[Bowel Sounds Detection Method Based on ResNet-BiLSTM and Attention Mechanism].

Bowel sounds can reflect the movement and health status of the gastrointestinal tract. However, the traditional manual auscultation method has subjective deviation and is time-consuming and labor-intensive. In order to better assist doctors in diagnosing bowel sounds and improve the reliability and efficiency of bowel sound detection, this study proposed a deep neural network model that combines a residual neural network (ResNet), a bidirectional long short-term memory network (BiLSTM), and an attention mechanism. Firstly, a large number of labeled clinical data was collected using the self-developed multi-channel bowel sound acquisition system, and the multi-scale wavelet decomposition and reconstruction method was used to preprocess the bowel sounds. Then, log Mel spectrogram features were extracted and sent to the network for training. Finally, the performance and effectiveness of the model were evaluated and verified by 10-fold cross-validation and an ablation experiment. The experimental results showed that the precision, recall, and F 1 score of the model reached 83%, 76%, and 79%, respectively, and it could effectively detect bowel sound segments and locate their start and end times, performing better than previous algorithms. This algorithm can not only provide auxiliary information for doctors in clinical practice but also offer technical support for further analysis and research of bowel sounds.

Dual-mode tunable absorber based on quasi-bound states in the continuum.

In this Letter, we propose a novel, to the best of our knowledge, dual-mode tunable absorber that utilizes quasi-bound states in the continuum (q-BIC) based on the periodically arranged silicon cylinders tetramer. By introducing asymmetry perturbation through manipulating the diameters of diagonal cylinders in the all-dielectric structure, the symmetry-protected BIC (SP-BIC) transforms into q-BIC, leading to the emergence of one transmission and one reflection Fano-like resonant mode. The relationship between the quality factor of each mode and the asymmetry parameter α is analyzed, revealing an exponential dependence with an exponent of -1.75, i.e., Q ∝ α-1.75. To explain the underlying physics, multipole decomposition analysis and Aleksandra's theory are applied. Subsequently, a monolayer graphene is introduced to the all-dielectric structure to demonstrate the application of the dual-mode tunable absorber. When the critical coupling condition is satisfied, each mode can achieve the theoretical maximum absorption, demonstrating the distinctive capability of our proposed absorber for tuning and efficient light absorption. This research provides valuable insights into light-matter interactions and opens up possibilities for optical modulation and the development of graphene-based devices.

Topological plasmons in stacked graphene nanoribbons.

In this Letter, we theoretically study the topological plasmons in Su-Schrieffer-Heeger (SSH) model-based graphene nanoribbon (GNR) layers. We find that for the one-dimensional (1D) stacked case, only two topological modes with the field localized in the top or bottom layer are predicted to exist by the Zak phase. When we further expand the stacked 1D GNR layers to two-dimensional (2D) arrays in the in-plane direction, the topology is then characterized by the 2D Zak phase, which predicts the emergence of three kinds of topological modes: topological edge, surface, and corner modes. For a 2D ribbon array with Nx × Ny units, there are 4(Ny - 1), 4(Nx - 1), and 4 topological edge, surface, and corner modes, and the field is highly localized at the edge/surface/corner ribbons. This work offers a platform to realize topological modes in GNRs and could be important for the design of topological photonic devices such as lasers and sensors.

Surgical treatment of carotid blowout syndrome after radiotherapy for head and neck malignant tumors: a single-center experience.

To explore the treatments for and manifestations of carotid blowout syndrome (CBS) and to further explore the critical role of high-flow bypass combined with parent artery isolation. The clinical data of nine patients with radiotherapy-related CBS who were admitted to our hospital from March 2020 to March 2023 were retrospectively analyzed. Relevant literature was reviewed. From March 2020 to March 2023, nine CBS patients were admitted to Tianjin Huanhu Hospital, including eight males and one female. Digital subtraction angiography was performed for all the patients; all the pseudoaneurysms were located at the petrous segment of the internal carotid artery. A balloon occlusion test was performed on four patients, which was tolerated by all patients. CT and MRI scans showed seven cases of osteonecrosis combined with infection and two cases of tumor recurrence. Emergency permanent parent artery occlusion was performed on six patients, aneurysm embolization was completed in one case, covered stent implantation was performed in one patient, and three cases were treated by cerebral bypass surgery (including two patients with failed interventional treatment). Rebleeding was found in two patients, and no rebleeding was found in the bypass group. Paralysis was found in three patients, and asymptomatic cerebral infarction without permanent neurologic impairment was found in three patients. Two patients died due to tumor progression. Emergency occlusion surgery is lifesaving in the acute phase of CBS. Endovascular therapy cannot prevent the progression of pseudoaneurysms or lower the recurrence rate of bleeding events. High-flow bypass combined with parent artery isolation is a safe and effective method that may facilitate further surgical treatment. Further research is warranted.

Dissecting the Kinetic Mechanism of Human Lysine Methyltransferase 2D and Its Interactions with the WRAD2 Complex.

Human lysine methyltransferase 2D (hKMT2D) is an epigenetic writer catalyzing the methylation of histone 3 lysine 4. hKMT2D by itself has little catalytic activity and reaches full activation as part of the WRAD2 complex, additionally comprising binding partners WDR5, RbBP5, Ash2L, and DPY30. Here, a detailed mechanistic study of the hKMT2D SET domain and its WRAD2 interactions is described. We characterized the WRAD2 subcomplexes containing full-length components and the hKMT2D SET domain. By performing steady-state analysis as a function of WRAD2 concentration, we identified the inner stoichiometry and determined the binding affinities for complex formation. Ash2L and RbBP5 were identified as the binding partners critical for the full catalytic activity of the SET domain. Contrary to a previous report, product and dead-end inhibitor studies identified hKMT2D as a rapid equilibrium random Bi-Bi mechanism with EAP and EBQ dead-end complexes. Matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-ToF MS) analysis showed that hKMT2D uses a distributive mechanism and gives further insights into how the WRAD2 components affect mono-, di-, and trimethylation. We also conclude that the Win motif of hKMT2D is not essential in complex formation, unlike other hKMT2 proteins.

Noninvasive prediction of axillary lymph node status in breast cancer using promoter profiling of circulating cell-free DNA.

BACKGROUND: Lymph node metastasis (LNM) is one of the most important factors affecting the prognosis of breast cancer. The accurate evaluation of lymph node status is useful to predict the outcomes of patients and guide the choice of cancer treatment. However, there is still lack of a low-cost non-invasive method to assess the status of axillary lymph node (ALN). Gene expression signature has been used to assess lymph node metastasis status of breast cancer. In addition, nucleosome footprint of cell-free DNA (cfDNA) carries gene expression information of its original tissues, so it may be used to evaluate the axillary lymph node status in breast cancer. METHODS: In this study, we found that the cfDNA nucleosome footprints between the ALN-positive patients and ALN-negative patients showed different patterns by implementing whole-genome sequencing (WGS) to detect 15 ALN-positive and 15 ALN-negative patients. In order to further evaluate its potential for assessing ALN status, we developed a classifier with multiple machine learning models by using 330 WGS data of cfDNA from 162 ALN-positive and 168 ALN-negative samples to distinguish these two types of patients. RESULTS: We found that the promoter profiling between the ALN-positive patients and ALN-negative patients showed distinct patterns. In addition, we observed 1071 genes with differential promoter coverage and their functions were closely related to tumorigenesis. We found that the predictive classifier based on promoter profiling with a support vector machine model, named PPCNM, produced the largest area under the curve of 0.897 (95% confidence interval 0.86-0.93). CONCLUSIONS: These results indicate that promoter profiling can be used to distinguish ALN-positive patients from ALN-negative patients, which may be helpful to guide the choice of cancer treatment.

A sensitive fluorescence biosensor based on metal ion-mediated DNAzyme activity for amplified detection of acetylcholinesterase.

In this paper, we developed an amplified fluorescence biosensor for acetylcholinesterase (AChE) activity detection by taking advantage of the mercury ion-mediated Mgzyme (Mg2+-dependent DNAzyme) activity. The catalytic activity of Mgzyme can be inhibited by the formation of T-Hg2+-T base pairs between the Mgzyme and mercury ions. Therefore, the Mgzyme-Hg2+ complex has no activity on a molecular beacon (MB) substrate, which afforded a very weak fluorescence background for this biosensor. After the addition of acetylcholinesterase (AChE), the substrate acetylthiocholine could be hydrolyzed to thiocholine, which has a stronger binding power with mercury ions than T-Hg2+-T base pairs. Therefore, the Mgzyme activity was recovered. The activated Mgzyme could hybridize with the MB substrate and undergo many cleavage cycles, resulting in a significant increase of fluorescence intensity. This biosensor displayed high sensitivity with the detection limit as low as 0.01 mU mL-1. Moreover, this design did not require complex composition and sequence design; thus it is simple and convenient. This biosensor was also applied for the determination of AChE in human blood and showed satisfactory results.

Dynamically tunable narrowband anisotropic total absorption in monolayer black phosphorus based on critical coupling.

A dynamically tunable anisotropic narrowband absorber based on monolayer black phosphorous (BP) is proposed in the terahertz (THz) band. The proposed absorber consists of a monolayer BP and a silicon (Si) grating, which is placed on a silica (SiO2) isolation layer and a gold (Au) substrate. The benefit from the critical coupling mechanism with guided resonance is the efficiency of the absorption can reach 99.9% in the armchair (AC) direction and the natural anisotropy of BP makes it only 87.2% in the zigzag (ZZ) direction. Numerical and theoretical studies show that the absorption efficiency of the structure is operatively controlled by critical coupling conditions, including the geometric parameters of the Si grating, the electron doping of BP and the angle of incident light, etc. More importantly, in the absence of plasmon response, this structure greatly enhances the interaction between light and matter in monolayer BP. In particular, there are several advantages in this structure, such as extremely high-efficiency absorption, excellent tunability, outstanding intrinsic anisotropy and easy manufacturing, which will show unusual and promising potential applications in the design of BP-based tunable high-performance devices.

Insight into the Therapeutic Selectivity of the Irreversible EGFR Tyrosine Kinase Inhibitor Osimertinib through Enzyme Kinetic Studies.

Osimertinib is a covalent, third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) approved for treating non-small cell lung cancer patients with activating EGFR mutations (Exon19del or L858R) or with the T790M resistance mutation following disease progression on first- or second-generation EGFR TKIs. The aim of this work is to rationalize and understand how osimertinib achieves mutant EGFR selectivity over the wild-type (WT) by evaluating its kinetic mechanism of action. In doing so, we developed methodologies combining steady-state and pre-steady-state kinetics to determine the covalent inactivation rates (kinact) and reversible binding affinities (Ki) for osimertinib against WT, L858R, and L858R/T790M EGFR and compared these data to the inhibition kinetics of earlier generations of EGFR TKIs. The kinact/KI values indicate osimertinib inactivates L858R and L858R/T790M with 20- and 50-fold higher overall efficiencies, respectively, compared to that for WT. The Ki and kinact values reveal that osimertinib binds 3-fold tighter to and reacts 3-fold faster with L858R than WT EGFR and binds 17-fold tighter to and reacts 3-fold faster with L858R/T790M than with the WT EGFR. We conclude that osimertinib overcomes the T790M mutation through improved affinities from stronger hydrophobic interactions with Met790 versus Thr790 and an improved rate of covalent bond formation via better positioning of the acrylamide warhead, while osimertinib targets the L858R mutation through better affinities and reactivities with the mutant in the context of differential binding affinities of the competing substrate ATP. This work highlights the importance of optimizing both reversible drug-target interactions and inactivation rates for covalent inhibitors to achieve selectivity in targeting mutant EGFRs.

The role of caesarean section and nonbreastfeeding in preventing mother-to-child transmission of hepatitis B virus in HBsAg-and HBeAg-positive mothers: results from a prospective cohort study and a meta-analysis.

The study aimed to assess whether caesarean section and nonbreastfeeding can prevent mother-to-child transmission (MTCT) in HBsAg- and HBeAg-positive mothers via a cohort study and a meta-analysis. (1) Pregnant women who were positive for HBsAg and HBeAg and did not receive antiviral treatment during pregnancy were recruited from the First Hospital of Jilin University, Maternal and Child Health Care Center of Jiangsu and Henan from August 2009 to June 2015. Infants received active and passive immunity. (2) In addition, a systematic literature search was performed in the PubMed, Embase, Cochrane, China National Knowledge Infrastructure and Wanfang Chinese databases. The retrieval strategy was [("HBV" or "hepatitis b" or "hepatitis b virus") and ("mother-to-infant transmission" or "vertical transmission")]. Studies were screened, and data were extracted. The fixed-effect model was used to analyse the studies. A total of 852 mothers and 857 newborns were enrolled. At the age of 7 months, 41 infants (4.78%) were positive for HBsAg. Multivariate analysis showed that mothers with higher HBV DNA levels (>108  IU/mL; RR = 3.03, 95% CI: 1.41-6.52) were associated with an increased risk of infection. Although there was no statistical significance, caesarean section (RR = 0.61) and nonbreastfeeding (RR = 0.88) showed a tendency to reduce the risk of infection. (2) A total of 5726 studies were identified. Together with our study, 13 were included in the analysis of delivery mode, and 12 were included in the analysis of feeding mode. The risk of infection in the caesarean section group was lower than that in the vaginal delivery group (RR = 0.58, 95% CI: 0.46-0.74). In the analysis of feeding mode, the risk in the nonbreastfeeding group was significantly lower (RR = 0.74, 95% CI: 0.56-0.98). In conclusion, caesarean section and nonbreastfeeding reduced the risk of MTCT in infants of HBsAg- and HBeAg-positive mothers who did not receive antiviral therapy during pregnancy.

Plasmonically induced transparency in in-plane isotropic and anisotropic 2D materials.

General two-dimensional (2D) material-based systems that achieve plasmonically induced transparency (PIT) are limited to isotropic graphene only through unidirectional bright-dark mode interaction. Moreover, it is challenging to extend these devices to anisotropic 2D films. In this study, we exploit surface plasmons excited at two crossed grating layers, which can be formed either by dielectric gratings or by the 2D sheet itself, to achieve dynamically tunable PIT in both isotropic and anisotropic 2D materials. Here, each grating simultaneously acts as both bright and dark modes. By taking isotropic graphene and anisotropic black phosphorus (BP) as proofs of concept, we reveal that this PIT can result from either unidirectional bright-dark or bidirectional bright-bright and bright-dark mode hybridized couplings when the incident light is parallelly/perpendicularly or obliquely polarized to the gratings, respectively. Identical grating parameters in isotropic (crossed lattice directions in anisotropic) layers produce polarization-independent single-window PIT, whereas different grating parameters (coincident lattice directions) yield polarization-sensitive double-window PIT. The proposed technique is examined by a two-particle model, showing excellent agreement between the theoretical and numerical results. This study provides insight into the physical mechanisms of PIT and advances the applicability and versatility of 2D material-based PIT devices.

Large-range, continuously tunable perfect absorbers based on Dirac semimetals.

Plasmonic metamaterials enable manipulation of light at subwavelength scales and exhibit unique optical functionalities. However, the realization of high-performance, large-range, and dynamically tunable optical absorbers based on plasmonic metamaterials remains challenging. Here, we propose and demonstrate a continuously tunable absorbers consisting of a zigzag array of bulk Dirac semimetals (BDS) meta-atoms and a metal reflector spaced by insulator layers. This structure exhibits a collective resonance formed by the electric dipole modes polarized along the long axis of each individual meta-atom, which allows us to precisely control this resonance frequency by fine-tuning the unit cell geometry and the Fermi energy levels of the BDS. In addition, the related physical mechanism behind this complete absorption can explained by employing coupled-mode theory (CMT) and mode-expansion theory (MET). Our results may arouse the investigations of the tunable metamaterials device based on the BDS.

Complete optical absorption in hybrid halide perovskites based on critical coupling in the communication band.

In order to remarkably enhance the absorption capability of (CH3NH3)PbI3, a tunable narrow-band (CH3NH3)PbI3-based perfect absorber based on the critical coupling with guided resonance is proposed. By using the finite-difference time-domain (FDTD) simulations, a complete absorption peak is achieved at the wavelength of 1310 nm. Moreover, we have compared the simulation results with theoretical calculations, which agree well with each other. By changing related structural parameters, the wavelength of absorption peak can be tuned effectively. Furthermore, the proposed absorber can tolerate a relatively wide range of incident angles and demonstrate polarization-independence. In addition to (CH3NH3)PbI3, the complete optical absorption in the other halide perovskites can be realized by the same mechanism.

Ultrathin multi-band coherent perfect absorber in graphene with high-contrast gratings.

High-contrast gratings (HCGs) can be designed as a resonator with high-quality factor and surface-normal emission, which are excellent characters for designing optical devices. In this work, we combine HCGs with plasmonic graphene structure to achieve an ultrathin five-band coherent perfect absorber (CPA). The presented CPA can achieve multi- and narrow-band absorption with high intensity under a relatively large incident angle. The good agreement between theoretical analysis and numerical simulated results demonstrates that our proposed HCGs-based structure is feasible to realize CPA. Besides, by dynamically adjusting the Fermi energy of graphene, we realize the active tunability of resonance frequency and absorption intensity simultaneously. Benefitting from the combination of HCGs and the one-atom thickness of graphene, the proposed device possesses an extremely thin feature. Our work proposes a novel method to manipulate coherent perfect absorption and is helpful to design tunable multi-band and ultrathin absorbers.

Ultrasensitive tunable terahertz sensor based on five-band perfect absorber with Dirac semimetal.

For non-invasive detection, terahertz (THz) sensing shows more promising performance compared to visible and infrared regions. But so far, figure of merit (FOM) of THz sensor has been exceeding low due to weak radiation and absorption loss. Here, we propose an easily implemented THz sensor based on bulk Dirac semimetal (BDS). The presented structure not only achieves narrowband absorption and dynamic tunability at five perfect absorption bands, but also exhibits excellent sensing performance with a FOM of 813. These fascinating properties can be explained by the combination of the classical magnetic resonance induced by the anti-parallel current, the electric resonance of adjacent unit cells resulting from the air slots at both ends of the absorber, and Mie resonance supported by coating, respectively. Our work can provide a new avenue for the design of multi-band photodetectors and sensors in the future.

Bidirectional and dynamically tunable THz absorber with Dirac semimetal.

Traditional absorbers are usually sandwich structures in which a metallic ground plane is employed to prevent the transmission. Such absorbers suffer from a major drawback that incident light can only irradiate from the front of the absorbers. In this paper, a novel absorber with bulk Dirac semimetal (BDS)-AlCuFe quasicrystals is proposed to realize bidirectional and dynamically tunable terahertz (THz) perfect absorption. The proposed structure consists of two layers of AlCuFe plates with rectangular apertures and a dielectric spacer. By adjusting transverse distance between the top and bottom rectangular apertures, perfect absorption could be realized under TM polarization. Simulation results show that perfect absorption can be obtained whether light irradiates from the front or back of the system, indicating a performance of bidirectional absorption. In addition, benefiting from the variable Fermi level of AlCuFe, the resonance frequency can be dynamically tuned in the THz range. Our work will stimulate more investigations on BDS-based bidirectional absorbers and optical modulators.

Computational ghost imaging via adaptive deep dictionary learning.

Ghost imaging has gone through from quantum to classical pseudothermal to computational field over the last two decades. As a kernel part in computational ghost imaging (CGI), the reconstruction algorithm plays a decisive role in imaging quality and system practicality. In order to introduce more prior knowledge into the reconstruction algorithm, existing research adds image patch prior into CGI and improves the imaging efficiency. In this paper, the total variation minimization algorithm via adaptive deep dictionary learning (TVADDL) is proposed to update an adaptive deep dictionary through the CGI reconstruction process. The proposed algorithm framework is able to capture more precise texture features with a multi-layer architecture dictionary and adapt the learned dictionary by gradient descent on CGI reconstruction loss value. The results of simulation and experiment show that TVADDL can achieve higher peak signal-to-noise ratio than the algorithms without patch prior and the algorithms using the shallow dictionary or non-adaptive deep dictionary.

Catalytic Mechanism of Cruzain from Trypanosoma cruzi As Determined from Solvent Kinetic Isotope Effects of Steady-State and Pre-Steady-State Kinetics.

Cruzain, an important drug target for Chagas disease, is a member of clan CA of the cysteine proteases. Understanding the catalytic mechanism of cruzain is vital to the design of new inhibitors. To this end, we have determined pH-rate profiles for substrates and affinity agents and solvent kinetic isotope effects in pre-steady-state and steady-state modes using three substrates: Cbz-Phe-Arg-AMC, Cbz-Arg-Arg-AMC, and Cbz-Arg-Ala-AMC. The pH-rate profile of kcat/ Km for Cbz-Arg-Arg-AMC indicated p K1 = 6.6 (unprotonated) and p K2 ∼ 9.6 (protonated) groups were required for catalysis. The temperature dependence of the p K = 6.2-6.6 group exhibited a Δ Hion value of 8.4 kcal/mol, typical of histidine. The pH-rate profile of inactivation by iodoacetamide confirmed that the catalytic cysteine possesses a p Ka of 9.8. Normal solvent kinetic isotope effects were observed for both D2O kcat (1.6-2.1) and D2O kcat/ Km (1.1-1.4) for all three substrates. Pre-steady-state kinetics revealed exponential bursts of AMC production for Cbz-Phe-Arg-AMC and Cbz-Arg-Arg-AMC, but not for Cbz-Arg-Ala-AMC. The overall solvent isotope effect on kcat can be attributed to the solvent isotope effect on the deacylation step. Our results suggest that cruzain is unique among papain-like cysteine proteases in that the catalytic cysteine and histidine have neutral charges in the free enzyme. The generation of the active thiolate of the catalytic cysteine is likely preceded (and possibly triggered) by a ligand-induced conformational change, which could bring the catalytic dyad into the proximity to effect proton transfer.

Enzyme Architecture: Amino Acid Side-Chains That Function To Optimize the Basicity of the Active Site Glutamate of Triosephosphate Isomerase.

We report pH rate profiles for kcat and Km for the isomerization reaction of glyceraldehyde 3-phosphate catalyzed by wildtype triosephosphate isomerase (TIM) from three organisms and by ten mutants of TIM; and, for Ki for inhibition of this reaction by phosphoglycolate trianion (I3-). The pH profiles for Ki show that the binding of I3- to TIM (E) to form EH·I3- is accompanied by uptake of a proton by the carboxylate side-chain of E165, whose function is to abstract a proton from substrate. The complexes for several mutants exist mainly as E-·I3- at high pH, in which cases the pH profiles define the p Ka for deprotonation of EH·I3-. The linear free energy correlation, with slope of 0.73 ( r2 = 0.96), between kcat/ Km for TIM-catalyzed isomerization and the disassociation constant of PGA trianion for TIM shows that EH·I3- and the transition state are stabilized by similar interactions with the protein catalyst. Values of p Ka = 10-10.5 were estimated for deprotonation of EH·I3- for wildtype TIM. This p Ka decreases to as low as 6.3 for the severely crippled Y208F mutant. There is a correlation between the effect of several mutations on kcat/ Km and on p Ka for EH·I3-. The results support a model where the strong basicity of E165 at the complex to the enediolate reaction intermediate is promoted by side-chains from Y208 and S211, which serve to clamp loop 6 over the substrate; I170, which assists in the creation of a hydrophobic environment for E165; and P166, which functions in driving the carboxylate side-chain of E165 toward enzyme-bound substrate.