Blakebang0919

ACT identifier 2009-A01280-57.

Hypertensive disorders of pregnancy are a leading cause of severe maternal morbidity and mortality and confer 4-fold higher perinatal mortality in Black women. Early pregnancy blood pressure patterns may differentiate risk of hypertensive disorders of pregnancy.

This study identified distinct blood pressure trajectories from 0 to 20 weeks' gestation to evaluate subsequent pregnancy-related hypertension in a retrospective cohort of 174 925 women with no prior hypertension or history of preeclampsia, prenatal care entry ≤14 weeks, and a stillborn or live singleton birth delivered at Kaiser Permanente Northern California hospitals in 2009 to 2019. We used electronic health records to obtain clinical outcomes, covariables, and longitudinal outpatient blood pressure measurements ≤20 weeks' gestation (mean 4.1 measurements). Latent class trajectory modeling identified 6 blood pressure groups ultra-low-declining(referent), low-declining, moderate-fast-decline, low-increasing, moderate-stable, and elevated-stablendividual risk stratification permitting targeted surveillance and early mitigation strategies.

Early pregnancy blood pressure patterns revealed racial and ethnic differences in associations with preeclampsia/eclampsia risk within equivalent levels and patterns. These blood pressure patterns may improve individual risk stratification permitting targeted surveillance and early mitigation strategies.Selective hydrogenation of epoxides would be a direct and powerful approach for alcohol synthesis, but it has proven to be elusive. Here, electrochemically epoxide hydrogenation using electrons and protons as reductants is reported. A wide range of primary, secondary, and tertiary alcohols can be achieved through selective Markovnikov or anti-Markovnikov ring opening in the absence of transition metals. Mechanistic investigations revealed that the regioselectivity is controlled by the thermodynamic stabilities of the in situ generated benzyl radicals for aryl-substituted epoxides and the kinetic tendency for Markovnikov selective ring opening for alkyl-substituted epoxides.We report intense dopant-matrix afterglow systems with an afterglow efficiency (ΦAG) of 47% and an afterglow lifetime (τAG) of 1.3 s. Luminescent difluoroboron β-diketonate (BF2bdk) dopants and their deuterated counterparts are designed with naphthalene and carboxylic acid groups. Lithocholic acid After doping into benzoic acid (BA) matrices, room-temperature afterglow brightness and afterglow duration of the BF2bdk-BA materials have unexpectedly been found to reach the levels of those at 77 K, which indicates that hydrogen bonding between BF2bdk and BA, as well as the deuteration technique, can reduce knr + kq of BF2bdk triplets to very small values even at room temperature. Detailed studies reveal that the BF2bdk possesses typical 1ICT characters in the S1 state and distinct 3LE composition in the T1 state, and thus shows a high ΦISC and a small kP to obtain a high ΦAG and a long τAG. Besides, triplet-triplet annihilation has been found in the dopant-matrix system at high doping concentrations to further increase ΦAG.ConspectusCarbon neutrality is increasingly broadly recognized as a vehicle for climate action and sustainable development. Photosynthesis contributes to maintaining a suitable carbon-oxygen balance for survival and plays an irreplaceable role in mitigating the greenhouse effect. However, the energy conversion efficiency of photosynthesis is only about 1%, far below the theoretical maximum. With the ecological demand of carbon neutrality, it is wise and necessary to further improve the efficiency of photosynthesis. link2 Among methods to do so, the most direct and original one is improving the utilization of photosynthetic pigments to the weak absorption region of the spectrum and thus enhancing the solar energy utilization efficiency.This Account summarizes our group's work on constructing conjugated polymer-photosynthetic organism interfaces to augment photosynthetic efficiency. Side chain modification of ionic groups or preparation of nanoparticles makes conjugated polymers water-soluble and electrically chargedto accelerate the electron transfer rate at the material-organism interface. On this basis, we introduced conjugated polymers into artificial photosynthesis systems, including biological photovoltaics and artificial carbon sequestration, to increase energy conversion efficiency. These studies open a new frontier for functional studies of conjugated molecules and provide inspirations for the design of photosynthesis systems in the future.Additive manufacturing via fused deposition modeling (FDM) has become one of the most widely used technologies owing to its ease of operation and effective cost. However, the disappointing interlayer adhesion produced by FDM often results in inferior mechanical properties, which has become a technical bottleneck for industrial production. Herein, we demonstrate a facile and efficient printing strategy to enhance interlayer adhesion by introducing a self-healing mechanism into the printing material, thereby concurrently enhancing the mechanical properties and isotropy of the printed products. This strategy relies on the self-healing property of three-dimensional-printing materials. This self-healing property is endowed by introducing dynamic urea bonds on the thermoplastic polyurethane (TPU) molecular chains, and then, such dynamic bonds can be activated through thermal heating. Accordingly, the synthesized TPU reveals an efficient self-healing property and excellent printability owing to the existence of dynamic reversible covalent bonds. Moreover, objects with complex structures can be split and printed and then assembled using this strategy, avoiding the need for supporting structures and realizing the rapid prototyping of large-sized objects. The printing strategy proposed paves a candidate way to overcome the current challenges in obtaining high-quality products via FDM.Despite two-dimensional (2D) Ruddlesden-Popper-phase layered perovskites (RPLPs) exhibiting excellent environmental stability, most solar cells based on 2D RPLP films are fabricated in a controlled inert atmosphere. Meanwhile, the poor charge transport of 2D RPLP films owing to the unfavorable phase arrangement and defects limits the efficiency of 2D RPLP solar cells. Here, we fabricate high-efficiency 2D RPLP solar cells in ambient air assisted by a zwitterion (ZW) additive. We show that the ZW additive suppresses the formation of the bottom 2D phases (n ≤ 2) and the top 3D-like phases in 2D RPLP films. These 2D phases usually grow parallel to the substrate and act as trap sites that inhibit charge transport in the vertical direction. The 3D-like phases, on the other hand, aggravate the long-term stability due to the intrinsic instability of MA+ cations. With improved phase distribution, crystal orientation, and reduced trap states in 2D RPLP films, efficient charge transport is obtained. Finally, a record-high open-circuit voltage (Voc) of 1.19 V and a power conversion efficiency of 17.04% with an enhanced stability are achieved for (BA0.9PEA0.1)2MA3Pb4I13-based (n = 4) solar cells fabricated under high humidity (∼65% RH).This paper presents the development of advanced Ti implants with enhanced antibacterial activity. The implants were engineered using additive manufacturing three-dimensional (3D) printing technology followed by surface modification with electrochemical anodization and hydrothermal etching, to create unique hierarchical micro/nanosurface topographies of microspheres covered with sharp nanopillars that can mechanically kill bacteria in contact with the surface. To achieve enhanced antibacterial performance, fabricated Ti implant models were loaded with gallium nitrate as an antibacterial agent. The antibacterial efficacy of the fabricated substrates with the combined action of sharp nanopillars and locally releasing gallium ions (Ga3+) was evaluated toward Staphylococcus aureus and Pseudomonas aeruginosa. Results confirm the significant antibacterial performance of Ga3+-loaded substrates with a 100% eradication of bacteria. The nanopillars significantly reduced bacterial attachment and prevented biofilm formation while also killing any bacteria remaining on the surface. Furthermore, 3D-printed surfaces with microspheres of diameter 5-30 μm and interspaces of 12-35 μm favored the attachment of osteoblast-like MG-63 cells, as confirmed via the assessment of their attachment, proliferation, and viability. This study provides important progress toward engineering of next-generation 3D-printed implants, that combine surface chemistry and structure to achieve a highly efficacious antibacterial surface with dual cytocompatibility to overcome the limitations of conventional Ti implants.Due to their high sensitivity and compact design, ion mobility spectrometers are widely used to detect toxic industrial chemicals (TICs) in air. However, when analyzing complex gas mixtures, classical ion mobility spectrometry (IMS) suffers from false-positive rates due to limited resolving power or false-negative rates caused by competitive ion-molecule reactions and the resulting suppression of certain analyte ions. To overcome these limitations, high-kinetic energy IMS (HiKE-IMS) was introduced some years ago. In contrast to classical IMS, HiKE-IMS is operated at decreased pressures of 20···60 mbar and high reduced electric field strengths E/N of up to 120 Td. Under these conditions, the influence of competitive ion-molecule reactions on the prevailing ion population should be less pronounced, thus reducing false negatives. Additionally, effects such as fragmentation and field-dependent ion mobility may help to reduce false positives. In this work, the capabilities and limitations of HiKE-IMS in the field of on-site detection of the volatile TICs NH3, HCN, H2S, HCl, NO2, Cl2, and SO2 are evaluated for the first time. Based on the limits of detection and the extent of spectral and chemical cross-sensitivities in gas mixtures, the results obtained for HiKE-IMS are compared with those obtained for classical IMS. It is shown that HiKE-IMS is less sensitive in comparison to classical IMS. However, when used for TIC detection, the reduced sensitivity of HiKE-IMS is not a major drawback. With values around 1 ppmv, the achievable limits of detection for almost all TICs are below the AEGL-2 (4h) levels. Furthermore, in comparison to classical IMS, it is still striking that HiKE-IMS shows significantly less spectral and chemical cross-sensitivities and thus exhibits considerably lower false-positive and false-negative rates. Overall, it thus turns out that HiKE-IMS is a promising alternative to classical IMS in the field of on-site detection of TICs.Nitrite is a common additive used during meat curing to prevent microbial contamination and retain an attractive red color in the product. However, the effects of nitrite on Fenton reactions catalyzed by free iron in meat products are not well understood, although such processes can induce protein oxidation and nitration, affecting the nutritional and aesthetic quality of meat products. link3 This contribution reveals the mechanism through which nitrite affects Fenton reactions that generate reactive nitrogen and oxygen species by increasing the availability of Fe3+, facilitating its reduction and stabilizing Fe2+, and accelerating Fe3+/Fe2+ cycling, leading to exacerbated oxidative and nitrosative stress on proteins, with implications not only for meat processing but also in many biological and environmental processes due to the ubiquitous presence of iron, hydrogen peroxide, and nitrite in nature.