First-line benmelstobart plus anlotinib versus sunitinib in advanced renal cell carcinoma (ETER100): a multicentre, randomised, open-label, phase 3 trial.

Background: The underexplored potential of PD-L1 blockade in advanced renal cell carcinoma highlights an urgent need for novel agents. This trial aimed to compare benmelstobart (a novel PD-L1 inhibitor) plus anlotinib with sunitinib as first-line treatment for advanced renal cell carcinoma.

Methods: ETER100 was a multicentre, randomised, open-label, phase 3 trial conducted at 37 medical sites in China.

Association between Ki-67 and clinical outcomes in 324 Chinese patients with resectable acral melanoma.

The relationship between Ki-67 expression and clinical prognosis in patients with resectable acral melanoma (AM) remains unclear. This study explores the prognostic role of Ki-67 in AM using data from 324 patients across five Chinese centers. Patients were divided into low Ki-67 expression and high Ki-67 expression groups based on pathological reports.

A Survey on All-in-One Image Restoration: Taxonomy, Evaluation and Future Trends.

Image restoration (IR) seeks to recover high-quality images from degraded observations caused by a wide range of factors, including noise, blur, compression, and adverse weather. While traditional IR methods have made notable progress by targeting individual degradation types, their specialization often comes at the cost of generalization, leaving them ill-equipped to handle the multifaceted distortions encountered in real-world applications. In response to this challenge, the all-in-one image restoration (AiOIR) paradigm has recently emerged, offering a unified framework that adeptly addresses multiple degradation types.

DAWN+: Wavelet-Based Image Deraining Meets Direction-Aware Attention and Mutual Representation.

The single-image deraining aims to restore clean scenes from rainy inputs by eliminating precipitation artifacts. Current methods often neglect the directional nature of rain streaks-a critical oversight that causes heterogeneous degradation, particularly in texture regions aligned with rain orientations. To address this issue and advance image deraining, we propose a novel direction-aware attention wavelet network (DAWN) for rain streaks removal.

The Time Reliable Effect of Probiotic Clostridium butyricum on the Growth of Spotted Sea Bass (Lateolabrax maculatus).

Probiotic Clostridium butyricum has been demonstrated to enhance the growth of spotted sea bass (Lateolabrax maculatus). However, the time reliable effect of C. butyricum application for L.

Low-dose lenvatinib plus toripalimab for patients with platinum-resistant recurrent ovarian cancer: preliminary results from a multicenter, phase II trial (NCT06241105).

Objective: Platinum-resistant ovarian cancer (PROC) remains a therapeutic challenge. While immune checkpoint inhibitor plus lenvatinib demonstrates potential efficacy in ovarian cancer, the standard 20 mg lenvatinib dosage causes significant adverse events leading to treatment disruption. We present preliminary results of a multicenter, single-arm phase II trial evaluating low-dose lenvatinib plus toripalimab for recurrent PROC.

Toward 10 W-level all-fiber multi-color visible lasers.

So far, high-power visible laser generation has traditionally relied on nonlinear frequency conversion of near-infrared lasers, precluding efficient, compact, and affordable laser systems. An ideal solution is a rare-earth-doped fiber laser for directly generating visible light, but the output power is limited to the watt level, and the all-fiber structure is rarely reported. Here, we address this challenge by demonstrating high-power all-fiber visible lasers, directly generating either 10 W-level output power at 635 nm (red)/717 nm (deep-red) and 5 W-level output power at 521 nm (green), respectively.

915 nm single-frequency all-PM all-fiber ring laser with kHz-level linewidth.

Single-frequency fiber laser is of principal role either in frontier interdisciplinary science or advanced practical applications. Here, we present a 1-kHz-level linewidth 915 nm all-polarization-maintaining Nd-doped single-frequency all-fiber laser featuring a ring cavity configuration. Particularly, a piece of commercial unpumped Nd-doped single-cladding silica fiber is employed to achieve a single longitudinal mode operation by forming a dynamic grating.

Exploring the molecular mechanisms of lactylation-related biological functions and immune regulation in sepsis-associated acute kidney injury.

Lactylation, a novel post-translational modification, has been implicated in various pathophysiological processes; however, its role in sepsis-associated acute kidney injury (SA-AKI) remains unclear. This study aimed to investigate the expression patterns and potential functional roles of lactylation-related genes (LRGs) in SA-AKI using transcriptomic data from the GSE232404 dataset. A total of 118 differentially expressed LRGs were identified, enriched in pathways related to RNA splicing, histone deacetylation, and carbon metabolism pathways.

Disentangled Pseudo-bag Augmentation for Whole Slide Image Multiple Instance Learning.

As the predominant approach for pathological whole slide image (WSI) classification, multiple instance learning (MIL) methods struggle with limited labeled WSIs. Although MIL has achieved notable progress with pseudo-bag-oriented augmentation methods, their effectiveness is often constrained by noisy pseudo-labels and low-quality pseudo-bags. To overcome these problems, we revisit the use of pseudo-bags for WSI data augmentation and propose a new pseudo-bag generation paradigm, dubbed DPBAug.

Learning Dynamic Prompts for All-in-One Image Restoration.

All-in-one image restoration, which seeks to handle multiple types of degradation within a unified model, has become a prominent research topic in computer vision. While existing deep learning models have achieved remarkable success in specific restoration tasks, extending these models to heterogenous degradations presents significant challenges. Current all-in-one methods predominantly concentrate on extracting degradation priors, often employing learned and fixed task prompts to guide the restoration process.

Poor prognosis of early-stage acral melanoma with a history of trauma: a multicenter analysis of 468 patients.

Background: Previous studies have suggested that trauma may be a risk factor for the development and prognosis of acral melanoma (AM).

Methods: This population-based retrospective cohort study included patients with AM and a confirmed history of trauma who received treatment at 5 melanoma treatment centers in China. Factors associated with recurrence and survival were analyzed using univariate and multivariate Cox regression analyses.

Photoluminescent delocalized excitons in donor polymers facilitate efficient charge generation for high-performance organic photovoltaics.

Efficient delocalization of photo-generated excitons is a key to improving the charge-separation efficiencies in state-of-the-art organic photovoltaic (OPV) absorber. While the delocalization in non-fullerene acceptors has been widely studied, we expand the scope by studying the properties of the conjugated polymer donor D18 on both the material and device levels. Combining optical spectroscopy, X-ray diffraction, and simulation, we show that D18 exhibits stronger π-π interactions and interchain packing compared to classic donor polymers, as well as higher external photoluminescence quantum efficiency (~26%).

Multi-Axis Feature Diversity Enhancement for Remote Sensing Video Super-Resolution.

How to aggregate spatial-temporal information plays an essential role in video super-resolution (VSR) tasks. Despite the remarkable success, existing methods adopt static convolution to encode spatial-temporal information, which lacks flexibility in aggregating information in large-scale remote sensing scenes, as they often contain heterogeneous features (e.g.

Does Adding a Modality Really Make Positive Impacts in Incomplete Multi-Modal Brain Tumor Segmentation?

Previous incomplete multi-modal brain tumor segmentation technologies, while effective in integrating diverse modalities, commonly deliver under-expected performance gains. The reason lies in that the new modality may cause confused predictions due to uncertain and inconsistent patterns and quality in some positions, where the direct fusion consequently raises the negative gain for the final decision. In this paper, considering the potentially negative impacts within a modality, we propose multi-modal Positive-Negative impact region Double Calibration pipeline, called PNDC, to mitigate misinformation transfer of modality fusion.

Augmented reality in preoperative anterolateral thigh flap perforators positioning: A pilot diagnostic study.

Background: The anterolateral thigh (ALT) flap is the primary choice for healthy and vascularized soft-tissue coverage for appendicular and axial soft tissue reconstruction, especially in the head and neck regions. Nonetheless, there is substantial anatomic variation in ALT perforators that affect flap integrity, survival rates, and donor-site morbidity. Regardless of the ALT flap type, accurate location of perforators can greatly improve surgical success rates and reduce the risk of secondary surgeries.

Efficacy and Safety of Low-Dose Lenvatinib and Toripalimab in Patients With Recurrent Platinum-Resistant Ovarian Cancer: Study Protocol of a Multicenter, Open-Label, Single-Arm, Phase II Clinical Trial.

Purpose: Therapeutic options for patients with platinum-resistant ovarian cancer (PROC) remain a major unmet need. PROC patients with multiple recurrences are unable to continue highly toxic treatment after prior multiple lines of systemic therapy. Chemotherapy-free option lenvatinib plus anti-programmed cell death protein-1 (PD-1) combination therapy has shown promising results in several malignancies including ovarian cancer, but the toxicity of a high starting dose of lenvatinib is also notable and needs to be improved.

Construction of a health literacy prediction model for diabetic patients: A multicenter study.

Objectives: To achieve a rapid assessment of health literacy (HL) levels among diabetic patients.

Methods: A questionnaire survey was conducted among diabetic patients from nine communities in Nantong City, Jiangsu Province, China, using convenient sampling. Based on the survey results, data from three communities were randomly selected as the test set, with the remaining data used as the training set.

Ultrathin polymer membrane for improved hole extraction and ion blocking in perovskite solar cells.

Highly efficient perovskite solar cells (PSCs) in the n-i-p structure have demonstrated limited operational lifetimes, primarily due to the layer-to-layer ion diffusion in the perovskite/doped hole-transport layer (HTL) heterojunction, leading to conductivity drop in HTL and component loss in perovskite. Herein, we introduce an ultrathin (~7 nm) p-type polymeric interlayer (D18) with excellent ion-blocking ability between perovskite and HTL to address these issues. The ultrathin D18 interlayer effectively inhibits the layer-to-layer diffusion of lithium, methylammonium, formamidium, and iodide ions.

Effects of amoxicillin dosage on cure rate, gut microbiota, and antibiotic resistome in vonoprazan and amoxicillin dual therapy for Helicobacter pylori: a multicentre, open-label, non-inferiority randomised controlled trial.

Background: Vonoprazan and amoxicillin (VA) dual therapy as a mainstream Helicobacter pylori regimen has gained momentum worldwide, but the optimum dosages remain unclear. We aimed to compare the efficacy and safety of VA dual therapy with 2 g amoxicillin or 3 g amoxicillin, and to assess the short-term effects of therapy on the gut microbiota and antibiotic resistome.

Methods: We conducted an open-label, non-inferiority randomised controlled trial at 12 centres in China.

Analysis of Influencing Factors Related to Health Literacy of Diabetic Patients: A Survey Based on DHLEIS.

This study is aimed at investigating health literacy (HL) among diabetes mellitus (DM) patients using a comprehensive, scientific, feasible, and suitable HL assessment indicator system tailored for the diabetic population in mainland China and systematically analyzing the factors influencing HL in this population. The Delphi expert consultation method was employed to initially draft and refine the Diabetes Health Literacy Evaluation Indicator System (DHLEIS). The reliability and representativeness of the indicator system were tested through metrics including the active coefficient, authority degree, and coordination degree.

Nevus-associated acral melanoma has lower risk of recurrence and mortality than de novo acral melanoma: A multicenter, retrospective analysis of 482 patients.

Background: It is unknown whether acral melanomas (AMs) associated with pre-existing nevi have similar risk to other AMs.

Objective: To compare risk of recurrence and death between AMs associated with pre-existing nevi and de novo AMs.

Methods: We conducted a multicenter retrospective cohort study involving patients diagnosed with AMs between February 2011 and November 2022.

Dual ligand-enabled iron and halogen-containing carboxylate-based photocatalysis for chloro/fluoro-polyhaloalkylation of alkenes.

Herein, we demonstrate a practical dual ligand-enabled iron photocatalysis paradigm-converting all kinds of halogen-containing carboxylates (C X COO, X: F, Cl, Br) into C X radicals for the valuable chloro/fluoro-polyhaloalkylation of non-activated alkenes with easily available trichloroacetonitrile/Selectfluor as the electrophilic halogenation reagent. The modular assembly of the effective iron and C X COO-based light-harvesting species using the two ligands-OMe/CF-substituted bipyridine and acetonitrile/trichloroacetonitrile is evidenced by detailed mechanistic studies. The late-stage modification, low loading amount of iron (TON: 257) and feasible gram-scale synthesis show the utility of this protocol.

Phase II study of enlonstobart (SG001), a novel PD-1 inhibitor in patients with PD-L1 positive recurrent/metastatic cervical cancer.

Background: Platinum-based chemotherapy with or without bevacizumab is the first-line treatment for patients with recurrent or metastatic cervical cancer (r/mCC), and the treatment options are limited for r/mCC after first-line treatment. Enlonstobart (SG001) is a fully humanized and high-affinity anti-PD-1 immunoglobulin G4 monoclonal antibody. Previous phase Ib study demonstrated that SG001 had a promising efficacy in patients with PD-L1 positive r/mCC.

Development and validation of an explainable machine learning model for predicting multidimensional frailty in hospitalized patients with cirrhosis.

We sought to develop and validate a machine learning (ML) model for predicting multidimensional frailty based on clinical and laboratory data. Moreover, an explainable ML model utilizing SHapley Additive exPlanations (SHAP) was constructed. This study enrolled 622 patients hospitalized due to decompensating episodes at a tertiary hospital.