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The mathematical foundation of quantum mechanics is built on linear algebra, while the application of nonlinear operators can lead to outstanding discoveries under some circumstances, such as the prediction of positron, a direct outcome of the Dirac equation which stems from the square-root of the Klein-Gordon equation. In this article, we propose a model of square-root higher-order Weyl semimetal (SHOWS) by inheriting features from its parent Hamiltonians. It is found that the SHOWS hosts both “Fermi-arc” surface and hinge states that respectively connect the projection of the Weyl points on the side surface and arris. We theoretically construct and experimentally observe the exotic SHOWS state in three-dimensional (3D) stacked electric circuits with honeycomb-kagome hybridizations and double-helix interlayer couplings. Our results open the door for realizing the square-root topology in 3D solid-state platforms. The topological properties of square-root Weyl semimetals are derived from the square of the Hamiltonian. Here, the authors propose a tight-binding model for a square-root higher-order Weyl semimetal hosting both Fermi-arc surface and hinge states.

Pulmonary thromboembolism (PTE) is the third leading cause of death in cardiovascular diseases. PTE is believed to be caused by thrombi detached from deep veins of lower extremities. The thrombi travel with systemic circulation to the lung and block pulmonary arteries, leading to sudden disruption of hemodynamics and blood gas exchange. However, this concept has recently been challenged by accumulating evidence demonstrating that de novo thrombosis may be formed in pulmonary arteries without deep venous thrombosis. On the other hand, chronic thromboembolic pulmonary hypertension (CTEPH), a subtype of pulmonary hypertension, could have different pathogenesis than traditional PTE. Therefore, this article summarized and compared the risk factors, the common and specific pathogenic mechanisms underlying PTE, in situ pulmonary artery thrombosis, and CTEPH at molecular and cellular levels, and suggested the therapeutic strategies to these diseases, aiming to facilitate understanding of pathogenesis, differential diagnosis, and precision therapeutics of the three pulmonary artery thrombotic diseases.

The book is a thorough exploration of the topological states in collective magnetization dynamics. It provides an overview of current progress of topological phases in structured classical magnetism and acts as an important reference for designing novel topological spintronic devices.

Pursuing topological phase and matter in a variety of systems is one central issue in current physical sciences and engineering. Motivated by the recent experimental observation of corner states in acoustic and photonic structures, we theoretically study the dipolar-coupled gyration motion of magnetic solitons on the two-dimensional breathing kagome lattice. We calculate the phase diagram and predict both the Tamm–Shockley edge modes and the second-order corner states when the ratio between alternate lattice constants is greater than a critical value. We show that the emerging corner states are topologically robust against both structure defects and moderate disorders. Micromagnetic simulations are implemented to verify the theoretical predictions with an excellent agreement. Our results pave the way for investigating higher-order topological insulators based on magnetic solitons.

The Wilson fermion (WF) is a fundamental particle in the theory of quantum chromodynamics. Theoretical calculations have shown that the WF with a half skyrmion profile represents a quantum anomalous semimetal phase supporting a chiral edge current, but the experimental evidence is still lacking. In this work, we report a direct observation of the WF in circuit systems. We find that WFs manifest as topological spin textures analogous to the half skyrmion, half-skyrmion pair, and Néel skyrmion structures, depending on their mass. Transformations of different WF states are realized by tuning the electric elements. We further experimentally observe the propagation of chiral edge current along the domain-wall separating two circuits with contrast fractional Chern numbers. Our work provides experimental evidence for WFs in topolectrical circuits. The nontrivial analogy between the WF state and the skyrmionic structure builds an intimate connection between the two burgeoning fields. The Wilson fermion is a particle in the theory of quantum chromodynamics that allows to solve the fermion doubling problem. Here the authors use topolectrical circuits to simulate Wilson fermions, and realize nontrivial topological phases characterized by different Chern numbers, including quantum anomalous semimetal.

Although balloon pulmonary angioplasty (BPA) and pulmonary endarterectomy (PEA) are effective in chronic thromboembolic pulmonary hypertension (CTEPH), the comparison of their efficacy and safety is still unclear. We identified studies through a systematic review of PubMed, Cochrane Library, and Embase and used a random effects meta-analysis model to synthesize estimates of weighted mean differences or combined effect size. In total, 54 studies were included in this meta-analysis. The survival rates at perioperative/in-hospital period, 2 years, and 3 years were 100%, 99%, and 97%, respectively, in BPA group and 93%, 90%, and 88%, respectively, in PEA group. The variation of 6-min walk distance was 141.80 m in BPA and 100.73 m in PEA when the follow-up was 1–6 months. At < 1-month, 1–6-month, and > 12-month follow-up, the changed results of mean pulmonary arterial pressure were − 18.31, − 17.00, and − 12.97 mmHg in BPA group and − 18.93, − 21.21, and − 21.35 mmHg in PEA group. At < 1-month and 1–6-month follow-up, the changed values of pulmonary vascular resistance were − 542.24 and − 599.77 dyne•s•cm−5 in PEA group and − 443.49 and − 280.00 dyne•s•cm−5 in BPA group. In addition, there was more wide variety of complications in PEA group than in BPA group. BPA might have higher survival rate (perioperative/in-hospital period, 2-year and 3-year follow-up) and fewer types of complications compared with PEA. The improvement in exercise capacity (1–6-month follow-up) in the BPA group might be more pronounced than in PEA group. Moreover, PEA might be superior in improvement of hemodynamic parameters (< 1-month, 1–6-month, and > 12-month follow-up).

Background Fibrosing mediastinitis (FM) is a rare yet fatal condition, caused by different triggers and frequently culminating in the obstruction of the pulmonary vasculature and airways, often leading to pulmonary hypertension and right heart failure. Percutaneous transluminal pulmonary venoplasty (PTPV) is an emerging treatment for pulmonary vein stenosis (PVS) caused by FM. Our previous study showed as high as 24% of in-stent restenosis (ISR) in FM. However, the predictors of ISR are elusive. Objectives We sought to identify the predictors of ISR in patients with PVS caused by extraluminal compression due to FM. Methods We retrospectively enrolled patients with PVS-FM who underwent PTPV between July 1, 2018, and December 31, 2022. According to ISR status, patients were divided into two groups: the ISR group and the non-ISR group. Baseline characteristics (demographics and lesions) and procedure-related information were abstracted from patient records and analyzed. Univariate and multivariate analyses were performed to determine the predictors of ISR. Results A total of 142 stents were implanted in 134 PVs of 65 patients with PVS-FM. Over a median follow-up of 6.6 (3.4–15.7) months, 61 of 134 PVs suffered from ISR. Multivariate analysis demonstrated a significantly lower risk of ISR in PVs with a larger reference vessel diameter (RVD) (odds ratio (OR): 0.79; 95% confidence interval [CI]: 0.64 to 0.98; P  = 0.032), and stenosis of the corresponding pulmonary artery (Cor-PA) independently increased the risk of restenosis (OR: 3.41; 95% CI: 1.31 to 8.86; P  = 0.012). The cumulative ISR was 6.3%, 21.4%, and 39.2% at the 3-, 6-, and 12-month follow-up, respectively. Conclusion ISR is very high in PVS-FM, which is independently associated with RVD and Cor-PA stenosis. Trail Registration Chinese Clinical Trials Register; No.: ChiCTR2000033153. URL: http://www.chictr.org.cn . Graphical Abstract

Pulmonary arterial hypertension (PAH) is a life‐threatening condition characterized by elevated pulmonary vascular resistance. Despite recent advances, early diagnosis remains challenging due to nonspecific symptoms. By utilizing RNA sequencing (RNA‐seq) data from the GEO database, we conducted bioinformatics analyses to identify potential diagnostic biomarkers. Differentially expressed genes (DEGs) were screened in blood from PAH patients, followed by functional enrichment and protein‐protein interaction (PPI) network analyses. Thirteen overlapping DEGs were identified, which were enriched in erythrocyte development, heme biosynthesis, and chloride transport. Five hub genes (SLC4A1, AHSP, ALAS2, FECH, and CA1), exhibited strong diagnostic potential, with an area under the curve (AUC) ≥ 0.7 in training datasets (GSE38267, GSE22356). External validation using datasets GSE33463 and GSE117261 confirmed their efficacy in blood samples, although AHSP showed reduced performance in lung tissue. Experimental validation in hypoxic human pulmonary artery smooth muscle cells (hPASMCs) supported the bioinformatics findings. These results underscore SLC4A1, AHSP, ALAS2, FECH, and CA1 as promising noninvasive diagnostic biomarkers for PAH, linking transcriptional dysregulation to clinical application.

Fibrosing mediastinitis (FM) is a rare disease caused by different causes. If left untreated, the prognosis is poor. The common causes of FM are Tuberculosis and Histoplasma capsulatum infection. Esophageal perforation is also a rare condition that is often easily under‐ and mis‐diagnosed due to the lack of specificity of symptoms. Here we report a case of FM caused by esophageal perforation.

Background G6PD deficiency is a common inherited disorder worldwide and has a higher incidence rate in southern China. Many variants of G6PD result from point mutations in the G6PD gene, leading to decreased enzyme activity. This study aimed to analyse the genotypic and phenotypic characteristics of G6PD deficiency in Guangzhou, China. Methods In this study, a total of 20,208 unrelated participants were screened from 2020 to 2022. G6PD deficiency was further analysed by quantitative enzymatic assay and G6PD mutation analysis. The unidentified genotype of the participants was further ascertained by direct DNA sequencing. Results A total of 12 G6PD mutations were identified. Canton ( c.1376G > T ) and Kaiping ( c.1388G > A ) were the most common variants, and different mutations led to varying levels of G6PD enzyme activity. Comparing the enzyme activities of the 6 missense mutations between the sexes, we found significant differences ( P  <  0.05 ) in the enzyme activities of both male hemizygotes and female heterozygotes. Two previously unreported mutations ( c.1438A > T and c.946G > A ) were identified. Conclusions This study provided detailed genotypes of G6PD deficiency in Guangzhou, which could be valuable for diagnosing and researching G6PD deficiency in this area.