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6 月份 PJM 容量拍卖导致容量价格大幅上涨，这意味着俄亥俄州所有消费者的电力成本将大幅上升，因为
• 能源来源多样化：通过将风能、太阳能和其他可再生能源引入能源市场，电网对单一电源的依赖性将降低，从而提高整体可靠性。• 峰值需求管理：太阳能尤其有助于满足晴天的峰值需求，从而减少高需求期间电网的压力。• 能源存储集成：将可再生能源与电池存储系统相结合，可以在需求高或可再生能源发电量低时（例如夜间或阴天）存储和使用多余的能源。• 电网弹性：分布式可再生能源系统（如屋顶太阳能电池板）可以通过提供局部发电来增强电网弹性，减少停电和输电瓶颈的影响。• 环境效益：可再生能源有助于清洁环境，从而带来长期健康和经济效益，间接支持更稳定和可持续的能源系统。
石墨烯纳米片/钛酸钛含量聚合物纳米复合纤维：一种具有前所未有的电气，热机械和电磁特性的再制造的多功能材料
A novel, zero-waste and recycling plastic waste solution is introduced, to scalably produce graphene nanoplatelets/barium titanate (GNP/BaTiO 3 ) polymer nanocomposite fibrils.A comprehensive investigation is performed to evaluate the compatible and non-compatible recycled polypropylene (PP)/polyethyleneterephthalate (PET) blends combined with functional (electrical, piezoelectric,and dielectric) materials for in-situ fibril production.The nanocompositefibrils made from recycled PP, PET and GNPs/BaTiO 3 with high-aspect ratio disparity (400:1) are produced, which exhibit significantly enhanced electrical, thermomechanical, and electromagnetic characteristics.Single-screw extrusion is utilised to fabricate the fibrils with the in-situ fibril morphology of PET and GNPs/BaTiO 3 leading to improved electrical conductivity.It is demonstrated that such fibril morphology restricts the chain mobility of polymer molecules, and ultimately increases viscosity and strain energy.Moreover, the study demonstrates a positive reinforcement effect from the utilisation of PET fibrils and GNPs/BaTiO 3 in a PP matrix, dominated by the high-aspect ratio, stiffness, and thermal stability of GNPs/BaTiO 3 .Furthermore, it is observed that the mechanical properties and tension-bearing capacity of the PP are significantly improved by such incorporation.The study also demonstrates that the protection of the remanufactured nanocomposites against electromagnetic interference is significantly improved with the increasing GNPs/BaTiO 3 content and the morphological transition from spherical to fibril-shaped PET.
完善肠道菌群与常见血液学恶性肿瘤之间的关系：双向Mendelian随机研究的见解
Results: Through forward and reverse MR analyses, we found the risk of lymphoid leukemia was signi fi cantly associated with the abundance of phylum Cyanobacteria, order Methanobacteriales, class Methanobacteria, family Peptococcaceae, family Methanobacteriaceae, and genera Lachnospiraceae UCG010, Methanobrevibacter, Eubacterium brachy组和丁二维伯里奥（Butyrivibrio）。The risk of myeloid leukemia was signi fi cantly associated with the abundance of phylum Actinobacteria, phylum Firmicutes, order Bi fi dobacteriales, order Clostridiales, class Actinobacteria, class Gammaproteobacteria, class Clostridia, family Bi fi dobacteriaceae, and genera Fusicatenibacter, Eubacterium Hallii Group，Blautia，Collinsella，Ruminococcus Gauvreauii组和双杆菌。Hodgkin淋巴瘤的风险与丰富的梭子座Vadinb60组，peptocococus属和Ruminococcaccaceae UCG010属显着相关。恶性等离子体细胞肿瘤的风险与丰富的Romboutsia属和卵细菌的丰度显着相关。弥漫性大B细胞淋巴瘤的风险与丰富的Erysipelatoclostridium和Eubacterium coprostanolostanoligenes组显着相关。成熟T/NK单元的风险
大脑通信ain通信
众所周知，半手忽视患者的空间和非空间注意方面之间的临床联系；在特定的情况下，警报的增加可以在不断地将注意力分配给对比方面。在关注模型中，这种现象被认为依赖于腹侧皮质网络和背侧皮质网络之间的相互作用，分别缩减了非空间和专注于注意方面。然而，这两个网络之间相互作用的确切神经基础知之甚少。在本研究中，我们包括80例亚急性中风（50％女性；年龄范围：24-96），33例，而无忽视的47例右半球患者，如纸 - 铅笔取消测试所评估。 患者执行了一项计算机上的任务，在该任务中，他们被要求通过按钮对中心目标尽快做出反应，该目标是先于或不采用非空间，听觉警告音调的中心目标。 在两个不同条件下的反应时间。 在忽视患者中，警告语调，增强腹侧注意力“警报”网络中的活动，可以提高背注意网络（以较短的反应时间）对视觉刺激的反应（以较短的反应时间），直至无忽视的患者水平。 Critically, using voxel-based lesion-symptom mapping analyses, we show that this effect significantly depends on the integrity of the right an- terior insula and adjacent inferior frontal gyrus, i.e., right-hemispheric patients with lesions involving these areas were significantly less likely to show shorter reaction times when a warning tone was presented prior to visual target appearance.在本研究中，我们包括80例亚急性中风（50％女性；年龄范围：24-96），33例，而无忽视的47例右半球患者，如纸 - 铅笔取消测试所评估。患者执行了一项计算机上的任务，在该任务中，他们被要求通过按钮对中心目标尽快做出反应，该目标是先于或不采用非空间，听觉警告音调的中心目标。在两个不同条件下的反应时间。在忽视患者中，警告语调，增强腹侧注意力“警报”网络中的活动，可以提高背注意网络（以较短的反应时间）对视觉刺激的反应（以较短的反应时间），直至无忽视的患者水平。Critically, using voxel-based lesion-symptom mapping analyses, we show that this effect significantly depends on the integrity of the right an- terior insula and adjacent inferior frontal gyrus, i.e., right-hemispheric patients with lesions involving these areas were significantly less likely to show shorter reaction times when a warning tone was presented prior to visual target appearance.我们建议，右前岛和下额回是一个关键的枢纽，腹侧注意网络可以“警告”并提高背侧注意网络活动的效率。
Exceptional Magnetocaloric Responses in a Gadolinium Silicate with Strongly Correlated Spin Disorder for Sub‐Kelvin Magnetic Cooling
The development of magnetocaloric materials with a significantly enhanced volumetric cooling capability is highly desirable for the application of adiabatic demagnetization refrigerators in confined spatial environments. Here, the thermodynamic characteristics of a magnetically frustrated spin-7/2 Gd 9.33 [SiO 4 ] 6 O 2 is presented, which exhibits strongly correlated spin disorder below ≈ 1.5 K. A quantitative model is proposed to describe the magnetization results by incorporating nearest-neighbor Heisenberg antiferromagnetic and dipolar interactions. Remarkably, the recorded magnetocaloric responses are unprecedentedly large and applicable below 1.0 K. It is proposed that the S = 7/2 spin liquids serve as versatile platforms for investigating high-performance magnetocaloric materials in the sub-kelvin regime, particularly those exhibiting a superior cooling power per unit volume.
1型小儿糖尿病患者中血糖控制的预测因子 - 埃塞俄比亚东北部
结果：在203例1型糖尿病患者中，平均年龄为8.72±4.25岁，最大的参与者组为10岁以上（77例患者，37％）。大多数患者是女性，总计126（62.1％），约69（34.0％）在7 - 10年级。视网膜病，肾病和糖尿病性酮症酸中毒。超过一半的患者，107（52.7％）具有良好的糖尿病控制，而96（47.3％）的糖尿病控制差。Factors signi fi cantly associated with poor glycemic control include having diabetes for more than 5 years (aOR: 1.45; 95% CI: 0.47, 0.91), being a third-born child (aOR: 0.22; 95% CI: 0.05, 0.92), having a comorbid disease condition (aOR: 1.84; 95% CI: 0.29, 0.92), and experiencing与糖尿病有关的并发症（AOR：0.26; 95％CI：0.08，0.97）。
神经元功能障碍和基因调节帕金森氏病和突触核酸的非编码RNA
Over the last few decades, emerging evidence suggests that non-coding RNAs (ncRNAs) including long-non-coding RNA (lncRNA), microRNA (miRNA) and circular-RNA (circRNA) contribute to the molecular events underlying progressive neuronal degeneration, and a plethora of ncRNAs have been identified significantly misregulated in many神经退行性疾病，包括帕金森氏病和突触性疾病。尽管在许多情况下尚未清楚地确定神经病理学与致病候选者之间的直接联系，但NCRNA对导致神经退行性疾病中细胞功能障碍的分子过程的贡献已经解决，这表明它们可能在这些疾病的病理学中起作用。本综述的目的是概述和讨论最近的文献，这些文献涉及帕金森病和突触核苷模型中神经病理学不同方面的基于RNA的机制的作用。
5年疗效和生物标志物来自Checkmate 238
ABSTRACT ◥ Purpose: In the phase III CheckMate 238 study, adjuvant nivo- lumab signi fi cantly improved recurrence-free survival (RFS) and distant metastasis-free survival versus ipilimumab in patients with resectedstageIIIB – CorstageIVmelanoma,withbene fi tsustainedat 4 years.我们报告了更新的5年效率和生物标志性发现。患者和方法：由阶段和基线编程的死亡细胞配体1（PD-L1）表达进行分层的IIIB - C/IV型黑色素瘤的患者，并每2周接受Nivolumab 3 mg/kg或接受Nivolumab 3 mg/kg，或者每3周每3周一次ipiLimumAb每3周一次撤回每12周，然后每3周，均可恢复1年，直到有毒性，直到有疾病，直到有疾病，直到有疾病。主要终点是RFS。结果：在62个月的最小随访中，具有Nivolumab的RF仍然优于ipilimumab（HR¼0.72; 95％的置信间隔，0.60 - 0.86； 5年50％比39％）。五个 -
基于系统评价和荟萃分析的早期糖尿病周围神经病的风险预测模型的开发和验证
结果：总共包括18个队列中T2DM的95,604例患者。年龄，吸烟，体重指数，糖尿病持续时间，血红蛋白A1C，低HDL-C，高甘油三酸酯，高血压，糖尿病性视网膜病，糖尿病性肾脏病和心血管疾病被纳入最佳模型。最高分数为52.0。验证队列的中位随访时间为4。29年。最佳切割点为17.0，灵敏度分别为0.846，特异性为0.668。根据总分数，将验证队列的患者分为低，中等，高和非常高风险的组。The risk of developing DPN was significantly increased in moderate- (RR 3.3, 95% CI 1.5–7.2, P = 0.020), high- (RR 15.5, 95% CI 7.6–31.6, P < 0.001), and very high-risk groups (RR 45.0, 95% CI 20.5–98.8, P < 0.001) compared with the low-risk group.
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Vision是一项前瞻性，开放标签，随机，第三阶段试验，评估了先前至少使用一种ARPI和一两个类紫杉烷治疗的PSMA阳性MCRPC的患者的PLUVICTO®。随机分组（2：1），八百三十一（n = 831）患者每6周接受PLUVICTO®7.4GBQ（200 MCI），最多可容纳6剂6剂加上BSOC（n = 551）或单独使用BSOC（n = 280）。At a median follow-up of 20.9 months, PLUVICTO® plus BSoC significantly prolonged, as compared with BSoC, both alternate primary efficacy endpoints, imaging-based progression-free survival (median, 8.7 vs. 3.4 months; hazard ratio for progression or death, 0.40; 99.2% confidence interval [CI], 0.29 to 0.57; p <0.001）和总生存期（中位数为15.3 vs. 11.3个月；死亡危险比，0.62; 95％CI，0.52至0.74; p <0.001）。所有关键的次要终点（客观反应，疾病控制和有症状骨骼事件的时间）显着偏爱Pluvicto®。2