Research of Active Compounds from Allii Macrostemonis Bulbus and Potential Targets against Non-Hodgkin's Lymphoma Based on Network Pharmacology.

BACKGROUND: Non-Hodgkin's Lymphoma (NHL) is a series of lymphoid malignancies in some aggressive subtypes with unsatisfactory treatment effects. Allii Macrostemonis Bulbus (Xie Bai) is a traditional Chinese medicine with anti-cancer activities, which may potentially suppress aggressive NHL. OBJECTIVE: This study tries to discover active components and targets of Xie Bai in treating NHL by network pharmacology-based approaches. METHODS: Compounds and related targets of Xie Bai were collected from the Traditional Chinese Medicine Database and Analysis Platform. Target genes associated with NHL were searched by GeneCards and DisGeNET, then the overlapped targets were further analyzed by STRING tool, GO, and KEGG pathway enrichment analysis. Molecular docking was employed to verify the interaction between compounds and targets. RESULTS: 11 bioactive compounds were successfully identified, with 30 targets that were screened out for the treatment of NHL. Functional enrichment analysis suggested that Xie Bai exerted its potential effects against NHL via pathways in cancer, such as PI3K/ AKT, p53, and MAPK signaling pathways. Molecular docking results showed that 3 active compounds (quercetin, betasitosterol, and naringenin) had good affinity with selected 6 targets (TP53, AKT1, CASP3, CCND1, HPK1, and NLRP3). CONCLUSION: Identifying six potential genes could accurately be docked with Xie Bai and had close interactions with NHL, which may provide insight into further research and new treatment strategy.

Compressible polydopamine modified pomelo peel powder/poly(ethyleneimine)/κ-carrageenan aerogel with pH-tunable charge for selective removal of anionic and cationic dyes.

In this work, a novel biomass-based aerogel, polydopamine decorated pomelo peel powder/polyethyleneimine/κ-carrageenan (PPEKC) aerogel, was developed for dye wastewater treatment. The as-prepared PPEKC aerogel possessed a robust structure and good compressible resilience. As expected, this aerogel presented remarkable efficacy in eliminating both anionic and cationic dyes. The experimental maximum adsorption capacities were 2016.7 mg g-1 for congo red (CR) at pH = 5 and 1176.6 mg g-1 for methylene blue (MEB) at pH = 11, following with ultra-fast adsorption rates. The adsorption kinetics followed the pseudo-second-order model. The adsorption isotherms exhibited a stronger alignment with the Langmuir isotherm model for CR at 308 K and MEB at 288, 298, 308 K. The Freundlich isotherm model yielded a suitable fit for the adsorption of CR at 288 and 298 K. Thermodynamic analyses indicated that the removal of CR and MEB was spontaneous and endothermic. The adsorption mechanisms involved electrostatic interactions, π-π interactions, and hydrogen bonds. Intriguingly, it could achieve bidirectional selective adsorption of anionic and cationic dyes in the designed pH values, due to pH-tunable surface charge. Additionally, it also exhibited favorable reusability and antibacterial activity. Therefore, the as-prepared PPEKC aerogel could be a promising biosorbent for dye wastewater treatment.

Regulatory role of RBM39 in acute myeloid leukemia: Mediation through the PI3K/AKT pathway.

BACKGROUND: Acute myeloid leukemia (AML) presents ongoing therapeutic challenges due to its intricate molecular pathogenesis. This study aimed to elucidate the role of RNA binding motif protein 39 (RBM39) in AML cell proliferation, apoptosis, and chemosensitivity, and its potential modulation of the PI3K/AKT pathway. METHODS: In vitro and in vivo experiments were conducted using AML cell lines (K562 and U937) and bone marrow mononuclear cells (BM-MNCs) from AML patients and healthy donors. RBM39 mRNA and protein levels were measured using qRT-PCR and Western blotting. Cells were transfected with sh-RBM39 or sh-control, and then treated with daunorubicin (DNR) or homoharringtonine (HHT) at varied concentrations. Cell proliferation, chemosensitivity, and apoptosis were assessed through CCK-8 assay and Annexin V-APC/PI staining. RNA sequencing identified differentially expressed genes (DEGs) post RBM39 knockdown. An in vivo xenograft AML model using E7070, a selective RBM39 inhibitor, was employed to evaluate RBM39 modulation effects. RESULTS: Elevated RBM39 levels were found in AML patients and cell lines compared to controls. RBM39 knockdown promoted apoptosis, curtailed cell proliferation, and enhanced chemosensitivity to DNR and HHT in vitro. Drug-resistant or relapsed AML patients displayed higher RBM39 levels. RNA sequencing after RBM39 knockdown revealed downregulated PI3K/AKT signaling. The xenograft model validated in vitro results, as E7070 treatment suppressed AML xenograft growth via RBM39-mediated PI3K/AKT pathway suppression. CONCLUSION: RBM39 plays a pivotal role in AML progression through the PI3K/AKT signaling pathway. Targeting RBM39, potentially with E7070, could inhibit proliferation and induce apoptosis in AML cells, offering a promising avenue for future AML research and treatment.

Topography-driven differences in soil N transformation constrain N availability in karst ecosystems.

Fragile karst ecosystems are characterized by complex topographic landscapes associated with high variations in vegetation restoration. Identifying the characteristics and driving factors of nitrogen (N) availability across the topographic gradient is essential to guide vegetation restoration in karst regions. In this study, we collected soil samples and plant leaves along the topographic gradient (ridge, upper slope, middle slope, and foot slope) of convex slopes in the karst fault basin of southwest China, and determined the indicators reflecting soil N availability, N transformation rates, and their controlling factors. Our results showed that foliar N content and δ15N value, soil inorganic N content and δ15N value, and foliar N:P ratio were substantially lower on the steep hillslopes than on the flat top ridge. Steep slope soils also had a lower enzyme C:N ratio but a higher enzyme N:P ratio than the flat ridge soils. Furthermore, the vector angles calculated by soil extracellular enzyme analysis were below 45o in all studied soils and decreased significantly with increasing slope, indicating that microbial growth was generally limited by N. These results jointly suggest the declines in soil N availability across the topographic gradient, which are further explained by the changes in soil inherent N transformation processes. As the slope became steeper, soil mineralization and autotrophic nitrification (ONH4) rates decreased significantly, while ratio of microbial NH4+ immobilization to ONH4 and NH4+ adsorption rate increased significantly, indicating the decrease in soil inorganic N supply capacity. We further found that deteriorated soil structure, decreased soil organic matter and calcium content, altered microbial abundance, and increased ratios of fungi to bacteria and gram-positive bacteria to gram-negative bacteria were the primary drivers of reduced N transformation rates and N availability across the topographic gradient. Overall, this study highlights the critical role of the topography in controlling soil N availability by regulating N transformation processes in karst regions. The topography should be considered an important factor affecting the functions and services of karst ecosystems.

A change in substance and microbial community structure during the co-composting of kitchen waste anaerobic digestion effluent, sewage sludge and Chinese medicine residue.

Anaerobic digestion is a resource recovery method for organic waste, gaining attention due to carbon reduction. Disposing of anaerobic digestion effluent (ADE) is crucial for developing anaerobic digestion, but conventional wastewater treatment fails to effectively recover nutrients contained in the ADE. In the present study, the ADE without solid-liquid separation was mixed with sewage sludge and Chinese medicine residue for the composting, where the ADE could be recovered at high temperature through humification. Besides, the nitrogen balance, humification process, and microbial dynamics during the composting process were studied. The results showed that the group supplemented with ADE could increase the nitrogen retention efficiency by 2.21 % compared to the control group. High ammonia nitrogen content and salinity did not negatively affect the maturity and phytotoxicity of compost products and even increase the humification degree of compost products. Moreover, additional ADE may not alter microbial community structure, which could contribute to microbial succession. This is the first time to investigate the substance transformation and shift in microbial community structure while applying composting process for ADE treatment, in which the anaerobic-aerobic collaborative disposal process provides an alternative solution for the recovery of ADE.

Effects of microplastic properties and dissolved organic matter on phosphorus availability in soil and aqueous mediums.

Plastic mulching films and phosphate fertilizers have been widely used to improve agricultural soil productivity. Microplastics (MP) and phosphorus (P) significantly accumulate in agricultural soil and water bodies. However, the effects of residual MP on P availability in soil and aqueous mediums remain unclear. In this study, available P (Olsen-P) in soils and P adsorption capacity in aqueous medium were determined to examine the influence of MP properties on P availability in laboratory. In agricultural soils, Olsen-P was significantly affected by MP types. Conventional MP (mulching film particles), such as polyethylene (PE) and polyvinyl chloride (PVC), and biodegradable MP, such as polylactic acid (PLA), substantially reduced soil Olsen-P by 9.7-38.6% and 38.4-73.6%, respectively. The size and concentration of MP strongly affected soil Olsen-P, with smaller (25 µm) and more concentrated (5%) MP causing greater reductions in Olsen-P. In the soil contaminated with MP, increased fulvic acid content significantly increased Olsen-P levels. Microplastics exhibited strong P adsorption capacities, leading to decreased P availability in aqueous medium. Conventional MP exhibited a higher P adsorption capacity than biodegradable MP, with P distribution coefficients (Kd values) ordered as PVC (5.19 L kg-1) > PE (4.23 L kg-1) > PLA (2.48 L kg-1). Notably, the Kd values increased with decreasing sizes of conventional MP, whereas the opposite trend was observed for PLA. The presence of fulvic acid affected the adsorption of P by MP in aqueous medium. Increased fulvic acid content reduced P adsorption capacity of MP, thus enhancing P availability. Our findings contribute to a better understanding of P dynamics in MP-contaminated agricultural soil and aqueous medium, which could aid in formulating sustainable agricultural practices and effective environmental management strategies for plastic mulching films and P contamination.

An overview of in situ remediation for groundwater co-contaminated with heavy metals and petroleum hydrocarbons.

Groundwater is an important component of water resources. Mixed pollutants comprising heavy metals (HMs) and petroleum hydrocarbons (PHs) from industrial activities can contaminate groundwater through such processes as rainfall infiltration, runoff and discharge, which pose direct threats to human health through the food chain or drinking water. In situ remediation of contaminated groundwater is an important way to improve the quality of a water environment, develop water resources and ensure the safety of drinking water. Bioremediation and permeable reactive barriers (PRBs) were discussed in this paper as they were effective and affordable for in situ remediation of complex contaminated groundwater. In addition, media types, technology combinations and factors for the PRBs were highlighted. Finally, insights and outlooks were presented for in situ remediation technologies for complex groundwater contaminated with HMs and PHs. The selection of an in situ remediation technology should be site specific. The remediation of complex contaminated groundwater can be approached from various perspectives, including the development of economical materials, the production of slow-release and encapsulated materials, and a combination of multiple technologies. This review is expected to provide technical guidance and assistance for in situ remediation of complex contaminated groundwater.

Racial and ethnic disparities in prevalence and correlates of depressive symptoms and suicidal ideation among adults in the United States, 2017-2020 pre-pandemic.

BACKGROUND: This study aims to estimate the pre-COVID-19 pandemic prevalence of mild, major depressive symptoms, and suicide ideation among U.S. adults and evaluate their correlates and racial/ethnic disparities. METHODS: This is a cross-sectional analysis of a nationally representative sample of adults ≥20 years from the National Health and Nutrition Examination Survey study 2017-2020 Pre-Pandemic. Overall and racial/ethnic-specific weighted prevalence and 95%CI of mild and major depressive symptoms and suicidal ideation assessed by the Patient Health Questionnaire-9 were calculated. Multivariable logistic regression modelings were used to examine overall and racial/ethnic-specific correlates. RESULTS: Data on 7917 US adults (Weighted N = 210,200,829; 51.8 % females) were analyzed. The prevalence of mild, major depressive symptoms, and suicidal ideation was 8.5 %, 16.5 %, and 3.2 %, respectively. Overall, consistent correlates for all three conditions included smoking, short/long sleep duration, and obesity. Females, non-Hispanic Blacks, low family-poverty-income ratio, prolonged sitting time, and a history of cardiovascular disease were consistent correlates for mild and major depressive symptoms. Younger age, never married/living without a partner, physical inactivity, drinking alcohol, and a history of diabetes were related to major depressive symptoms. Never married/living without a partner and having a low family-poverty-income ratio correlate with suicide ideation. Having cancer diagnosis was only negatively associated with major depressive symptoms in non-Hispanic Blacks. Females, current smoking, short/long sleep duration, and having cardiovascular disease were correlated with suicidal ideation among Hispanics. CONCLUSIONS: The prevalence of mild, major depressive symptoms, and suicidal ideation were high among U.S. adults. Unique correlates were identified among different racial and ethnic groups.

Two new species of the planthopper genus Usana Distant, 1906 (Hemiptera, Fulgoromorpha, Achilidae) from China.

Two new species of the achilid planthopper genus Usana Distant, 1906 (Hemiptera, Fulgoromorpha, Achilidae, Myconinae, Plectoderini), U.tongmaiensis Long & Huang, sp. nov. and U.rotalarius Long & Huang, sp. nov., are described and illustrated from Xizang and Chongqing. A key to all known species and a map of geographic distributions for Chinese taxa is provided.

Sustainable Asymmetric Synthesis of Diltiazem Precursor Enabled by Recombinant Escherichia coli Whole Cells Co-Expressing an Engineered Ketoreductase and Glucose Dehydrogenase.

As a key synthetic intermediate of the cardiovascular drug diltiazem, methyl (2R,3S)-3-(4-methoxyphenyl) glycidate ((2R,3S)-MPGM) (1) is accessible via the ring closure of chlorohydrin (3S)-methyl 2-chloro-3-hydroxy-3-(4-methoxyphenyl)propanoate ((3S)-2). We report the efficient reduction of methyl 2-chloro-3-(4-methoxyphenyl)-3-oxo-propanoate (3) to (3S)-2 using an engineered enzyme SSCRM2 possessing 4.5-fold improved specific activity, which was obtained through the structure-guided site-saturation mutagenesis of the ketoreductase SSCR by reliving steric hindrance and undesired interactions. With the combined use of the co-expression fine-tuning strategy, a recombinant E. coli (pET28a-RBS-SSCRM2 /pACYCDuet-GDH), co-expressing SSCRM2 and glucose dehydrogenase, was constructed and optimized for protein expression. After optimizing the reaction conditions, whole-cell-catalyzed complete reduction of industrially relevant 300 g/L of 3 was realized, affording (3S)-2 with 99% ee and a space-time yield of 519.1 g∙L-1 ∙d-1 , representing the highest record for the biocatalytic synthesis of (3S)-2 reported to date. The E-factor of this biocatalytic synthesis was 24.5 (including water). Chiral alcohol (3S)-2 generated in this atom-economic synthesis was transformed to (2R,3S)-MPGM in 95% yield with 99% ee. This article is protected by copyright. All rights reserved.

Moderate and vigorous leisure time physical activity in older adults and Alzheimer's disease-related mortality in the USA: a dose-response, population-based study.

BACKGROUND: Data for the dose-response associations of moderate physical activity (MPA) and vigorous physical activity (VPA) with Alzheimer's disease-related mortality are scarce. We aimed to examine the prospective associations of such activity with Alzheimer's disease-related mortality. METHODS: In this dose-response, population-based study, we pooled data from 22 consecutive waves of the US National Health Interview Survey (from 1997 to 2018). Participants aged 68 years or older were included in the study if they had full data for physical or muscle-strengthening activity, chronic conditions, functional limitations, marital status, education level, alcohol consumption, smoking status, and BMI, and follow-up time after study entry. Participants were linked to the National Death Index until Dec 31, 2019. We defined Alzheimer's disease-related mortality as a leading cause by using the G-30 code of the International Statistical Classification of Diseases and Related Health Problems tenth revision. Information on MPA and VPA was self-reported, with participants asked to answer four questions on the frequency and duration of both types of physical activity. We calculated hazard ratios (HRs) and used restricted cubic splines models to assess dose-response associations, and we estimated the annual number of Alzheimer's disease-related deaths that could be prevented through physical activity using adjusted population attributable fractions. FINDINGS: After excluding 21 377 participants, 91 298 adults were included in the analysis. The weighted mean participant age was 75·8 years (SE 0·0); 55 658 (56·7%) were female and 76 796 (87·6%) were White (weighted percentages). The median follow-up was 6·5 years (IQR 3·6-10·7), corresponding to 703 393 person-years. 2176 (2·4%) participants died due to Alzheimer's disease as the leading cause. For MPA, we did not find a significant dose-response association with Alzheimer's disease-related mortality, whereas for VPA, we observed a significant L-shaped association between 20 weekly min and 190 weekly min. For VPA, we identified a minimal amount (ie, 50% of the optimal amount) at 40 min/week (HR 0·91, 95% CI 0·84-0·95) and an optimal amount (ie, the nadir of the curve) at 140 min/week (0·79, 0·66-0·95) for reducing Alzheimer's disease-related mortality. For the USA, we estimated that 40 weekly min of VPA would prevent 12 238 deaths per year (95% CI 89-23 172) and 140 weekly min of VPA would prevent 37 710 deaths per year (311-63 567), compared with a scenario in which US adults did not do any VPA. INTERPRETATION: These findings might inform future guidelines for preventing Alzheimer's disease-related mortality by emphasising the importance of VPA over MPA and providing specific VPA targets. FUNDING: None.

Neurodevelopmental Outcomes Prediction in Newborns with Seizures Caused by KCNQ2 Gene Defects.

INTRODUCTION: Pathogenic variant in the KCNQ2 gene is a common genetic etiology of neonatal convulsion. However, it remains a question in KCNQ2-related disorders that who will develop into atypical developmental outcomes. METHODS: We established a prediction model for the neurodevelopmental outcomes of newborns with seizures caused by KCNQ2 gene defects based on the Gradient Boosting Machine (GBM) model with a training set obtained from the Human Gene Mutation Database (HGMD, public training dataset). The features used in the prediction model were, respectively, based on clinical features only and optimized features. The validation set was obtained from the China Neonatal Genomes Project (CNGP, internal validation dataset). RESULTS: With the HGMD training set, the prediction results showed that the area under the receiver-operating characteristic curve (AUC) for predicting atypical developmental outcomes was 0.723 when using clinical features only and was improved to 0.986 when using optimized features, respectively. In feature importance ranking, both variants pathogenicity and protein functional/structural features played an important role in the prediction model. For the CNGP validation set, the AUC was 0.596 when using clinical features only and was improved to 0.736 when using optimized features. CONCLUSION: In our study, functional/structural features and variant pathogenicity have higher feature importance compared with clinical information. This prediction model for the neurodevelopmental outcomes of newborns with seizures caused by KCNQ2 gene defects is a promising alternative that could prove to be valuable in clinical practice.

Multifunctional transmission-type microwave metadevice based on spin-decoupled and linear-to-circular metasurfaces.

Metasurfaces have enabled precise electromagnetic (EM) wave manipulation with strong potential to obtain unprecedented functionalities and multifunctional behavior in flat optical devices. One promising aspect to achieve multifunction is polarization-dependent metadevices enabled by simultaneous phase control over orthogonally polarized waves. Among these, metasurfaces with geometric phase shows their natural and robust phase control ability over different circularly polarized waves. However, the phase responses under the circularly polarized incidence are locked to be opposite with each other, resulting in limited multifunctionality. In this study, we propose what we believe to be a novel transmission-type microwave metadevice constructed by linear-to-circular metasurface and spin-decoupled metasurface. By endowing independent phase adjustment capability to each unit structure in a spin-decoupled metasurface, the metadevice can reconfigure arbitrary phase wavefronts under orthogonal polarization state incidence, thereby achieving flexible multifunctionality. As a proof-of-concept, the feasibility and reliability of proposed metasurfaces were verified by simulating multifunctional directional deflection, off-axis focusing, and focused vortex beam generation. Finally, the multifunctional manipulation capability of the metadevice is successfully demonstrated by actually measuring the generation of orbital angular momentum modes. This work is expected to drive the application development of metasurface devices in wireless communication.

Reduction and precipitation of chromium(VI) using a palladized membrane biofilm reactor.

H2-driven reduction of hexavalent chromium (Cr(VI)) using precious-metal catalysts is promising, but its implementation in water treatment has been restricted by poor H2-transfer efficiency and high catalyst loss. We investigated the reduction of Cr(VI) through hydrogenation catalyzed by elemental-palladium nanoparticles (PdNPs) generated in-situ within biofilm of a membrane biofilm reactor (MBfR), creating a Pd-MBfR. Experiments were conducted using a Pd-MBfR and a non-Pd MBfR. The Pd-MBfR achieved Cr(VI) (1000 µg L-1) reduction of >99 % and reduced the concentration of total Cr to below 50 µg L-1, much lower than the total Cr concentration in the non-Pd MBfR effluent (290 µg L-1). The Pd-MBfR also had a lower concentration of dissolved organic compounds compared to the non-Pd MBfR, which minimized the formation of soluble organo-Cr(III) complexes and promoted precipitation of Cr(OH)3. Solid-state characterizations documented deposition of Cr(OH)3 as the product of Cr(VI) reduction in the Pd-MBfR. Metagenomic analyses revealed that the addition and reduction of Cr(VI) had minimal impact on the microbial community (dominated by Dechloromonas) and functional genes in the biofilm of the Pd-MBfR, since the PdNP-catalyzed reduction process was rapid. This study documented efficient Cr(VI) reduction and precipitation of Cr(OH)3 by the Pd-MBfR technology.

Micheliolide exerts effects in myeloproliferative neoplasms through inhibiting STAT3/5 phosphorylation via covalent binding to STAT3/5 proteins.

Ruxolitinib is a cornerstone of management for some subsets of myeloproliferative neoplasms (MPNs); however, a considerable number of patients respond suboptimally. Here, we evaluated the efficacy of micheliolide (MCL), a natural guaianolide sesquiterpene lactone, alone or in combination with ruxolitinib in samples from patients with MPNs, JAK2V617F-mutated MPN cell lines, and a Jak2V617F knock-in mouse model. MCL effectively suppressed colony formation of hematopoietic progenitors in samples from patients with MPNs and inhibited cell growth and survival of MPN cell lines in vitro. Co-treatment with MCL and ruxolitinib resulted in greater inhibitory effects compared with treatment with ruxolitinib alone. Moreover, dimethylaminomicheliolide (DMAMCL), an orally available derivative of MCL, significantly increased the efficacy of ruxolitinib in reducing splenomegaly and cytokine production in Jak2V617F knock-in mice without evident effects on normal hematopoiesis. Importantly, MCL could target the Jak2V617F clone and reduce mutant allele burden in vivo. Mechanistically, MCL can form a stable covalent bond with cysteine residues of STAT3/5 to suppress their phosphorylation, thus inhibiting JAK/STAT signaling. Overall, these findings suggest that MCL is a promising drug in combination with ruxolitinib in the setting of suboptimal response to ruxolitinib.

The impact of enhanced recovery after surgery on inflammatory indicators and prognosis related to complex appendicitis in children.

Objective: To explore the application effect of enhanced recovery after surgery (ERAS) perioperative plan in the treatment of complex appendicitis in children, and further enrich the implementation plan of ERAS in the field of pediatric surgery. Method: This study selected 122 children who underwent laparoscopic complex appendectomy at Inner Mongolia Maternal and Child Health Hospital and Baotou Fourth Hospital from August 2018 to July 2022, and randomly divided them into a traditional surgery group (TS) and an enhanced recovery surgery group (ERAS). The changes of white blood cell (WBC), hypersensitive C-reactive protein (CRP), pro Calcitonin (PCT) and interleukin 6 (IL-6) before and after surgery were compared. The degree of pain, recovery time of intestinal function, length of hospital stay, hospital costs, postoperative complications and parental satisfaction were compared between the two groups. Result: The WBC and CRP levels in the ERAS group at 6 h after surgery, as well as the IL-6 levels on the 3rd day after surgery, were lower than those in the TS group. Meanwhile, the analgesic effect of ERAS group at 3 h and 6 h after surgery was better than that of TS group. And the ERAS group had a shorter postoperative first exhaust time, fewer overall hospital stays, and lower hospitalization costs. In addition, the ERAS group had high parental satisfaction during hospitalization. There was no statistically significant difference in postoperative complications between the two groups of children. Conclusion: ERAS can promote postoperative recovery of children, reduce surgical stress, save family medical expenses, alleviate the pain of children, and improve parental satisfaction. It is a safe and effective method for treating complex appendicitis in children.

A Health App for Post-Pandemic Years (HAPPY) for people with physiological and psychosocial distress during the post-pandemic era: Protocol for a randomized controlled trial.

Objective: This article describes a protocol for a randomized controlled trial to evaluate the effects of a three-level Health App for Post-Pandemic Years (HAPPY) on alleviating post-pandemic physiological and psychosocial distress. Methods: Convenience and snowball sampling methods will be used to recruit 814 people aged 18+ with physiological and/or psychosocial distress. The experimental group will receive a 24-week intervention consisting of an 8-week regular supervision phase and a 16-week self-help phase. Based on their assessment results, they will be assigned to receive interventions on mindfulness, energy conservation techniques, or physical activity training. The waitlist control group will receive the same intervention in Week 25. The primary outcome will be changes in psychosocial distress, measured using the Kessler Psychological Distress Scale (K10). Secondary outcomes will include changes in levels of fatigue (Chinese version of the Brief Fatigue Inventory), sleep quality (Chinese version of the Pittsburgh Sleep Quality Index), pain intensity (Numeric Rating Scale), positive appraisal (Short version of the 18-item Cognitive Emotion Regulation Questionnaire), self-efficacy (Chinese version of the General Self-efficacy Scale), depression and anxiety (Chinese version of the 21-item Depression Anxiety Stress Scale), and event impact (Chinese version of the 22-item Impact of Event Scale-Revised). All measures will be administered at baseline (T0), Week 8 after the supervision phase (T1), and 24 weeks post-intervention (T2). A generalized estimating equations model will be used to examine the group, time, and interaction (Time × Group) effect of the interventions on the outcome assessments (intention-to-treat analysis) across the three time points, and to compute a within-group comparison of objective physiological parameters and adherence to the assigned interventions in the experimental group. Conclusions: The innovative, three-level mobile HAPPY app will promote beneficial behavioral strategies to alleviate post-pandemic physiological and psychosocial distress. Trial registration: ClinicalTrials.gov, NCT05459896. Registered on 15 July 2022.

Active polarization controller based on micro-ring resonators.

On-chip polarization handling is of great significance for optical interconnects to overcome polarization sensitivity. In this Letter, we propose and experimentally demonstrate a novel, to the best of our knowledge, on-chip polarization controller (PC) on a 220 nm silicon-on-insulator (SOI) platform. It is the first demonstration of a PC based on micro-ring resonators. Any input polarization states can be actively converted to the standard transverse-electric (TE) mode under the phase manipulation. Experimental results show that the insertion loss is less than 0.8 dB and the polarization dependent loss (PDL) is around 0.5 dB. The proposed device also exhibits excellent performances in wavelength tunability over the C band and 35 Gbps data transmission.