Magnifying image-enhanced endoscopy-only mode boosted early cancer diagnostic efficiency: a multicenter randomized controlled trial.

BACKGROUND AND AIMS: Magnifying image-enhanced endoscopy (MIEE) is an advanced endoscopy with image enhancement and magnification used in preoperative examination. However, its impact on the detection rate is unknown. METHODS: We conducted an open-label, randomized, parallel (1:1:1), controlled trial in 6 hospitals in China. Patients were recruited between February 14, 2022 and July 30, 2022. Eligible patients were aged ≥18 years and undergoing gastroscopy in outpatient departments. Participants were randomly assigned to the MIEE-only mode (o-MIEE) group, white-light endoscopy-only mode (o-WLE) group, and MIEE when necessary mode (n-MIEE) group (initial WLE followed by switching to another endoscope with MIEE if necessary). Biopsy sampling of suspicious lesions of the lesser curvature of the gastric antrum was performed. Primary and secondary aims were to compare detection rates and positive predictive value (PPV) of early cancer and precancerous lesions in these 3 modes, respectively. RESULTS: A total of 5100 recruited patients were randomly assigned to the o-MIEE (n = 1700), o-WLE (n = 1700), and n-MIEE (n = 1700) groups. In the o-MIEE, o-WLE, and n-MIEE groups, 29 (1.51%; 95% confidence interval [CI], 1.05-2.16), 4 (.21%; 95% CI, .08-.54), and 8 (.43%; 95% CI, .22-.85) early cancers were found, respectively (P < .001). The PPV for early cancer was higher in the o-MIEE group compared with the o-WLE and n-MIEE groups (63.04%, 33.33%, and 38.1%, respectively; P = .062). The same trend was seen for precancerous lesions (36.67%, 10.00%, and 21.74%, respectively). CONCLUSIONS: The o-MIEE mode resulted in a significant improvement in diagnosing early upper GI cancer and precancerous lesions; thus, it could be used for opportunistic screening. (Clinical trial registration number: ChiCTR2200064174.).

Efficient Hot Electron Capture in CuPc/MoSe2 Heterostructure Assisted by Intersystem Crossing.

Efficient hot electron extraction is a promising approach to develop photovoltaic devices that exceed the Shockley-Queisser limit. However, experimental evidence of hot electron harvesting employing an organic-inorganic interface is still elusive. Here, we reveal the hot electron dynamics at a CuPc/MoSe2 interface using steady-state spectroscopy and transient absorption spectroscopy. A hot electron transfer efficiency of greater than 78% from MoSe2 to CuPc is observed, comparable to that achieved in quantum dot hybrid systems. The mechanism is proposed as follows: the photogenerated hot electrons in MoSe2 transfer to CuPc and form singlet charge transfer states, which subsequently transform into triplet charge transfer states assisted by the rapid intersystem crossing, inhibiting back-donation of electrons and facilitating exciton dissociation into CuPc polarons with a nanosecond lifetime. Our results demonstrate that the intersystem crossing of the hybrid electronic state at organic-inorganic interfaces may serve as a scheme to enable efficient hot electron extraction in photovoltaic devices.

Estimation of the distribution patterns of heavy metal in soil from airborne hyperspectral imagery based on spectral absorption characteristics.

Though soil is widely known as one of the most valuable resources for the world, its quality is going to be lower because of unsustainable economic development and social progress. Therefore, it is important for us to monitor and evaluate the quality of soil, especially its heavy metal contents which is too scarce to identify in soil spectra easily but poisonous enough to affect human health in a long run. Most of the existing estimation methods have based the characteristic bands on statistical analysis to a large extent, which is hard to accurately explain the retrieval mechanism. In this paper, the absorption characteristics of heavy metal are studied based on the soil spectra, and the distribution pattern is mapped in a large-scale continuous space, for environmental monitoring and further decision support. Taking Yitong County, China as the study area. After spectra continuum removal, the heavy metal contents were estimated by 11 features including the absorption depth, absorption area, and band ratio around 2200 nm, which showed the best performance. For arsenic (As), the best model yields Rp2 value of 0.8474, and the RMSEP value is 36.1542 (mg/kg). It is concluded that As is adsorbed by organic matter, clay minerals, and iron/manganese oxides in soil, and the adsorption of As by first two components is greater than that of the last. For airborne spectra after continuum removal, combining the spectral absorption characteristic parameters and the highly correlated bands is more accurate than using the spectral absorption characteristic parameters or bands alone. AdaBoost is presented for the heavy metal estimation, and the fitting ability of the method is found to be stronger than that of the traditional classical methods, with the Rp2 values of 0.6242 and the RMSEP value of 43.6481 (mg/kg). In summary, these results will provide a prospective basis for the rapid estimation of soil heavy metals, the risk assessment of soil heavy metals and soil environmental monitoring in a large scale.

Effectiveness of Vitamin C Solution in Reducing Adverse Reactions Caused by Painless Lugol Chromoendoscopy: A Multicenter Randomized Controlled Trial.

GOAL: The purpose of this study was to evaluate the effectiveness of vitamin C solution (VCS) in reducing adverse reactions caused by painless Lugol chromoendoscopy. BACKGROUND: Lugol chromoendoscopy is an effective method for screening superficial esophageal squamous cell carcinoma, although Lugol iodine solution (LIS) causes mucosal irritation. STUDY: In 4 hospitals in China, patients were randomized and divided into a distilled water (DW) group, an sodium thiosulfate solution (STS) group and a VCS group. Patients' esophageal mucosal surfaces were stained with either 1.2% or 0.5% LIS and then sprayed with DW, STS, or VCS at various concentrations. For the current randomized study, 1610 patients were enrolled in the 1.2% LIS group and 1355 patients were enrolled in the 0.5% LIS group. In addition, 150 patients were enrolled to assess the discoloration effect. The primary outcome for evaluation was the incidence of acute or late adverse reactions after Lugol iodine staining. The secondary outcome for evaluation was the discoloration effect on esophageal iodine-stained mucosa. RESULTS: VCS significantly reduced the occurrence of acute adverse reactions due to staining from 1.2% LIS. The effect of VCS was similar to that of STS but better than that of DW ( P <0.05). Regarding 0.5% LIS staining, VCS reduced the incidence of acute adverse reactions and heartburn within 1 week ( P <0.05). Both VCS and STS had similar effects. In addition, compared with spraying NS, VCS caused rapid decolorization of iodine-stained esophageal mucosa. After 120 seconds of deiodination, the color of the esophageal mucosa faded by 90%, which is similar to the results seen in the STS group. This contrasts with the results seen in the DW group, which showed fading by only 50.97% ( P <0.05). CONCLUSION: VCS can effectively reduce adverse reactions caused by different concentrations of LIS, indicating its important clinical application in the screening of superficial esophageal squamous cell carcinoma.

RuO2/rGO heterostructures as mimic peroxidases for colorimetric detection of glucose.

The successful synthesis of ruthenium oxide/reduced graphene oxide (RuO2/rGO) heterostructures by one-pot hydrothermal method using graphene oxides and RuCl3 as precursors is reported. The heterostructures had high peroxidase-like (POD-like) activities, which catalyzes the oxidation of classical peroxidase substrate 3,3',5,5'-tetramethylbenzidine (TMB) in the presence of H2O2 to create a blue colored reaction product. The catalytic activity was significantly enhanced by the synergistic effect between RuO2 nanoparticles and rGO. RuO2/rGO had a low Km of 0.068 mM and a high vmax of 1.228 × 10-7 M·s-1 towards TMB in the TMB-H2O2 catalytic oxidation system. In addition, the POD-like activity originating from the electron transfer mechanism was confirmed by cytochrome C (Cyt C) oxidation experiment. A colorimetric method based on RuO2/rGO heterostructures was developed with good sensitivity and selectivity for glucose detection with a limit of detection of 3.34 µM and a linear range of 0-1500 µM. The RuO2/rGO heterostructures have potential applications in the biomedical areas, such as biosensor and diagnostics.

Robust Interlayer Exciton in WS2/MoSe2 van der Waals Heterostructure under High Pressure.

The van der Waals (vdW) heterostructures have rich functions and intriguing physical properties, which has attracted wide attention. Effective control of excitons in vdW heterostructures is still urgent for fundamental research and realistic applications. Here, we successfully achieved quantitative tuning of the intralayer exciton of monolayers and observed the transition from intralayer excitons to interlayer excitons in WS2/MoSe2 heterostructures, via hydrostatic pressure. The energy of interlayer excitons is in a "locked" or "superstable" state, which is not sensitive to pressure. The first-principles calculation reveals the stronger interlayer interaction which leads to enhanced interlayer exciton behavior in WS2/MoSe2 heterostructures under external pressure and reveals the robust peak of interlayer excitons. This work provides an effective strategy to study the interlayer interaction in vdW heterostructures and reveals the enhanced interlayer excitons in WS2/MoSe2, which could be of great importance for the material and device design in various similar quantum systems.

Tumor-Microenvironment-Responsive Cascade Reactions by a Cobalt-Single-Atom Nanozyme for Synergistic Nanocatalytic Chemotherapy.

Nanocatalytic therapy, involving the nanozyme-triggered production of reactive oxygen species (ROS) in the tumor microenvironment (TME), has demonstrated potential in tumor therapy, but nanozymes still face challenges of activity and specificity that compromise the therapeutic efficacy. Herein, we report a strategy based on a single-atom nanozyme to initiate cascade enzymatic reactions in the TME for tumor-specific treatment. The cobalt-single-atom nanozyme, with Co-N coordination on N-doped porous carbon (Co-SAs@NC), displays catalase-like activity that decomposes cellular endogenous H2 O2 to produce O2 , and subsequent oxidase-like activity that converts O2 into cytotoxic superoxide radicals to efficiently kill tumor cells. By incorporation with doxorubicin, the therapy achieves a significantly enhanced antitumor effect in vivo. Our findings show that cascade TME-specific catalytic therapy combined with chemotherapy is a promising strategy for efficient tumor therapy.

Detecting Toe-Off Events Utilizing a Vision-Based Method.

Detecting gait events from video data accurately would be a challenging problem. However, most detection methods for gait events are currently based on wearable sensors, which need high cooperation from users and power consumption restriction. This study presents a novel algorithm for achieving accurate detection of toe-off events using a single 2D vision camera without the cooperation of participants. First, a set of novel feature, namely consecutive silhouettes difference maps (CSD-maps), is proposed to represent gait pattern. A CSD-map can encode several consecutive pedestrian silhouettes extracted from video frames into a map. And different number of consecutive pedestrian silhouettes will result in different types of CSD-maps, which can provide significant features for toe-off events detection. Convolutional neural network is then employed to reduce feature dimensions and classify toe-off events. Experiments on a public database demonstrate that the proposed method achieves good detection accuracy.

Hydrogels: a promising therapeutic platform for inflammatory skin diseases treatment.

Inflammatory skin diseases, such as psoriasis and atopic dermatitis, pose significant health challenges due to their long-lasting nature, potential for serious complications, and significant health risks, which requires treatments that are both effective and exhibit minimal side effects. Hydrogels offer an innovative solution due to their biocompatibility, tunability, controlled drug delivery capabilities, enhanced treatment adherence and minimized side effects risk. This review explores the mechanisms that guide the design of hydrogel therapeutic platforms from multiple perspectives, focusing on the components of hydrogels, their adjustable physical and chemical properties, and their interactions with cells and drugs to underscore their clinical potential. We also examine various therapeutic agents for psoriasis and atopic dermatitis that can be integrated into hydrogels, including traditional drugs, novel compounds targeting oxidative stress, small molecule drugs, biologics, and emerging therapies, offering insights into their mechanisms and advantages. Additionally, we review clinical trial data to evaluate the effectiveness and safety of hydrogel-based treatments in managing psoriasis and atopic dermatitis under complex disease conditions. Lastly, we discuss the current challenges and future opportunities for hydrogel therapeutics in treating psoriasis and atopic dermatitis, such as improving skin barrier penetration and developing multifunctional hydrogels, and highlight emerging opportunities to enhance long-term safety and stability.

Facile synthesis of EGCG modified Au nanoparticles and their inhibitory effects on amyloid protein aggregation.

Preventing ß-amyloid (Aß) peptide aggregation by Au nanoparticles (NPs) is a promising strategy for the treatment of Alzheimer's disease. However, construction of Au nanostructures with easy preparation and high therapeutic efficiency is still a challenge. Herein, one-step pulsed laser ablation in water is used to fabricate epigallocatechin-3-gallate (EGCG) modified Au (Au-EGCG) NPs with uniform size. The as-obtained Au-EGCG NPs can effectively inhibit ß-amyloid (1-42) peptide (Aß42) aggregation by the interaction with peptides, which is confirmed by transmission electron microscopy (TEM), fluorescence spectroscopy (thioflavin T (ThT), tyrosine and 8-anilinonaphthalene-1-sulfonic acid (ANS) assays), and Fourier transform infrared (FT-IR) spectroscopy. Besides, they can also effectively attenuate Aß42-induced cytotoxicity based on the cell viability experiments. This work provides a facile approach to synthesize the surface-functionalized Au NPs for enhanced inhibition of Aß aggregation and amelioration of Aß-induced cytotoxicity.

Living Therapeutics for Synergistic Hydrogen-Photothermal Cancer Treatment by Photosynthetic Bacteria.

Hydrogen gas (H2) therapy, recognized for its inherent biosafety, holds significant promise as an anti-cancer strategy. However, the efficacy of H2 treatment modalities is compromised by their reliance on systemic gas administration or chemical reactions generation, which suffers from low efficiency, poor targeting, and suboptimal utilization. In this study, living therapeutics are employed using photosynthetic bacteria Rhodobacter sphaeroides for in situ H2 production combined with near-infrared (NIR) mediated photothermal therapy. Living R. sphaeroides exhibits strong absorption in the NIR spectrum, effectively converting light energy into thermal energy while concurrently generating H2. This dual functionality facilitates the targeted induction of tumor cell death and substantially reduces collateral damage to adjacent normal tissues. The findings reveal that integrating hydrogen therapy with photothermal effects, mediated through photosynthetic bacteria, provides a robust, dual-modality approach that enhances the overall efficacy of tumor treatments. This living therapeutic strategy not only leverages the therapeutic potential of both hydrogen and photothermal therapeutic modalities but also protects healthy tissues, marking a significant advancement in cancer therapy techniques.

Lifetime over 10000 hours for organic solar cells with Ir/IrOx electron-transporting layer.

The stability of organic solar cells is a key issue to promote practical applications. Herein, we demonstrate that the device performance of organic solar cells is enhanced by an Ir/IrOx electron-transporting layer, benefiting from its suitable work function and heterogeneous distribution of surface energy in nanoscale. Notably, the champion Ir/IrOx-based devices exhibit superior stabilities under shelf storing (T80 = 56696 h), thermal aging (T70 = 13920 h), and maximum power point tracking (T80 = 1058 h), compared to the ZnO-based devices. It can be attributed to the stable morphology of photoactive layer resulting from the optimized molecular distribution of the donor and acceptor and the absence of photocatalysis in the Ir/IrOx-based devices, which helps to maintain the improved charge extraction and inhibited charge recombination in the aged devices. This work provides a reliable and efficient electron-transporting material toward stable organic solar cells.

Development of a soil heavy metal estimation method based on a spectral index: Combining fractional-order derivative pretreatment and the absorption mechanism.

Visible and near-infrared (Vis-NIR) reflectance is an effective way to estimate soil heavy metal content. In this study, in order to magnify the spectral information of the soil heavy metals and solve the collinearity and redundancy of hyperspectral datasets, we aimed to explore the potential of the fractional-order derivative (FOD) spectral pretreatment method and the band combination algorithm in soil heavy metal estimation. A total of 120 soil samples were collected in Xuzhou city, Jiangsu province, China, and their heavy metal contents and spectra were measured. The FOD (intervals of 0.25, range of 0-2) and a new three-band spectral index which take into account the electronic transition of metal ions in the visible region and organic matter and clay minerals in the near-infrared region were utilized for the spectral pretreatment and the selection of characteristic bands, respectively. FOD with an order of 0.75 exhibited the best model performance for estimating Cr and Zn, yielding RP2 values of 0.74 and 0.81, respectively. As regards Pb, the highest estimation accuracy was achieved with the 0.5-order reflectance, yielding RP2 values of 0.56. The three-band spectral indices with the best performance were then combined for a better estimation. To improve the estimation accuracy and generalization, partial least squares (PLS), support vector machine (SVM), random forest (RF), ridge regression (RR), XGBoost and extreme learning machine (ELM) were used to estimate the heavy metals by incorporating multiple spectral indices, and it was found that ELM outperformed other counterparts (the highest RP2 = 0.77 for Cr, the highest RP2 = 0.86 for Zn, the highest RP2 = 0.63 for Pb). The main spectral absorption mechanisms and modes of heavy metals were also analyzed. This estimation method combining FOD and a three-band index will provide a reference to estimate soil heavy metals using Vis-NIR spectra over a large scale.

Synthesis of carbon quantum dots for application of alleviating amyloid-ß mediated neurotoxicity.

Alzheimer's disease (AD) has been an intractable neurodegenerative disease among the elderly in the worldwide. One of the important pathogenic factors in AD is the aggregation of amyloid-ß 1-42 (Aß42) in AD patients' brain. Inhibition of Aß peptide aggregation is considered as one of the effective approaches against AD. Herein, a pulsed laser ablation (PLA) method is used to fabricate ultra-small carbon quantum dots (C-QDs) with uniform size. The reduced Aß42 aggregation by the C-QDs was confirmed by transmission electron microscopy (TEM), thioflavin T assay and circular dichroism (CD) spectroscopy. The results of cell viability experiments showed that the presence of the C-QDs could significantly reduce the cytotoxicity of Aß42. Furthermore, in vivo studies demonstrate that C-QDs can decrease Aß42 deposits and promote the biological activity of an AD model of Caenorhabditis elegans CL2006. This work demonstrates the viability of using ultrasmall C-QDs to inhibit amyloid-ß aggregation and alleviate amyloid-ß mediated neurotoxicity.

Intercalated Gold Nanoparticle in 2D Palladium Nanosheet Avoiding CO Poisoning for Formate Production under a Wide Potential Window.

The electrochemical CO2 reduction into formate acid over Pd-based catalysts under a wide potential window is a challenging task; CO poisoning commonly occurring on the vulnerable surface of Pd must be overcome. Herein, we designed a two-dimensional (2D) AuNP-in-PdNS electrocatalyst, in which the Au nanoparticles are intercalated in Pd nanosheets, for formate production under a wide potential window from -0.1 to -0.7 V versus a reversible hydrogen electrode. Based on the X-ray absorption spectra (XAS) characterizations, CO accumulation detection, and CO stripping voltammetry measurements, we observed that the intercalated Au nanoparticles could effectively avoid the CO formation and boost the formate production on the Pd nanosheet surface by regulating its electronic structure.

Porous Au@Pt nanoparticles with superior peroxidase-like activity for colorimetric detection of spike protein of SARS-CoV-2.

The development of colorimetric assays for rapid and accurate diagnosis of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is of practical importance for point-of-care (POC) testing. Here we report the colorimetric detection of spike (S1) protein of SARS-CoV-2 based on excellent peroxidase-like activity of Au@Pt nanoparticles, with merits of rapidness, easy operation, and high sensitivity. The Au@Pt NPs were fabricated by a facile seed-mediated growth approach, in which spherical Au NPs were premade as seeds, followed by the Pt growth on Au seeds, producing uniform, monodispersed and porous Au@Pt core-shell NPs. The as-obtained Au@Pt NPs showed a remarkable enhancement in the peroxidase-mimic catalysis, which well abided by the typical Michaelis-Menten theory. The enhanced catalysis of Au@Pt NPs was ascribed to the porous nanostructure and formed electron-rich Pt shells, which enabled the catalytic pathway to switch from hydroxyl radical generation to electron transfer process. On a basis of these findings, a colorimetric assay of spike (S1) protein of SARS-CoV-2 was established, with a linear detection range of 10-100 ng mL-1 of protein concentration and a low limit of detection (LOD) of 11 ng mL-1. The work presents a novel strategy for diagnosis of COVID-19 based on metallic nanozyme-catalysis.

Quantitative Evaluation of the Eco-Environment in a Coalfield Based on Multi-Temporal Remote Sensing Imagery: A Case Study of Yuxian, China.

With the exploitation of coalfields, the eco-environment around the coalfields can become badly damaged. To address this issue, "mine greening" has been proposed by the Ministry of Land and Resources of China. The sustainable development of mine environments has now become one of the most prominent issues in China. In this study, we aimed to make use of Landsat 7 ETM+ and Landsat 8 OLI images obtained between 2005 and 2016 to analyze the eco-environment in a coalfield. Land cover was implemented as the basic evaluation factor to establish the evaluation model for the eco-environment. Analysis and investigation of the eco-environment in the Yuxian coalfield was conducted using a novel evaluation model, based on the biological abundance index, vegetation coverage index, water density index, and natural geographical factors. The weight of each indicator was determined by an analytic hierarchy process. Meanwhile, we also used the classic ecological footprint to calculate the ecological carrying capacity in order to verify the effectiveness of the evaluation model. Results showed that the eco-environment index illustrated a slowly increasing tendency over the study period, and the ecological quality could be considered as "good". The results of the evaluation model showed a strong correlation with the ecological carrying capacity with a correlation coefficient of 0.9734. In conclusion, the evaluation method is a supplement to the time-series quantitative evaluation of the eco-environment, and also helps us to explore the eco-environment in the mining area.

An efficient depth map preprocessing method based on structure-aided domain transform smoothing for 3D view generation.

Depth image-based rendering (DIBR), which is used to render virtual views with a color image and the corresponding depth map, is one of the key techniques in the 2D to 3D conversion process. Due to the absence of knowledge about the 3D structure of a scene and its corresponding texture, DIBR in the 2D to 3D conversion process, inevitably leads to holes in the resulting 3D image as a result of newly-exposed areas. In this paper, we proposed a structure-aided depth map preprocessing framework in the transformed domain, which is inspired by recently proposed domain transform for its low complexity and high efficiency. Firstly, our framework integrates hybrid constraints including scene structure, edge consistency and visual saliency information in the transformed domain to improve the performance of depth map preprocess in an implicit way. Then, adaptive smooth localization is cooperated and realized in the proposed framework to further reduce over-smoothness and enhance optimization in the non-hole regions. Different from the other similar methods, the proposed method can simultaneously achieve the effects of hole filling, edge correction and local smoothing for typical depth maps in a united framework. Thanks to these advantages, it can yield visually satisfactory results with less computational complexity for high quality 2D to 3D conversion. Numerical experimental results demonstrate the excellent performances of the proposed method.