Surfactant Micelle-Driven High-Efficiency and High-Resolution Length Separation of Carbon Nanotubes for Electronic Applications.

High-efficiency extraction of long single-wall carbon nanotubes (SWCNTs) with excellent optoelectronic properties from SWCNT solution is critical for enabling their application in high-performance optoelectronic devices. Here, a straightforward and high-efficiency method is reported for length separation of SWCNTs by modulating the concentrations of binary surfactants. The results demonstrate that long SWCNTs can spontaneously precipitate for binary-surfactant but not for single-surfactant systems. This effect is attributed to the formation of compound micelles by binary surfactants that squeeze the free space of long SWCNTs due to their large excluded volumes. With this technique, it can readily separate near-pure long (≥500 nm in length, 99% in content) and short (≤500 nm in length, 98% in content) SWCNTs with separation efficiencies of 26% and 64%, respectively, exhibiting markedly greater length resolution and separation efficiency than those of previously reported methods. Thin-film transistors fabricated from extracted semiconducting SWCNTs with lengths >500 nm exhibit significantly improved electrical properties, including a 10.5-fold on-state current and 14.7-fold mobility, compared with those with lengths <500 nm. The present length separation technique is perfectly compatible with various surfactant-based methods for structure separations of SWCNTs and is significant for fabrication of high-performance electronic and optoelectronic devices.

The link between patient safety competence and adverse event among master of nursing students: a cross-sectional mixed-methods study.

BACKGROUND: Patient safety (PS) is a core competency for registered nurses. However, there is a gap between the PS competence of nursing students and their clinical experience in PS. This study explored the effect of PS competence levels on the occurrence of adverse events (AEs) among nursing master's students in China. METHODS: A sequential mixed methods design was used, with a purposive sample across seven colleges. A total of 327 graduate nursing students, aged 22 to 38, participated in the survey, and 15 participated in qualitative interviews. The Health Professional Education in Patient Safety Survey (H-PEPSS) assessed the students' competence levels in PS. The respondents also reported any AEs that they had been involved in over the past year. RESULTS: A total of 78 AEs occurred in the past year, with 17.7% of the participants involved 1 to 3 AEs. The most common AEs were medication administration errors (30.77%) and improper use of medical equipment/supplies (28.20%). Students acquired more competencies from the clinical setting than from the classroom setting. Three competencies learned from classroom settings were associated with clinical AEs: low clinical safety skills [OR = 0.61], inappropriate identify, response to and disclosing AE and close calls [OR = 0.454], and low confidence in working in teams with other health professionals [OR = 2.168]. Qualitative data analysis revealed five themes: recognizing AEs, reducing harm by addressing immediate risks to patients and others involved, promoting safe medication and clinical practice, managing members' authority and team dynamics, and dealing with inter-professional conflict. CONCLUSIONS: The quantitative and qualitative data align, supporting the enhancement of students' PS competence.

Soluble CD44 in oral rinses for the early detection of cancer: a prospective cohort study in high-risk individuals.

BACKGROUND: There are 54,000 new cases of oral cavity and oropharyngeal cancer in the United States and more than 476,000 worldwide each year. Oral cavity and oropharyngeal squamous cell carcinoma make up most tumors with five-year survival rates of 50% due to prevalence of late-stage diagnoses. Improved methods of early detection in high-risk individuals are urgently needed. We aimed to assess the tumorigenic biomarkers soluble CD44 (solCD44) and total protein (TP) measured using oral rinses as affordable convenient screening tools for cancer detection. METHODS: In this prospective cohort study, we recruited 150 healthy current or former smokers through a community screening program. Baseline and four annual visits were conducted from March 2011-January 2016 with records followed until August 2020. Participants provided oral rinses, received head and neck exams, and completed questionnaires. SolCD44 and TP levels were measured and compared across groups and time. Participants were placed in the cancer group if malignancy developed in the study period, the suspicious group if physical exams were concerning for premalignant disease or cancer in the head and neck, and the healthy group if there were no suspicious findings. This analysis used two-sample t-test for comparison of means and two-sample Wilcoxon Test for comparison of medians. For subjects with follow-ups, estimated means of biomarkers were obtained from a fitted Repeated Measures Analysis of Variance (RANOVA) model including group, visit, and their interaction. Pairwise comparisons of mean solCD44 were made, including intergroup and intragroup comparison of values at different years. RESULTS: Most participants were males (58.7%), < 60 years of age. (90.7%), and Black (100%). Baseline mean solCD44 was elevated (2.781 ng/ml) in the cancer group compared to the suspicious group (1.849 ng/ml) and healthy group (1.779 ng/ml). CONCLUSION: This study supports the feasibility of a CD44-based oral rinse test as an affordable and convenient adjunctive tool for early detection of aerodigestive tract and other cancers in high-risk populations.

Multimodal information bottleneck for deep reinforcement learning with multiple sensors.

Reinforcement learning has achieved promising results on robotic control tasks but struggles to leverage information effectively from multiple sensory modalities that differ in many characteristics. Recent works construct auxiliary losses based on reconstruction or mutual information to extract joint representations from multiple sensory inputs to improve the sample efficiency and performance of reinforcement learning algorithms. However, the representations learned by these methods could capture information irrelevant to learning a policy and may degrade the performance. We argue that compressing information in the learned joint representations about raw multimodal observations is helpful, and propose a multimodal information bottleneck model to learn task-relevant joint representations from egocentric images and proprioception. Our model compresses and retains the predictive information in multimodal observations for learning a compressed joint representation, which fuses complementary information from visual and proprioceptive feedback and meanwhile filters out task-irrelevant information in raw multimodal observations. We propose to minimize the upper bound of our multimodal information bottleneck objective for computationally tractable optimization. Experimental evaluations on several challenging locomotion tasks with egocentric images and proprioception show that our method achieves better sample efficiency and zero-shot robustness to unseen white noise than leading baselines. We also empirically demonstrate that leveraging information from egocentric images and proprioception is more helpful for learning policies on locomotion tasks than solely using one single modality.

Rich Action-Semantic Consistent Knowledge for Early Action Prediction.

Early action prediction (EAP) aims to recognize human actions from a part of action execution in ongoing videos, which is an important task for many practical applications. Most prior works treat partial or full videos as a whole, ignoring rich action knowledge hidden in videos, i.e., semantic consistencies among different partial videos. In contrast, we partition original partial or full videos to form a new series of partial videos and mine the Action-Semantic Consistent Knowledge (ASCK) among these new partial videos evolving in arbitrary progress levels. Moreover, a novel Rich Action-semantic Consistent Knowledge network (RACK) under the teacher-student framework is proposed for EAP. Firstly, we use a two-stream pre-trained model to extract features of videos. Secondly, we treat the RGB or flow features of the partial videos as nodes and their action semantic consistencies as edges. Next, we build a bi-directional semantic graph for the teacher network and a single-directional semantic graph for the student network to model rich ASCK among partial videos. The MSE and MMD losses are incorporated as our distillation loss to enrich the ASCK of partial videos from the teacher to the student network. Finally, we obtain the final prediction by summering the logits of different subnetworks and applying a softmax layer. Extensive experiments and ablative studies have been conducted, demonstrating the effectiveness of modeling rich ASCK for EAP. With the proposed RACK, we have achieved state-of-the-art performance on three benchmarks. The code is available at https://github.com/lily2lab/RACK.git.

Self-Supervised 3-D Semantic Representation Learning for Vision-and-Language Navigation.

In vision-and-language navigation (VLN) tasks, most current methods primarily utilize RGB images, overlooking the rich 3-D semantic data inherent to environments. To rectify this, we introduce a novel VLN framework that integrates 3-D semantic information into the navigation process. Our approach features a self-supervised training scheme that incorporates voxel-level 3-D semantic reconstruction to create a detailed 3-D semantic representation. A key component of this framework is a pretext task focused on region queries, which determines the presence of objects in specific 3-D areas. Following this, we devise an long short-term memory (LSTM)-based navigation model that is trained using our 3-D semantic representations. To maximize the utility of these 3-D semantic representations, we implement a cross-modal distillation strategy. This strategy encourages the RGB model's outputs to emulate those from the 3-D semantic feature network, enabling the concurrent training of both branches to merge RGB and 3-D semantic data effectively. Comprehensive evaluations on both the R2R and R4R datasets reveal that our method significantly enhances performance in VLN tasks.

Goal-Conditioned Hierarchical Reinforcement Learning With High-Level Model Approximation.

Hierarchical reinforcement learning (HRL) exhibits remarkable potential in addressing large-scale and long-horizon complex tasks. However, a fundamental challenge, which arises from the inherently entangled nature of hierarchical policies, has not been understood well, consequently compromising the training stability and exploration efficiency of HRL. In this article, we propose a novel HRL algorithm, high-level model approximation (HLMA), presenting both theoretical foundations and practical implementations. In HLMA, a Planner constructs an innovative high-level dynamic model to predict the k -step transition of the Controller in a subtask. This allows for the estimation of the evolving performance of the Controller. At low level, we leverage the initial state of each subtask, transforming absolute states into relative deviations by a designed operator as Controller input. This approach facilitates the reuse of subtask domain knowledge, enhancing data efficiency. With this designed structure, we establish the local convergence of each component within HLMA and subsequently derive regret bounds to ensure global convergence. Abundant experiments conducted on complex locomotion and navigation tasks demonstrate that HLMA surpasses other state-of-the-art single-level RL and HRL algorithms in terms of sample efficiency and asymptotic performance. In addition, thorough ablation studies validate the effectiveness of each component of HLMA.

An Endocellulase-Triggered NO Targeted-Release Enzyme-Prodrug Therapy System and Its Application in Ischemia Injury.

Nitric oxide (NO) is a crucial gaseous signaling molecules in regulating cardiovascular, immune, and nervous systems. Controlled and targeted NO delivery is imperative for treating cancer, inflammation, and cardiovascular diseases. Despite various enzyme-prodrug therapy (EPT) systems facilitating controlled NO release, their clinical utility is hindered by nonspecific NO release and undesired metabolic consequence. In this study, a novel EPT system is presented utilizing a cellobioside-diazeniumdiolate (Cel2-NO) prodrug, activated by an endocellulase (Cel5A-h38) derived from the rumen uncultured bacterium of Hu sheep. This system demonstrates nearly complete orthogonality, wherein Cel2-NO prodrug maintains excellent stability under endogenous enzymes. Importantly, Cel5A-h38 efficiently processes the prodrug without recognizing endogenous glycosides. The targeted drug release capability of the system is vividly illustrated through an in vivo near-infrared imaging assay. The precise NO release by this EPT system exhibits significant therapeutic potential in a mouse hindlimb ischemia model, showcasing reductions in ischemic damage, ambulatory impairment, and modulation of inflammatory responses. Concurrently, the system enhances tissue repair and promotes function recovery efficacy. The novel EPT system holds broad applicability for the controlled and targeted delivery of essential drug molecules, providing a potent tool for treating cardiovascular diseases, tumors, and inflammation-related disorders.

Moderating Effect of Sex on the Relationship Between Physical Activity and Quality of Life in Coronary Heart Disease Patients in China.

PURPOSE: The aim of this study was to investigate the moderating effect of sex on the relationship between physical activity (PA) and quality of life (QoL) in Chinese patients with coronary heart disease (CHD) not participating in cardiac rehabilitation. METHODS: Chinese patients with CHD (aged 18-80 yr) were selected 12 mo after discharge from three Hebei Province tertiary hospitals. The International Physical Activity Questionnaire was used to assess PA in metabolic equivalents of energy (METs) and the Chinese Questionnaire of Quality of Life in Patients With Cardiovascular Disease was used to assess QoL. Data were analyzed using Student's t test and the χ 2 test, multivariant and hierarchical regression analysis, and simple slope analysis. RESULTS: Among 1162 patients with CHD studied between July 1 and November 30, 2017, female patients reported poorer QoL and lower total METs in weekly PA compared with male patients. Walking ( ß= .297), moderate-intensity PA ( ß= .165), and vigorous-intensity PA ( ß= .076) positively predicted QoL. Hierarchical regression analysis showed that sex moderates the relationship between walking ( ß= .195) and moderate-intensity PA ( ß= .164) and QoL, but not between vigorous-intensity PA ( ß= -.127) and QoL. Simple slope analysis revealed the standardized coefficients of walking on QoL were 0.397 (female t  = 8.210) and 0.338 (male t = 10.142); the standardized coefficients of moderate-intensity PA on QoL were 0.346 (female, t  = 7.000) and 0.175 (male, t = 5.033). CONCLUSIONS: Sex moderated the relationship between PA and QoL among patients with CHD in China. There was a greater difference in QoL for female patients reporting higher time versus those with lower time for both walking and moderate-intensity PA than for male patients.

Digital-Twin-Assisted Skill Learning for 3C Assembly Tasks.

The utilization of robots in computer, communication, and consumer electronics (3C) assembly has the potential to significantly reduce labor costs and enhance assembly efficiency. However, many typical scenarios in 3C assembly, such as the assembly of flexible printed circuits (FPCs), involve complex manipulations with long-horizon steps and high-precision requirements that cannot be effectively accomplished through manual programming or conventional skill-learning methods. To address this challenge, this article proposes a learning-based framework for the acquisition of complex 3C assembly skills assisted by a multimodal digital-twin environment. First, we construct a fully equivalent digital-twin environment based on the real-world counterpart, equipped with visual, tactile force, and proprioception information, and then collect multimodal demonstration data using virtual reality (VR) devices. Next, we construct a skill knowledge base through multimodal skill parsing of demonstration data, resulting in primitive policy sequences for achieving 3C assembly tasks. Finally, we train primitive policies via a combination of curriculum learning, residual reinforcement learning, and domain randomization methods and transfer the learned skill from the digital-twin environment to the real-world environment. The experiments are conducted to verify the effectiveness of our proposed method.

An efficient approach toward production of near-zigzag single-chirality carbon nanotubes.

Synthesizing single-walled carbon nanotubes (SWCNTs) with a narrow chirality distribution is essential for obtaining pure chirality materials through postgrowth sorting techniques. Using carbon monoxide chemical vapor deposition, we devise a ruthenium (Ru) catalyst supported by silica for the bulk production of SWCNTs containing only a few (n, m) species. The result is attributed to the limited carbon dissociation on the supported Ru clusters, favoring the growth of only small-diameter SWCNTs at comparable growth rates. The resulting materials expedite high-purity single chirality separation using gel chromatography, leading to unprecedented yields of 3.5% for (9, 1) and 5.2% for (9, 2) nanotubes, which surpass those separated from HiPco SWCNTs by two orders of magnitude. This work sheds light on the large-quantity synthesis of SWCNTs with enriched species beyond near-armchair ones for their high-yield separation.

Large-Area Flexible Carbon Nanofilms with Synergistically Enhanced Transmittance and Conductivity Prepared by Reorganizing Single-Walled Carbon Nanotube Networks.

Large-area flexible transparent conductive films (TCFs) are highly desired for future electronic devices. Nanocarbon TCFs are one of the most promising candidates, but some of their properties are mutually restricted. Here, a novel carbon nanotube network reorganization (CNNR) strategy, that is, the facet-driven CNNR (FD-CNNR) technique, is presented to overcome this intractable contradiction. The FD-CNNR technique introduces an interaction between single-walled carbon nanotube (SWNT) and Cu─-O. Based on the unique FD-CNNR mechanism, large-area flexible reorganized carbon nanofilms (RNC-TCFs) are designed and fabricated with A3-size and even meter-length, including reorganized SWNT (RSWNT) films and graphene and RSWNT (G-RSWNT) hybrid films. Synergistic improvement in strength, transmittance, and conductivity of flexible RNC-TCFs is achieved. The G-RSWNT TCF shows sheet resistance as low as 69 Ω sq-1 at 86% transmittance, FOM value of 35, and Young's modulus of ≈45 MPa. The high strength enables RNC-TCFs to be freestanding on water and easily transferred to any target substrate without contamination. A4-size flexible smart window is fabricated, which manifests controllable dimming and fog removal. The FD-CNNR technique can be extended to large-area or even large-scale fabrication of TCFs and can provide new insights into the design of TCFs and other functional films.