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In a cluster-randomized trial conducted across 70 medical centers in six countries, a 16-week structured educational program for healthcare providers improved adherence to guidelines for rhythm control but not for stroke prevention in individuals with atrial fibrillation.

Determining the direction of the magnetic field of light is important for optical applications. Here, scattering of light from a subwavelength aperture in a metal plane is shown to be governed by its magnetic vector, providing the magnetic field orientation independently of the electric field.

TDP-43 nuclear clearance and loss-of-function, a hallmark of ALS-FTD and other neurodegenerative diseases, causes widespread inclusion of harmful cryptic exons. Here, the authors developed SnapMine to analyze cryptic exon inclusion across public RNA-seq datasets and identified that the antifungal ciclopirox olamine (CPX) induces such inclusion via heavy metal toxicity and oxidative stress.

Entanglement was observed in top–antitop quark events by the ATLAS experiment produced at the Large Hadron Collider at CERN using a proton–proton collision dataset with a centre-of-mass energy of √s  = 13 TeV and an integrated luminosity of 140 fb⁻¹.

A CRISPR knock-in strategy that uses endogenous gene regulatory mechanisms can engineer ‘armoured’ CAR T cells that secrete proinflammatory cytokines directly within a tumour without causing toxicity, leading to prolonged survival in mice.

Here the authors show that a heteropolysaccharide from a commensal bacteria commonly found in the Korean food kimchi is able to bolster antitumor immune responses by instructing tumor-associated macrophages to release lipocalin-2, which sequesters iron away from tumor cells contributing to the immune response to attack these cells.

A genome-wide study by the Long COVID Host Genetics Initiative identifies an association between the FOXP4 locus and long COVID, implicating altered lung function in its pathophysiology.

Repeated vaccination is needed to maintain high levels of SARS-CoV-2 immunity in vulnerable populations, but there is concern that it could lead to immune exhaustion. Here, the authors assess the evidence for immune exhaustion following multiple SARS-CoV-2 vaccination three vulnerable population cohorts in Canada.

Measurements of the inelastic cross section of anti-³He allow the estimation of the transparency of the Milky Way to the propagation of these light antinuclei produced in either cosmic-ray collisions or annihilation of dark-matter particles.

The COMPASS trial is a prospective observational study seeking to establish biomarkers in advanced pancreatic cancer through in-depth profiling prior to commencing chemotherapy. Here, the authors report the final data for the complete cohort of 268 patients enrolled in the COMPASS trial.

Quantum spin-ice phases are predicted to have emergent gauge fields and fractionalization. Neutron scattering and thermodynamic measurements of the quantum spin-ice candidate Ce₂Zr₂O₇ show features consistent with these predictions.

Here, the authors show that Brown-Zak fermions in graphene-on-boron-nitride superlattices exhibit mobilities above 10⁶ cm²/V s and micrometer scale ballistic transport.

Heavily doping silicon with phosphorus produces a dense population of metallic conduction electrons and localized magnetic moments. Low-temperature measurements show evidence of strongly correlated state.

Hydrogen peroxide (H₂O₂) is an eco-friendly oxidizer and a promising energy carrier, but it is primarily synthesized through the energy-intensive anthraquinone process. Here sustainable and unassisted electrochemical H₂O₂ production coupled to glycerol oxidation is reported, operating without an external bias or solar energy input.

Vaccination is often inferior to nature infection for the induction of lasting immunity. Here the authors combine masked TLR7/8 agonist with controlled release of antigens in a kinetically engineered vaccine (KE-VAC) to mimic immune responses during natural infection, and find KE-VAC inducing protective immunity for influenza, SARS-CoV-2 and SFTSV.

Materials with variable and reversible thermal conductivities are important in technologies, and yet such materials are rare. Here, Cho et al. report in situmeasurements of thermal conductivity of lithium cobalt oxide, and show how to reversibly modulate thermal conductivities over a considerable range.

The ability to control domain wall motion in ultrathin magnetic wires with an applied current could prove useful in future spintronic devices. Tetienne et al.now directly observe the different domain-wall structures in various magnetic material systems using a scanning nanomagnetometer.

A genome-wide association study including over 76,000 individuals with schizophrenia and over 243,000 control individuals identifies common variant associations at 287 genomic loci, and further fine-mapping analyses highlight the importance of genes involved in synaptic processes.

Akkermansia muciniphila has several clades (AmI-AmIV), with one clade usually dominating per host. Here, the authors show AmII-derived extracellular vesicles mediate competitive exclusion of AmI via direct inhibition and immune stimulation.

Exome sequencing of 851 trios from more than 2,500 individuals finds 187 genes with de novo mutations that contribute to meningomyelocele (spina bifida) and highlights critical pathways required for neural tube closure.

Analysis of CRISPR-Cas off-targets is important. Here the authors incorporate molecular dynamics simulations in the computational analysis of CRISPR editing and report the CRISOT tool suite and apply this to genome-wide CRISPR off-target prediction and sgRNA optimisation.

The connection between the molecular and physical control of embryonic tissues remains unclear. Here, the authors connect genetic mutations to changes in the physical state of posterior tissues during axis elongation, revealing a key role for dorsal tissues.

SpCas9 off-targets are a safety concern. Here the authors report a cleavage rule that governs the on-target and off-target cleavage of increased(/high)-fidelity SpCas9 variants: the variants have differences in fidelity small enough to comprise an optimal variant for each target, irrespective of its cleavability ranking.

Here the authors demonstrate a scalable and durable minimodule size artificial leaf with a solar-to-hydrogen efficiency of >10% using a metal-halide perovskite-based photoelectrodes encapsulated with metal foil deposited co-catalysts.

Stabilizing lithium-metal anodes is challenging due to their high reactivity with electrolytes. This work presents a dual-passivation polymer coating that enhances solid–electrolyte interphase stability, improving cycling performance and increasing capacity retention over extended cycles.

Looking at genes that are differentially responsive to pathogens depending on the genetic background may help in the identification of therapeutic targets in personalized medicine. Here, using challenge of monocytes with three pathogens the authors identified eQTL that are shared between pathogens and loci that are pathogen specific.

Whether multimorbidity accelerates brain Aβ deposition in humans remains largely unknown. Here, the authors demonstrate that higher self-reported multimorbidity burden predicts increased brain Aβ accumulation rates in the ADNI cohort.

Engineered, bifunctional receptors present antigens and initiate signaling in response to binding to the cognate T cell receptor. Libraries built with SABRs can screen thousands of epitopes for the discovery of T cell target antigens.

Focused ultrasound could be used to change the geometry of implanted shape-memory medical devices noninvasively. Here, the authors demonstrate this concept on large animal models, showing device removal and trigger drug release.

Stereotactic needle biopsies are currently performed for diagnosis only in glioblastoma; this study highlights the depth of information available through multi-omics analysis.

The ability to predict the survival and response to treatment of cancer patients may improve patient care. Here, the authors generate a 32 gene signature that can predict the survival and response to treatment in gastric cancer patients.

Isotopic thermometry of carbonate minerals postulates that their composition reflects thermodynamic equilibrium constants. Here the authors constrain equilibrium relationships between temperature, ¹⁸O/¹⁶O and clumped isotopes and find that most natural calcites form out of isotopic equilibrium.

Genome-wide association and fine-mapping analyses in ancestrally diverse populations implicate candidate causal genes and mechanisms underlying type 2 diabetes. Trans-ancestry genetic risk scores enhance transferability across populations.

Here, the authors perform large trans-ancestry fine-mapping analyses identifying large numbers of association signals and putative target genes for colorectal cancer risk, advancing our understanding of the genetic and biological basis of this cancer.

Supersonic turbulence is relevant to astrophysical plasmas with their study mostly limited to numerical simulations. Here the authors demonstrate supersonic turbulence in collisional high Mach number plasma jets generated in laboratory by using high power lasers.

The structural changes at low-coordination sites of nanocatalysts such as edges, remain poorly understood. Here, the authors report observations of high-lattice distortion at edges of Pt nanocrystals during heterogeneous catalytic methane oxidation by using in situ 3D Bragg coherent X-ray diffraction imaging.