Proteomics for early prenatal screening of gestational diabetes mellitus

In this editorial,we comment on the article by Cao et al.Through applying isobaric tags for relative and absolute quantification technology coupled with liquid chromatography-tandem mass spectrometry,the researchers observed significant differential expression of 47 proteins when comparing serum samples from pregnant women with gestational diabetes mellitus(GDM)to the healthy ones.GDM symptoms may involve abnormalities in inflammatory response,complement system,coagulation cascade activation,and lipid metabolism.Retinol binding protein 4 and angiopoietin like 8 are potential early indicators of GDM.GDM stands out as one of the most prevalent metabolic complications during pregnancy and is linked to severe maternal and fetal outcomes like pre-eclampsia and stillbirth.Nevertheless,none of the biomarkers discovered so far have demonstrated effectiveness in predicting GDM.Our topic was designed to foster insights into advances in the application of proteomics for early prenatal screening of GDM.

Re-evaluating the necessity of routine laboratory monitoring during isotretinoin therapy for acne

In this letter,we discuss the topic of necessity of routine laboratory monitoring during isotretinoin treatment for acne.According to Park and colleagues,it is advisable to monitor the levels of triglycerides,alanine aminotransferase,and aspartate aminotransferase every 5 to 6 months.Additionally,the levels of total cholesterol and low-density lipoprotein should be checked within the first two months of treatment.Isotretinoin is a commonly prescribed agent mainly used to treat acne.Despite its high effectiveness,it necessitates regular monitoring of laboratory parameters due to its side effect profile.Currently,there remains a lack of consensus on the appropriate frequency for monitoring these parameters during treatment with isotretinoin.This letter will provide insight into this complex and controversial topic.Based on existing literature,we concluded that the incidence of changes in lipid and liver aminotransferase levels during isotretinoin treatment for acne was low and likely clinically insignificant.For generally healthy people,we recommend testing lipid and liver profiles once at baseline and a second time at the peak dosage.However,frequent testing might still be beneficial in certain populations of patients.

Angular disturbance prediction for countermeasure launcher in active protection system of moving armored vehicle based on an ensemble learning method

The active protection system(APS),usually installed on the turret of armored vehicles,can significantly improve the vehicles’survivability on the battlefield by launching countermeasure munitions to actively intercept incoming threats.However,uncertainty over the launch angle of the countermeasure is increased due to angular disturbances when the off-road armored vehicle is moving over rough terrain.Therefore,accurate and comprehensive angular disturbance prediction is essential to the real-time monitoring of the countermeasure launch angle.In this paper,a deep ensemble learning(DEL)-based approach is proposed to predict the angular disturbances of the countermeasure launcher in the APS based on previous time-series information.In view of the intricate temporal attribute of angular disturbance prediction,the sampling information of historical time series measured by an inertial navigation device is adopted as the input of the developed DEL model.Then,the recursive multi-step(RMS)prediction strategy and multi-output(MO)prediction strategy are combined with the DEL model to perform the final angular disturbance prediction for the countermeasure launcher in the APS of a moving armored vehicle.The proposed DEL model is validated by using the different datasets from real experiments.The results reveal that this approach can be used to accurately predict angular disturbances,with the maximum absolute error of each DOF less than 0.1°.

Angiography-derived radial wall strain predicts coronary lesion progression in non-culprit intermediate stenosis

BACKGROUND Intermediate coronary lesions(ICLs)are highly prevalent but ported mixed prognosis.Radial strain has been associated with plaque vulnerability,yet its role in predicting lesion progression is largely unknown.The purpose of this study was to determine the predictive value of angiography-derived radial wall strain(RWS)for progression of untreated non-culprit ICLs.METHODS Post-hoc analysis was conducted in a study cohort including 603 consecutive patients with 808 ICLs identified at index procedure with angiographic follow-up of up to two years.RWS analysis was performed on selected angiographic frames with minimal foreshortening and vessel overlap.Lesion progression was defined as≥20%increase in percent diameter stenosis.RESULTS Lesion progression occurred in 49 ICLs(6.1%)with a median follow-up period of 16.8 months.Maximal RWS(RWSmax),frequently located at the proximal and throat plaque regions,distinguished progressive ICLs from silent ones.The largest area under the curve value of 0.75(95%CI:0.67–0.82,P<0.001)was reached at the optimal RWSmax cutoff value of>12.6%.According to this threshold,178 ICLs were classified as having a high strain pattern.Exposure to a high strain amplitude with RWS_(max)>12.6%was independently associated with an increased risk of lesion progression(adjusted HR=6.82,95%CI:3.67–12.66,P<0.001).CONCLUSIONS Assessment of RWS from coronary angiography is feasible and provides independent prognostic value in patients with untreated ICLs.

Phase modulation of bcc-structured Fe35Mn25Al15Cr10Ni15 high-entropy alloy by interstitial carbon

High-entropy alloys （HEAs） usually contain more than five alloying elements. The ductility of a body-centered cubic （bcc）- type HEA typically is lower than that of their face-centered cubic （fcc） counterpart. And low ductility restricts engineering applications of the bcc-structured HEAs. In engineering materials, improvement in ductility usually results in deduction of mechanical strength. A method to improve both mechanical strength and ductility in a bcc-structured HEA was proposed by adding interstitial carbon. Experimental results showed that replacement of 5 at.% Cr with 5 at.% C in a bcc-structured Fe35Mn25Al15Cr10Ni15 HEA resulted in an increase in fcc phase from 0.3 to 93.7 vol.%. Strength and ductility increased at the same time. The transition of bcc-structure to fcc-structure along with a remaining small amount of bcc phase improved mechanical properties. This work indicates that interstitial carbon can be employed to modulate the fraction of constituent phases in a bcc-structured HEA to enhance engineering mechanical properties.