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The J-V curves further improve at higher gating bias Vg due to the increase of the Fermi level and decrease of the MWCNT work function. At the next qualitative stage, the acceptor fullerene layer becomes n-doped by electron injection from MWCNTs while ions of ILs penetrate into the fullerene. At this step, the internal built-in field is created within OPV, which helps in exciton dissociation and charge separation/transport, increasing further the Jsc and the fill factor. The ionic gating concept demonstrated here for most simple classical planar small-molecule OPV cells can be potentially applied to more complex highly efficient hybrid devices, such as perovskite photovoltaic with an ETL or a hole transport layer, providing a new way to tune their properties via controllable and reversible interfacial doping of charge collectors and transport layers.HJS and DHJS, two near-infrared emissive and mitochondria-targeted therapy probes, have been designed. They exhibited photothermal & photodynamic cytotoxicity and aggregation-induced emission (AIE) characteristics. Interestingly, we could receive fluorescence immediately after adding the probes without washing in 1 min. They could quickly enter cancer cells and selectively localized to the mitochondria firstly. When the concentration of probes was low ( less then 5 μM), they could respond sensitively to the mitochondrial membrane potential and would selectively enter the mitochondria with red fluorescence. selleckchem However, when the concentration was high (≥5 μM), they would preferentially enter the mitochondria and have the property of dual-channel fluorescence imaging (red and near-infrared) even after 24 h. What's more, they increased the intracellular reactive oxygen species (ROS) levels, decreased the mitochondrial membrane potentials, and then induced apoptosis, which were proved by confocal imaging and flow cytometry experiments. In addition, the results of photothermal experiment and cytotoxicity test showed that the probes had good photothermal and photodynamic toxicity to cancer cells. In vitro and in vivo experiments also proved the excellent near-infrared (NIR) imaging ability, good biocompatibility and certain inhibition of tumor growth ability of DHJS.The ever-growing bridge between stretchable electronic devices and wearable healthcare applications constitutes a significant challenge for discovery of novel materials for ultrasensitive wide-range healthcare monitoring. Herein, we propose a simplistic, amenable, cost-effective method for synthesis of a vertically aligned carbon nanotube (VACNT)/poly(dimethylsiloxane) (PDMS) thin-film composite structure for robust stretchable sensors with a full range of human motion and multimode mechanical stimuli detection functionalities. Notably, the sensor features the best reported response of carbon nanotube (CNT)-based sensors with extensive multiscale healthcare monitoring of subtle and vigorous ambulations ranging from 0.004 up to 30% strain deformations, coupled with an exceptionally high gauge factor of 6436.8 (at 30% strain), super-fast response time of 12 ms, recovery time of 19 ms, ultrasensitive loading sensing, and an excellent reproducibility over 10 000 cycles. The sensor evinces distinctive electromechanical performances and reliability in real time for motions like wrist pulsing, frowning, gulping, balloon inflation, finger bending, wrist bending, bending, twisting, gentle tapping, and rolling. Therefore, the VACNT/PDMS thin-film sensor reveals the ability to be a propitious candidate for e-skin and advanced wearable electronics.Background Tuberculous meningitis (TBM) is the most lethal and disabling form of tuberculosis. Delayed diagnosis and treatment, which is a risk factor for poor outcome, is caused in part by lack of availability of diagnostic tests that are both rapid and accurate. Several attempts have been made to develop clinical scoring systems to fill this gap, but none have performed sufficiently well to be broadly implemented. We aim to identify and validate a set of clinical predictors that accurately classify TBM using individual patient data (IPD) from published studies. Methods We will perform a systematic review and obtain IPD from studies published from the year 1990 which undertook diagnostic testing for TBM in adolescents or adults using at least one of, microscopy for acid-fast bacilli, commercial nucleic acid amplification test for Mycobacterium tuberculosis or mycobacterial culture of cerebrospinal fluid. Clinical data that have previously been shown to be associated with TBM, and can inform the final diagnosis, will be requested. The data-set will be divided into training and test/validation data-sets for model building. A predictive logistic model will be built using a training set with patients with definite TBM and no TBM. Should it be warranted, factor analysis may be employed, depending on evidence for multicollinearity or the case for including latent variables in the model. Discussion We will systematically identify and extract key clinical parameters associated with TBM from published studies and use a 'big data' approach to develop and validate a clinical prediction model with enhanced generalisability. The final model will be made available through a smartphone application. Further work will be external validation of the model and test of efficacy in a randomised controlled trial.Multimorbidity - the occurrence of two or more long-term conditions in an individual - is a major global concern, placing a huge burden on healthcare systems, physicians, and patients. It challenges the current biomedical paradigm, in particular conventional evidence-based medicine's dominant focus on single-conditions. Patients' heterogeneous range of clinical presentations tend to escape characterization by traditional means of classification, and optimal management cannot be deduced from clinical practice guidelines. In this article, we argue that person-focused care based in complexity science may be a transformational lens through which to view multimorbidity, to complement the specialism focus on each particular disease. The approach offers an integrated and coherent perspective on the person's living environment, relationships, somatic, emotional and cognitive experiences and physiological function. The underlying principles include non-linearity, tipping points, emergence, importance of initial conditions, contextual factors and co-evolution, and the presence of patterned outcomes. From a clinical perspective, complexity science has important implications at the theoretical, practice and policy levels. Three essential questions emerge (1) What matters to patients? (2) How can we integrate, personalize and prioritize care for whole people, given the constraints of their socio-ecological circumstances? (3) What needs to change at the practice and policy levels to deliver what matters to patients? These questions have no simple answers, but complexity science principles suggest a way to integrate understanding of biological, biographical and contextual factors, to guide an integrated approach to the care of people with multimorbidity.Despite the high co-occurrence of sleep and mood disturbances, day-to-day associations between sleep characteristics (sleep duration, continuity, and timing) and dimensions of mood (positive affect and negative affect) remain unclear. The present study aimed to test whether there is a daily, bidirectional association between these sleep characteristics and affective states, while addressing methodological limitations in the extant literature by using actiography and ecological momentary assessment methods. Participants were community dwelling, midlife adults (aged 30-54 years, N = 462, 47% male) drawn from the Adult Health and Behavior Project-Phase 2 study. Participants' sleep patterns were assessed with actiography over a 7-day monitoring period, and on 4 of those days, participants completed an ecological momentary assessment protocol that included hourly assessments of positive affect and negative affect during their wake intervals. Using hierarchical linear modelling, we tested whether participants' sleep characteristics on a given night predicted next-day affect and vice versa. We also explored whether nocturnal sleep characteristics would differentially associate with affect at different times of day (morning, afternoon, and evening) while controlling for multiple health behaviours. We found that when participants reported higher positive affect on a given day, they slept later that night (B = 0.22, p = .010). Although we found no other statistically significant associations in our primary analyses (all p > .05), we found several sleep-affect associations specific to time of day (B ranges 0.01-0.18, all p ≤ .02), which warrants further study. Overall, our findings suggest that healthy adults may be resilient to daily fluctuations in their sleep and mood.The continual reassessment method (CRM) is a well-known design for dose-finding trials with the goal of estimating the maximum tolerated dose (MTD), the dose with a given probability of toxicity. The standard assumption is that the probability of toxicity monotonically increases with dose. We show that the CRM can still be consistent and correctly identify the MTD even when the dose-toxicity curve is not monotone as long as there is monotonicity of the true toxicity probabilities right below and right above the true MTD. In the case of multiple therapies, where it is unclear how to order combinations of dose levels of multiple therapies, our findings provide insight into the performance of the partial order CRM (POCRM). To select the correct dose combination at the end of a trial, the POCRM does not have to select a monotone ordering of drug combinations. We illustrate the connection between our results for the CRM with a nonmonotone dose-toxicity curve and the POCRM via simulations.The present study employed European Social Survey (ESS) data collected between 2002 and 2018 to investigate system justification versus derogation in Hungary. In all nine ESS rounds, system derogation was stronger than system justification. System justification was consistently at its strongest among those who had voted for the ruling party, be it left-wing MSZP (until 2008) or right-wing Fidesz (2010 onward). This pattern can be explained by ego and group justification motives alone, with no need to posit an autonomous system justification motive. Voters of Jobbik, who were as right-wing as Fidesz voters, but whose party was not in power, did not believe the system to be any more just than did left-wing voters. Much of the research supporting system justification theory has been conducted in stable Western democracies. Our results highlight the need for research in more politically volatile contexts.Rathouz and Gao [2] and Luo and Tsai [3] proposed valuable extensions to the generalized linear model for modeling a nonlinear monotonic relationship between the mean response and a set of covariates. In their extensions for discrete data the baseline response distribution is unspecified and is estimated from the data. We propose to extend this model for the analysis of longitudinal data by incorporating random effects into the linear predictor, and using maximum likelihood for estimation and inference. Motivated in particular by longitudinal studies of clinical scale outcomes, we developed an estimation procedure for a finite-support response using a generalized expectation-maximization algorithm where Gauss-Hermite quadrature is employed to approximate the integrals in the E step of the algorithm. Upon convergence, the observed information matrix is estimated through second-order numerical differentiation of the log-likelihood function. Asymptotic properties of the maximum likelihood estimates follow under the usual regularity conditions.