Prediction of coronary artery lesions in children with Kawasaki syndrome based on machine learning.

OBJECTIVE: Kawasaki syndrome (KS) is an acute vasculitis that affects children < 5 years of age and leads to coronary artery lesions (CAL) in about 20-25% of untreated cases. Machine learning (ML) is a branch of artificial intelligence (AI) that integrates complex data sets on a large scale and uses huge data to predict future events. The purpose of the present study was to use ML to present the model for early risk assessment of CAL in children with KS by different algorithms. METHODS: A total of 158 children were enrolled from Women and Children's Hospital, Qingdao University, and divided into 70-30% as the training sets and the test sets for modeling and validation studies. There are several classifiers are constructed for models including the random forest (RF), the logistic regression (LR), and the eXtreme Gradient Boosting (XGBoost). Data preprocessing is analyzed before applying the classifiers to modeling. To avoid the problem of overfitting, the 5-fold cross validation method was used throughout all the data. RESULTS: The area under the curve (AUC) of the RF model was 0.925 according to the validation of the test set. The average accuracy was 0.930 (95% CI, 0.905 to 0.956). The AUC of the LG model was 0.888 and the average accuracy was 0.893 (95% CI, 0,837 to 0.950). The AUC of the XGBoost model was 0.879 and the average accuracy was 0.935 (95% CI, 0.891 to 0.980). CONCLUSION: The RF algorithm was used in the present study to construct a prediction model for CAL effectively, with an accuracy of 0.930 and AUC of 0.925. The novel model established by ML may help guide clinicians in the initial decision to make a more aggressive initial anti-inflammatory therapy. Due to the limitations of external validation and regional population characteristics, additional research is required to initiate a further application in the clinic.

Enantioselective functionalization of unactivated C(sp3)-H bonds through copper-catalyzed diyne cyclization by kinetic resolution.

Site- and stereoselective C-H functionalization is highly challenging in the synthetic chemistry community. Although the chemistry of vinyl cations has been vigorously studied in C(sp3)-H functionalization reactions, the catalytic enantioselective C(sp3)-H functionalization based on vinyl cations, especially for an unactivated C(sp3)-H bond, has scarcely explored. Here, we report an asymmetric copper-catalyzed tandem diyne cyclization/unactivated C(sp3)-H insertion reaction via a kinetic resolution, affording both chiral polycyclic pyrroles and diynes with generally excellent enantioselectivities and excellent selectivity factors (up to 750). Importantly, this reaction demonstrates a metal-catalyzed enantioselective unactivated C(sp3)-H functionalization via vinyl cation and constitutes a kinetic resolution reaction based on diyne cyclization. Theoretical calculations further support the mechanism of vinyl cation-involved C(sp3)-H insertion reaction and elucidate the origin of enantioselectivity.

Multi-Fold Fan-Shape Surface State Induced by an Isolated Weyl Phonon Beyond No-Go Theorem.

Absence of any surface arc state has been regarded as the fundamental property of singular Weyl points, because they are circumvented from the Nielsen-Ninomiya no-go theorem. In this work, through systematic investigations on topological properties of isolated Weyl phonons (IWPs) surrounded by closed Weyl nodal walls (WNWs), which are located at the Brillouin zone (BZ) boundaries of bosonic systems, it uncovers that a new kind of phononic surface state, that is, the multi-fold fan-shape surface state named by us, is exhibited to connect the projections of IWP and WNWs. Importantly, the number of fan leaves in this surface state is associated with the Chern number of IWP. Moreover, the topological features of charge-two IWP in K2 Mg2 O3 (SG No. 96) and charge-four IWP in Nb3 Al2 N (SG No. 213) confirm further the above fundamental properties of this kind of surface state. The theoretical work not only provides an effective way to seek for IWPs as well as to determine their Chern number in real materials, but also uncovers a new class of surface states in the topological Weyl complex composed of IWPs and WNWs.

Influence of Cold Environments on Growth, Antioxidant Status, Immunity and Expression of Related Genes in Lambs.

Cold climates may be a risk to the health and welfare of lambs during winter because cold environments alter the physiological processes of lambs, and we used cold environments with three different temperature gradients-an indoor heating control group (IHC) using electric heating; an indoor temperature group (IT) with intermittent and slight degrees of stimulation of coldness; an outdoor temperature group (OT) exposed to cold environments in an external natural environment. The results showed that the lambs in the OT group had a greater decrease in the average daily gain (ADG) and increase in the average daily feed intake (ADFI) and the feed-to-gain ratio (F:G) compared to the other two groups. The decrease in immunoglobulin A (IgA) and interleukin 2 (IL-2) contents and IL-2 gene expression, and the increase in tumor necrosis factor α (TNF-α) content and TNF-α and nuclear factor kappa-B p65 (NF-κB p65) gene expressions in the OT group suggested that the lambs had a compromised immune status in cold environments. Moreover, the decrease in catalase (CAT), glutathione peroxidase (GPx), total superoxide dismutase (T-SOD), and total antioxidant capacity (T-AOC) levels, and CAT, GPx, SOD1, SOD2, and nuclear factor-erythroid 2-related factor 2 (Nrf2) gene expressions, and the increase in malondialdehyde (MDA) in the OT group suggested that the lambs had a lower antioxidant defense capacity in cold environments. Thus, in extreme cold, lambs kept outdoors could reduce growth, immune function and antioxidant status. However, shelter feeding in winter could relieve the stress of cold environments on lambs, and housing with heating equipment was more conducive to the improve growth, immune, and antioxidant function of the lambs.

Preparation of Chitosan/Polyacrylamide/Graphene Oxide Composite Membranes and Study of Their Methylene Blue Adsorption Properties.

This thesis reports the preparation of chitosan/polyacrylamide/graphene oxide nanocomposites (CAGs) and a study of its adsorption properties of methylene blue (MB) solution. Initially, we synthesized CAGs by blending and freeze-drying methods. Then, we conducted a series experiments by removing MB from aqueous solution to test its adsorption properties and adsorption mechanism. We used UV-Vis spectrophotometry to determine the concentration of residual methylene blue accurately and efficiently, which has a specific absorption peak at 662 nm in the UV-Vis spectrum, in aqueous solution. When the graphene oxide content in the composite was 20 wt%, the adsorption capacity reached maximum values. The chemical properties and surface structure of the nanomaterials were analyzed using FT-IR, TGA, SEM, and BET. Also, we carried out experiments to measure the adsorption properties of the CAGs by varying several factors, such as initial concentration, adsorption time, and pH, etc. The outcomes revealed that the adsorption equilibrium was developed after 2800 min at 20 °C (room temperature) with an adsorbent dosage of 0.01 g.mL-1. The ion adsorption equilibrium data were well-fitted by the Langmuir isotherm with a maximum monolayer capacity of 510.2 mg/g. Kinetic researches disclosed that the adsorption procedure was defined by a pseudo-second-order model. Thermodynamic researches revealed that the enthalpy change (ΔH0) as well as Gibbs free energy change (ΔG0) of the adsorption procedure was negative, indicating that the adsorption procedure was spontaneous and exothermic. After three cycles, the removal efficiency was still 90.18%. Therefore, in conclusion, we believe that the CAGs is a good adsorption material for organic dyes due to its good adsorption and recyclable properties.

Effects of heat stress on antioxidant status and immune function and expression of related genes in lambs.

The study was conducted to evaluate the effects of heat stress on antioxidant status, immune response, and related gene expression of lambs. Eighteen male lambs were randomly allocated into three treatment groups that were as follows: indoor temperature control group furnished with an air-conditioner (ITC), indoor temperature non-control group suffered intermittent and varying degrees of heat stress (ITNC), outdoor temperature non-control group in the external natural environment (OTNC). ITNC group presented a more severe and prolonged exposure to thermal stress than the other two groups. The trial lasted 28 days. Blood samples were collected on days 14 and 28 to analyze total superoxide dismutase (T-SOD), catalase (CAT), glutathione peroxidase (GPx) activities, malondialdehyde (MDA) concentrations, total antioxidant capacity (T-AOC), interleukin-1 (IL-1), interleukin-2 (IL-2), tumor necrosis factor-alpha (TNF-α), immunoglobulin A (IgA), immunoglobulin G (IgG), and immunoglobulin M (IgM) concentrations and gene expressions of SOD1, SOD2, GPx, CAT, nuclear factor erythroid 2-related factor 2 (Nrf2), IL-1ß, IL-2, and TNF-α. Results showed that on day 14 an elevated temperature reduced (p < 0.05) the level of GPx, T-SOD, T-AOC, and IgG, whereas significantly increased (p < 0.05) CAT, MDA, IgA, and TNF-α levels. Gene expressions of SOD1 and GPx were down-regulated (p < 0.05). On day 28, ITNC group significantly decreased (p < 0.05) CAT, GPx, T-SOD, T-AOC, IgG, and IL-2 levels and increased (p < 0.05) MDA, IL-1, and TNF-α levels, accompanying by the reducing or increasing (p < 0.05) of their relative gene expression apart from CAT and IL-1ß gene (p > 0.10). In addition, in ITNC and OTNC groups, the level of CAT, T-SOD, T-AOC, IgG, IgM, and IL-2 and the expression of CAT, SOD2, and IL-2 reduced (p < 0.05), whereas IL-1 and TNF-α levels and IL-1ß expression increased (p < 0.05) on day 28 compared with day 14. In ITC group, the level of IgA, IL-1, and TNF-α and the expression of IL-1ß and TNF-α increased (p < 0.05), while the content of IgG and IgM reduced (p < 0.05) on day 28 compared with day 14. These results indicated that heat stress negatively affected the antioxidant status and immune response of lambs, and the negative effects of heat stress are not only related to the stress duration but also associated with the stress severity.

Enhanced optical gradient forces between coupled graphene sheets.

Optical gradient forces between monolayer infinite-width graphene sheets as well as single-mode graphene nanoribbon pairs of graphene surface plasmons (GSPs) at mid-infrared frequencies were theoretically investigated. Although owing to the strongly enhanced optical field, the normalized optical force, fn, can reach 50 nN/µm/mW, which is the largest fn as we know, the propagation loss is also large. But we found that by changing the chemical potential of graphene, fn and the optical propagation loss can be balanced. The total optical force acted on the nanoribbon waveguides can thus enhance more than 1 order of magnitude than that in metallic surface plasmons (MSPs) waveguides with the same length and the loss can be lower. Owing to the enhanced optical force and the significant neff tuning by varying the chemical potential of graphene, we also propose an ultra-compact phase shifter.

Optical nonreciprocity with large bandwidth in asymmetric hybrid slot waveguide coupler.

On-chip broadband optical nonreciprocal transmission based on asymmetric hybrid slot waveguide (HSW) coupler is proposed. Filled with flint glass LaSF-010 and organic material DDMEBT in slots, respectively, two branches of an asymmetric HSW coupler have very distinct nonlinear coefficients, yet very close effective indexes. Since asymmetric coupler with low linear mismatch has a large free spectral range, the results show that our device has a 10-dB nonreciprocal transmission bandwidth (NTB) as large as about 66 nm corresponding to 80-mW operating power. The NTB could be even larger when the incident power is raised. This indicates over two orders of magnitude enhancement compared to previous on-chip passive schemes. Owing to the large NTB, the device also functions properly for sub-picosecond pulses. Our scheme paves a path toward practical all-optical nonreciprocal applications.

Optical nonreciprocity in asymmetric optomechanical couplers.

We propose an all-optical integrated nonreciprocal device on the optomechanical platform with a large nonreciprocal bandwidth and low operating power. The device is based on an asymmetric silicon coupler consisting of two branches. One of them is a conventional strip waveguide fixed on the substrate, and the other is a freestanding nanostring suspended above a groove in the substrate. When light is launched into the coupler, the optical gradient force between the freestanding nanostring and the underlying substrate leads to the deflection of the nanostring, and finally results in destruction of the initial phase-matching condition between the two branches. The suspended branch would achieve distinct deflections when light is incident from different ports. The simulation results show a nonreciprocal bandwidth of 13.1 nm with operating power of 390 µW. With the advantages of simple structure, low power consumption and large operating bandwidth, our work provides a promising solution for on-chip passive nonreciprocal device.

Iron-oxide nanoparticles embedded silica microsphere resonator exhibiting broadband all-optical wavelength tunability.

In this Letter, a novel silica microsphere resonator (MSR) embedded with iron-oxide nanoparticles, which possesses broadband all-optical wavelength tunability, is demonstrated. It is generated by using in-line 1550 nm laser ablation of a microfiber with the assistance of magnetic fluid. To the best of our knowledge, this simple method of fabricating such MSRs is reported for the first time. Prominent photothermal effect is realized by the iron-oxide nanoparticles absorbing light pumped via the fiber stem, leading to a wavelength shift of over 13 nm (1.6 THz). Moreover, a linear tuning efficiency up to 0.2 nm/mW is realized. With excellent robustness and being fiberized, the spheres can be attractive elements in building up novel micro-illuminators, point heaters, optical sensors, and fiber communication modules.

All-optical tuning of a magnetic-fluid-filled optofluidic ring resonator.

An all-optical tunable optofluidic ring resonator (OFRR) is proposed and experimentally demonstrated. The all-optical control of a silica microresonator is highly attractive, but it is difficult to realize because of the relatively weak Kerr effect and the absence of a plasma dispersion effect of silica. Here, we infuse a silica microcapillary-based optofluidic ring resonator with a magnetic fluid, into which pump light is injected by a fiber taper. Iron oxide nanoparticles dispersed in the magnetic fluid produce a strong pump light absorption, and this leads to a resonance shift of the silica microresonator due to the photothermal effect. To the best of our knowledge, this is the first scheme for all-optical tuning of an OFRR. A tuning sensitivity of up to 0.15 nm mW(-1) and a tuning range of 3.3 nm are achieved. With such excellent performance, the magnetic-fluid-filled OFRR has great potential in filtering, sensing, and signal processing applications.

Compact in-line optical notch filter based on an asymmetric microfiber coupler.

Novel compact in-line optical filters with narrow rejection bandwidths are proposed, and one is experimentally demonstrated based on asymmetric microfiber (MF) couplers. It is composed of silica and bismuth-oxide-glass MFs and less than 500 µm long. Single transmission dips in a wavelength range of up to 300 nm are obtained, and the transmission extinction ratio is more than 30 dB. Additionally, a -20 dB bandwidth of 0.88 nm is achieved. This narrow bandwidth of the transmission notch benefits from the huge refractive index difference between the two MFs. These experimental results agree well with the theoretical predictions. With the advantages of having a simple structure, being fiberized, and having a small footprint, this device can be an attractive element for micro/nanophotonics, optical sensing, optical signal processing, and optical fiber communications.