There is growing interest globally in using real-world data (RWD) and real-world evidence (RWE) for health technology assessment (HTA). Optimal collection, analysis, and use of RWD/RWE to inform HTA requires a conceptual framework to standardize processes and ensure consistency. However, such framework is currently lacking in Asia, a region that is likely to benefit from RWD/RWE for at least two reasons. First, there is often limited Asian representation in clinical trials unless specifically conducted in Asian populations, and RWD may help to fill the evidence gap. Second, in a few Asian health systems, reimbursement decisions are not made at market entry; thus, allowing RWD/RWE to be collected to give more certainty about the effectiveness of technologies in the local setting and inform their appropriate use. Furthermore, an alignment of RWD/RWE policies across Asia would equip decision makers with context-relevant evidence, and improve timely patient access to new technologies. Using data collected from eleven health systems in Asia, this paper provides a review of the current landscape of RWD/RWE in Asia to inform HTA and explores a way forward to align policies within the region. This paper concludes with a proposal to establish an international collaboration among academics and HTA agencies in the region: the REAL World Data In ASia for HEalth Technology Assessment in Reimbursement (REALISE) working group, which seeks to develop a non-binding guidance document on the use of RWD/RWE to inform HTA for decision making in Asia.

A distributed four-dimensional (4D) trajectory generation method based on multi-agent Q learning is presented for multiple unmanned aerial vehicles (UAVs). Based on this method, each vehicle can intelligently generate collision-free 4D trajectories for time-constrained cooperative flight tasks. For a single UAV, the 4D trajectory is generated by the bionic improved tau gravity guidance strategy, which can synchronously guide the position and velocity to the desired values at the arrival time. Furthermore, to optimise trajectory parameters, the continuous state and action wire fitting neural network Q (WFNNQ) learning method is applied. For multi-UAV applications, the learning is organised by the win or learn fast-policy hill climbing (WoLF-PHC) algorithm. Dynamic simulation results show that the proposed method can efficiently provide 4D trajectories for the multi-UAV system in challenging simultaneous arrival tasks, and the fully trained method can be used in similar trajectory generation scenarios.

We report a facile method to fabricate CuNi nano-octahedra and nanocubes using a colloidal synthesis approach. The CuNi nanocrystals terminated with exclusive crystallographic facets were controlled and achieved by a group of synergetic capping ligands in a hot solution system. Specifically, the growth of {111}-bounded CuNi nano-octahedra is derived by a thermodynamic control, whereas the generation of {100}-terminated CuNi nanocubes is steered by a kinetic capping of chloride. Using a reduction of 4-nitrophenol with sodium borohydride as a model reaction, CuNi nano-octahedra and nanocubes demonstrated a strong facet-dependence due to their different surface energies although both exhibited remarkable catalytic activity with the high rate constant over mass (k/m). A kinetic study indicated that this is a pseudo first-order reaction with an excess of sodium borohydride. CuNi nanocubes as the catalysts showed better catalytic performance (k/m = 385 s-1•g-1) than the CuNi nano-octahedra (k/m = 120 s-1•g-1), indicating that 4-nitrophenol and hydrogen were adsorbed on the {100} facets with their molecules parallel to the surface much easier than those on {111} facets.

Ceria (CeO2) possesses a distinctive redox property due to a reversible conversion to its nonstoichiometric oxide and has been considered as a promising catalyst in the oxidative coupling of methane. Since a heterogeneously catalytic process usually takes place only on the surface of catalysts, it is reasonably expected that the performance of a catalyst, such as CeO2, highly relies on its size- and shape-dependent surface structure. We report our recent progress in achieving exclusive crystal facet-terminated CeO2 nanocrystals using a shape-controlled synthesis protocol in a one-pot colloidal system. We modified a two-phase solvothermal approach to fabricate cubic and truncated octahedral CeO2 nanocrystals with a size-control. During the two-phase solvothermal process, we propose that the Ce-precursors transfer from the aqueous layer to the interface of the organic phase, promoted by the capping ligands (as known as phase-transfer catalysts), for the oxidation and nucleation, and subsequently form CeO2 nanocrystals in the organic layer. As different capping ligands favor binding on diverse crystal facets, tuning the composition of the capping ligand with a precise control could generate nanocrystals that are dominated by a single type of facets with a relatively narrow size distribution.

Apical hypertrophic cardiomyopathy is an uncommon morphologic variant of hypertrophic cardiomyopathy, which is rarely diagnosed in childhood. To date, very few cases of asymptomatic children younger than 18 years have been reported in the literature. To the best of our knowledge, this is the first case of paediatric apical hypertrophic cardiomyopathy presenting with exertional chest pain, with characteristic electrocardiographic, echocardiographic, MRI, and cardiac angiography findings.

We identified and characterized a new cosmocercid nematode species, Cosmocercoides wuyiensis n. sp., through microscopic examination and sequencing of the partial small ribosomal RNA gene (18S rDNA), internal transcribed spacer (ITS) and mitochondrial cytochrome c oxidase subunit 1 (COI) genes. The new species was isolated from the intestine of the Asiatic frog Amolops wuyiensis Liu and Hu, 1975 captured from four localities of the Anhui province in south-east China. Among the 25 recorded species of the Cosmocercoides genus, the morphology of C. wuyiensis n. sp. is closest to that of C. kiliwai and C. malayensis, which were isolated from various Mexican frog and Malaysian lizard species, respectively. However, C. wuyiensis n. sp. displayed several distinguishing features, such as small size of the male body, two spicules of unequal lengths in the male, small gubernaculum, pre-, ad- and post-cloacal caudal rosette papillae in the ratio of 18–24:2:6 and simple papillae in the ratio of 14:multiple:4, circle and number of punctation in each rosette at 1:11–16, sharply conical tail-end and the presence of lateral alae and somatic papillae in both sexes. BLAST and the phylogenetic analyses of the 18S rDNA and ITS sequences indicated that C. wuyiensis n. sp. belonged to the genus Cosmocercoides, while that of the COI gene sequence of C. wuyiensis n. sp. showed 16.36% nucleotide divergence with C. pulcher and 47.99% nucleotide divergence with C. qingtianensis. The morphological and molecular characterization of C. wuyiensis n. sp. provides new taxonomic data for this genus.

Existing data on folate status and hepatocellular carcinoma (HCC) prognosis are scarce. We prospectively examined whether serum folate concentrations at diagnosis were associated with liver cancer-specific survival (LCSS) and overall survival (OS) among 982 patients with newly diagnosed, previously untreated HCC, who were enrolled in the Guangdong Liver Cancer Cohort (GLCC) study between September 2013 and February 2017. Serum folate concentrations were measured using chemiluminescent microparticle immunoassay. Cox proportional hazards models were performed to estimate hazard ratios (HR) and 95 % CI by sex-specific quartile of serum folate. Compared with patients in the third quartile of serum folate, patients in the lowest quartile had significantly inferior LCSS (HR = 1·48; 95 % CI 1·05, 2·09) and OS (HR = 1·43; 95 % CI 1·03, 1·99) after adjustment for non-clinical and clinical prognostic factors. The associations were not significantly modified by sex, age at diagnosis, alcohol drinking status and Barcelona Clinic Liver Cancer (BCLC) stage. However, there were statistically significant interactions on both multiplicative and additive scale between serum folate and C-reactive protein (CRP) levels or smoking status and the associations of lower serum folate with worse LCSS and OS were only evident among patients with CRP > 3·0 mg/l or current smokers. An inverse association with LCSS were also observed among patients with liver damage score ≥3. These results suggest that lower serum folate concentrations at diagnosis are independently associated with worse HCC survival, most prominently among patients with systemic inflammation and current smokers. A future trial of folate supplementation seems to be promising in HCC patients with lower folate status.

In this paper we treat a two-stage grouping procedure of building a k-out-of-n system from several clusters of components. We use a static framework in which the component reliabilities are fixed. Under such a framework, we address the impact of the selecting strategies, the sampling probabilities, and the component reliabilities on the constructed system’s reliability. An interesting finding is that the level of component reliabilities could be identified as a decisive factor in determining how the selecting strategies and the component reliabilities affect the system reliability. The new results generalize and extend those established earlier in the literature such as Di Crescenzo and Pellerey (2011), Hazra and Nanda (2014), Navarro, Pellerey, and Di Crescenzo (2015), and Hazra, Finkelstein, and Cha (2017). Several Monte Carlo simulation experiments are provided to illustrate the theoretical results.

A bottom-feed omni-directional CP (circularly polarized) antenna array is proposed in this letter. The antenna array is composed of four elements (two printed ZPS (zero-phase-shift) line loops and two half-wavelength dipoles). The four elements are fed with the same phase and amplitude. The ZPS line loops provide the horizontal polarization while the dipoles provide the vertical polarization. Therefore, omni-directional circular polarization is formed in the far field. The feeding network consists of a 1–4 T-shaped power divider formed by parallel strip lines. In order to balance the amplitude of the feeding coaxial cable, the structure is used in the bottom to transfer parallel strip line to micro-strip line. Besides, the loops and the dipoles are placed on the different side of the network to guarantee the omni-directional radiation property. The measured impedance bandwidth of the fabricated antenna is 0.13 GHz (2.40–2.53 GHz) and the measured maximum CP gain at 2.45 GHz is 4.8 dBic.

Current available methods to detect cow milk adulteration or accidental contamination of goat milk are both laborious and time consuming. The aim of this technical research communication was to develop a simple, rapid, specific and sensitive method for quantitative detection of cow milk in goat milk. A competitive lateral flow immunoassay (LFIA) strip was developed using a specific monoclonal antibody (mAb) labeled with colloidal gold nanoparticles (GNPs) for specifically binding to cow milk casein. The detection limit of this rapid detection was 0.07% of cow milk in goat milk, providing equal specificity and higher sensitivity when compared with a commercial enzyme-linked immunosorbent assay (ELISA). These result suggest that the established rapid GNPs-LFIA strip could be used for monitoring cow milk adulteration/contamination of goat milk.

Cesium lead iodide perovskite (CsPbI3) with excellent optical and electrical properties have attracted numerous academic attentions. Specifically, the black cubic phase CsPbI3 with a direct band gap of 1.74 eV has been most appropriate materials for various optoelectronic applications, especially for photovoltaic (PV), Light-Emitting Diodes (LED) and photodetector applications1. However, the preferred cubic phase of bulk CsPbI3 (α-CsPbI3) is usually only stable at high temperatures and it will undergo an immediate phase transformation to orthorhombic phase (δ-CsPbI3) after fabrication at room temperature. In this work, we have discovered a convenient CVD method to investigate the growth behavior of the cubic α-CsPbI3 film on the porous alumina substrate. The lead iodide and cesium iodide were used as the precursors for the deposition of CsPbI3. The porous alumina with high surface area and large pore volume was used as growth substrate. It was shown that the porous alumina promoted the growth of CsPbI3 film by absorbing the precursor and increasing the nucleation density. The prepared CsPbI3 film emitted strong and stable red light under ultraviolet light excitation at room temperature and ambient atmosphere. The lead iodide was absorbed on the surface of the porous alumina firstly then reacted with cesiumiodide to form the CsPbI3. The successful preparation of the CsPbI3 by the direct CVD method paves the way for its large scale growth and application in optoelectronic devices.

In this work, we demonstrate a size-controlled synthesis of CuNi octahedral nanocrystals (NCs) using a hot colloidal solution approach. Two different sizes of CuNi nano-octahedra are chosen and investigated. It is determined that the reagent concentration remarkably plays a key role in the formation of the size-defined CuNi octahedral NCs. In terms of the reduction of 4-nitrophenol (4-NP), it uncovers that the obtained CuNi octahedral NCs (in both sizes) exhibit higher catalytic activity than those of CuNi spherical NCs reported previously. It further indicates that the catalytic performance is strongly size-dependent due to their devise specific surface areas of the exposed crystallographic planes.

In the synthesis of metallic nanocrystals (NCs) using a high-temperature colloidal approach, the competition between deposition and diffusion of “free atom (or clusters)” plays an important role as it can direct the morphology of NCs during their evolution. This competition is closely associated with some dynamic conditions such as heat and mass transfer. Stirring speed and ramp rate of heating are two factors that greatly impact the heat and mass transfer processes and consequently determine the morphology of the products but rarely discussed in most synthetic protocols. Herein, we study the syntheses of Pt-M (M = Ni, Fe) NCs as model reactions, showing that a low stirring speed and high ramp rate of heating result in ununiform pod-like NCs, whereas the inverse conditions promote NCs in a uniform shape. This observation can be plausibly explained using a competition mechanism between the deposition and diffusion of the newly reduced atoms during a stage of the NC’s growth.

Carbon nanotubes (CNTs) were added to carbon nanofibers (CNFs) as additives to improve their electrochemical properties. In the present work, CNFs were prepared by using pressurized gyration with polyacrylonitrile as the precursor. The microstructure and electrochemical properties of samples were investigated by scanning electron microscopy and electrochemical workstation, respectively. The results showed that the network structure formed in the fiber, and the fiber diameter decreased with the increase of working pressure. The integral area of cyclic voltammetry curve reached the maximum and the charge/discharge time of constant current charge/discharge curve reached the longest in the case of the CNT concentration is 0.50 wt% and working pressure is 0.2 MPa. At the same time, it exhibited the best electrochemical performance with a specific capacitance of 79 F/g at a current density of 100 mA/g. Compared with the specific capacitance of pure CNFs, the specific capacitance of CNFs with the concentration of CNTs 0.50 wt% increased by about 40%.

In this paper, the design of a graded honeycomb radar absorbing structure (RAS) is presented to realize both a wide bandwidth and absorption over a wide range of angles. For both transverse-electric and transverse-magnetic polarization, a fractional bandwidth of more than 118.6% is achieved for at least a 10 dB reflectivity reduction when the incident angle is <45°, an 8 dB reduction when the incident angle is <55° and a 5 dB reduction when the incident angle is <70°. Meanwhile the 10 dB reduction upper angle limit is approximately 30° for the uniform coating honeycomb RAS in the literature, which loses its absorbing ability when the incident angle is larger than 55°. Furthermore, the total thickness of our design is 10.7 mm, which is only approximately 1.29 times that of the theoretical limitation. The good agreement between the calculated, simulated, and measured results demonstrates the validity of this optimization.