Pub Date : 2025-01-27DOI: 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.
{"title":"Large language models for diabetes training: a prospective study.","authors":"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","doi":"10.1016/j.scib.2025.01.034","DOIUrl":"https://doi.org/10.1016/j.scib.2025.01.034","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":421,"journal":{"name":"Science Bulletin","volume":" ","pages":""},"PeriodicalIF":18.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Tripling of MJO residence time over the rapidly warming Indian Ocean during summer monsoon.","authors":"Wenjun Zhang, Xuben Lei, Guosen Chen, Pang-Chi Hsu, Feng Jiang, Malte Stuecker, Fei-Fei Jin, Chao Liu","doi":"10.1016/j.scib.2025.01.043","DOIUrl":"https://doi.org/10.1016/j.scib.2025.01.043","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":421,"journal":{"name":"Science Bulletin","volume":" ","pages":""},"PeriodicalIF":18.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-27DOI: 10.1016/j.scib.2025.01.045
Wei Wei, Markus G Weinbauer, Rui Zhang
{"title":"Marine viruses act as regulators of carbon storage in biological pump.","authors":"Wei Wei, Markus G Weinbauer, Rui Zhang","doi":"10.1016/j.scib.2025.01.045","DOIUrl":"https://doi.org/10.1016/j.scib.2025.01.045","url":null,"abstract":"","PeriodicalId":421,"journal":{"name":"Science Bulletin","volume":" ","pages":""},"PeriodicalIF":18.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-25DOI: 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.
{"title":"Thioketal-photocage: a universal modification strategy for constructing new photochemical tools for real-time imaging in living cells.","authors":"Ding-Heng Zhou, Shan-Yong Chen, Yan-Zhao Liu, Hong Zhang, Jun-Mei Li, Qian Zhou, Fei-Fan Xiang, Xiao-Qi Yu, Kun Li","doi":"10.1016/j.scib.2025.01.037","DOIUrl":"https://doi.org/10.1016/j.scib.2025.01.037","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":421,"journal":{"name":"Science Bulletin","volume":" ","pages":""},"PeriodicalIF":18.8,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-25DOI: 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.
{"title":"Obliquity and precession forcing of the amplitude of millennial-scale East Asian monsoon variability during the late Miocene.","authors":"Peng Gao, Tiantian Shen, Junsheng Nie, Haoqi Chen, Tongxin Si, Alex Farnsworth, Yupeng Jin, Wenjiao Xiao","doi":"10.1016/j.scib.2025.01.042","DOIUrl":"https://doi.org/10.1016/j.scib.2025.01.042","url":null,"abstract":"<p><p>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 CO<sub>2</sub> 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 CO<sub>2</sub> 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.</p>","PeriodicalId":421,"journal":{"name":"Science Bulletin","volume":" ","pages":""},"PeriodicalIF":18.8,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-24DOI: 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
{"title":"Associations of body mass index trajectories, weight change with mortality among the oldest old: do they differ from general older adults?","authors":"Li Qi, Chen Chen, Jinhui Zhou, Sixin Liu, Jun Wang, Yuan Wei, Wenhui Shi, Yang Li, Tao Zhang, Yuebin Lv, Xiaoming Shi","doi":"10.1016/j.scib.2025.01.040","DOIUrl":"https://doi.org/10.1016/j.scib.2025.01.040","url":null,"abstract":"","PeriodicalId":421,"journal":{"name":"Science Bulletin","volume":" ","pages":""},"PeriodicalIF":18.8,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143447764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}