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            (TSFAM) model, an adaptive human-AI teaming framework designed to enhance hard-to-place kidney acceptance decision-making by integrating transplant surgeons’ individualized expertise with advanced AI analytics (Figure 1). Methods: TSFAM is an innovative solution for complex issues in kidney transplant decision-making support. It employs fuzzy associative memory to capture and codify unique decision-making rules of transplant surgeons. Using the Deceased Donor Organ Assessment (DDOA) and Final Acceptance AI models designed to evaluate hard-to-place kidneys, TSFAM integrates fuzzy logic with deep learning techniques to manage inherent uncertainties in donor organ assessments. Surgeon-specifi c ontologies and membership functions are extracted through interviews. Similar to how a pain scale is used for understanding patients, an ontology ambiguity scale is used to develop surgeon rules (Figure 2). Fuzzy logic captures ambiguity and enables the model to adapt to evolving clinical, environmental, and policy conditions. The structured incorporation of human expertise ensures decision support remains closely aligned with local clinical practices and global best evidence. Results: This novel framework incorporates human expertise into AI decisionmaking tools to support donor organ acceptance in transplantation. Integrating surgeon-defi ned criteria into a robust decision-support tool enhances accuracy and transparency of organ allocation decision-making support. TSFAM bridges the gap between data-driven models and nuanced judgment required in complex clinical scenarios, fostering trust and promoting responsible AI adoption. Conclusions: TSFAM fuses deep learning analytics with subtleties of human expertise for a promising pathway to improve decision-making support in transplant surgery. The framework enhances clinical assessment and sets a precedent for future systems prioritizing human-AI collaboration. Prospective studies will focus on clinical implementation with dynamic interfaces for a more patient-centered, evidencebased model in organ transplantation. The intent is for this approach to be adaptable to individual case scenarios and the diverse needs of key transplant team membersmore » « lessFree, publicly-accessible full text available August 1, 2026
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            Free, publicly-accessible full text available February 26, 2026
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            The ability of nanophotonic cavities to confine and store light to nanoscale dimensions has important implications for enhancing molecular, excitonic, phononic, and plasmonic optical responses. Spectroscopic signatures of processes that are ordinarily exceedingly weak such as pure absorption and Raman scattering have been brought to the single-particle limit of detection, while new emergent polaritonic states of optical matter have been realized through coupling material and photonic cavity degrees of freedom across a wide range of experimentally accessible interaction strengths. In this review, we discuss both optical and electron beam spectroscopies of cavity-coupled material systems in weak, strong, and ultrastrong coupling regimes, providing a theoretical basis for understanding the physics inherent to each while highlighting recent experimental advances and exciting future directions.more » « less
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            The Ty1 retrotransposon family is maintained in a functional but dormant state by its host, Saccharomyces cerevisiae . Several hundred RHF and RTT genes encoding co-factors and restrictors of Ty1 retromobility, respectively, have been identified. Well-characterized examples include MED3 and MED15 , encoding subunits of the Mediator transcriptional co-activator complex; control of retromobility by Med3 and Med15 requires the Ty1 promoter in the U3 region of the long terminal repeat. To characterize the U3-dependence of other Ty1 regulators, we screened a library of 188 known rhf and rtt mutants for altered retromobility of Ty1 his3AI expressed from the strong, TATA-less TEF1 promoter or the weak, TATA-containing U3 promoter. Two classes of genes, each including both RHF s and RTT s, were identified. The first class comprising 82 genes that regulated Ty1 his3AI retromobility independently of U3 is enriched for RHF genes that restrict the G1 phase of the cell cycle and those involved in transcriptional elongation and mRNA catabolism. The second class of 51 genes regulated retromobility of Ty1 his3AI driven only from the U3 promoter. Nineteen U3-dependent regulators (U3DRs) also controlled retromobility of Ty1 his3AI driven by the weak, TATA-less PSP2 promoter, suggesting reliance on the low activity of U3. Thirty-one U3DRs failed to modulate P PSP2 -Ty1 his3AI retromobility, suggesting dependence on the architecture of U3. To further investigate the U3-dependency of Ty1 regulators, we developed a novel fluorescence-based assay to monitor expression of p22-Gag, a restriction factor expressed from the internal Ty1i promoter. Many U3DRs had minimal effects on levels of Ty1 RNA, Ty1i RNA or p22-Gag. These findings uncover a role for the Ty1 promoter in integrating signals from diverse host factors to modulate Ty1 RNA biogenesis or fate.more » « less
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            Acoustic topological systems explore topological behaviors of phononic crystals. Currently, most of the experimentally demonstrated acoustic topological systems are for airborne acoustic waves and work at or below the kHz frequency range. Here, we report an underwater acoustic topological waveguide that works at the MHz frequency range. The 2D topological waveguide was formed at the interface of two hexagonal lattices with different pillar radii that were fabricated with metal additive manufacturing. We demonstrated the existence of edge stages both numerically and in underwater experiments. Our work has potential applications in underwater/biomedical sensing, energy transport, and acoustofluidics.more » « less
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