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Traditional sound sources and sound detectors are usually independent and discrete in the human hearing range. To minimize the device size and integrate it with wearable electronics, there is an urgent requirement of realizing the functional integration of generating and detecting sound in a single device. Here we show an intelligent laser-induced graphene artificial throat, which can not only generate sound but also detect sound in a single device. More importantly, the intelligent artificial throat will significantly assist for the disabled, because the simple throat vibrations such as hum, cough and scream with different intensity or frequency from a mute person can be detected and converted into controllable sounds. Furthermore, the laser-induced graphene artificial throat has the advantage of one-step fabrication, high efficiency, excellent flexibility and low cost, and it will open practical applications in voice control, wearable electronics and many other areas. The functional integration of sound generation and detection on a single device is required to assist mute people. Here, the authors demonstrate a graphene-based artificial throat capable of detecting and converting diverse throat vibrations into meaningful sound within a single device.

Background Evidence about safety and efficacy of transcatheter aortic valve replacement (TAVR) with the Venus A-Valve system (Venus Medtech, Hangzhou, China) remains limited for patients with pure native aortic regurgitation (PNAR). Objectives The single-center study sought to report the one-year clinical outcomes of the Venus A-Valve in the treatment of PNAR. Methods This study was a retrospective analysis of prospectively collected data. Data was from all consecutive patients who had PNAR and underwent TAVR with the Venus A-Valve system at our center from July 2020 and June 2021. Procedural and clinical outcomes up to one year were analyzed using Valve Academic Research Consortium-2 criteria. Results A total of 45 consecutive patients with PNAR underwent transfemoral TAVR with the Venus A-Valve system. The Mean age was 73.5 ± 5.5 years and 26.7% were female. All the TAVR procedures were performed via transfemoral access. Implantations were successful in 44 cases (97.8%). Only one patient was converted to surgical aortic valve replacement. No patient died intraoperatively. No second valve was implanted. In-hospital mortality rate was 2.3%. The one-year all-cause mortality rate was 4.7% without cardiovascular related death. No patient had moderate or severe paravalvular leakage during follow-up. At one year, the mean pressure gradient was 8.8 ± 0.9 mmHg, and left ventricular ejection fraction increased to 61.5 ± 3.6%. Conclusions This single-center study demonstrated the safety and efficacy of transfemoral TAVR with the Venus A-Valve in the treatment of patients with PNAR.

Water quality detection plays an increasingly important role in environmental protection. In this work, a novel colorimeter based on the Beer-Lambert law was designed for chemical element detection in water with high precision and miniaturized structure. As an example, the colorimeter can detect phosphorus, which was accomplished in this article to evaluate the performance. Simultaneously, a modified algorithm was applied to extend the linear measurable range. The colorimeter encompassed a near infrared laser source, a microflow cell based on microfluidic technology and a light-sensitive detector, then Micro-Electro-Mechanical System (MEMS) processing technology was used to form a stable integrated structure. Experiments were performed based on the ammonium molybdate spectrophotometric method, including the preparation of phosphorus standard solution, reducing agent, chromogenic agent and color reaction. The device can obtain a wide linear response range (0.05 mg/L up to 7.60 mg/L), a wide reliable measuring range up to 10.16 mg/L after using a novel algorithm, and a low limit of detection (0.02 mg/L). The size of flow cell in this design is 18 mm × 2.0 mm × 800 μm, obtaining a low reagent consumption of 0.004 mg ascorbic acid and 0.011 mg ammonium molybdate per determination. Achieving these advantages of miniaturized volume, high precision and low cost, the design can also be used in automated in situ detection.

Objective We designed a simplified total arch reconstruction (s-TAR) technique which could be performed under mild hypothermia (30–32 °C) with distal aortic perfusion. This study aimed to compare its efficacy of organ protection with the conventional total arch reconstruction (c-TAR). Methods We reviewed the clinical data of 195 patients who had ascending aortic aneurysm with extended aortic arch dilation and underwent simultaneous ascending aorta replacement and TAR procedure between January 2018 and December 2022 in our center. 105 received c-TAR under moderate hypothermia (25–28 °C) with circulatory arrest (c-TAR group); rest 90 received s-TAR under mild hypothermia (30–32 °C) with distal aortic perfusion (s-TAR group). Results The s-TAR group demonstrated shorter CPB time, cross-clamp time and lower body circulatory arrest time compared with the c-TAR group. The 30-day mortality was 2.9% for the c-TAR group and 1.1% for the s-TAR group ( P  = 0.043). The mean duration of mechanical ventilation was shorter in the s-TAR group. Paraplegia was observed in 4 of 105 patients (3.8%) in the c-TAR group, while no such events were observed in the s-TAR group. The incidence of temporary neurologic dysfunction was significantly higher in the c-TAR group. The incidence of permanent neurologic dysfunction also showed a tendency to be higher in the c-TAR group, without statistical significance. Furthermore, the incidence of reoperation for bleeding were significantly lower in the s-TAR group. The rate of postoperative hepatic dysfunction and all grades of AKI was remarkably lower in the s-TAR group. The 3-year survival rate was 95.6% in the s-TAR group and 91.4% in the c-TAR group. Conclusions s-TAR under mild hypothermia (30–32℃) with distal aortic perfusion is associated with lower mortality and morbidity, offering better neurological and visceral organ protection compared with c-TAR.

Background：Several studies using functional magnetic resonance imaging （fMRI） and positron emission tomography （PET） have indicated that cognitive remediation therapy （CRT） might improve cognitive function by changing brain activations in patients with schizophrenia.However,the results were not consistent in these changed brain areas in different studies.The present activation likelihood estimation （ALE） meta-analysis was conducted to investigate whether cognitive function change was accompanied by the brain activation changes,and where the main areas most related to these changes were in schizophrenia patients after CRT.Analyses of whole-brain studies and whole-brain ＋ region of interest （ROI） studies were compared to explore the effect of the different methodologies on the results.Methods：A computerized systematic search was conducted to collect fMRI and PET studies on brain activation changes in schizophrenia patients from pre-to post-CRT.Nine studies using fMRI techniques were included in the meta-analysis.Ginger ALE 2.3.1 was used to perform meta-analysis across these imaging studies.Results：The main areas with increased brain activation were in frontal and parietal lobe,including left medial frontal gyrus,left inferior frontal gyrus,right middle frontal gyrus,right postcentral gyrus,and inferior parietal lobule in patients after CRT,yet no decreased brain activation was found.Although similar increased activation brain areas were identified in ALE with or without ROI studies,analysis including ROI studies had a higher ALE value.Conclusions：The current findings suggest that CRT might improve the cognition of schizophrenia patients by increasing activations of the frontal and parietal lobe.In addition,it might provide more evidence to confirm results by including ROI studies in ALE meta-analysis.

As a new kind of urban landscaping, roof greening plays an important role in saving energy, easing the heat island effect, reducing dust and improving the urban environment. Taking the existing buildings in Hangzhou Shangcheng District for example, this essay is an analysis of the effects and promotional value of the urban roof greening and a research of the feasibility and necessity of roof greening promotion, which to further demonstrate that as a ground greening supplement, roof greening can expand greening scope and increase urban green coverage ratio, to form a dual interests of both economic and ecological sustainability.

Non-sand concrete well pipe is widely used in dewatering construction of deep foundation pit, the running effect of water-filtration well pipe have a close relationship with casting-pipe porosity, material ratio and casting-pipe time. With a long term test, the indicators' critical values of casting-pipe based on maximum porosity is proposed, which is under a condition of ensuring the adequate strength of non-sand pipe and different proportion of limestone cement and stones. The critical values have a great significance to improving non-sand pipe effective porosity, reducing permeation resistance and increasing infiltration capacity, and also can provide a reference for the design and constriction of similar projects.

Aim： To investigate the role of PIK3CA oncogene in tumorigenesis and development of esophageal cancer in Chinese patients at the levels of genetic mutation and epigenetics. Methods： Seventy six esophageal tumor samples and corresponding adjacent normal tissues were collected, and the genomic DNA was extracted. Mutations in the 9th and 20th exons of PIK3CA gene were detected using conventional sequencing. PIK3CA methylation rates in two selected CpG islands （CpG island I and 2） were detected using sub-bisulfate modified sequencing. Pl10~ and pAKT expression levels were detected with Western blotting. Results： In PIK3CA gene of the tumor tissues, G1633C （E545Q） mutation was detected in the 9th exon with a rate of 3.95% （3/76）, whereas mutation was not found in the 20th exon. Nor mutation did occur in PIK3CA gene of the adjacent normal tissues. The methylation rate of the CpG island I had no significant difference between the tumor and adjacent tissues （0.77%±0.009% vs 0.89%±0.008%）, but the methylation rate of the CpG island 2 in the esophageal tumors was significantly lower than that in the adjacent tissues （6.00%±2.80% vs 10.45%±5.51%）. Furthermore, the rate of methylation of the CpG island 2 in TNM stage Ill and IV esophageal cancer （3.84%±2.08%） was significantly lower than in stage I （8.52%±2.55%） and stage II （6.42%±2.36%）. PIK3CA gene hypomethylation in esophageal cancer was significantly correlated with high expression of p110a. Conclusion： PIK3CA gene hypomethylation plays a key role in the tumorigenesis and development of esophageal cancer in Chinese patients, while the mutations of PIK3CA gene have little effect on the development of esophageal cancer.

Carboxylate as a promising and valuable directing group has attracted a great deal of attention. However, employing it as a traceless direction group has rarely been reported. We developed the ruthenium-catalyzed amidation of substituted benzoic ac- ids with isocyanates via directed C-H functionalization followed by decarboxylation to afford the corresponding meta- substituted N-aryl benzamides, in which the carboxylate serves as a unique, removable directing group. Notably, this protocol can provide an efficient alternative to access meta-substituted N-aryl benzamides, which are much more difficult to prepare than ortho-substituted analogues.

A transient postanaphase repositioning of the centriole is found to control the completion of cytokinesis. Using a green fluorescent protein-calmodulin fusion protein as a living cell probe, we have previously found that calmodulin is associated with the initiation and progression of cytokinesis. In this study, we further studied the effect of calmodulin on the repositioning of the centriole and subsequent cell cycle progression. When activity of calmodulin is inhibited, the regression of the centriole from the intercellular bridge to the cell center is blocked, and thus the completion of cell division is repressed and two daughter cells are linked by longer cell bridge in perturbed cells. W7 treatment during cytokinesis also results in unfinished cytokinesis and stopped G1 phase. These results suggest that calmodulin activity is required for centriole repositioning and can affect the completion of cytokinesis and cell cycle progression.