A Spatial-Temporal Graph Attention Network for Automated Detection and Width Estimation of Cortical Spreading Depression Using Scalp EEG.

We present an end-to-end Spatial-Temporal Graph Attention Network (STGAT) for non-invasive detection and width estimation of Cortical Spreading Depressions (CSDs) on scalp electroencephalography (EEG). Our algorithm, that we refer to as CSD Spatial-temporal graph attention network or CSD-STGAT, is trained and tested on simulated CSDs with varying width and speed ranges. Using high-density EEG, CSD-STGAT achieves less than 10.96% normalized width estimation error for narrow CSDs, with an average normalized error of 6.35%±3.08% across all widths, enabling non-invasive and automated estimation of the width of CSDs for the first time. In addition, CSD-STGAT learns the temporal and spatial features of CSDs simultaneously, which improves the "spatio-temporal tracking accuracy" (i.e., the defined detection performance metric at each electrode) of the narrow CSDs by up to 14%, compared to the state-of-the-art CSD-SpArC algorithm, with only one-tenth of the network size. CSD-STGAT achieves the best spatio-temporal tracking accuracy of 86.27%±0.53% for wide CSDs using high-density EEG, which is comparable to the performance of CSD-SpArC with less than 0.38% performance reduction. We further stitch the detections across all electrodes and over time to evaluate the "temporal accuracy". Our algorithm achieves less than 0.7% false positive rate in the simulated dataset with inter-CSD intervals ranging from 5 to 60 minutes. The lightweight architecture of CSD-STGAT paves the way towards real-time detection and parameter estimation of these waves in the brain, with significant clinical impact.

Scalable Multipartite Entanglement Created by Spin Exchange in an Optical Lattice.

Ultracold atoms in optical lattices form a competitive candidate for quantum computation owing to the excellent coherence properties, the highly parallel operations over spins, and the ultralow entropy achieved in qubit arrays. For this, a massive number of parallel entangled atom pairs have been realized in superlattices. However, the more formidable challenge is to scale up and detect multipartite entanglement, the basic resource for quantum computation, due to the lack of manipulations over local atomic spins in retroreflected bichromatic superlattices. In this Letter, we realize the functional building blocks in quantum-gate-based architecture by developing a cross-angle spin-dependent optical superlattice for implementing layers of quantum gates over moderately separated atoms incorporated with a quantum gas microscope for single-atom manipulation and detection. Bell states with a fidelity of 95.6(5)% and a lifetime of 2.20±0.13 s are prepared in parallel, and then connected to multipartite entangled states of one-dimensional ten-atom chains and two-dimensional plaquettes of 2×4 atoms. The multipartite entanglement is further verified with full bipartite nonseparability criteria. This offers a new platform toward scalable quantum computation and simulation.

Interrelated Thermalization and Quantum Criticality in a Lattice Gauge Simulator.

Gauge theory and thermalization are both topics of essential importance for modern quantum science and technology. The recently realized atomic quantum simulator for lattice gauge theories provides a unique opportunity for studying thermalization in gauge theory, in which theoretical studies have shown that quantum thermalization can signal the quantum phase transition. Nevertheless, the experimental study remains a challenge to accurately determine the critical point and controllably explore the thermalization dynamics due to the lack of techniques for locally manipulating and detecting matter and gauge fields. We report an experimental investigation of the quantum criticality in the lattice gauge theory from both equilibrium and nonequilibrium thermalization perspectives, with the help of the single-site addressing and atom-number-resolved detection capabilities. We accurately determine the quantum critical point and observe that the Néel state thermalizes only in the critical regime. This result manifests the interplay between quantum many-body scars, quantum criticality, and symmetry breaking.

[Bioinformatics Analysis and Verification of Acute B-Lymphocytic Leukemia in Children with Isolated Bone Marrow Relapse].

OBJECTIVE: To analyze the hub genes affecting the solely bone marrow relapse of childish acute B-cell lymphoblastic leukemia (B-ALL). METHODS: The high-throughput RNA sequencing data were downloaded from TCGA database, the differentially expressed genes were screened by DESeq2 package of R, and the differentially expressed genes were grouped by GO function enrichment analysis and KEGG pathway enrichment analysis. Further, the data of STRING database and Cytoscape software were used to construct protein interaction network, screen hub genes and highly interaction protein sub network, perform GO and KEGG analysis of the hub genes and protein sub network respectively. JASPAR database was used to screen the upstream transcription factor of the hub gene promoter. Survival analysis based on the expression of hub genes was performed with clinical information attached to TCGA database. The bone marrow samples and clinical data of the patients were collected, the analysis results of hub genes were verified through clinical samples. RESULTS: 847 differentially expressed genes were collected, including 813 up-regulated genes, 34 down-regulated genes, 11 hub genes were screened out. The results of survival analysis showed that RPS5、RPS15、RPL23、RPL35、RPS8、RPS27A、RPS3、RPL9、RPS21、RPS7 and RPL38 showed significant effect on the survival of the children, and ZNF460 might be involved in their regulation. The high expressions of RPS3, RPS15, RPS8, RPS27A, and RPS21 had been verified in clinical samples of solely bone marrow relapsed patients. CONCLUSION: RPS3, RPS15, RPS8, RPS27A, RPS21 can be used as biomarkers to indicate the malignant event of solely bone marrow relapse, which may be regulated by ZNF460.

Observation of gauge invariance in a 71-site Bose-Hubbard quantum simulator.

The modern description of elementary particles, as formulated in the standard model of particle physics, is built on gauge theories1. Gauge theories implement fundamental laws of physics by local symmetry constraints. For example, in quantum electrodynamics Gauss's law introduces an intrinsic local relation between charged matter and electromagnetic fields, which protects many salient physical properties, including massless photons and a long-ranged Coulomb law. Solving gauge theories using classical computers is an extremely arduous task2, which has stimulated an effort to simulate gauge-theory dynamics in microscopically engineered quantum devices3-6. Previous achievements implemented density-dependent Peierls phases without defining a local symmetry7,8, realized mappings onto effective models to integrate out either matter or electric fields9-12, or were limited to very small systems13-16. However, the essential gauge symmetry has not been observed experimentally. Here we report the quantum simulation of an extended U(1) lattice gauge theory, and experimentally quantify the gauge invariance in a many-body system comprising matter and gauge fields. These fields are realized in defect-free arrays of bosonic atoms in an optical superlattice of 71 sites. We demonstrate full tunability of the model parameters and benchmark the matter-gauge interactions by sweeping across a quantum phase transition. Using high-fidelity manipulation techniques, we measure the degree to which Gauss's law is violated by extracting probabilities of locally gauge-invariant states from correlated atom occupations. Our work provides a way to explore gauge symmetry in the interplay of fundamental particles using controllable large-scale quantum simulators.

Cooling and entangling ultracold atoms in optical lattices.

Scalable, coherent many-body systems can enable the realization of previously unexplored quantum phases and have the potential to exponentially speed up information processing. Thermal fluctuations are negligible and quantum effects govern the behavior of such systems with extremely low temperature. We report the cooling of a quantum simulator with 10,000 atoms and mass production of high-fidelity entangled pairs. In a two-dimensional plane, we cool Mott insulator samples by immersing them into removable superfluid reservoirs, achieving an entropy per particle of [Formula: see text] The atoms are then rearranged into a two-dimensional lattice free of defects. We further demonstrate a two-qubit gate with a fidelity of 0.993 ± 0.001 for entangling 1250 atom pairs. Our results offer a setting for exploring low-energy many-body phases and may enable the creation of large-scale entanglement.

Synthesis of IrO2 decorated core-shell PS@PPyNH2 microspheres for bio-interface application.

In this paper, an effective approach is demonstrated for the fabrication of IrO2-decorated polystyrene@functionalized polypyrrole (core@shell; PS@PPyNH2) microspheres. The synthesis begins with the preparation of monodispersive PS microspheres with a diameter of 490 nm, by a process of emulsifier-free emulsion polymerization, followed by a copolymerization process involving pyrrole and PyNH2 monomers in a PS microsphere aqueous suspension, to produce uniform PS@PPyNH2 microspheres with a diameter of 536 nm. The loading of 2 nm IrO2 nanoparticles onto the PS@PPyNH2 microspheres can be easily adjusted by tuning the pH value of the IrO2 colloidal solution and the PS@PPyNH2 suspension. At pH 4, we successfully obtain IrO2-decorated PS@PPyNH2 microspheres via electrostatic attraction and hydrogen bonding simultaneously between the negatively-charged IrO2 nanoparticles and the positively-charged PS@PPyNH2 microspheres. These IrO2-decorated PS@PPyNH2 microspheres exhibit a characteristic cyclic voltammetric profile, similar to that of an IrO2 thin film. The charge storage capacity is 5.19 mA cm-2, a value almost five times greater than that of PS@PPyNH2 microspheres. In addition, these IrO2-decorated PS@PPyNH2 microspheres exhibit excellent cell viability and biocompatibility.

[Expression of Netrin-1 in Patients with Acute Lymphoblastic Leukemia and Its Clinical Significance].

OBJECTIVE: To investigate the correlation of the Netrin-1 expression level with the clinical characteristics in children with acute lymphoblastic leukemia (ALL) and to explore its possible regulatory mechanism. METHODS: ELISA was used to detect the expression level of Netrin-1 in peripheral blood serum from 48 child ALL patients (newly diagnosed, recurrent), and its relevance with clinical indicators was statistically analyzed. The blood serum samples from 27 children with non malignant hematological diseases were choosen as controls. Leukemia cell lines of Jurkat,Molt-4,SUP-B15 and Raji were cultivated in vitro, after treated with different concentrations of recombinant human Netrin-1 protein， the invasive ability of the cells was detected by Transwell method； the effect of Netrin-1 to the proli feration of cells was detected by CCK-8 method； The expression and phosphorylation level of key molecules, such as FAK,Erk1/2,PI3K and Akt signaling pathway were detected by Western blot. RESULTS: The expression of Netrin-1 in child patients was significantly higher than that of the control group (P<0.05). With the increasing of Netrin-1 level, the level of Plt (r=0.483, P<0.05) increased, while the level of WBC (r=-0.290, P<0.05) decreased, and there were no significant correlation with age, Hb level and the proportion of immature cells in bone marrow. When the concentration of Netrin-1 was 25-50 ng/ml, the level of Netrin-1 positively correlated with WBC (r=0.886, P<0.05) ; the level of Netrin-1 significantly decreased when the patient's WBC was ＞50×109/L and Plt ＞20×109/L(P=0.042，P=0.001); The expression level of Netrin-1 was significantly different in the risk group(P=0.017), and level of Netrin-1 in high-risk group was significantly higher than that in low risk group and middle risk group, but there was no significant difference of Netrin-1 expression in sex, hepatosplenomegaly, MRD, recurrence and chromosome abnormality. Netrin-1 could promote the invasiveness of the four kinds of cells (P<0.05). With the increase of Netrin-1 concentration, the number of cells increased at first and then decreased, and the number of cells in the invading chamber was the highest when the concentration of Netrin-1 was 100 ng/ml; the survival rate of the four kinds of cells significantly increased when the concentration of Netrin-1 was 25 ng/ml(P<0.05), and SUP-B15 cells showed the highest cell survival rate at a concentration of 100 ng/ml; The survival rate of the four kinds of cells showed a tendency : survival of cells increased at low concentration of Netrin-1 and survival of cells decreased at high concentration of Netrin-1. The results of Western blot showed that Netrin-1 activated the phosphorylation level of key molecules such as FAK,Erk1/2,PI3K,Akt signaling pathway (P<0.05). CONCLUSION: There is abnormal expression of Netrin-1 in serum of children with ALL. Netrin-1 may affect the occurrence and development of ALL by increasing the proliferation and invasiveness of leukemia cells, and may become a risk factor of ALL or a potential target in biotherapy.

The use of Charlson comorbidity index for patients revisiting the emergency department within 72 hours.

BACKGROUND: To validate the use of the Charlson Comorbidity Index (CCI) for predicting admission of patients revisiting the Emergency Department (ED) within 72 hours. METHODS: Non-trauma patients aged above 17 years old who revisited an urban ED within 72 hours during January of 2004 were included in this retrospective observational study. Demographic data, diagnosis, CCI, in-hospital mortality rate and length of hospital stay were reviewed, and comparisons were made between the patients who were admitted or discharged on their return visits. RESULTS: Of the 168 enrolled patients, 60 were admitted to a ward and 108 were discharged. Revisiting patients with high CCIs (> or = 2) had a higher admission rate (67.3% vs. 22.7%; p < 0.001) and an increased adjusted odds ratio of admission (odds ratio (OR) 2.06; 95% confidence interval (CI) 1.14-3.75) than low CCI patients. Admitted revisiting patients with high CCIs had poorer prognoses, longer hospital stays (11.79 +/- 8.92 days vs. 6.78 +/- 5.17 days; p < 0.05) and a higher in-hospital mortality rate (15.2% vs. 3.7%; p = 0.209). CONCLUSION: CCI was well correlated with the admission possibility of patients revisiting the ED within 72 hours. More clinical management and discharge strategies should target those revisiting patients who have more comorbidities.