutic potentials of targeting neuronal guidance pathways for treating neurodegenerative diseases.Particular focus is placed on how neuronal guidance mechanisms control neuron-glia and neuroimmune interactions and modulate microglial function under physiological and pathological conditions.Specifically,we examine the crosstalk between neuronal guidance signaling and TREM2,a master regulator of microglial function,in the context of pathogenic protein aggregates.It is well-established that age is a major risk factor for neurodegeneration.Future research should address how aging and neuronal guidance signaling interact to influence an individual’s susceptibility to various late-onset neurological diseases and how the progression of these diseases could be therapeutically blocked by targeting neuronal guidance pathways.展开更多
Flexible electronics face critical challenges in achieving monolithic three-dimensional(3D)integration,including material compatibility,structural stability,and scalable fabrication methods.Inspired by the tactile sen...Flexible electronics face critical challenges in achieving monolithic three-dimensional(3D)integration,including material compatibility,structural stability,and scalable fabrication methods.Inspired by the tactile sensing mechanism of the human skin,we have developed a flexible monolithic 3D-integrated tactile sensing system based on a holey MXene paste,where each vertical one-body unit simultaneously functions as a microsupercapacitor and pressure sensor.The in-plane mesopores of MXene significantly improve ion accessibility,mitigate the self-stacking of nanosheets,and allow the holey MXene to multifunctionally act as a sensing material,an active electrode,and a conductive interconnect,thus drastically reducing the interface mismatch and enhancing the mechanical robustness.Furthermore,we fabricate a large-scale device using a blade-coating and stamping method,which demonstrates excellent mechanical flexibility,low-power consumption,rapid response,and stable long-term operation.As a proof-of-concept application,we integrate our sensing array into a smart access control system,leveraging deep learning to accurately identify users based on their unique pressing behaviors.This study provides a promising approach for designing highly integrated,intelligent,and flexible electronic systems for advanced human-computer interactions and personalized electronics.展开更多
文摘BACKGROUND Malabsorptive bariatric surgery,including Roux-en-Y gastric bypass and duodenal switch,are known to be more metabolically effective than restrictive surgery.However,the permanent alteration of gastrointestinal anatomy from these operations has been shown to alter the kinetics of drug absorption and may make subsequent surgeries more technically challenging.AIM To evaluate perioperative liver transplant outcomes and rates of acute cellular rejection in recipients with prior malabsorptive bariatric surgery.METHODS Patients who underwent liver transplantation at a single institution between 2005-2024 with a history of malabsorptive bariatric surgery were identified.Matched controls were selected based on age,sex,listing model for end-stage liver disease(MELD),and primary liver diagnosis.RESULTS A total of 12 liver transplant patients with prior malabsorptive surgery and 25 controls were included.The mean age in the malabsorptive group was 50.5 years at the time of transplant and 92%were female.The mean MELD at the time of transplant was 27.6 and mean body mass index was 28.There were no significant differences in length of stay,post operative complications,or 1 year survival between the controls and malabsorptive patients.However,the malabsorptive group was significantly more likely to experience biopsy-proven and clinically treated acute cellular rejection than the controls(24%vs 66.7%,P=0.012),more frequent rejection episodes(0.28±0.53 vs 1.0±0.91,P=0.006),and earlier time to first rejection episode(P=0.002).CONCLUSION Previous malabsorptive bariatric surgery in liver transplant recipients did not increase the risk of perioperative complications or mortality but significantly increased the rate and frequency of acute cellular rejection.
文摘Advancements in machine learning have revolutionized preoperative risk assessment.In this article,we comment on the article by Huang et al,which presents a recent multicenter cohort study demonstrated that machine learning algorithms effectively stratify recurrence-free survival,providing a robust predictive framework for maximizing surgical outcomes in intrahepatic cholangiocarcinoma.By leveraging interpretable models,the research enhances clinical decision-making,allowing for more precise patient selection and personalized surgical strategies.These findings highlight the growing role of artificial intelligence in optimizing surgical outcomes and improving prognostic accuracy in hepatobiliary oncology.
基金Deputyship for Research&Innovation,Ministry of Education in Saudi Arabia for funding this research work through the project number RI-44-0451.
文摘Current developments in magnetohydrodynamic(MHD)convection and nanofluid engineering technology have have greatly enhanced heat transfer performance in process systems,particularly through the use of carbon nanotube(CNT)–based fluids that offer exceptional thermal conductivity.Despite extensive research on MHD natural convection in enclosures,the combined effects of complex obstacle geometries,magnetic fields,and CNT nanofluids in three-dimensional configurations remain insufficiently explored.This research investigates MHD natural convection of carbon nanotube(CNT)-water nanofluid within a three-dimensional cavity.The study considers an inclined cross-shaped hot obstacle,a configuration not extensively explored in previous works.The work aims to elucidate the combined effects of CNT nanofluid concentration,magnetic field strength,and obstacle inclination on fluid flow patterns and heat transfer characteristics.Numerical simulations are performed using the finite element method(FEM)based on the Galerkin Weighted Residual approach.The analysis systematically considers variations in Rayleigh number(Ra),Hartmann number(Ha),nanoparticle volume fraction(Φ),and obstacle inclination angle(θ).Results show that increasing Ra from 103 to 106 enhances convective heat transfer by up to 228%,while raising the CNT volume fraction to 4.5%improves heat transfer by about 64%.In contrast,strengthening the magnetic field from Ha=0 to Ha=100 suppresses fluid motion and reduces heat transfer by nearly 67%,whereas varying the obstacle inclination from 0○to 45○leads to a 4.6%decrease in efficiency.The addition of nanoparticles slightly increases viscosity,reducing flow intensity by 8.3%when Ha=0.Furthermore,a novel multiparametric correlation is proposed,accurately predicting the average Nusselt number as a function of Ra,Ha,ϕ,andθ,with an R2 of 0.98.These findings provide new insights into the role of geometry,magnetic effects,and nanofluids in heat transfer enhancement,offering practical guidance for the design and optimization of advanced thermal systems.
文摘This letter discusses the study by Liu et al recently published in World Journal of Psychiatry,which examines the benefits of combining epirubicin(EPI)with mindfulness interventions for patients with urinary system tumors and depre-ssion.The study included 110 patients and compared an experimental group receiving EPI and a mindfulness intervention strategy with a control group treated with mitomycin and standard care.Results showed that the experimental group had significant improvements in immune function,tumor markers,depression severity,quality of life,cancer-related fatigue,and nursing satisfac-tion.Despite acknowledging the study limitations such as a relatively small sample size and a short duration,the study highlights the efficacy of integrating mindfulness interventions into cancer treatment strategies to enhance patient outcomes and address psychological distress.
基金supported by grants from the National Natural Science Foundation of China(32001564,32372031,32272133,and 32372101)the“JBGS”Project of Seed Industry Revitalization in Jiangsu Province(JBGS[2021]012).
文摘Nitrogen(N)is crucial for maize(Zea mays L.)growth,development and yield.Dysfunction of the maize NIN-like protein 5(ZmNLP5)reduces N assimilation,but the precise mechanism by which ZmNLP5 modulates N metabolism and its contribution to agricultural applications are not well understood.In this study,our transcriptomic profiling and chromatin immunoprecipitation followed by sequencing(ChIP-seq)analyses reveal 581 ZmNLP5-modulated target genes.We confirmed that ZmNLP5 physically interacted and transactivated contributors to N assimilation,including ZmNRT1.1D,ZmNIR1.1,ZmNR2.1,ZmGS4,ZmAS1,and ZmLBD6.Overexpression of ZmNLP5 upregulated N metabolism genes,and enhanced the enzymatic activities of nitrate reductase and glutamine synthase.Furthermore,overexpressing ZmNLP5 increased grain yield under both normal-N and low-N conditions.Introgression of the overexpressed ZmNLP5 allele into Zhengdan 958 resulted in comparable yield increases in field trials.Our study unveiled that ZmNLP5 is a potential genetic target for increasing nitrogen use efficiency and grain yield in maize.
文摘The brood-parasitic brown-headed cowbird(Molothrus ater)has one of the shortest incubation periods of any bird.Brown-headed cowbird eggs,and those of other avian brood parasites,tend to be more spherical due to their greater relative width.The traditional explanation for this egg shape is that it,combined with the thicker eggshells,resists host puncture-ejection.However,very few North American hosts of the brownheaded cowbird actually engage in puncture-ejection and therefore wider eggs may instead provide greater contact with a host’s brood patch during incubation,especially in large host nests.We tested whether greater egg width increased mean temperature and reduced temperature variation in brown-headed cowbirds by inserting temperature probes into brown-headed cowbird and house sparrow(Passer domesticus)eggs and placing them into red-winged blackbird(Agelaius phoeniceus)nests.House sparrow eggs are similar in appearance and in length to cowbird eggs,but are not as wide.We found no signifcant relationship between brown-headed cowbird egg width and mean incubation temperature.However,brown-headed cowbird eggs experienced less temperature variation than house sparrow eggs,and within brown-headed cowbird eggs,more spherical eggs experienced less temperature variation when accounting for differences in width.These results suggest that brownheaded cowbirds may have short incubation periods in part because their eggs exhibit less temperature variation over the course of incubation.The brown-headed cowbird’s egg shape may contribute to its accelerated embryonic development rate relative to host eggs of similar size,which explains its ability to hatch in a variety of host nests.
文摘Oats, frequently incorporated into skincare formulations for their anti-inflammatory, moisturizing, and barrier-repairing properties, may present an overlooked risk to individuals with celiac disease, particularly when applied to compromised skin. Although pure oats are inherently gluten-free, the widespread contamination with gluten-containing grains like wheat, barley, or rye during agricultural and processing stages introduces the potential for gluten exposure through topical application. This raises important questions about whether gluten proteins, when applied to damaged skin, might penetrate the epidermal barrier and contribute to immune responses in genetically predisposed celiac patients, given that even minute amounts of gluten can trigger systemic symptoms. Emerging evidence suggests that transdermal absorption of gluten peptides through impaired skin integrity might bypass the gastrointestinal route, yet the precise mechanisms and clinical significance of this pathway remain poorly understood. The role of compromised skin in facilitating gluten absorption and the possible activation of CD4+ T-cells, mimicking gastrointestinal pathways, warrants further investigation. Additionally, the ability of gluten peptides to reach deeper dermal layers and potentially enter the systemic circulation remains speculative, though theoretically possible in severely disrupted skin barriers. Without clinical and molecular studies to determine the risk of topical gluten exposure, particularly in celiac patients with skin injuries, there remains a potential for undetected immune activation and subsequent adverse health outcomes in this sensitive population.
文摘Dear Editor,Robot-assisted partial nephrectomy(RAPN)has become the preferred surgical treatment for most renal tumors[1].Local recurrences occur in 1%-10% of patients undergoing partial nephrectomy,and they tend to appear within the first 5 years after surgery[2].
基金the financial support from the funding of the National Natural Science Foundation of China(NSFC)(Grant Nos.42401160 and U22A20596)the Science and Technology Plan Project of Linzhi(Grant No.SYQ2024-13).
文摘Due to the high water content in warm frozen soil,the pore water pressure and pore ice pressure generated within the sample during loading significantlyinfluencethe deformation and strength of the soil skeleton.Therefore,it is essential to develop a constitutive model for warm frozen soil that can capture the changes in ice pressure and water pressure.This study introduces a macro-meso constitutive model based on a binary-medium framework to describe the mechanical behavior of warm frozen soil.In this model,warm frozen soil is conceptualized as consisting of bonded and frictional elements from a meso perspective.The bonded elements are modeled using a macro-meso elastic constitutive approach based on poromechanics,while the frictional elements employ a macro-meso elastoplastic approach,also grounded in poromechanics.These two elements are then linked within the binarymedium model framework.By replicating the experimental curves of warm frozen soils,the theoretical results from the proposed model show excellent agreement with experimental data.This consistency indicates that the model effectively simulates the strain softening and volumetric expansion behaviors of warm frozen soil samples under various conditions.Additionally,the constitutive model predicts changes in unfrozen water pressure,frozen temperature,unfrozen water saturation,and porosity during the loading process of warm frozen soil samples.
基金supported by the National Natural Science Foundation of China under Grant Nos.U2167204,11975040,111 Center(B20065)Brazilian authors were supported in part by local funding agencies CNPq+10 种基金FAPERJCAPESand INCT-FNA(Instituto Nacional de Ciência e Tecnologia,Física Nuclear e Aplicacoes)Research Project No.464898/2014-5Marco Siciliano's work was partially supported by the US Department of EnergyOffice of Scienceand Office of Nuclear Physics(DE-AC02-06CH11357)supported by Nuclear Energy Development and Research Project No.HNKF202224(28)Ling Chuang Research Project of the China National Nuclear Corporation No.CNNCLCKY-2023 and No.20221024000072F6-0002-7Guangdong Key Research and Development Program No.2020B040420005Guangdong Basic and Applied Basic Research Foundation No.2021B1515120027。
文摘The^(6)Li+^(89)Y experiment was performed to explore the reaction mechanism induced by a weakly bound nucleus^(6)Li and its cluster configuration.The particle-γcoincidence method was used to identify the different reaction channels.Theγ-rays coincident with^(3)He/^(3)H indicate that the^(3)H/^(3)He stripping reaction plays a significant role in the formation of Zr/Nb isotopes.The obtained results support the existence of a^(3)He-^(3)H cluster in^(6)Li.Direct and sequential transfer reactions are adequately discussed,and the FRESCO code is used to perform precise finite-range cyclic redundancy check calculations.In the microscopic calculation,direct cluster transfer is more predominant than sequential transfer in^(3)H transfer.However,the direct cluster transfer is of comparable magnitude to the sequential transfer in the^(3)He transfer.
文摘Optimizing routing and resource allocation in decentralized unmanned aerial vehicle(UAV)networks remains challenging due to interference and rapidly changing topologies.The authors introduce a novel framework combining double deep Q-networks(DDQNs)and graph neural networks(GNNs)for joint routing and resource allocation.The framework uses GNNs to model the network topology and DDQNs to adaptively control routing and resource allocation,addressing interference and improving network performance.Simulation results show that the proposed approach outperforms traditional methods such as Closest-to-Destination(c2Dst),Max-SINR(mSINR),and Multi-Layer Perceptron(MLP)-based models,achieving approximately 23.5% improvement in throughput,50% increase in connection probability,and 17.6% reduction in number of hops,demonstrating its effectiveness in dynamic UAV networks.
基金supported by the Belle Carnell Regenerative Neurorehabilitation Fundthe National Institutes of Health(R01NS113935 to CKF)。
文摘Human spinal cord organoids(hSCOs)offer a promising platform to study neurotrauma by addressing many limitations of traditional research models.These organoids provide access to human-specific physiological and genetic mechanisms and can be derived from an individual's somatic cells(e.g.,blood or skin).This enables patient-specific paradigms for precision neurotrauma research,pa rticula rly relevant to the over 300,000 people in the United States living with chronic effects of spinal cord injury(SCI).
文摘Protein aggregates,mitochondrial import stress and neurodegenerative disorders:A salient hallmark of several neurodegenerative diseases,including Parkinson’s disease,is the abundance of protein aggregates(Goiran et al.,2022).This molecular event is believed to lead to activation of stress pathways ultimately resulting in cellular dysfunction(Eldeeb et al.,2022).Accordingly,many lines of research investigations focused on dampening the formation of protein aggregates or augmenting the clearance of protein aggregates as a potential therapeutic strategy to counteract the progression of neurodegenerative diseases,albeit with little success(Costa-Mattioli and Walter,2020).Cell stress cues such as the accumulation of protein aggregates lead to the activation of stress response pathways that aid cells in responding to the damage.Despite the notion that the transient activation of these pathways helps cells cope with stressors,persistent activation can induce unwanted apoptosis of cells and reduce overall tissue strength as well as lead to an accumulation of aggregation-prone proteins(Hetz and Papa,2018).Mutations in proteins involved in stress signaling termination can cause conditions like ataxia and early-onset dementia(Conroy et al.,2014).Therefore,it is crucial for stress response signaling to be turned off once conditions have improved.Nevertheless,the mechanisms by which cells silence these signals are still elusive.
基金supported by the National Key Research and Development Program of China(2022YFF1000102)Xi’an Agricultural Technology Research General Project(24NYGG0025)the National Natural Science Foundation of China(31702098)。
文摘Background Goat milk is increasingly recognized for high digestibility and a distinctive compositional profile.Protein acetylation,an important post-translational modification,regulates biosynthetic and metabolic pathways.This study aimed to identify critical acetylated proteins and specific modification sites involved in milk production and component synthesis in dairy goats,thereby elucidating the molecular mechanisms of lactation.We performed a comparative TMT-based acetylomic and proteomic analysis of mammary tissues from Saanen dairy goats during peak lactation and the dry period using LC–MS/MS.A candidate acetylation site was further investigated in goat mammary epithelial cells(GMECs)through site-directed mutagenesis and lipid metabolic assays,establishing functional links between acetylation and mammary lipid metabolism and providing a foundation for molecular strategies to improve milk quality and yield.Results We established a comprehensive mammary acetylome,identifying 862 significantly acetylated proteins and 2,028 modification sites across the two physiological phases.Differentially acetylated proteins were predominantly localized to the cytoplasm(39.98%).From these,54 key acetylated proteins,including MTOR,BCAT2,QARS1,GOT1,GOT2,BDH1,ACSS1,STAT5B,FABP5,and GPAM were prioritized as candidates involved in milk protein synthesis,milk fat synthesis,lactose synthesis,and other lactation-related processes.Among them,β-hydroxybutyrate dehydrogenase 1(BDH1)acetylation was characterized in detail.Members of the HDAC family were identified as primary regulators mediating BDH1 deacetylation.BDH1 acetylation promoted lipid droplet formation and triglyceride synthesis in GMECs.At the transcriptional level,BDH1 acetylation upregulated LXRα,ACSL1 and SCD1,whereas deacetylation downregulated SCD1,FASN,and ACSL1.Notably,BDH1 acetylation/deacetylation significantly reduced SREBP1 expression,linking this modification to coordinated control of lipogenic gene networks.Conclusions This study established,for the first time,the comprehensive acetylome of mammary gland tissues in dairy goats,revealing a substantial number of differentially acetylated proteins and modification sites.We demonstrate that acetylation of BDH1 regulated by HDACs promotes lipid droplet biogenesis and triglyceride synthesis in GMECs through transcriptional modulation of key lipogenic genes and suppression of SREBP1.These findings provide mechanistic insights into the post-translational regulation of mammary lipid metabolism and offer molecular targets for future genetic and nutritional strategies aimed at enhancing milk quality and yield in dairy goats.
文摘Mechanoluminescent(ML)materials that emit light under mechanical stress are attracting growing attention for their potential in next-generation sensing,display,and energy-harvesting technologies[1].Among these,Mn/Cu-doped zinc sulfide(ZnS)has emerged as a leading candidate due to its bright emission,low activation threshold,and remarkable self-recovery over thousands of cycles[2-5].
基金supported by the National Research Foundation of Korea(NRF)funded by the Ministry of Science and ICT(MSIT),South Korea(RS-2024-00421181)financially supported in part by National R&D Program(2021M3H4A3A02086430)through NRF(National Research Foundation of Korea)funded by Ministry of Science and ICT+2 种基金the National Research Council of Science&Technology(NST)grant by the Korea government(MSIT)(No.GTL25021-210)The Inter-University Semiconductor Research Center,Institute of Engineering Research,and Soft Foundry Institute at Seoul National University provided research facilities for this workhe grant by the National Research Foundation of Korea(NSF)supported by the Korea government(MIST)(RS-2025-16903034)。
文摘As silicon-based transistors face fundamental scaling limits,the search for breakthrough alternatives has led to innovations in 3D architectures,heterogeneous integration,and sub-3 nm semiconductor body thicknesses.However,the true effectiveness of these advancements lies in the seamless integration of alternative semiconductors tailored for next-generation transistors.In this review,we highlight key advances that enhance both scalability and switching performance by leveraging emerging semiconductor materials.Among the most promising candidates are 2D van der Waals semiconductors,Mott insulators,and amorphous oxide semiconductors,which offer not only unique electrical properties but also low-power operation and high carrier mobility.Additionally,we explore the synergistic interactions between these novel semiconductors and advanced gate dielectrics,including high-K materials,ferroelectrics,and atomically thin hexagonal boron nitride layers.Beyond introducing these novel material configurations,we address critical challenges such as leakage current and long-term device reliability,which become increasingly crucial as transistors scale down to atomic dimensions.Through concrete examples showcasing the potential of these materials in transistors,we provide key insights into overcoming fundamental obstacles—such as device reliability,scaling down limitations,and extended applications in artificial intelligence—ultimately paving the way for the development of future transistor technologies.
基金supported by the Australian Research Council(Grant No.CE230100012)。
文摘The onset,cessation,and length of the rainy season are crucial for global water resources,agricultural practices,and food security.However,the response of precipitation seasonality to global warming remains uncertain.In this study,we analyze how global warming levels(GWLs)of 1.5℃ and 2℃ could affect the timing of rainfall onset(RODs),rainfall cessation(RCDs),and the overall duration of the rainy season(LRS)over global land monsoon(GLM)regions using simulations from CMIP6 under the SSP2-4.5 and SSP5-8.5 scenarios.With high model consensus,our results reveal that RODs are projected to occur later over Southern Africa,North Africa,and South America,but earlier over South Asia and Australia,in a warmer climate.The projected early RODs in Australia are more pronounced at the 2℃ GWL under SSP5-8.5.On the other hand,early RCDs are projected over South America and East Asia,while late RCDs are projected over North Africa,with high inter-model agreement.These changes are associated with a future decrease in LRS in most GLM regions.Additionally,we found that continuous warming over 1.5℃ will further reduce the length of the rainy season,especially over the South America,North Africa,and Southern Africa monsoon regions.The findings underscore the urgent need to mitigate global warming.
基金supported by JSPS(KAKENHI:21K06205,23K06937,24K23419)AMED(to JYK,SaY,TM,SiY,YT,and NH)JYW had long been supported by the NIH.
文摘The nervous system processes a vast amount of information,performing computations that underlie perception,cognition,and behavior.During development,neuronal guidance genes,which encode extracellular cues,their receptors,and downstream signal transducers,organize neural wiring to generate the complex architecture of the nervous system.It is now evident that many of these neuroguidance cues and their receptors are active during development and are also expressed in the adult nervous system.This suggests that neuronal guidance pathways are critical not only for neural wiring but also for ongoing function and maintenance of the mature nervous system.Supporting this view,these pathways continue to regulate synaptic connectivity,plasticity,and remodeling,and overall brain homeostasis throughout adulthood.Genetic and transcriptomic analyses have further revealed many neuronal guidance genes to be associated with a wide range of neurodegenerative and neuropsychiatric disorders.Although the precise mechanisms by which aberrant neuronal guidance signaling drives the pathogenesis of these diseases remain to be clarified,emerging evidence points to several common themes,including dysfunction in neurons,microglia,astrocytes,and endothelial cells,along with dysregulation of neuron-microglia-astrocyte,neuroimmune,and neurovascular interactions.In this review,we explore recent advances in understanding the molecular and cellular mechanisms by which aberrant neuronal guidance signaling contributes to disease pathogenesis through altered cell-cell interactions.For instance,recent studies have unveiled two distinct semaphorin-plexin signaling pathways that affect microglial activation and neuroinflammation.We discuss the challenges ahead,along with the therapeutic potentials of targeting neuronal guidance pathways for treating neurodegenerative diseases.Particular focus is placed on how neuronal guidance mechanisms control neuron-glia and neuroimmune interactions and modulate microglial function under physiological and pathological conditions.Specifically,we examine the crosstalk between neuronal guidance signaling and TREM2,a master regulator of microglial function,in the context of pathogenic protein aggregates.It is well-established that age is a major risk factor for neurodegeneration.Future research should address how aging and neuronal guidance signaling interact to influence an individual’s susceptibility to various late-onset neurological diseases and how the progression of these diseases could be therapeutically blocked by targeting neuronal guidance pathways.
基金supported by the National Natural Science Foundation of China(52272177,12204010)the Foundation for the Introduction of High-Level Talents of Anhui University(S020118002/097)+1 种基金the University Synergy Innovation Program of Anhui Province(GXXT-2023-066)the Scientific Research Project of Anhui Provincial Higher Education Institution(2023AH040008)。
文摘Flexible electronics face critical challenges in achieving monolithic three-dimensional(3D)integration,including material compatibility,structural stability,and scalable fabrication methods.Inspired by the tactile sensing mechanism of the human skin,we have developed a flexible monolithic 3D-integrated tactile sensing system based on a holey MXene paste,where each vertical one-body unit simultaneously functions as a microsupercapacitor and pressure sensor.The in-plane mesopores of MXene significantly improve ion accessibility,mitigate the self-stacking of nanosheets,and allow the holey MXene to multifunctionally act as a sensing material,an active electrode,and a conductive interconnect,thus drastically reducing the interface mismatch and enhancing the mechanical robustness.Furthermore,we fabricate a large-scale device using a blade-coating and stamping method,which demonstrates excellent mechanical flexibility,low-power consumption,rapid response,and stable long-term operation.As a proof-of-concept application,we integrate our sensing array into a smart access control system,leveraging deep learning to accurately identify users based on their unique pressing behaviors.This study provides a promising approach for designing highly integrated,intelligent,and flexible electronic systems for advanced human-computer interactions and personalized electronics.
