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This study aimed to determine the optimal Biological Effective Dose (BED)-based compensation strategy for treatment interruptions in left-sided breast cancer radiotherapy, with a focus on evaluating cardiac substructures to address a previously unmet clinical need.
Methods:
Twenty patients with left-sided breast cancer who had received radiotherapy were retrospectively enrolled.
Simulations assumed treatment interruptions (number of interruption days) occurred after the first week, ranging from 1 to 10 days. Three BED-based compensation strategies were evaluated: (A) maintaining total fractions and days while delivering twice-daily treatments; (B) maintaining total days while increasing the dose per fraction; and (C) keeping the dose per fraction constant while extending the overall treatment course. Original uninterrupted plans served as the baseline. BEDs for the planning target volume (PTV), simultaneous integrated boost (SIB), cardiac substructures and other organs at risk (OARs) were calculated. Physical and BED differences among the schemes were systematically compared.
Results:
Compared to the original scheme, physical doses to PTV and SIB were lower in Scheme B but higher in Scheme C. As interruptions increased from 1 to 10 days, PTV and SIB doses in Scheme B decreased to minimum values of 42.71 Gy and 50.58 Gy, respectively, while Scheme C resulted in maximum values of 58.60 Gy and 67.15 Gy. Analysis of BED changes (ΔBED) in OARs revealed that the left anterior descending artery (LAD) was the most affected cardiac substructure, with ΔBED values of 0.41, –1.20 and 0.60 for Schemes A, B and C, respectively, at 10 interruption days. Among other OARs, the left lung showed the highest ΔBED changes (0.39, –0.30 and 0.32, respectively). Most OAR comparisons reached statistical significance (ANOVA, p < 0.05).
Conclusion:
Compensation strategies for radiotherapy interruptions significantly influence the BED of OARs, particularly in the LAD and left lung. Scheme B most effectively reduced the BED of OARs but requires replanning. Schemes A and C offer clinical convenience at the cost of a higher BED of OARs. The choice of compensation strategy should be individualised based on clinical priorities and patient-specific anatomy.
Bemisia tabaci is one of the most important agricultural pests worldwide, and the combined application of multiple natural enemies such as predators and parasitoids can potentially control B. tabaci. The study examined whether the predator Orius similis and the parasitoid Encarsia formosa can synergistically control B. tabaci (crop: kidney bean). The greenhouse cage method was used to release O. similis and E. formosa alone or in combination in different ratios. The combined release of O. similis and E. formosa synergistically decreased the B. tabaci population when compared with O. similis or E. formosa alone. Additionally, O. similis + E. formosa decreased the number of E. formosa black pupae and adults in each crop stage. However, the niche overlap index of E. formosa with B. tabaci nymphs in the O. similis + E. formosa group was higher than in the E. formosa group. Grey correlation analysis revealed that the correlation degree between natural enemies and B. tabaci was the highest when the O. similis and E. formosa release ratio was 1:3. These findings indicate that the combined release of O. similis and E. formosa synergistically controlled B. tabaci with the release ratio 1:3 being optimal for field application.
Single-cell tornado-like vortices (TLVs) exhibit periodic wandering fluctuations around the time-averaged vortex core, a phenomenon known as vortex wandering, which constitutes the most prominent periodic behaviour in such flows. The coupling between vortex motion and wandering creates complex swirl dynamics, posing significant analytical challenges. However, the limited availability of experimental studies on vortex wandering decomposition hampers a deeper understanding of this phenomenon. To address this gap, a tornado simulator was designed to generate a controllable single-cell TLV, and high-frequency velocity data were obtained using particle image velocimetry. A sparsity-promoting dynamic mode decomposition (sp-DMD) method was developed to decouple coherent structures and analyse dynamic characteristics. Results show that as the swirl ratio increases, the vortex structure becomes more diffuse, with significant reductions in intensity. Vortex wandering is present across all swirl conditions, with its periodicity strongly modulated by the swirl ratio. Importantly, sp-DMD identified two primary modes, the time-averaged mode (first mode), representing the dominant rotational vortex motion, and the vortex-wandering-dominated modes (second and third conjugate modes), which correspond to persistent periodic velocity fluctuations and contribute the most significant pulsations. These modes exhibit a pair of oppositely rotating vortices symmetrically revolving around the central flow axis. Visualisations of the Q criterion reveal a symmetric dipole pattern. This suggests that rotational and shear effects are likely responsible for the periodic movement of the vortex core. Furthermore, as the swirl ratio increases, the energy of the vortex-wandering-dominated modes diminishes, and motion transitions from high-energy, organised dynamics to low-energy, disordered behaviour.
Magnetite-enriched mining tailings are a cost-effective and abundant catalytic material with inherent magnetic recyclability. Yet their practical application in catalysis is often constrained by their limited surface area and sluggish reaction kinetics. To address these issues, we developed a facile one-step co-precipitation method to synthesize a magnetic nano-Fe3O4 (MNP) catalyst that exhibits enhanced surface reactivity for efficient activation of H2O2 towards tetracycline (TC) degradation. The system achieved complete (100%) removal of TC at an initial concentration of 20 mg L–1 within 90 min and demonstrated robust catalytic performance across weakly acidic to neutral pH conditions. Mechanistic investigations confirmed that ⋅OH is the primary reactive oxygen species involved, with ⋅O2⁻ and 1O2 providing supplementary contributions to the degradation. Remarkably, the intrinsic magnetic properties ensured efficient MNP catalyst recovery. This work provides a sustainable and scalable wastewater treatment strategy, leveraging mining tailings as a cost-effective resource to treat wastewater while also providing economic and environmental benefits.
Psychomotor disturbance (PmD) is prevalent in major depressive disorder (MDD), with neural substrates implicated in disrupted motor circuits and the interaction to non-motor cortex. Our objective is to explore the functional connectivity pattern underlying PmD using functional magnetic resonance imaging (fMRI).
Methods
A total of 150 patients with MDD and 91 healthy controls (HCs) were included in this study. The patients were categorized into psychomotor (pMDD, n = 107) and non-psychomotor (npMDD, n = 43) groups based on the Hamilton Depression Rating Scale. Seed-based connectivity (SBC) analysis was conducted using predefined somatomotor and cerebellar network (SMN and CN) coordinates as seeds, to assess group differences and symptom correlations. Subsequently, we correlated the group-contrast SBC map with existing neurotransmitter maps to explore the neurochemical basis.
Results
In pMDD patients compared to HC, we observed decreased connectivity, especially between the SMN and frontal cortex, within the bilateral SMN, and between the CN and right precentral cortex. Meanwhile, connectivity increased between the SMN and the middle cingulate cortex and between the CN and left precentral cortex in pMDD relative to npMDD and HC. Connectivity between the SMN and angular gyrus was positively correlated with the severity of PmD. Additionally, the aberrant SBC patterns in pMDD were linked to the distribution of dopamine D1 and D2 receptors.
Conclusions
This study provides insights into the aberrant connectivity within the motor circuits and its interactions with non-motor regions in PmD. It also suggests a potential role for dopaminergic dysregulation in the connectivity abnormalities associated with PmD.
This paper presents a detailed technical overview of the femtosecond precision timing and synchronization systems implemented at the Shanghai high repetition rate XFEL and extreme light facility (SHINE). These systems are designed to deliver stabilized optical references to multiple receiver clients, ensuring high-precision synchronization between the optical master oscillator (OMO) and optical/RF subsystems. The core components include an OMO, fiber length stabilizers and laser-to-laser synchronization modules that achieve femtosecond-level accuracy. Our discussion extends to the various subsystems that comprise the synchronization infrastructure, including the OMO, fiber length stabilizer and advanced phase detection techniques. Finally, we highlight ongoing research and development efforts aimed at enhancing the functionality and efficiency of these systems, thereby contributing to the advancement of X-ray free-electron laser technology and its applications in scientific research.
Human milk oligosaccharides offer unique benefits for infant growth and development. Buffalo milk, characterized by a mild flavor and high nutritional value, has attracted considerable interest. To characterize the oligosaccharide profile and composition of buffalo milk, we conducted qualitative and quantitative analysis of milk oligosaccharides at the early- and late-lactation stages of crossbred (Nili-Ravi × Murrah × local) buffaloes from Guangxi, China. The results revealed a total of 97 oligosaccharides including 17 novel oligosaccharides, with concentrations of 416.6 ± 25.86 and 368.3 ± 10.29 mg/L in milk from early- and late-lactation stages, respectively. The most abundant oligosaccharides were 3’-sialyllactose (3’-SL), difucosyllactose (DFL), 6’-sialyllactose (6’-SL), and a newly discovered compound, 2142. The oligosaccharides in crossbred (Nili-Ravi × Murrah × local) buffaloes demonstrated greater diversity than those found in the milk of other dairy animals, highlighting its potential as a high-quality nutritional resource for adults and infants.
Previous studies have reported co-morbidities of autoimmune thyroid disorders (AITD), including Hashimoto’s disease and Graves’ disease and celiac disease (CeD), as well as the possible beneficial effects of a gluten-free diet (GFD) on AITD. Nonetheless, it remains uncertain whether there is a genetic causal relationship between AITD and CeD, while the beneficial effects of a GFD are controversial. This study aims to explore the causal relationship between CeD and AITD, particularly with Hashimoto’s disease, and to determine whether a GFD is beneficial for AITD. We performed a two-sample Mendelian randomisation analysis on data from the largest meta-analysis summary statistics of AITD, CeD and GFD. Genetic instrumental variables were established by pinpointing SNP that relate to corresponding factors. In assessing sensitivity and heterogeneity, we conducted examinations of MR Egger, weighted median, simple mode, weighted mode and MR Egger intercept tests. Hashimoto’s disease was found to play a pathogenic role in increasing the risk of CeD (ORIVW = 1·544 (95 % CI 1·153, 2·068), P = 0·00355), and our Mendelian randomisation study does not support genetic liability related to CeD with Graves’ disease and GFD with AITD. This study supports the positive correlation between Hashimoto’s disease risk and CeD risk, while GFD has no protective effect on AITD and may exert its effect through other mechanisms. These findings provide valuable insights into potential targets for disease intervention and treatment at the genetic level.
An actively controllable cascaded proton acceleration driven by a separate 0.8 picosecond (ps) laser is demonstrated in proof-of-principle experiments. MeV protons, initially driven by a femtosecond laser, are further accelerated and focused into a dot structure by an electromagnetic pulse (EMP) on the solenoid, which can be tuned into a ring structure by increasing the ps laser energy. An electrodynamics model is carried out to explain the experimental results and show that the dot-structured proton beam is formed when the outer part of the incident proton beam is optimally focused by the EMP force on the solenoid; otherwise, it is overfocused into a ring structure by a larger EMP. Such a separately controlled mechanism allows precise tuning of the proton beam structures for various applications, such as edge-enhanced proton radiography, proton therapy and pre-injection in traditional accelerators.
Oasis communities across Central Asia were key to the emergence and maintenance of the ancient Silk Roads that spanned Eurasia from the late second century BC, yet our understanding of early interaction networks in this region is limited. Multi-isotopic analysis of human teeth from the Zaghunluq Cemetery, southern Xinjiang (sixth century BC to first century AD) now suggests that oasis communities established intricate exchange networks, forming strong ties with other nearby oases and mountain pastoralists and weak ties, facilitated through in migration, with more distant regions. These diverse connections, the authors argue, made possible cultural exchange across the challenging geography of eastern Central Asia.
In this work, a compact active integrated antenna based on a highly compatible antenna-in-package (AiP) solution is proposed. It consists of two sections, namely, a cover plate integrated with an antenna and a package backplane that carries a GaN power amplifier (PA) die. The proposed AiP solution not only provides efficient interconnection between the antenna and the GaN PA die while providing physical shielding, but also provides impedance compensation for the die to improve the matching performance. Besides, a plated through hole array is designed inside the package backplane to significantly improve heat dissipation performance. The proposed AiP solution is compatible with radio frequency integrated circuit (RFIC) dies with different pin arrangements. Two prototypes are fabricated and measured for validation. The first prototype is the active integrated antenna based on the GaN PA, which shows an impedance bandwidth of 25.7–28.7 GHz, a peak gain of 31 dBi, and a dimension of 8 mm × 8 mm × 1.7 mm. Another prototype is based on a GaN front-end module (FEM) die integrating the PA and low noise amplifier, which demonstrates better EVM and ACPR than the conventional design with separate antenna and FEM.
Fine particulate matter (PM2·5) is a known risk factor for heart failure (HF), while plant-based dietary patterns may help reduce HF risk. This study examined the combined impact of PM2·5 exposure and a plant-based diet on HF incidence. A total of 190 092 participants from the UK Biobank were included in this study. HF cases were identified through linkage to the UK National Health Services register, with follow-up lasting until October 2022 in England, August 2022 in Scotland and May 2022 in Wales. Annual mean PM2·5 concentration was obtained using a land use regression model, while the healthful plant-based diet index (hPDI) was calculated using the Oxford WebQ tool based on two or more 24-hour dietary assessments of seventeen major food groups. Cox proportional hazard models assessed the associations of PM2·5 and hPDI with HF risk, and interactions were evaluated on additive and multiplicative scales. During a median of 13·4-year follow-up, 4351 HF cases were recorded. Participants in the highest PM2·5 tertile had a 23 % increased HF risk (hazard ratio: 1·23, 95 % CI: 1·14, 1·32) compared with those in the lowest tertile. Moderate or high hPDI was associated with reduced HF risk relative to low hPDI. The lowest HF risk was observed in individuals with high hPDI and low PM2·5 exposure, underscoring the protective role of a plant-based diet, particularly in areas with lower PM2·5 levels. A healthy plant-based diet may mitigate HF risk, especially in populations exposed to lower PM2·5 levels.
When an oblate droplet translates through a viscous fluid under linear shear, it experiences a lateral lift force whose direction and magnitude are influenced by the Reynolds number, the droplet’s viscosity and its aspect ratio. Using a recently developed sharp interface method, we perform three-dimensional direct numerical simulations to explore the evolution of lift forces on oblate droplets across a broad range of these parameters. Our findings reveal that in the low-but-finite Reynolds number regime, the Saffman mechanism consistently governs the lift force. The lift increases with the droplet’s viscosity, aligning with the analytical solution derived by Legendre & Magnaudet (Phys. Fluids, vol. 9, 1997, p. 3572), and also rises with the droplet’s aspect ratio. We propose a semi-analytical correlation to predict this lift force. In the moderate- to high-Reynolds-number regime, distinct behaviours emerge: the $L\hbox{-}$ and $S\hbox{-}$mechanisms, arising from the vorticity contained in the upstream shear flow and the vorticity produced at the droplet surface, dominate for weakly and highly viscous droplets, respectively. Both mechanisms generate counter-rotating streamwise vortices of opposite signs, leading to observed lift reversals with increasing droplet viscosity. Detailed force decomposition based on vorticity moments indicates that in the $L\hbox{-}$mechanism-dominated regime for weakly to moderately viscous droplets, the streamwise vorticity-induced lift approximates the total lift. Conversely, in the $S\hbox{-}$mechanism-dominated regime, for moderately to highly viscous droplets, the streamwise vorticity-induced lift constitutes only a portion of the total lift, with the asymmetric advection of azimuthal vorticity at the droplet interface contributing additional positive lift to counterbalance the $S\hbox{-}$mechanism’s effects. These insights bridge the understanding between inviscid bubbles and rigid particles, enhancing our comprehension of the lift force experienced by droplets in different flow regimes.
The double-cone ignition scheme is a promising novel ignition method, which is expected to greatly save the driver energy and enhance the robustness of the implosion process. In this paper, ablation of the inner surface of the cone by the hard X-ray from coronal Au plasma is studied via radiation hydrodynamics simulations. It is found that the X-ray ablation of the inner wall will form strong pre-plasma, which will significantly affect the implosion process and cause the Au plasma to mix with the fuel, leading to ignition failure. The radiation and pre-ablation intensities in the system are estimated, and the evolutions of areal density, ion temperature and the distribution of Au ions are analysed. In addition, the mixing of Au in CH at collision is quantified. Then, a scheme to reduce the X-ray pre-ablation by replacing the gold cone with a tungsten cone is proposed, showing that it is effective in reducing high-Z mixing and improving collision results.
This study employs direct numerical simulations to examine the effects of varying backpressure conditions on the turbulent atomisation of impinging liquid jets. Using the incompressible Navier–Stokes equations, and a volume-of-fluid approach enhanced by adaptive mesh refinement and an isoface-based interface reconstruction algorithm, we analyse spray characteristics in the environments with ambient gas densities ranging from 1 to 40 times the atmospheric pressure under five different backpressure scenarios. We investigate the behaviour of turbulent jets, incorporate realistic orifice geometries and identify significant variations in the atomisation patterns depending on backpressure. Two distinct atomisation types emerge, namely jet-sheet-ligament-droplet at lower backpressures and jet-sheet-fragment-droplet at higher ones, alongside a transition from dilute to dense spray patterns. This variation affects the droplet size distribution and spray dynamics, with increased backpressure reducing the spray's spreading angle and breakup length, while increasing the droplet size variation. Furthermore, these conditions promote distributions that induce rapid, nonlinear wavy motion in liquid sheets. Topological analysis of the atomisation field using velocity-gradient tensor invariants reveals significant variations in topology volume fractions across different regions. Downstream, the droplet Sauter mean diameter increases and then stabilises, reflecting the continuous breakup and coalescence processes, notably under higher backpressures. This research underscores the substantial impact of backpressure on impinging-jet atomisation and provides essential insights for nozzle design to optimise droplet distributions.
The large number of patients with ankle injuries and the high incidence make ankle rehabilitation an urgent health problem. However, there is a certain degree of difference between the motion of most ankle rehabilitation robots and the actual axis of the human ankle. To achieve more precise ankle joint rehabilitation training, this paper proposes a novel 3-PUU/R parallel ankle rehabilitation mechanism that integrates with the human ankle joint axis. Moreover, it provides comprehensive ankle joint motion necessary for effective rehabilitation. The mechanism has four degrees of freedom (DOFs), enabling plantarflexion/dorsiflexion, eversion/inversion, internal rotation/external rotation, and dorsal extension of the ankle joint. First, based on the DOFs of the human ankle joint and the variation pattern of the joint axes, a 3-PUU/R parallel ankle joint rehabilitation mechanism is designed. Based on the screw theory, the inverse kinematics inverse, complete Jacobian matrix, singular characteristics, and workspace analysis of the mechanism are conducted. Subsequently, the motion performance of the mechanism is analyzed based on the motion/force transmission indices and the constraint indices. Then, the performance of the mechanism is optimized according to human physiological characteristics, with the motion/force transmission ratio and workspace range as optimization objectives. Finally, a physical prototype of the proposed robot was developed, and experimental tests were performed to evaluate the above performance of the proposed robot. This study provides a good prospect for improving the comfort and safety of ankle joint rehabilitation from the perspective of human-machine axis matching.
This scoping review aimed to evaluate the effect of exercise combined with vitamin D supplementation on skeletal muscle health in older individuals. We implemented a systematic search of electronic databases, including PubMed, the Cochrane Library, Web of Science and Embase, which was conducted from the time of library construction to January 2024. Eligible studies were randomised controlled trials including men and women aged ≥ 65 years or mean age ≥ 65 years; exercise training and vitamin D supplementation; outcomes of muscular strength, function, muscular power, body composition and quality of life; and results compared with those of exercise intervention alone. The results showed thirteen studies including 1483 participants were identified. The proportions of male and female sex were 22·05 and 77·95 %, respectively. Exercise intervention methods included resistance exercises and multimodal exercise training. All vitamin D interventions involved supplementation with vitamin D3. A significant increase was identified in short physical performance battery and stair climbing but not in skeletal muscle mass, skeletal strength, the timed up and go test and gait speed in older adults after exercise combined with vitamin D supplementation. In conclusion, exercise combined with vitamin D supplementation has additive health effects on short physical performance battery and stair climbing. Furthermore, when vitamin D was deficient at baseline, the combined effect of exercise and vitamin D intervention significantly increased the timed up and go test and gait speed in older adults. In future randomised controlled trials on this topic, baseline vitamin D nutritional status, health condition and sex should be considered.
A high-energy picosecond 355 nm ultraviolet (UV) laser operating at 100 Hz was demonstrated. A 352 mJ, 69 ps, 1064 nm laser at 100 Hz was realized firstly by cascaded regenerative, laser diode end-pumped single-pass and side-pumped main amplifiers. The stimulated Raman scattering-based beam shaping technique, thermally induced birefringence compensation and 4f spatial filter-image relaying systems were used to maintain a relatively homogeneous beam intensity distribution during the amplification process. By using lithium triborate crystals for second- and third-harmonic generation (THG), a 172 mJ, approximately 56 ps, 355 nm UV laser was achieved with a THG conversion efficiency of 49%. To the best of our knowledge, it is the highest pulse energy of a picosecond 355 nm UV laser so far. The beam quality factor ${M}^2$ and pulse energy stability were ${M}_x^2$=3.92, ${M}_y^2$=3.71 and root mean square of 1.48%@3 hours. This laser system could play significant roles in applications including photoconductive switch excitation, laser drilling and laser micro-fabrication.
Sediments within accretionary complexes, preserving key information on crust growth history of Central Asian Orogenic Belt, did not get enough attention previously. Here, we conduct comprehensive geochemical study on the turbidites from the North Tianshan Accretionary Complex (NTAC) in the Chinese West Tianshan orogen, which is a good example of sediments derived from juvenile materials. The turbidites, composed of sandstone, siltstone, and argillaceous siliceous rocks, are mainly Carboniferous. All the investigated samples have relatively low Chemical Index of Alteration values (35–63) and Plagioclase Index of Alteration values (34–68), indicating relatively weak weathering before erosion and deposition. The sandstone and siltstone, and slate samples display high Index of Compositional Variability values of 0.89–1.50 and 0.89–0.93, suggesting a relatively immature source. The sandstones and siltstones were mainly derived from intermediate igneous rocks, and the slates from felsic igneous rocks, formed in oceanic/continental arc settings. The investigated samples roughly display high positive εNd(t) values (mainly at +5.5 to +7.9, except one spot at +0.8), with corresponding Nd model ages at 672 Ma–522 Ma (except one at ∼1.1 Ga). Combined with the previous studies, we suggest that the turbidites in the NTAC were mainly derived from intermediate to felsic igneous rocks with juvenile arc signature, and thus the northern Chinese West Tianshan is a typical site with significant Phanerozoic crust growth.