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Physical activity (PA) is important for students in secondary school, however, trends in PA among secondary school students have shown a significant decline. There is a need to understand the PA of middle school students. The first objective is to identify the PA levels and screen time of students in middle school. The second objective of the study is to examine the PA levels and screen time among students of different genders. Participants from four consecutive two-year cycles of National Health and Nutrition Examination Survey (NHANES, 2011-2012, 2013-2014, 2015-2016, and 2017-2018) were included in this study. Spearman correlation model was used to identify the correlation between participants' demographics, PA, and screen time data. Negative binomial regression model was used to describe students' PA and screen time (Dependent variable) in different grades (Independent variables). Gender and Age were taken as control variables. After the data preprocessing, 2516 participants were included in this study. A significant correlation has been found between grade and PA, instead of screen time. Negative binomial regression shows that students have the lowest PA in their transition year grade 6, and their screen time decreased with the grade increased. Significant differences can be found across gender. Future efforts should focus on developing school transition support programs designed to improve PA.

The complexity of scoliosis-related terminology and treatment options often hinders patients and caregivers from understanding their choices, making it difficult to make informed decisions. As a result, many patients seek guidance from artificial intelligence (AI) tools. However, AI-generated health content may suffer from low readability, inconsistency, and questionable quality, posing risks of misinformation. This study evaluates the readability and informational quality of scoliosis-related content produced by AI. We evaluated five AI models—ChatGPT-4o, ChatGPT-o1, ChatGPT-o3 mini-high, DeepSeek-V3, and DeepSeek-R1—by querying each on three types of scoliosis: congenital, adolescent idiopathic, and neuromuscular. Readability was assessed using the Flesch-Kincaid Grade Level (FKGL) and FleschKincaid Reading Ease (FKRE), while content quality was evaluated using the DISCERN score. Statistical analyses were performed in R-Studio. Inter-rater reliability was calculated using the Intraclass Correlation Coefficient (ICC). DeepSeek-R1 achieved the lowest FKGL (6.2) and the highest FKRE (64.5), indicating superior readability. In contrast, ChatGPT-o1 and ChatGPT-o3 mini-high scored above FKGL 12.0, requiring college-level reading skills. Despite readability differences, DISCERN scores remained stable across models (~ 50.5/80) with high inter-rater agreement (ICC = 0.85–0.87), suggesting a fair level quality. However, all responses lacked citations, limiting reliability. AI-generated scoliosis education materials vary significantly in readability, with DeepSeek-R1 being the most accessible. Future AI models should enhance readability without compromising information accuracy and integrate real-time citation mechanisms for improved trustworthiness.

Proximal humeral fractures are increasingly common, particularly among older people, whereas the prognosis of surgical treatments for these fractures remains substantially uncertain. In China, where the ageing population is rapidly growing, high-quality prospective data on surgical outcomes, complications and cost-effectiveness are lacking. To address this gap, we propose to initiate a prospective, multicentre cohort study on surgical treatment for proximal humeral fractures in China-Cohort of Acute Shoulder Trauma (CAST) study. The CAST is a multicentre, prospective cohort study enrolling patients with acute proximal humeral fractures undergoing surgical treatments at eight hospitals in China between May 2024 and December 2029. Patients can receive any of the surgical treatment methods which include percutaneous Kirschner wire fixation, external fixation, open reduction and internal fixation using locking plates or intramedullary nails, suture anchors and shoulder arthroplasty. We will collect patient-reported outcome measures (Quick Disabilities of the Arm, Shoulder and Hand), Constant-Murley, American Shoulder and Elbow Surgeons, EuroQol 5-Dimension and Visual Analogue Scale), physical examination results, imaging assessments (based on X-rays, ultrasound, CT and MRI scans), laboratory tests (including inflammatory cytokines) and data on medical costs. We will follow patients at 1 day, and at 1 month, 3 months, 6 months, 12 months and 24 months postoperatively. The planned sample size is 1500 patients. The study protocol has been approved by the Ethics Committee of Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University (Approval No. 2024-ky-104(K)). Written informed consent will be obtained from all participants. Findings from the CAST study will be disseminated through peer-reviewed journals and academic conferences. ChiCTR2500109651.

Background Proximal humeral fractures are common injuries in the elderly population, with their incidence expected to rise due to increased life expectancy. A small subset of these fractures may be associated with dislocating forces that can result in shoulder dislocation concurrent with the fracture. For the elderly patients, proximal humeral fracture dislocation can be treated by open reduction and internal locking plate (LP) fixation or reverse shoulder arthroplasty (RSA). By now, no high-quality trials have compared the two. Methods This study is a prospective, single-center, superiority randomized controlled trial (RCT) comparing RSA and LP fixation in elderly patients (aged 65 to 85 years) with a proximal humeral fracture dislocation. Eligible participants will be randomly assigned to either the RSA or LP group (1:1 ratio). Postoperative follow-up will be conducted at 1 day (in the ward), 1 month, 3 months, 6 months, 12 months, and 24 months after surgery. Primary outcome is the Constant-Murley Score at 1-year postoperatively. Secondary outcomes include short version of Disabilities of the Arm Shoulder and Hand questionnaire score, American Shoulder and Elbow Surgeons score, Visual Analog Scale score, EuroQol-5 Dimension score, range of motion, strength and postoperative complications. Discussion This trial is the first RCT comparing RSA with LP fixation for proximal humeral fracture dislocations in elderly patients. The results of this study will provide high-quality evidence to guide clinical practice. Trial registration China Clinical Trials Registry No. ChiCTR2400088249.

The afterglow data of gamma ray bursts (GRBs) can be used to constrain the physical properties of the fireball (e.g., the jet structure and opening angle) and the circumburst medium. With the peak time of the early afterglow light curve being taken as the deceleration time, one can estimate the initial Lorentz factor of the fireball. In this work, we perform a comprehensive analysis on the prompt emission and the afterglow data of GRB 181110A, where a clear peak is detected by Swift UVOT and XRT in optical to X-ray bands. Prompt emission spectral analysis shows that the spectrum of GRB 181110A is soft, and both hard-to-soft and intensity-tracking spectral evolution are found. By fitting the afterglow light curve and building spectral energy distribution, we find that the standard external forward shock model with a constant circumburst medium is favored, and the jet structure of GRB 181110A tends to be uniform rather than structured. With the peak time of early afterglow emission, we estimate the initial fireball Lorentz factor of GRB 181110A to be Γ0=169−40+92. We also compare GRB 181110A with other typical long GRBs in a statistical context.

We calculate the high energy afterglow emission from short Gamma-Ray Bursts (SGRBs) in the external shock model. There are two possible components contributing to the high energy afterglow: electron synchrotron emission and synchrotron self-Compton (SSC) emission. We find that for typical parameter values of SGRBs, the early high-energy afterglow emission in 10 MeV-10 GeV is dominated by synchrotron emission. For a burst occurring at redshift z = 0.1, the high-energy emission can be detectable by Fermi LAT if the blast wave has energy E ⩾ 10 51 ergs and the fraction of electron energy ɛ e ⩾ 0.1. This provides a possible explanation for the high energy tail of SGRB 081024B.

The Wide Field Survey Telescope (WFST) is a dedicated photometric surveying facility being built jointly by University of Science and Technology of China (USTC) and the Purple Mountain Observatory (PMO). It is equipped with a 2.5-meter diameter primary mirror, an active optics system, and a mosaic CCD camera with 0.73 gigapixels on the primary focal plane for high-quality image capture over a 6.5-square-degree field of view. The installation of WFST near the summit of Saishiteng mountain in the Lenghu region is scheduled in summer of 2023, and the operation is planned to start three months later. WFST will scan the northern sky in four optical bands ( u, g, r and i ) at cadences from hourly/daily in the deep high-cadence survey (DHS) program, to semi-weekly in the wide field survey (WFS) program. During a photometric night, a nominal 30 s exposure in the WFS program will reach a depth of 22.27, 23.32, 22.84, and 22.31 (AB magnitudes) in these four bands, respectively, allowing for the detection of a tremendous amount of transients in the low- z universe and a systematic investigation of the variability of Galactic and extragalactic objects. In the DHS program, intranight 90 s exposures as deep as 23 ( u ) and 24 mag ( g ), in combination with target of opportunity follow-ups, will provide a unique opportunity to explore energetic transients in demand for high sensitivities, including the electromagnetic counterparts of gravitational wave events, supernovae within a few hours of their explosions, tidal disruption events and fast, luminous optical transients even beyond redshift of unity. In addition, the final 6-year co-added images, anticipated to reach g ≃ 25.8 mag in WFS or 1.5 mags deeper in DHS, will be of fundamental importance to general Galactic and extragalactic science. The highly uniform legacy surveys of WFST will serve as an indispensable complement to those of the Vera C. Rubin Observatory’s Legacy Survey of Space and Time (LSST) that monitors the southern sky.

The operation of upcoming ultra-high-energy cosmic-ray, gamma-ray, and neutrino radio-detection experiments, like the Giant Radio Array for Neutrino Detection (GRAND), poses significant computational challenges involving the production of numerous simulations of particle showers and their detection, and a high data throughput. GRANDlib is an open-source software tool designed to meet these challenges. Its primary goal is to perform end-to-end simulations of the detector operation, from the interaction of ultra-high-energy particles, through -- by interfacing with external air-shower simulations -- the ensuing particle shower development and its radio emission, to its detection by antenna arrays and its processing by data-acquisition systems. Additionally, GRANDlib manages the visualization, storage, and retrieval of experimental and simulated data. We present an overview of GRANDlib to serve as the basis of future GRAND analyses.

The Wide Field Survey Telescope (WFST) is a dedicated photometric surveying facility being built jointly by the University of Science and Technology of China and the Purple Mountain Observatory. It is equipped with a 2.5-meter diameter primary mirror, an active optics system, and a mosaic CCD camera with 0.73 gigapixels on the primary focal plane for high-quality image capture over an FOV of 6.5-square-degree. It is anticipated that WFST will be set up at the Lenghu site in the summer of 2023 and begin to observe the northern sky in four optical bands (u, g, r, and i) with a range of cadences, from hourly/daily in the Deep High-Cadence Survey (DHS) program to semiweekly in the Wide-Field Survey (WFS) program, three months later. During a photometric night, a nominal 30 s exposure in the WFS program will reach a depth of 22.27, 23.32, 22.84, and 22.31 (AB magnitudes) in these four bands, respectively, allowing for the detection of a tremendous amount of transients in the low-z universe and a systematic investigation of the variability of Galactic and extragalactic objects. In the DHS program, intranight 90 s exposures as deep as 23 (u) and 24 mag (g), in combination with target of opportunity follow-ups, will provide a unique opportunity to explore energetic transients in demand for high sensitivities, including the electromagnetic counterparts of gravitational wave events, supernovae within a few hours of their explosions, tidal disruption events and fast, luminous optical transients even beyond a redshift of unity. In addition, the final 6-year co-added images, anticipated to reach g=25.8 mag in WFS or 1.5 mags deeper in DHS, will be of fundamental importance to general Galactic and extragalactic science. The highly uniform legacy surveys of WFST will serve as an indispensable complement to those of LSST that monitor the southern sky.

The Giant Radio Array for Neutrino Detection (GRAND) is a proposed multi-messenger observatory of Ultra-High-Energy (UHE) particles of cosmic origin. Its main goal is to find the long-sought origin of UHE cosmic rays by detecting large numbers of them and the secondary particles created by their interactions like gamma rays and neutrinos. The GRAND Collaboration plans to achieve this using large arrays of radio antennas that look for the radio signals emitted by the air showers initiated by the interactions of the UHE particles in the atmosphere. Since 2023, three small-scale prototype GRAND arrays have been in operation: GRAND@Nançay in France, GRAND@Auger in Argentina, and GRANDProto300 in China. Together, their goal is to validate the detection principle of GRAND under prolonged field conditions, achieving efficient, autonomous radio-detection of air showers. We describe the hardware, software, layout, and operation of the GRAND prototypes. Using their data, we show a first characterization of the local electromagnetic environment of each site and a measurement of the Galactic synchrotron emission. Despite challenges, the successful operation of the prototypes confirms that the GRAND instrumentation is apt to address the goals of the experiment and lays the groundwork for its ensuing stages.