Deploying novel COVID-19 therapies proved challenging amid rapidly evolving data, drug shortages, and conflicting guidelines. We established a remdesivir formulary restriction remdesivir to promote its evidence-based use. This intervention led to changes in remdesivir utilization patterns and cost savings. Formulary restrictions can play an important role in pandemic preparedness and response.

Dietary restriction-influenced biological performance is found in many animal species. Pardosa pseudoannulata is a dominant spider species in agricultural fields and is important for controlling pests. In this study, three groups – a control group (CK group), a re-feeding group (RF group), and a dietary restriction group (RT group) – were used to explore development, mating, reproduction, and the expression levels of Vg (vitellogenin) and VgR (vitellogenin receptor) genes in the spider. The findings indicated that when subjected to dietary restriction, the carapace size, weight of the spiderlings, and weight of the adults exhibited a decrease. Furthermore, the preoviposition period and egg stage were observed to be prolonged, while the number of spiderlings decreased. It was also observed that re-feeding reduced cannibalism rates and extended the preoviposition period. Dietary restriction also affected the expression of the Vg-3 gene in the spider. These results will contribute to the understanding of the impact of dietary restriction in predators of pest control, as well as provide a theoretical foundation for the artificial rearing and utilisation of the dominant spider in the field.

Gene expression studies in organisms are often conducted using reverse transcriptase-quantitative polymerase chain reaction (RT-qPCR), and the accuracy of RT-qPCR results relies on the stability of reference genes. We examined ten candidate reference genes in Sclerodermus guani, a parasitoid wasp that is a natural enemy of long-horned beetle pests in forestry, including ACT, EF1α, Hsc70, Hsp70, SRSF7, α-tubulin, RPL7A, 18S, 28S, and SOD1, regarding variable biotic and abiotic factors such as body part, life stage, hormone, diet, and temperature. Data were analysed using four dedicated algorithms (ΔCt, BestKeeper, NormFinder, and geNorm) and one comparative tool (RefFinder). Our results showed that the most stable reference genes were RPL7A and EF1α regarding the body part, SRSF7 and Hsc70 regarding the diet, RPL7A and α-tubulin regarding the hormone, SRSF7 and RPL7A regarding the life stage, and SRSF7 and α-tubulin regarding temperature. To ascertain the applicability of specific reference genes, the expression level of the target gene (ACPase) was estimated regarding the body part using the most stable reference genes, RPL7A and EF1α, and the least stable one, SOD1. The highest expression level of ACPase was observed in the abdomen, and the validity of RPL7A and EF1α was confirmed. This study provides, for the first time, an extensive list of reliable reference genes for molecular biology studies in S. guani.

There are increasing calls for coverage of medicine during the Holocaust in medical school curricula. This article describes outcomes from a Holocaust and medicine educational program featuring a study trip to Poland, which focused on physician complicity during the Holocaust, as well as moral courage in health professionals who demonstrated various forms of resistance in the ghettos and concentration camps. The trip included tours of key sites in Krakow, Oswiecim, and the Auschwitz-Birkenau concentration camps, as well as meeting with survivors, lectures, reflective writings, and discussions. In-depth interviews and reflective writings were qualitatively analyzed. Resulting themes centered on greater understanding of the relationship between bioethics and the Holocaust, recognizing the need for moral courage and social awareness, deeper appreciation for the historical roles played by dehumanization and medical power and their contemporary manifestations, and the power of presence and experiential learning for bioethics education and professional identity formation. These findings evidence the significant impact of the experience and suggest broader adoption of pedagogies that include place-based and experiential learning coupled with critical reflection can amplify the impact of bioethics and humanism education as well as the process of professional identity formation of medical students.

Inertial measurement units (IMUs) have proven to be valuable tools in measuring the range of motion (RoM) of human upper limb joints. Although several studies have reported on the validity of IMUs compared to the gold standard (optical motion capture system, OMC), a quantitative summary of the accuracy of IMUs in measuring RoM of upper limb joints is still lacking. Thus, the primary objective of this systematic review and meta-analysis was to determine the concurrent validity of IMUs for measuring RoM of the upper extremity in adults. Fifty-one articles were included in the systematic review, and data from 16 were pooled for meta-analysis. Concurrent validity is excellent for shoulder flexion–extension (Pearson’s r = 0.969 [0.935, 0.986], ICC = 0.935 [0.749, 0.984], mean difference = −3.19 (p = 0.55)), elbow flexion–extension (Pearson’s r = 0.954 [0.929, 0.970], ICC = 0.929 [0.814, 0.974], mean difference = 10.61 (p = 0.36)), wrist flexion–extension (Pearson’s r = 0.974 [0.945, 0.988], mean difference = −4.20 (p = 0.58)), good to excellent for shoulder abduction–adduction (Pearson’s r = 0.919 [0.848, 0.957], ICC = 0.840 [0.430, 0.963], mean difference = −7.10 (p = 0.50)), and elbow pronation–supination (Pearson’s r = 0.966 [0.939, 0.981], ICC = 0.821 [0.696, 0.900]). There are some inconsistent results for shoulder internal–external rotation (Pearson’s r = 0.939 [0.894, 0.965], mean difference = −9.13 (p < 0.0001)). In conclusion, the results support IMU as a viable instrument for measuring RoM of upper extremity, but for some specific joint movements, such as shoulder rotation and wrist ulnar-radial deviation, IMU measurements need to be used with caution.

In order to improve the global convergence performance of the super-twisting sliding mode control (STSMC) for the uncertain hybrid mechanism, especially in the high-speed scenario, and enhance the robustness of hybrid mechanism system to the uncertainties with a wide range of changes, an intelligent fixed-time super-twisting sliding mode control (IFTSTSMC) is proposed. Firstly, a fixed-time super-twisting sliding mode control (FTSTSMC) algorithm is designed by adding the exponential power terms with the fixed-time performance parameters in sliding variables and the transcendental function of the super-twisting algorithm in order to enhance the global convergence performance of the STSMC. Secondly, the existence condition of FTSTSMC for the uncertain hybrid mechanism is analyzed. The IFTSTSMC is designed by introducing RBF neural network to break through the limited range of uncertainties in FTSTSMC and enhance the robustness of hybrid mechanism system to the uncertainties with a wide range of changes. Then, the Lyapunov stability of the proposed method and the global fixed-time convergence of the system are proved theoretically. Finally, the effectiveness and superiority of the proposed control method are verified by the simulation and the automobile electro-coating conveying prototype experiment comparing with two classical finite-time sliding mode control methods.

Malicious cyber activities against space activities (MCASAs) add to the complexities of the legal attribution of malicious cyber activities violating international law. The ‘space’ implies the possibility of applying international space law considering the lex specialis derogat legi generali (more specific rules will prevail over more general rules) principle. However, neither the attribution rules of international space law nor of general international law could completely tackle this dilemma. This study categorizes MCASAs into three categories based on the role of the involved space activities and analyses the crux of legal attribution in each scenario. It proposes different coping approaches, including a four-pronged way, introducing a peculiarity test, and specifying substantive international obligations of the states responsible for space activities.

The coupling of Richtmyer–Meshkov instability (RMI) and Kelvin–Helmholtz instability (KHI), referred to as RM-KHI, on a shock-accelerated inclined single-mode air–SF$_6$ interface is studied through shock-tube experiments, focusing on the evolution of the perturbation distributed along the inclined interface. To clearly capture the linear (overall linear to nonlinear) evolution of RM-KHI, a series of experiments with a weak (relatively strong) incident shock is conducted. For each series of experiments, various $\theta _{i}$ (angle between incident shock and equilibrium position of the initial interface) are considered. The nonlinear flow features manifest earlier and develop faster when $\theta _{i}$ is larger and/or shock is stronger. In addition, the interface with $\theta _{i}>0^{\circ }$ evolves obliquely along its equilibrium position under the effect of KHI. RMI dominates the early-time amplitude evolution regardless of $\theta _{i}$ and shock intensity, which arises from the discrepancy in the evolution laws between RMI and KHI. KHI promotes the post-early-stage amplitude growth and its contribution is related positively to $\theta _{i}$. An evident exponential-like amplitude evolution behaviour emerges in RM-KHI with a relatively strong shock and large $\theta _{i}$. The linear model proposed by Mikaelian (Phys. Fluids, vol. 6, 1994, pp. 1943–1945) is valid for RM-KHI within the linear period. In contrast, the adaptive vortex model (Sohn et al., Phys. Rev. E, vol. 82, 2010, p. 046711) can effectively predict both the interface morphology and overall amplitude evolutions from the linear to nonlinear regimes.

Varicella is a vaccine-preventable infectious disease. Since 1 December 2018, the varicella vaccine has been included in the local Expanded Programme on Immunization (EPI) in Wuxi, China, and children born after 1 December 2014 are eligible for free vaccination. To evaluate the effect of varicella vaccination in Wuxi city, we selected 382 397 children born from 2012 to 2016 as subjects. Their disease data were obtained from the Chinese Disease Prevention and Control Information System, and their vaccination data were obtained from the Jiangsu Province Vaccination Integrated Service Management Information System. The incidence of breakthrough varicella cases increased in the first 4 years and reached the peak in the fifth year. With the increase of vaccination rate, the incidence of varicella decreased significantly. The vaccine effectiveness (VE) was found to be 88.17%–95.78% for one dose and 98.65%–99.93% for two doses. Although the VE per dose decreased from 99.57% in the first year to 93.04% in the eighth year, it remained high. These findings confirmed the effectiveness of varicella vaccination in children, supported the use of a two-dose varicella vaccination strategy to achieve better protection, and provided important insights into the optimal vaccination strategy for varicella prevention in children.

Estimating airspace capacity under convective weather conditions is crucial for ensuring the efficiency and safety of air traffic operations. Sector route segments, which are essential components of flight routes, require timely capacity predictions during operationally critical periods. In this paper, initially, an enhanced Recursive Feature Elimination algorithm is used to select meteorological data and develop predictive features. Subsequently, the CWSRC model is established using the RF supervised learning algorithm. Finally, the paper takes ENH-YIH segment as an example to predict the capacity. Compared with other machine learning algorithms, the residual percentages for KNN, MLP and RF are 86.03%, 77.37% and 93.40%, respectively, within the range of [−0.2, 0.2]. In three separate day cases, results show that the CWSRC model’s MAE, MSE, RMSE and R2 significantly outperform traditional methods like Maxflow/Mincut and scanning line. The results confirm the CWSRC model’s superior predictive capabilities.

Motivated by the recent work of Zhi-Wei Sun [‘Problems and results on determinants involving Legendre symbols’, Preprint, arXiv:2405.03626], we study some matrices concerning subgroups of finite fields. For example, let $q\equiv 3\pmod 4$ be an odd prime power and let $\phi $ be the unique quadratic multiplicative character of the finite field $\mathbb {F}_q$. If the set $\{s_1,\ldots ,s_{(q-1)/2}\}=\{x^2:\ x\in \mathbb {F}_q\setminus \{0\}\}$, then we prove that

$$ \begin{align*}\det[t+\phi(s_i+s_j)+\phi(s_i-s_j)]_{1\le i,j\le (q-1)/2}=\bigg(\frac{q-1}{2}t-1\bigg)q^{{(q-3)}/{4}}.\end{align*} $$

This confirms a conjecture of Zhi-Wei Sun.

Moral emotions such as shame, guilt and pride are crucial to young children’s social-emotional development. Due to the restrictions caused by hearing loss in accessing the social world, deaf and hard of hearing (DHH) children may encounter extra difficulties in their development of moral emotions. However, little research so far has investigated the development trajectory of moral emotions during preschool years in DHH children. The present study used a longitudinal design to explore the development trajectories of shame, guilt, and pride, in a sample of 259 Chinese DHH and typically hearing (TH) preschoolers aged 2 to 6 years old. The results indicated that according to parent reports, DHH children manifested lower levels of guilt and pride compared to their TH peers, yet the manifested levels of shame, guilt, and pride increased throughout the preschool time at a similar pace in all children. Moreover, whilst guilt and pride contributed to increasing levels of psychosocial functioning over the preschool years, shame contributed to lower social competence and more externalizing behaviors in DHH and TH preschoolers. The outcomes imply that early interventions and adjustment to hearing loss could be useful to safeguard the social development of children with severe hearing loss, and cultural variances shall be taken into consideration when studying moral emotions in a Chinese cultural background.

Aphis gossypii is one of the most economically important agricultural pests that cause serious crop losses worldwide, and the indiscriminate chemical application causes resistance development in A. gossypii, a major obstacle to successful control. In this study, we selected the up-regulated expression gene AgJHAMT, which was enriched into juvenile hormone pathway though transcriptome sequencing analysis of the cotton aphids that fed on transgenic cotton lines expressing dsAgCYP6CY3 (the TG cotton). The AgJHAMT gene was overexpressed in cotton aphids which fed on the TG cotton, and its expression profile during the nymphs was clarified. Then, silencing AgJHAMT could advance the developmental period of cotton aphids by 0.5 days compared with control groups. The T and t values of cotton aphids in the dsJHAMT treatment group (6.88 ± 0.15, 1.65 ± 0.06) were significantly shorter than that of the sprayed H2O control group (7.6 ± 0.14, 1.97 ± 0.09) (P < 0.05), respectively. The fast growth caused by AgJHAMT silencing was rescued by applying the JH analogue, methoprene. Overall, these findings clarified the function of AgJHAMT in the developmental period of A. gossypii. This study contributes to further clarify the molecular mechanisms of delaying the growth and development of cotton aphids by the transgenic cotton lines expressing dsAgCYP6CY3.