Clinical application of serum seven tumour-associated autoantibodies in patients with pulmonary nodules.

Background: The incidence of pulmonary nodules is increasing because of the promotion and popularisation of low-dose computed tomography (LDCT) screening for populations with suspected lung cancer. However, a high rate of false positives and concerns regarding the radiation-related cancer risk of repeated CT scanning remain major obstacles to its wide application. This study aimed to investigate the clinical value of seven tumour-associated autoantibodies (7-TAAbs) in the differentiation of malignant pulmonary tumours from benign ones and the early detection of lung cancer in routine clinical practice. Methods: We included 377 patients who underwent both the 7-TAAbs panel test and LDCT screening, and were diagnosed with pulmonary nodules using LDCT. An enzyme-linked immunosorbent assay (ELISA) was used to measure the serum levels antibodies for P53, PGP9.5, SOX2, GAGE7, GBU4-5, CAGE, and MAGE-A1. The relationships between the positive rates of the 7-TAAbs and the patient sex, and age, and the number, size, and composition of pulmonary nodules were analysed. We then statistically evaluated the clinical application value. Results: The positive rates of the 7-TAAbs did not correlate with sex, age, number, size, or composition of pulmonary nodules. The serum antibody level of GBU4-5 in patients with pulmonary nodules tended to increase with age; the serum antibody level of SOX2 tended to increase with nodule size and was the highest among patients with mixed ground-glass opacity (mGGO) nodules. The antibody positive rate for CAGE in female patients with pulmonary nodules was significantly higher than that in male patients (P < 0.05). The positive rate of GBU4-5 antibody in patients aged 60 years and above was higher than that in younger patients (P < 0.05). The positive rate of GAGE7 antibody in patients with pulmonary nodules sized 8-20 mm was also significantly higher than that in patients with pulmonary nodules sized less than 8 mm (P < 0.01). Significant differences were observed in the GAGE7 antibody levels of patients with pulmonary nodules of different compositions (P < 0.01). The positive rate of the 7-TAAbs panel test in patients with lung cancer was significantly higher than in patients with pulmonary nodules (P < 0.01). Serum levels of P53, SOX2, GBU4-5, and MAGE-A1 antibodies were significantly higher in patients with lung cancer than in those with pulmonary nodules (P < 0.05). Conclusion: The low positive rates of serum 7-TAAbs in patients with lung cancer and pulmonary nodules may be related to different case selection, population differences, geographical differences, different degrees of progression, and detection methods. The combined detection of 7-TAAbs has some clinical value for screening and early detection of lung cancer.

Photochemical Design for Diverse Controllable Patterns in Self-Wrinkling Films.

Harnessing the spontaneous surface instability of pliable substances to create intricate, well-ordered, and on-demand controlled surface patterns holds great potential for advancing applications in optical, electrical, and biological processes. However, the current limitations stem from challenges in modulating multidirectional stress fields and diverse boundary environments. Herein, this work proposes a universal strategy to achieve arbitrarily controllable wrinkle patterns via the spatiotemporal photochemical boundaries. Utilizing constraints and inductive effects of the photochemical boundaries, the multiple coupling relationship is accomplished among the light fields, stress fields, and morphology of wrinkles in photosensitive polyurethane (PSPU) film. Moreover, employing sequential light-irradiation with photomask enables the attainment of a diverse array of controllable patterns, ranging from highly ordered 2D patterns to periodic or intricate designs. The fundamental mechanics of underlying buckling and the formation of surface features are comprehensively elucidated through theoretical stimulation and finite element analysis. The results reveal the evolution laws of wrinkles under photochemical boundaries and represent a new effective toolkit for fabricating intricate and captivating patterns in single-layer films.

Changing respiratory pathogens infection patterns after COVID-19 pandemic in Shanghai, China.

To assess the positive rate of 11 respiratory pathogens in 2023, providing a comprehensive summary and analysis of the respiratory infection patterns after COVID-19 pandemic. The study comprised 7544 inpatients suspected of respiratory infections who underwent respiratory pathogen multiplex polymerase chain reaction tests from July 2022 to December 31, 2023. We analyzed the positive rate of 11 pathogens over 18 months and the characterization of infection patterns among different age groups and immune states. Among 7544 patients (age range 4 months to 104 years, 44.99% female), the incidence of infected by at least one of the 11 pathogens was 26.07%. Children (55.18%, p < 0.05) experienced a significantly higher infection probability than adults (20.88%) and old (20.66%). Influenza A virus (8.63%), Mycoplasma pneumoniae (5.47%), and human rhinovirus (5.12%) were the most common pathogens. In children, M. pneumoniae (35.96%) replaced the predominant role of human respiratory syncytial virus (HRSV) (5.91%) in the pathogen spectrum. Age, immunosuppressed state, and respiratory chronic conditions were associated with a significantly higher risk of mixed infection. Immunosuppressed patients were more vulnerable to human coronavirus (4.64% vs. 1.65%, p < 0.05), human parainfluenza virus (3.46% vs. 1.69%, p < 0.05), and HRSV (2.27% vs. 0.55%, p < 0.05). Patterns in respiratory infections changed following regional epidemic control measures and the COVID-19 pandemic.

Dynamic Optical Encryption Fueled via Tunable Mechanical Composite Micrograting Systems.

Optical grating devices based on micro/nanostructured functional surfaces are widely employed to precisely manipulate light propagation, which is significant for information technologies, optical data storage, and light sensors. However, the parameters of rigid periodic structures are difficult to tune after manufacturing, which seriously limits their capacity for in situ light manipulation. Here, a novel anti-eavesdropping, anti-damage, and anti-tamper dynamic optical encryption strategy are reported via tunable mechanical composite wrinkle micrograting encryption systems (MCWGES). By mechanically composing multiple in-situ tunable ordered wrinkle gratings, the dynamic keys with large space capacity are generated to obtain encrypted diffraction patterns, which can provide a higher level of security for the encrypted systems. Furthermore, a multiple grating cone diffraction model is proposed to reveal the dynamic optical encryption principle of MCWGES. Optical encryption communication using dynamic keys has the effect of preventing eavesdropping, damage, and tampering. This dynamic encryption method based on optical manipulation of wrinkle grating demonstrates the potential applications of micro/nanostructured functional surfaces in the field of information security.

Geographic distribution of bacterial communities of inland waters in China.

Microorganisms are integral to freshwater ecological functions and, reciprocally, their activity and diversity are shaped by the ecosystem state. Yet, the diversity of bacterial community and its driving factors at a large scale remain elusive. To bridge this knowledge gap, we delved into an analysis of 16S RNA gene sequences extracted from 929 water samples across China. Our analyses revealed that inland water bacterial communities showed a weak latitudinal diversity gradient. We found 530 bacterial genera with high relative abundance of hgcI clade. Among them, 29 core bacterial genera were identified, that is strongly linked to mean annual temperature and nutrient loadings. We also detected a non-linear response of bacterial network complexity to the increasing of human pressure. Mantel analysis suggested that MAT, HPI and P loading were the major factors driving bacterial communities in inland waters. The map of taxa abundance showed that the abundant CL500-29 marine group in eastern and southern China indicated high eutrophication risk. Our findings enhance our understanding of the diversity and large-scale biogeographic pattern of bacterial communities of inland waters and have important implications for microbial ecology.

Robust changes in global subtropical circulation under greenhouse warming.

The lower tropospheric subtropical circulation (SC) is characterized by monsoons and subtropical highs, playing an important role in global teleconnections and climate variability. The SC changes in a warmer climate are influenced by complex and region-specific mechanisms, resulting in uneven projections worldwide. Here, we present a method to quantify the overall intensity change in global SC, revealing a robust weakening across CMIP6 models. The weakening is primarily caused by global-mean surface warming, and partly counteracted by the direct CO2 effect. The direct CO2 effect is apparent in the transient response but is eventually dominated by the surface warming effect in a slow response. The distinct response timescales to global-mean warming and direct CO2 radiative forcing can well explain the time-varying SC changes in other CO2 emission scenarios. The declined SC implies a contracted monsoon range and drying at its boundary with arid regions under CO2-induced global warming.

Deformation-Induced Photoprogrammable Pattern of Polyurethane Elastomers Based on Poisson Effect.

Elastomers with high aspect ratio surface patterns are a promising class of materials for designing soft machines in the future. Here, a facile method for fabricating surface patterns on polyurethane elastomer by subtly utilizing the Poisson effect and gradient photocrosslinking is demonstrated. By applying uniaxial tensile strains, the aspect ratio of the surface patterns can be optionally manipulated. At prestretched state, the pattern on the polyurethane elastomer can be readily constructed through compressive stress, resulting from the gradient photocrosslinking via selective photodimerization of an anthracene-functionalized polyurethane elastomer (referred to as ANPU). The macromolecular aggregation structures during stretching deformation significantly contribute to the fabrication of high aspect ratio surface patterns. The insightful finite element analysis well demonstrates that the magnitude and distribution of internal stress in the ANPU elastomer can be regulated by selectively gradient crosslinking, leading to polymer chains migrate from the exposed region to the unexposed region, thereby generating a diverse array of surface patterns. Additionally, the periodic surface patterns exhibit tunable structural color according to the different stretching states and are fully reversible over multiple cycles, opening up avenues for diverse applications such as smart displays, stretchable strain sensors, and anticounterfeiting devices.

Greenhouse warming and internal variability increase extreme and central Pacific El Niño frequency since 1980.

El Niño has been recorded to change its properties since the 1980s, characterized by more common extreme El Niño and Central Pacific (CP) El Niño events. However, it is still unclear whether such change is externally forced or part of the natural variability. Here, we find that the frequency of the extreme and CP El Niño events also increased during the period 1875-1905, when the anthropogenic CO2 concentration was relatively lower, but with a positive phase of the Atlantic Multidecadal Oscillation (AMO). Models and palaeoclimate proxies reveal that a positive AMO enhances the zonal sea surface temperature gradient in the CP, which strengthens zonal advective feedback, favoring extreme and CP El Niño development. Moreover, we estimate that internal variability contributed to ~65% of the increasingly extreme and CP El Niño events, while anthropogenic forcing has made our globe experience ~1 more extreme and ~2 more CP events over the past four decades.

Dynamic metal patterns of wrinkles based on photosensitive layers.

Regulating metal surfaces with micro-/nanoscale structures is of great significance for both material science and potential applications. However, the intrinsic properties of metals, such as fixed isotropic moduli and inflexible structures, in a sense present major limitations in developing next-generation smart patterned surfaces. In this work, a facile and general patterning strategy is proposed to endow insensitive metal surfaces with controllable spontaneous topologies and dynamic performance by exquisitely introducing an essential photosensitive interlayer. The arresting anthracene-containing photocrosslinking interlayer can selectively predetermine the anisotropic property of compliant bilayers without damaging metals' homogeneous properties, and realize a changeable stiff/soft layer. Furthermore, the mechanical transition mechanism of the self-adaptive wrinkling modes in metal-based trilayer systems is revealed to pave the pathway for regulating functional wrinkled metal surfaces. This photodriven metal patterning strategy can promote the development of brand-new methods for tuning the instability of multilayered materials, and be potentially applied in smart optical devices with dynamic reflectance, including light gratings and "magic" mirrors.

Photo-induced stress relaxation in reconfigurable disulfide-crosslinked supramolecular films visualized by dynamic wrinkling.

Stress relaxation in reconfigurable supramolecular polymer networks is strongly related to intermolecular behavior. However, the relationship between molecular motion and macroscopic mechanics is usually vague, and the visualization of internal stress reflecting precise regulation of molecules remains challenging. Here, we present a strategy for visualizing photo-driven stress relaxation induced by infinitesimal perturbations in the intermolecular exchange reaction via reprogrammable wrinkle patterns. The supramolecular films exhibit visible changes in microscopic wrinkle topography through ultraviolet (UV)-induced dynamic disulfide exchange reaction. In accordance with the trans-scale theoretical models, which quantitatively evaluate the chemical-dependent mechanical stresses in the supramolecular network, the unexposed disordered wrinkles evolved into highly oriented patterns and underwent subsequent mutations after thermal treatment. The stress-sensitive wrinkle macro-patterns can be repetitively written/erased through network topology rearrangement using different stimuli. This strategy provides an approach for visualizing and understanding the molecular behavior from dynamic chemistry to mechanical changes, and directly programming wrinkle patterns with regulated structures.

Rate-Dependent Hysteresis Modeling and Displacement Tracking Control Based on Least-Squares SVM for Axially Pre-Compressed Macro-Fiber Composite Bimorph.

The new axially pre-compressed macro-fiber composite bimorph (MFC-PBP) can produce large displacement and output power. However, it has the property of strong rate-dependent hysteresis nonlinearity, which challenges the displacement tracking control of morphing structures. In this paper, the least-squares support vector machine (LS-SVM) is applied to model the rate-dependent hysteresis of MFC-PBP. Compared with the predicated results of the series model of the Bouc-Wen model and Hammerstein model (BW-H), the LS-SVM model achieved higher predication accuracy and better generalization ability. Based on the LS-SVM hysteresis compensation model, with the support vector pruning, the displacement tracking feedforward compensator is obtained. In order to improve the displacement tracking accuracy, the LS-SVM feedforward compensator combined with the proportional and integral (PI) controller and the feedforward plus feedback control experiment is carried out on the displacement tracking of MFC-PBP. The test results show that the feedforward plus feedback displacement tracking control loop based on the LS-SVM model also has a higher displacement tracking accuracy than that based on the inverse model of BW-H.

Increased variability of the western Pacific subtropical high under greenhouse warming.

SignificanceThe western Pacific subtropical high (WPSH) channels moisture from the tropics that underpins the East Asian summer climate. Interannual variability of the WPSH dominates climate extremes in the densely populated countries of East Asia. In 2020, an anomalously strong WPSH led to catastrophic floods with hundreds of deaths, 28,000 homes destroyed, and tens of billions in economic damage in China alone. How the frequency of such strong WPSH events will change is of great societal concern. Our finding of an increase in future WPSH variability, translating into an increased frequency of climate extreme as seen in the 2020 episode, highlights the increased risks for the billions of people in the densely populated East Asia with profound socioeconomic consequences.

The deep blue day is decreasing in China.

The deep blue sky is an indicator of a lower concentration of aerosols and a cloudless sky. With increasing human emissions, a trend towards days with fewer deep blue skies might indicate a decline in a good living environment for humans. This study investigates the long-term changes of the deep blue sky in China from 1980 to 2018. Due to a lack of direct measurements, we use atmospheric visibility and low cloud cover to classify blue sky days into three grades: light blue day, medium blue day, and deep blue day. Climatologically, annual deep blue days increase from southeast China to northwest China, with the maximum number in Xinjiang and eastern Inner Mongolia and the minimum number in western Qinghai and southern Hebei. From 1980 to 2018, annual deep blue days show a prominent decreasing trend in most of China, with area-mean annual deep blue days decreasing by -0.48 days per year (d/y) in China, and the variation becomes more obvious after 2013. The maximum decreasing trend is observed in eastern China. The most prominent decreases of deep blue days are seen in winter. Both air pollution and the change in meteorological conditions contribute to the decrease of wintertime deep blue days in China. Specifically, the decrease in surface wind speed hinders the cleaning of air by winds, the increase in surface air temperature, and decrease in relative humidity is favorable for low cloud increase, and the increasing emission of pollution reduces atmospheric visibility. Supplementary Information: The online version contains supplementary material available at 10.1007/s00704-021-03898-1.

Closed-Form Expressions on CMUTs With Layered Anisotropic Microplates Under Residual Stress and Pressure.

Capacitive micromachined ultrasonic transducers (CMUTs) are promising in the emerging fields of personalized ultrasonic diagnostics, therapy, and noninvasive 3-D biometric. However, previous theories describing their mechanical behavior rarely consider multilayer and anisotropic material properties, resulting in limited application and significant analysis errors. This article proposes closed-form expressions for the static deflection, collapse voltage, and resonant frequency of circular-microplate-based CMUTs, which consider both the aforementioned properties as well as the effects of residual stress and hydrostatic pressure. These expressions are established by combining the classical laminated thin plate (CLTP) theory, Galerkin method, a partial expansion approach for electrostatic force, and an energy equivalent method. A parametric study based on finite-element method simulations shows that considering the material anisotropy can significantly improve analysis accuracy (~25 times higher than the theories neglecting the material anisotropy). These expressions maintain accuracy across almost the whole working voltage range (up to 96% of collapse voltages) and a wide dimension range (diameter-to-thickness ratios of 20-80 with gap-to-thickness ratios of ≤2). Furthermore, their utility in practical applications is well verified using numerical results based on more realistic boundary conditions and experimental results of CMUT chips. Finally, we demonstrate that the high accuracy of these expressions at thickness-comparable deflection results from the extended applicable deflection range of the CLTP theory when it is used for electrostatically actuated microplates.

Hierarchical 3D Patterns with Dynamic Wrinkles Produced by a Photocontrolled Diels-Alder Reaction on the Surface.

Three-dimensional (3D) reconfigurable patterns with dynamic morphologies enable the on-demand control of surface properties, such as optical, wetting, and adhesive properties, to achieve smart surfaces. Here, a simple yet general strategy is developed for fabricating 3D patterns with reversible wrinkles on the surface, in which a Diels-Alder (D-A) reaction in the top layer, which consists of a reversible cross-linked polymer network composed of a furan-containing copolymer (PSFB) and bismaleimide (BMI), can be spatially controlled by the photodimerization of BMI. When a photomask is used during irradiation with ultraviolet (UV) light, selective photodimerization of the maleimide leads to the diffusion of maleimide from the unexposed region to the exposed region, resulting in the generation of a diffused relief pattern. By controlling the reversible D-A reaction at different temperatures, orthogonal wrinkles can be sequentially and reversibly generated or erased in both the exposed and unexposed regions on the surface. Theoretical modeling with boundary effects reveals that the orientation of the wrinkle in the exposed region is perpendicular to the boundary, whereas the wrinkle in the unexposed region is parallel to the boundary. This strategy, based on a photocontrolled D-A reaction, provides an important and robust alternative for fabricating 3D patterned surfaces with dynamic topographies.

Regulating surface wrinkles using light.

Regulating existing micro and nano wrinkle structures into desired configurations is urgently necessary yet remains challenging, especially modulating wrinkle direction and location on demand. In this work, we propose a novel light-controlled strategy for surface wrinkles, which can dynamically and precisely regulate all basic characteristics of wrinkles, including wavelength, amplitude, direction and location (λ, A, θ and Lc ), and arbitrarily tune wrinkle topographies in two dimensions (2D). By considering the bidirectional Poisson's effect and soft boundary conditions, a modified theoretical model depicting the relation between stress distributions and the basic characteristics was developed to reveal the mechanical mechanism of the regulation strategy. Furthermore, the resulting 2D ordered wrinkles can be used as a dynamic optical grating and a smart template to reversibly regulate the morphology of various functional materials. This study will pave the way for wrinkle regulation and guide fabrication technology for functional wrinkled surfaces.

Performance Evaluation of IGRA-ELISA and T-SPOT.TB for Diagnosing Tuberculosis Infection.

BACKGROUND: To explore the application value of IGRA-ELISA in the diagnosis of tuberculosis. METHODS: A total of 68 tuberculosis and 58 other pulmonary disease case samples were obtained. All the samples were tested by IGRA-ELISA and T-SPOT.TB assay in parallel. The consistency of IGRA-ELISA and T-SPOT.TB in the diagnosis of TB was analyzed. Five different methods for the diagnosis of TB were assayed: IGRA-ELISA, T-SPOT.TB, AFB staining, TB-Ab, and PPD. For the different PPD positive degrees, IGRA-ELISA and T-SPOT.TB positive rates were calculated. AFB staining positive and negative samples were analyzed by IGRA-ELISA, T-SPOT.TB, TB-Ab, and PPD. Positive rates, sensitivity, specificity, PPV, NPV and accuracy values of the five different detection methods were compared. RESULTS: There was good consistency between IGRA-ELISA and T-SPOT.TB in the diagnosis of TB and other pulmonary diseases. Compared with T-SPOT.TB, there was a significant correlation between the absorbance value of IGRA-ELISA and the number of ESAT-6 or CFP-10-specific SFCs (r = 0.902, p < 0.001; r = 0.901, p < 0.001). There was a significant difference in the positive rates among the above five different detection methods in the TB group and non-TB group (p < 0.001). For the different PPD positive degrees, there were highly significant differences in the positive rates of IGRA-ELISA and T-SPOT.TB in non-TB group; no similar trend was observed in the TB group. No significant differences in sensitivity, specificity, PPV, NPV, accuracy, LR+ and LR- were observed between IGRA-ELISA and T-SPOT.TB. The positive rates of IGRA-ELISA and T-SPOT.TB in the TB group were significantly higher than that of AFB staining, TB-Ab, and PPD (p < 0.05). IGRA-ELISA and T-SPOT.TB combined with AFB staining could further improve the sensitivity of tuberculosis detection without reducing its specificity. The AUC of IGRA-ELISA, ESAT-6, CFP-10, and T-SPOT.TB were 0.923, 0.893, 0.937, and 0.919, respectively. CONCLUSIONS: There was good correlation and consistency between the IGRA-ELISA and T-SPOT.TB in the diagnosis of TB. The sensitivity and accuracy of IGRA-ELISA were significantly better than those of AFB staining, TB-Ab, and PPD. IGRA-ELISA combined with AFB staining could further improve the diagnosis of tuberculosis.

Tension-Induced Raman Enhancement of Graphene Membranes in the Stretched State.

The intensity ratio of the 2D band to the G band, I2D /IG , is a good criterion in selecting high quality monolayer graphene samples; however, the evaluation of the ultimate value of I2D /IG for intrinsic monolayer graphene is a challenging yet interesting issue. Here, an interesting tension-induced Raman enhancement phenomenon is reported in supported graphene membranes, which show a transition from the corrugated state to the stretched state in the vicinity of wells. The I2D /IG of substrate-supported graphene membranes near wells are significantly enhanced up to 16.74, which is the highest experimental value to the best of knowledge, increasing by more than 600% when the testing points approach the well edges.The macroscopic origin of this phenomenon is that corrugated graphene membranes are stretched by built-in tensions. A lattice dynamic model is proposed to successfully reveal the microscopic mechanism of this phenomenon. The theoretical results agree well with the experimental data, demonstrating that tensile stresses can depress the amplitude of in-plane vibration of sp2 -bonded carbon atoms and result in the decrease in the G band intensity. This work can be helpful in furthering the development of the method of suppressing small ripples in graphene and acquiring ultraflat 2D materials.