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Large language models for diabetes training: a prospective study.
IF 18.8 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2025-01-27 DOI: 10.1016/j.scib.2025.01.034
Haoxuan Li, Zehua Jiang, Zhouyu Guan, Yuqian Bao, Yuexing Liu, Tingting Hu, Jiajia Li, Ruhan Liu, Liang Wu, Di Cheng, Hongwei Ji, Yong Wang, Ya-Xing Wang, Carol Y Cheung, Yingfeng Zheng, Jihong Wang, Zhen Li, Weibing Wu, Cynthia Ciwei Lim, Yong Mong Bee, Hong Chang Tan, Elif I Ekinci, David C Klonoff, Justin B Echouffo-Tcheugui, Nestoras Mathioudakis, Leonor Corsino, Rafael Simó, Charumathi Sabanayagam, Gavin Siew Wei Tan, Ching-Yu Cheng, Tien Yin Wong, Huating Li, Chun Cai, Lijuan Mao, Lee-Ling Lim, Yih-Chung Tham, Bin Sheng, Weiping Jia

Diabetes poses a considerable global health challenge, with varying levels of diabetes knowledge among healthcare professionals, highlighting the importance of diabetes training. Large Language Models (LLMs) provide new insights into diabetes training, but their performance in diabetes-related queries remains uncertain, especially outside the English language like Chinese. We first evaluated the performance of ten LLMs: ChatGPT-3.5, ChatGPT-4.0, Google Bard, LlaMA-7B, LlaMA2-7B, Baidu ERNIE Bot, Ali Tongyi Qianwen, MedGPT, HuatuoGPT, and Chinese LlaMA2-7B on diabetes-related queries, based on the Chinese National Certificate Examination for Primary Diabetes Care in China (NCE-CPDC) and the English Specialty Certificate Examination in Endocrinology and Diabetes of Membership of the Royal College of Physicians of the United Kingdom. Second, we assessed the training of primary care physicians (PCPs) without and with the assistance of ChatGPT-4.0 in the NCE-CPDC examination to ascertain the reliability of LLMs as medical assistants. We found that ChatGPT-4.0 outperformed other LLMs in the English examination, achieving a passing accuracy of 62.50%, which was significantly higher than that of Google Bard, LlaMA-7B, and LlaMA2-7B. For the NCE-CPFC examination, ChatGPT-4.0, Ali Tongyi Qianwen, Baidu ERNIE Bot, Google Bard, MedGPT, and ChatGPT-3.5 successfully passed, whereas LlaMA2-7B, HuatuoGPT, Chinese LLaMA2-7B, and LlaMA-7B failed. ChatGPT-4.0 (84.82%) surpassed all PCPs and assisted most PCPs in the NCE-CPDC examination (improving by 1 %-6.13%). In summary, LLMs demonstrated outstanding competence for diabetes-related questions in both the Chinese and English language, and hold great potential to assist future diabetes training for physicians globally.

糖尿病对全球健康构成了巨大挑战,而医疗保健专业人员对糖尿病知识的掌握程度参差不齐,这凸显了糖尿病培训的重要性。大语言模型(LLMs)为糖尿病培训提供了新的见解,但它们在糖尿病相关查询中的表现仍不确定,尤其是像中文这样的非英语语言。我们首先评估了十种大型语言模型的性能:我们首先评估了十个 LLMs 在糖尿病相关查询中的表现,它们是:ChatGPT-3.5、ChatGPT-4.0、Google Bard、LlaMA-7B、LlaMA2-7B、百度 ERNIE Bot、阿里同义千文、MedGPT、HuatuoGPT 和中文 LlaMA2-7B,它们基于中国初级糖尿病护理国家证书考试(NCE-CPDC)和英国皇家内科学院会员内分泌学和糖尿病专业证书考试。其次,我们评估了初级保健医生(PCPs)在没有 ChatGPT-4.0 和有 ChatGPT-4.0 协助的情况下参加 NCE-CPDC 考试的培训情况,以确定 LLMs 作为医疗助理的可靠性。我们发现,ChatGPT-4.0 在英语考试中的表现优于其他 LLM,通过准确率达到 62.50%,明显高于 Google Bard、LlaMA-7B 和 LlaMA2-7B。在 NCE-CPFC 考试中,ChatGPT-4.0、阿里同义千文、百度 ERNIE Bot、Google Bard、MedGPT 和 ChatGPT-3.5 顺利通过,而 LlaMA2-7B、HuatuoGPT、中文 LlaMA2-7B 和 LlaMA-7B 则未能通过。ChatGPT-4.0 (84.82%) 超过了所有 PCP,并帮助大多数 PCP 通过了 NCE-CPDC 考试(提高了 1 %-6.13%)。总之,LLMs 在中英文糖尿病相关问题上都表现出了出色的能力,在协助全球医生未来的糖尿病培训方面具有巨大潜力。
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引用次数: 0
Tripling of MJO residence time over the rapidly warming Indian Ocean during summer monsoon.
IF 18.8 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2025-01-27 DOI: 10.1016/j.scib.2025.01.043
Wenjun Zhang, Xuben Lei, Guosen Chen, Pang-Chi Hsu, Feng Jiang, Malte Stuecker, Fei-Fei Jin, Chao Liu

The Madden-Julian Oscillation (MJO) is the dominant mode of intraseasonal tropical atmospheric variability with far-reaching influences on global weather systems. During boreal winter, the MJO typically exhibits regular eastward propagation, whereas in summer, it displays more complex propagation characteristics, such as frequent stalling over the Indian Ocean. Here we show a threefold increase in the MJO residence time over the Indian Ocean during the Asian summer monsoon in recent four decades. This drastic increase is closely associated with the rapid warming of the Indian Ocean, which contributes to increased extreme climate events across Indian Ocean rim countries. This peculiar warming pattern is projected to persist under anthropogenic warming, potentially facilitating prolonged MJO activity over the Indian Ocean with higher climatic disaster risks in the future.

马登-朱利安涛动(MJO)是季内热带大气变率的主要模式,对全球天气系统影响深远。在寒冷的冬季,MJO 通常表现为有规律的向东传播,而在夏季,它则表现出更复杂的传播特征,例如经常在印度洋上空停滞。这里我们展示了近 40 年来亚洲夏季季风期间 MJO 在印度洋上空的停留时间增加了三倍。这种急剧增加与印度洋的快速变暖密切相关,而印度洋沿岸国家的极端气候事件也因此增加。预计在人为变暖的情况下,这种奇特的变暖模式将持续存在,可能会促进印度洋上空 MJO 活动的延长,并在未来带来更高的气候灾害风险。
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引用次数: 0
Record high CH4/N2 adsorption separation selectivity in a scalable metal-organic framework.
IF 18.8 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2025-01-27 DOI: 10.1016/j.scib.2025.01.046
Yan-Long Zhao, Xuefeng Bai, Xin Zhang, Zhang-Ye Han, Jian-Rong Li
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引用次数: 0
Marine viruses act as regulators of carbon storage in biological pump.
IF 18.8 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2025-01-27 DOI: 10.1016/j.scib.2025.01.045
Wei Wei, Markus G Weinbauer, Rui Zhang
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引用次数: 0
Neurocognitive geography: exploring the nexus between geographic environments, the human brain, and behavior.
IF 18.8 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2025-01-27 DOI: 10.1016/j.scib.2025.01.044
Tianyu Yang, Tong Qin, Jiaxin Zhang, Zheng Dong, Yulin Wu, Xiaohong Wan, Yu Liu, Song Gao, Xi-Nian Zuo, Qiao Wang, Weihua Dong
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引用次数: 0
Thickness-dependent topological phases and flat bands in rhombohedral multilayer graphene.
IF 18.8 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2025-01-25 DOI: 10.1016/j.scib.2025.01.036
Hanbo Xiao, Cheng Chen, Xin Sui, Shihao Zhang, Mengzhao Sun, Han Gao, Qi Jiang, Qiao Li, Lexian Yang, Mao Ye, Fangyuan Zhu, Meixiao Wang, Jianpeng Liu, Zhibin Zhang, Zhujun Wang, Yulin Chen, Kaihui Liu, Zhongkai Liu
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引用次数: 0
Thioketal-photocage: a universal modification strategy for constructing new photochemical tools for real-time imaging in living cells.
IF 18.8 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2025-01-25 DOI: 10.1016/j.scib.2025.01.037
Ding-Heng Zhou, Shan-Yong Chen, Yan-Zhao Liu, Hong Zhang, Jun-Mei Li, Qian Zhou, Fei-Fan Xiang, Xiao-Qi Yu, Kun Li

Photoactivable fluorescent probes (photocages) are powerful tools for studying biological processes in living cells. We report a novel class of photodegradable thioketals that serve as photo-responsive elements and apply them to xanthene dyes to design photocages for live cell imaging. Compared with traditional thioketals, these compounds demonstrate the ability to undergo deprotection upon exposure to ultraviolet-visible light, independent of photosensitizers or external oxidants and relying solely on dissolved oxygen within the solvent. This photoreaction results in a remarkable 68-fold increase in fluorescence intensity. We verify that the uncaged product is the corresponding ketone, with high-performance liquid chromatography analysis, which indicates a yield of up to 80%. Furthermore, we extend this modification strategy to xanthene dyes substituted with various heteroatoms and confirm the universal applicability of this photoactivable strategy. These dyes exhibit good stability against reducing agents and metal ions, with carbon and silicon xanthene photocages also demonstrating commendable dark stability against reactive oxygen species. We apply these photocages for bioimaging and further modify them for selective labeling, activation, and imaging of specific organelles and intracellular proteins within living cells. This modification strategy offers high spatiotemporal selectivity and holds promise as a powerful tool for advanced biological studies.

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引用次数: 0
An artificial intelligence and blockchain technology-based data management framework for multicenter randomized controlled trials.
IF 18.8 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2025-01-25 DOI: 10.1016/j.scib.2025.01.041
Dongyuan Yun, Xiaohang Wu, Xi Chen, Yahan Yang, Yuanjun Shang, Shaopeng Liu, Dinesh Visva Gunasekeran, Duoru Lin, Lixue Liu, Lanqin Zhao, Wenben Chen, Jingjing Chen, Ling Jin, Yuxuan Wu, Jiaming Hong, Weiling Hu, Zhenzhe Lin, Carol Y Cheung, Xiang Chen, Peichen Xie, Zhenzhen Liu, Changhai Ding, Patrick Yu-Wai-Man, Keming Yu, Daniel Shu Wei Ting, Yizhi Liu, Zibin Zheng, Gansen Zhao, Zhihua Xia, Tien Yin Wong, Haotian Lin
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引用次数: 0
Obliquity and precession forcing of the amplitude of millennial-scale East Asian monsoon variability during the late Miocene.
IF 18.8 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2025-01-25 DOI: 10.1016/j.scib.2025.01.042
Peng Gao, Tiantian Shen, Junsheng Nie, Haoqi Chen, Tongxin Si, Alex Farnsworth, Yupeng Jin, Wenjiao Xiao

Asian monsoon systems influence billions of people and understanding past monsoon variability and dynamics is instructive in predicting future trajectories. Recent studies have demonstrated that insolation, plus interrelated changes in ice-sheet extent and volume, particularly in the Northern Hemisphere (NH), have controlled the magnitude of millennial-scale East Asian summer monsoon (EASM) variability during the Quaternary. However, it is unclear how the EASM varied at both orbital and millennial timescales, and whether orbital-scale variations impacted millennial-scale variations, during intervals lacking large permanent NH ice sheets at times when CO2 levels were close to the present-day value of approximately 400 ppm. Here, we present high-resolution (∼1-kyr) dry-wet variation records from late Miocene eolian sediments in the Jianzha Basin of the northeastern Tibetan Plateau, spanning an interval when CO2 levels were persistently close to the modern level and the NH lacked large permanent ice sheets. Our results reveal orbital-scale forcing interwoven with millennial cycles. In contrast to dominant precession and eccentricity forcing of the EASM at orbital scales, the amplitude variations of millennial-scale EASM cycles exhibit strong obliquity (and its modulating cycle) forcing and weak precession forcing. This pattern is different from the pattern observed in either the Quaternary or early Miocene, which we attribute to the effects of different boundary conditions.

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引用次数: 0
Associations of body mass index trajectories, weight change with mortality among the oldest old: do they differ from general older adults?
IF 18.8 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2025-01-24 DOI: 10.1016/j.scib.2025.01.040
Li Qi, Chen Chen, Jinhui Zhou, Sixin Liu, Jun Wang, Yuan Wei, Wenhui Shi, Yang Li, Tao Zhang, Yuebin Lv, Xiaoming Shi
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引用次数: 0
期刊
Science Bulletin
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