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Establishing and also working a new 'virtual ward' program to offer look after sufferers with COVID-19 at home: knowledge from The Gambia.

Scenario Record: Multimodal Imaging regarding Toxic Retinopathies Related to Hiv Antiretroviral Solutions: Maculopathy versus. Peripheral Retinopathy. Document regarding A pair of Circumstances as well as Writeup on the actual Novels.

Hemodynamic parameters measured by the Transcranial Doppler Ultrasound (TCD) are related to cognitive impairment in many cross-sectional studies, but the longitudinal evidence is scarce. In this study, we aim to verify the association between flow velocity of Middle Cerebral Artery (MCA) and the longitudinal cognitive decline in community dwelling older adults.

Participants were administered TCD examination at the baseline. The Peak Systolic Velocity (PSV), Mean Flow Velocity (MFV), and Pulsatility Index (PI) of MCA segments on left middle (LmMCA), left proximal (LpMCA), right middle (RmMCA), and right proximal (RpMCA) were obtained. Mini-mental state examination (MMSE) were conducted at both baseline and follow-up.

One hundred and thirteen participants without dementia were followed up for 6.3years in average. The mean annual rate of decline in the MMSE score was 0.15 (min to max -1.0 to 1.2). LpMCA PSV (β=-0.0034, r=-0.231, P=0.022) and LpMCA MFV (β=-0.0049, r=-0.217, P=0.031) were inversely associated with annual rate of decline in the MMSE score after adjusting for age, gender, education year, APOE ε4, obesity, hypertension, diabetes mellitus, stroke, and coronary heart disease.

Blood flow velocity of left proximal MCA was inversely related to global cognitive decline. Cerebral blood flow velocity may impact the cognitive function.

Blood flow velocity of left proximal MCA was inversely related to global cognitive decline. Cerebral blood flow velocity may impact the cognitive function.Tinnitus is a bothersome disorder of primarily unknown etiology that affects a large number of people worldwide. Tinnitus distress is the most common clinical complaint by tinnitus sufferers because it strongly affects their personal and social life. Many studies have been carried out to determine the relation between tinnitus pathophysiology and electrophysiological findings such as the auditory steady-state response (ASSR). The results of such studies have been contradictory. The current study aimed to detect a possible relation between tinnitus distress and ASSR amplitudes. The tinnitus participants were divided into high and low distress subgroups according to their tinnitus handicap inventory (THI) scores. The ASSR stimuli were carrier frequencies with low (500 Hz), mid (2000 Hz), and high (4000 Hz) amplitude-modulated tones. ASSR amplitudes were calculated in anterio-frontal (F3, Fz, F4), centro-frontal (FC3, FCz, FC4), left auditory (T3, C5, C3) and right auditory (C4, T4, C6) regions of interest (ROI). Twenty-four right-handed subjects with non-pulsatile chronic tinnitus and 23 normal matched participants participated in this study. For recording ASSR amplitudes were used from 32-electrode EEG recording. Two-way repeated-measurement ANOVA was used to compare the ASSR amplitudes. The findings showed that the ASSR amplitudes in the tinnitus group with low distress were higher (better) than in the group with high distress (p less then 0.001). This finding was seen in anterio-frontal and right auditory regions and at all carrier frequencies. The results indicated that there is a relation between the ASSR amplitude and the degree of tinnitus distress as measured by the THI questionnaire.Robotic assistance technologies are being incorporated into minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) to minimize radiation exposure to the patient and operating staff. However, they introduce new issues including increased operating time and difficult incorporation into surgical workflow. This study, conducted with 42 patients under the care of one neurosurgeon in Sydney, Australia, investigates the operating time increase with three different robotic modalities, and the learning curves they pose to the surgeon. Between the comparable modalities of freehand MIS-TLIF and Mazor Renaissance® CT to Fluoro, there was a significant increase in time from patient draping to insertion of the final K-wire (p = 0.0019), and a non-significant increase in time per K-wire (p = 0.55) using Mazor Renaissance®. Comparing the ROSA® and Mazor Renaissance® Scan and Plan, there were significant increases in drape to final K-wire time and time per K-wire using ROSA® assistance (p = 0.000068 and p = 0.011). ROSA® also had a steeper learning curve compared to both Mazor Renaissance® modalities, which were similar. Our study shows that Mazor Renaissance® modalities are superior to ROSA® in minimizing extra operating time, and also have easier learning curves; however, both modalities increase operating time compared with freehand MIS-TLIF. This study, to our knowledge, is the first to compare multiple robotic techniques in MIS-TLIF. Though these results highlight important differences between robotic modalities that are crucial for spinal surgeons to understand, the low sample size and variability in data reveal the need for larger, multi-centre studies in this field.The incidence of healthcare-associated respiratory tract infections in non-ventilated patients (NVA-HARTI) in neurosurgical intensive care units (ICUs) is unknown. The impact of NVA-HARTI on patient outcomes and differences between NVA-HARTI and ventilator-associated healthcare-associated respiratory tract infections (VA-HARTI) are poorly understood. Our objectives were to report the incidence, hospital length of stay (LOS), ICU LOS, and mortality in NVA-HARTI patients and compare these characteristics to VA-HARTI in neurocritical care patients. This cohort study was conducted in a neurosurgical ICU in Moscow. From 2011 to 2020, all patients with an ICU LOS > 48 h were included. A competing risk model was used for survival and risk analysis. A total of 3,937 ICU admissions were analyzed. NVA-HARTI vs VA-HARTI results were as follows cumulative incidence 7.2 (95%CI 6.4-8.0) vs 15.4 (95%CI 14.2-16.5) per 100 ICU admissions; incidence rate 4.2 ± 2.0 vs 9.5 ± 3.0 per 1000 patient-days in the ICU; median LOS 32 [Q1Q3 21, 48.5] vs 46 [Q1Q3 28, 76.5] days; median ICU LOS 15 [Q1Q3 10, 28.75] vs 26 [Q1Q3 17, 43] days; mortality 12.3% (95%CI 7.9-16.8) vs 16.7% (95%CI 13.6-19.7). The incidence of VA-HARTI decreased over ten years while NVA-HARTI incidence did not change. VA-HARTI was an independent risk factor of death, OR 1.54 (1.11-2.14), while NVA-HARTI was not. Our findings suggest that NVA-HARTI in neurocritical care patients represents a significant healthcare burden with relatively high incidence and associated poor outcomes. Unlike VA-HARTI, the incidence of NVA-HARTI remained constant despite preventive measures. This suggests that extrapolating VA-HARTI research findings to NVA-HARTI should be avoided.Neuromyelitis Optica, which is known as NMO, is a demyelination syndrome and inflammatory condition of the central nervous system that affects the optic nerves. Since structural imaging approaches cannot adequately describe the brain disorders in patients with NMO, functional magnetic resonance imaging (fMRI) can be used. Resting-state fMRI was performed on 25 healthy subjects and 26 NMO patients. After preprocessing the data, the time series belonging to the regions of the middle frontal gyrus (MFG), inferior frontal gyrus (IFG), precuneus (PRE), thalamus (THA), and middle temporal gyrus (MTG) were extracted as components of the corticothalamic circuit. The obtained time series were statistically analyzed as the input of dynamic causal modeling (DCM) in order to evaluate the effective connectivity within the corticothalamic circuit. The statistical analyses showed that the mean of effective connectivity power was significantly higher in the healthy subjects than in the NMO patients. For the healthy subjects, there was no significant difference in effective connectivity power between the two groups of males and females at the significance level of 0.05. In the NMO patients, there was a significant difference between the effective connectivity levels of the male and female groups only for IFG → MFG, in which it was greater in males than in females. The results of our studies showed that resting-state fMRI could exhibit the difference between healthy and NMO subjects.There is minimal information on COVID-19 pandemic's national impact on pediatric neurosurgical operative volumes. In this study, using a national database, TriNetX, we compared the overall and seasonal trends of pediatric neurosurgical procedure volumes in the United States during the pandemic to pre-pandemic periods. In the United States, the incidence of COVID-19 began to rise in September 2020 and reached its maximum peak between December 2020 and January 2021. During this time, there was an inverse relationship between pediatric neurosurgical operative volumes and the incidence of COVID-19 cases. From March 2020 to May 2021, there was a significant decrease in the number of pediatric shunt (-11.7% mean change, p = 0.006), epilepsy (-16.6%, p less then 0.001), and neurosurgical trauma (-13.8%, p less then 0.001) surgeries compared to pre-pandemic years. The seasonal analysis also yielded a broad decrease in most subcategories in spring 2020 with significant decreases in pediatric spine, epilepsy, and trauma cases. To the best of our knowledge, this is the first study to report a national decline in pediatric shunt, epilepsy, and neurosurgical trauma operative volumes during the pandemic. link= this website This could be due to fear-related changes in health-seeking behavior as well as underdiagnosis during the COVID-19 pandemic.

The relationship between uric acid and patients with type 1 (NT1) remains unclear. UA may contribute to the development of depression. Depression is also common in NT1. Our study aimed to evaluate serum levels of UA, creatinine, and UA/Cr ratio, and examine the association of serum UA levels with psychological status in NT1 patients.

This is a case-control study conducted on 48 patients diagnosed with NT1 and 40 healthy controls (HC). The 17-item Hamilton Depression Rating (HAMD-17) was used as screening tools for depressive symptoms for patients with NT1. Serum UA, creatinine, and UA/Cr ratio were measured. In addition, the correction of UA status and scores of depressive scales was statistically analyzed.

Approximately 70% of all subjects with NT1 had depression or depressive symptoms compared with the HC group, the serum UA levels and UA/Cr ratios were higher in patients with NT1 (p<0.05). In addition, there was a negative correlation between UA levels and HAMD-17 scores in NT1 patients (r=-0.334; p=0.020).

We found that serum UA levels were higher in patients with NT1, and the serum UA levels were negatively correlated with depressive symptom scores. Further well-designed prospective cohort studies are needed to determine the causality of the correlation and to further clarify the pathophysiological mechanisms of UA in NT1 patients.

We found that serum UA levels were higher in patients with NT1, and the serum UA levels were negatively correlated with depressive symptom scores. Further well-designed prospective cohort studies are needed to determine the causality of the correlation and to further clarify the pathophysiological mechanisms of UA in NT1 patients.The dynamic spatial organization of chromatin within the nucleus is emerging as a key regulator of gene activity and cell phenotype. This review will focus on single molecule tracking as an enabling tool to study chromatin dynamics at the level of individual nucleosomes.TAM receptor family belongs to receptor tyrosine kinases (TAMRTKs). It includes three receptors; Tyro-3, Axl and Mer. TAMRTKs has a great role in resolution of inflammation due to their role in clearance of apoptotic cells by macrophages. Dysregulated TAM signaling pathways are associated with many autoimmune diseases and chronic inflammatory disorders. Autism may be an autoimmune disease in some patients. This work was the first study that investigated serum levels of the soluble ectodomain shed TAMRTKs in a group of autistic children. Serum levels of TAMRTKs were measured by ELISA in 30 autistic children aged between 3.5 and 11 years and 30 age and sex-matched healthy control children. Serum levels of TAMRTKs were significantly higher in autistic children than healthy control children (P less then 0.001). Patients with severe autism had significantly higher serum levels of TAMRTKs than patients with mild to moderate autism (P less then 0.01). In addition, there were significant positive correlations between scores of the Childhood Autism Rating Scale (CARS) and serum levels of TAMRTKs in autistic patients, (P less then 0.01). In conclusions, serum levels of TAMRTKs were up-regulated in autistic children with significant positive correlations with the degree of the disease severity. This initial report requires further studies to investigate the relationship between TAMRTKs and autism.

To develop a multidimensional facial surface electromyographic (EMG) analysis for assessing bulbar involvement in amyotrophic lateral sclerosis (ALS).

Fifty-four linear and nonlinear features were extracted from the surface EMG recordings for masseter, temporalis, and anterior belly of digastric in 13 patients with ALS and 10 healthy controls, each performed a speech task three times. The features were factor analyzed and then evaluated in terms of internal consistency, relation to functional speech outcomes, and efficacy for patient-control classification.

Five internally consistent, interpretable factors were derived, representing the functioning of masseter, temporalis, digastric, antagonists, and agonists, respectively. These factors explained 40-43% of the variance in the functional speech outcomes and were ≥90% accurate in patient-control classification. The jaw muscle performance of individuals with ALS was characterized by (1) reduced complexity and coherence of antagonist muscle activities, and (2) increased complexity and irregularity of temporalis activity.

Two important bulbar muscular changes were identified in ALS, related to both upper and lower motor neuron pathologies. These changes reflected (1) decreased motor unit recruitment and synchronization for jaw antagonists, and (2) a potential neuromuscular adaptation for temporalis.

The surface EMG-based framework shows promise as an objective bulbar assessment tool.

The surface EMG-based framework shows promise as an objective bulbar assessment tool.Transcranial ultrasound stimulation (TUS) holds great potential as a tool to alter neural circuits non-invasively in both animals and humans. In contrast to established non-invasive brain stimulation methods, ultrasonic waves can be focused on both cortical and deep brain targets with the unprecedented spatial resolution as small as a few cubic millimeters. This focusing allows exclusive targeting of small subcortical structures, previously accessible only by invasive deep brain stimulation devices. The neuromodulatory effects of TUS are likely derived from the kinetic interaction of the ultrasound waves with neuronal membranes and their constitutive mechanosensitive ion channels, to produce short term and long-lasting changes in neuronal excitability and spontaneous firing rate. After decades of mechanistic and safety investigation, the technique has finally come of age, and an increasing number of human TUS studies are expected. Given its excellent compatibility with non-invasive brain mapping techniques, such as electroencephalography (EEG) and functional magnetic resonance imaging (fMRI), as well as neuromodulatory techniques, such as transcranial magnetic stimulation (TMS), systemic TUS effects can readily be assessed in both basic and clinical research. In this review, we present the fundamentals of TUS for a broader audience. We provide up-to-date information on the physical and neurophysiological mechanisms of TUS, available readouts for its neural and behavioral effects, insights gained from animal models and human studies, potential clinical applications, and safety considerations. Moreover, we discuss the indirect effects of TUS on the nervous system through peripheral co-stimulation and how these confounding factors can be mitigated by proper control conditions.

Drug shortages contribute to avoidable medication error and patient harm; these shortages are exacerbated in the Emergency Department due to the time-sensitive nature of acute care.

We performed a cross-sectional study to describe the frequency and duration of drug shortages associated with the most frequent medications administered in the ED. We identified the most frequently used ED medications and calculated number of visits associated with these medications using the 2006-2019 National Hospital Ambulatory Medical Care Survey. We obtained the frequency and duration of shortages associated with these medications from the University of Utah Drug Information System. We calculated duration and total ED visits associated with shortages of the most frequently used ED medications.

From 2006 through 2019, the most frequently used drugs were ondansetron (255.1 million ED visits), 0.9% normal saline (251.3 million ED visits), and ibuprofen (188.5 million ED visits). All but two of the top thirty most frequently used medications experienced a shortage. The median shortage duration was 425 days, while the longest were for injectable morphine (3,202 days). The number of ED visits associated with drugs experiencing shortages increased from 2,564,425 (2.2% of U.S. ED visits) in 2006 to 67,221,968 (60.4%) in 2019. The most common reasons for shortage include manufacturing delays and increased demand.

Drug shortages were more frequent and persistent from 2006 through 2019. Further studies on the clinical impact of these shortages are needed, in addition to policy interventions to mitigate shortages.

Drug shortages were more frequent and persistent from 2006 through 2019. Further studies on the clinical impact of these shortages are needed, in addition to policy interventions to mitigate shortages.

The purpose of this study is to identify the risk factors of in-hospital mortality in patients with acute coronary syndrome (ACS) and to evaluate the performance of traditional regression and machine learning prediction models.

The data of ACS patients who entered the emergency department of Fujian Provincial Hospital from January 1, 2017 to March 31, 2020 for chest pain were retrospectively collected. The study used univariate and multivariate logistic regression analysis to identify risk factors for in-hospital mortality of ACS patients. The traditional regression and machine learning algorithms were used to develop predictive models, and the sensitivity, specificity, and receiver operating characteristic curve were used to evaluate the performance of each model.

A total of 6482 ACS patients were included in the study, and the in-hospital mortality rate was 1.88%. Multivariate logistic regression analysis found that age, NSTEMI, Killip III, Killip IV, and levels of D-dimer, cardiac troponin I, CK, N-tents.

The predictive model developed using logistic regression, GBDT, random forest, and SVM algorithms can be used to predict the risk of in-hospital death of ACS patients. Based on our findings, we recommend that clinicians focus on monitoring the changes of NT-proBNP, D-dimer, Killip, cTnI, and LDH as this may improve the clinical outcomes of ACS patients.Mycoplasma ovipneumoniae (M. ovipneumoniae) is a respiratory pathogen associated with mild to moderate respiratory disease in domestic lambs and severe pneumonia outbreaks in wild ruminants such as bighorn sheep. However, whether M. ovipneumoniae by itself causes clinical respiratory disease in domestic sheep in the absence of secondary bacterial pathogens is still unclear. The goal of our study was to better understand the role of M. ovipneumoniae as a respiratory pathogen in domestic sheep and to explore potential antibiotic treatment approaches. Therefore, we inoculated four 4-month-old, specific-pathogen-free lambs with fresh nasal wash fluids from M. ovipneumoniae-infected sheep. The lambs were monitored for M. ovipneumoniae colonization, M. ovipneumoniae-specific antibodies, clinical signs, and cellular and molecular correlates of lung inflammation for eight weeks. All lambs then were treated with gamithromycin and observed for an additional four weeks. M. ovipneumoniae inoculation resulted in stable colonization of the upper respiratory tract in all M. this website ovipneumoniae-inoculated, but in none of the four mock-infected control lambs. All M. ovipneumoniae-infected lambs developed a robust antibody response to M. ovipneumoniae within 2 weeks. However, we did not observe significant signs of respiratory disease, evidence of lung damage or inflammation in any of the infected lambs. Interestingly, treatment with gamithromycin, which blocked growth of the M. ovipneumoniae in vitro, failed to reduce M. ovipneumoniae colonization. These observations indicate that, in the absence of co-infections, M. ovipneumoniae caused asymptomatic colonization of the upper respiratory tract that was resistant to clearance by the host immune response and by gamithromycin treatment.High-valence metal doping and abundant grain boundaries (GBs) have been proved to be effective strategies to promote the oxygen evolution reaction (OER). However, the reasonable design of the two to facilitate OER collaboratively is challenging. Herein, a convenient and novel one-step molten salt decomposition strategy is proposed to fabricate segregated-Mo doped nickle nitrate hydroxide with substantial GBs on MoNi foam (Mo-NNOH@MNF). When processed in molten salt, the Mo species on the conductive substrate migrates unevenly to the surface of Mo-NNOH@MNF, which not only induces the formation of abundant GBs to modulate electronic structure, but also improves the intrinsic activity as high-valence dopants, synergistically elevating OER activity. As verification, the optimized Mo-NNOH@MNF-10h exhibits low overpotential of 150 mV at 10 mA cm-2, which can be attributed to the reduced valence charge transition energy of Ni by high-valence Mo dopant, coupled with the fine-tuning of d-band center bond and corresponding local electron density by induced GBs and Mo doping, as DFT calculations revealed. Moreover, the intrinsic robustness and strong adhesion ensure the long-term stability of 6 h at 500 mA cm-2. This work provides a promising molten salt decomposition approach to synthesize advanced materials with unique structures.Hydrogen sulfide (H2S) is an important signalling molecule with potential pharmaceutical applications. In pursuit of a suitable delivery system for H2S, herein we apply an amphiphilic trisulfide to concomitantly alter the mesophase behaviour of dispersed lipid particles and enable triggered H2S release. Amperometric release studies indicate the trisulfide acts as a sustained H2S donor, with inclusion into the mesophase attenuating release vs neat dispersed trisulfide. Taken together the results highlight the potential for including trisulfide-based additives in stimuli-responsive drug delivery vehicles.

The conditions to allow self-assembly of cellulose nanocrystal (CNC) suspensions into chiral nematic structures are based on aspect ratio, surface charge density and a balance between repulsive and attractive forces between CNC particles.

Three types of systems were characterized in suspensions and subsequently in their solid dried films 1) neat water dialyzed CNC, 2) CNC combined with polyethylene glycol(PEG) (CNC/PEG), and 3) CNC with added salt (CNC/Salt). All suspensions were characterized by polarized optical microscope (POM) and small angle X-ray scattering (SAXS), while the resultant dried films were analyzed by reflectance spectrometer, scanning electron microscope (SEM) and SAXS.

The presence of chiral nematic (CN*) structures was not observed in dialyzed aqueous suspensions of CNC during water evaporation. By introducing salts or a non-adsorbing polymer, chirality was apparent in both suspensions and films. The interaxial angle between CNC rods increased when the suspensions of CNC/PEG and CNC/salt were dried to solid films. The angle was found to be dependent on both species of ions and ionic strength, while the inter-particle distance was only related to the salt concentration, as explained in terms of interaction energies. The CNC suspensions/film chirality can be modulated by controlling the colloidal forces.

The presence of chiral nematic (CN*) structures was not observed in dialyzed aqueous suspensions of CNC during water evaporation. By introducing salts or a non-adsorbing polymer, chirality was apparent in both suspensions and films. The interaxial angle between CNC rods increased when the suspensions of CNC/PEG and CNC/salt were dried to solid films. The angle was found to be dependent on both species of ions and ionic strength, while the inter-particle distance was only related to the salt concentration, as explained in terms of interaction energies. The CNC suspensions/film chirality can be modulated by controlling the colloidal forces.The design and development of efficient and durable catalysts with visible-light response for photocatalytic hydrogen production and pollutants degradation is considered as one of the most challenging tasks. In present work, a novel Cu2WS4/NiTiO3 (abbreviated as × CWS/NTO; x = 0.25, 0.50, 0.75 and 1.00) composite was prepared via a facile electrospinning/calcination technique along with a convenient hydrothermal method. The as-prepared CWS/NTOcomposite was composed of 2D CWS nanosheets and 1D NTO nanofibers manifested by SEM and TEM images. link2 The results of XPS verified the interfacial interaction between CWS and NTO, confirming the heterojunction formation in CWS/NTOcomposite. Photocatalytic tests demonstrated as-prepared CWS/NTO catalysts exhibited outstanding and stable photocatalytic performances for H2 production and pollutants degradation under visible light (λ > 420 nm) irradiation. Specially, 0.50 CWS/NTO sample displayed the highest H2-evolution activity of 810 μmol·g-1·h-1 with the apparent quantum efficiency (AQE) value of 1.65 % at 420 nm. Additionally, it also exhibited the optimal photodegradation properties with the rate constants of 0.030, 0.413 and 0.028 min-1 for TC, RhB and Cr(VI), respectively. The excellent catalytic activities could be attributed to the enhanced visible-light adsorption, high specific surface area and efficient separation of photogenerated charge carriers. The ESR tests and free radicals capturing experiments confirmed that ·O2- and h+ were primary active species for TC/RhB degradation. this website Eventually, the probable catalytic mechanism was put forward and detailly analysed. The present work provides perspectives of rational design on NiTiO3-based catalysts with superior photocatalytic performance for energy regeneration and environmental remediation.Metal-organic-frameworks (MOFs) derived carbon or nitrogen-doped carbon (NC) materials are usually used as electromagnetic wave (EMW) absorbers. However, the effective control of the composition and structure of composites is still a major challenge for the development of high-performance EMW absorbing materials. In this work, core-shell structure and bimetallic composition Cu/nitrogen doped carbon @Co/ nitrogen doped carbon (Cu/NC@Co/NC) composites were designed and synthesized through the thermal decomposition of Cu-MOF@Co-MOF precursor. Cu/NC@Co/NC composites with different compositions were obtained by changing the ratio of Co-MOF and Cu-MOF. The composite (Cu/NC@Co/NC-3.75) prepared using 3.75 mmol of Co(NO3)2·6H2O exhibits outstanding EMW absorption properties due to the optimized impedance matching and strong attenuation ability, which is caused by enhanced interfacial and dipolar polarization as well as multiple reflection and scattering. With the filler loading in paraffin of 35 wt%, the minimum reflection loss (RLmin) is up to -54.13 dB at 9.84 GHz with a thin thickness of 3 mm, and the effective absorption bandwidth (EAB, RL≤ - 10 dB) reaches 5.19 GHz (10.18-15.37 GHz) with the corresponding thickness of 2.5 mm. Compared with the Cu/NC and Co/NC, the Cu/NC@Co/NC-3.75 composite exhibits much better EMW absorbing performances caused by the bimetallic composition and the unique core-shell structure. This work provides a rational design for MOF-derived lightweight and broadband EMW absorbing materials.While metal oxides are conventionally proposed for activating monopersulfate (MPS) to degrade refractory contaminants, metal sulfides have recently gained increased attention for MPS activation because these sulfides exhibit more reactive redox characteristics to enhance the catalytic activation of MPS. The present study attempts to develop a novel material comprised of metal sulfides with 3D hierarchical nanostructures to activate MPS. Specifically, a 3D hierarchically structured catalyst was fabricated by growing CuCo-layered double hydroxide (LDH) on nickel foam (NF), followed by direct sulfurization, affording Cu/CoS@NF (CCSNF). CCSNF could exhibit a unique morphology of floral bunches comprised of nano-needles, residing on the NF surfaces. Compared with its precursor, CuCo-LDH@NF, oxide analogue, and CuCo2O4@NF, CCSNF possessed superior physical and chemical properties, including larger surface area and pore volume, higher current density, and lower charge transfer resistance. These features render CCSNF a much more effective catalyst than CuCo-LDH@NF and CuCo2O4@NF for activating MPS to degrade Rhodamine B (RB). In particular, RB degradation by CCSNF-activated MPS required an activation energy only 26.8 kJ/mol, which is much lower than the reported values. The activation mechanism and degradation pathway of RB degradation by CCSNF-activated MPS were investigated and validated through experimental evidences and density function theory calculations.Catalytic oxidation is a promising method for removing harmful volatile organic compounds (VOCs). Therefore, exploring high-efficiency catalysts for catalyzing VOCs is of great significance to the realization of an environment-friendly and sustainable society. Here, a series of 3D@2D constructed Al2O3@CoMn2O4 microspheres with a hollow hierarchical structure supporting Pd nanoparticles was successfully synthesized. The introduction of hollow Al2O3 for the in situ vertical growth of 2D CMO spinel materials constructs a well-defined core - shell hollow hierarchical structure, leading to larger specific surface area, more accessible active sites and promoted catalytic activity of support material. Additionally, theoretical calculations also indicate that the addition of Al2O3 as the support material strengthens the adsorption of toluene and oxygen on CoMn2O4, which promotes their activation. The dispersion of Pd further strengthens the low-temperature reducibility along with more active surface oxygen species and lower apparent activation energy. The optimum 1 wt% Pd/h-Al@4CMO catalyst possesses the lowest apparent activation energy for toluene of 77.4 kJ mol-1, showing the relatively best catalytic activity for VOC oxidation, reaching 100% toluene, benzene, and ethyl acetate conversion at 165, 160, and 155 °C, respectively. Meanwhile, the 1 wt% Pd/h-Al@4CMO sample possesses excellent catalytic stability, outstanding selectivity, and good moisture tolerance, which is an effective candidate for eliminating VOCs contaminants.

Although a lot of fluorinated coatings exhibit super-repellency to oils with low surface tensions, most of them are readily wetted by alcohols with high surface tensions, wherein the un-crosslinked fluorinated silane is expected to result in the failure of alcohol-repellency. Hence, the coating could be super-repellent to alcohols if the fluorinated silane is fully crosslinked by annealing.

We fabricate the super-alcohol-repellent coating via covering sintered hollow silica nanospheres with perfluoroalkyl silane, followed by a simple two-step annealing. The surface chemistry of the coating is further examined by X-ray photoelectron spectroscopy.

The super-alcohol-repellent coating is remarkably super-repellent to diverse alcohols of surface tension from 20.9 to 64.8 mN m

and thus enables loss-free manipulation of alcohol droplets for amino acid detection. More importantly, we reveal that the annealing procedure could promote the condensation of silanol groups, showing the key role played by heat-mediaally all liquids, the coating enables loss-free processing of diverse liquids, thus being of significant value for biological, chemical and medical applications.A multifunctional graphitic carbon nitride (GCN) protective layer with bionic ion channels and high stability is prepared to inhibit dendrite growth and side reactions on zinc (Zn) metal anodes. The high electronegativity of the nitrogen-containing organic groups (NOGs) in the GCN layer can effectively promote the dissociation of solvated Zn2+ and its rapid transportation in bionic ion channels via a hopping mechanism. In addition, this GCN layer exhibits excellent mechanical strength to suppress the growth of Zn dendrites and the volume expansion of Zn metal anodes during the plating process. Consequently, the electrodeposited Zn presents a uniform and densely packed morphology with negligible side-product accumulation. As a result, the half-cell composed of the Cu-GCN anode can deliver a remarkable long-term cycling performance of 1000 h at 0.5 mA cm-2 and 0.25 mAh cm-2. A full cell assembled with MnO2 cathode also displays improved long-term cycling performance (150 cycles at 200 mA g-1) when the Cu-GCN@Zn composite anode is applied. This work deepens our understanding of the kinetics of ion migration in the interface layer and paves the way for next-generation high energy-density Zn-metal batteries (ZMBs).The electrocatalytic performance of oxygen evolution reaction (OER) electrocatalysts is highly reliant on the activity of its catalytic active site, which may be augmented by raising the number of active sites. In this study, nanoscaled nickel-cobalt-iron (NiCoFe) alloy was embedded on conductive boron(B), nitrogen(N) co-doped/biomass-derived carbon aerogel as an OER electrocatalyst. The synthesized electrocatalysts were calcined under different temperatures and with variable dopants. The optimal electrocatalyst (BN/CA-NiCoFe-600) demonstrated a low overpotential of 321 mV (at current density of 10 mA cm-2) and a minute Tafel slope of 42 mV dec-1, which was even smaller than that of IrO2 and RuO2. Its mass activity and specific activity were calculated to be 201.7 A g-1, and 34.1 cm-2ECSA, respectively. Furthermore, the electrocatalyst showed excellent stability and durability. This work provides an easy and practical synthetic strategy for acquiring very active and durable electrocatalysts for OER.

Uterine fibroids are benign tumors that could lead to symptoms complicating a patient's daily life. Those fibroids can be treated using uterine fibroid embolization (UFE), an effective non-surgical procedure. However, objectively quantifying the benefits of such a procedure, and the patient's quality of life, is rather challenging.

With a novel multiscale three-dimensional (3D) entropy-based texture analysis, the multiscale 3D dispersion entropy (MDispEn

), this work aims to objectively quantify the evolution- after UFE - of patients' health in terms of quality of life, symptoms severity, and sexual function. For this purpose, clinical data and magnetic resonance imaging (MRI) scans of fibroids are analyzed before UFE(D0), ten days after(D10), and six months after(M6).

An inverse correlation is observed between MDispEn

entropy values and both size and volume of fibroids. An inverse correlation is also observed between MDispEn

at M6 and the scores of symptoms severity. Moreover, the patient age is found to be related to the relative difference of DispEn

and MDispEn

values, between D0 and M6, translating into an increasing entropy value. Furthermore, we show that history of fibroma plays a role in determining the obtained DispEn

values at D0. Finally, we observe that the lower MDispEn

values at D0, the larger the size of the fibroid at M6.

The proposed MDispEn

method-by quantifying fibroid texture-could assist the medical doctors in the prognosis of uterine fibroids and the patients' quality of life assessment post-UFE. It could therefore favor the choice of this treatment compared to other more invasive surgical treatments.

The proposed MDispEn3D method - by quantifying fibroid texture - could assist the medical doctors in the prognosis of uterine fibroids and the patients' quality of life assessment post-UFE. It could therefore favor the choice of this treatment compared to other more invasive surgical treatments.Deep learning methods, especially convolutional neural networks, have advanced the breast lesion classification task using breast ultrasound (BUS) images. link2 However, constructing a highly-accurate classification model still remains challenging due to complex pattern, relatively-low contrast and fuzzy boundary existing between lesion regions (i.e., foreground) and the surrounding tissues (i.e., background). Few studies have separated foreground and background for learning domain-specific representations, and then fused them for improving performance of models. In this paper, we propose a saliency map-guided hierarchical dense feature aggregation framework for breast lesion classification using BUS images. Specifically, we first generate saliency maps for foreground and background via super-pixel clustering and multi-scale region grouping. Then, a triple-branch network, including two feature extraction branches and a feature aggregation branch, is constructed to learn and fuse discriminative representations under the guidance of priors provided by saliency maps. In particular, two feature extraction branches take the original image and corresponding saliency map as input for extracting foreground- and background-specific representations. Subsequently, a hierarchical feature aggregation branch receives and fuses the features from different stages of two feature extraction branches, for lesion classification in a task-oriented manner. The proposed model was evaluated on three datasets using 5-fold cross validation, and experimental results have demonstrated that it outperforms several state-of-the-art deep learning methods on breast lesion diagnosis using BUS images.

One principal impediment in the successful deployment of Artificial Intelligence (AI) based Computer-Aided Diagnosis (CAD) systems in everyday clinical workflows is their lack of transparent decision-making. Although commonly used eXplainable AI (XAI) methods provide insights into these largely opaque algorithms, such explanations are usually convoluted and not readily comprehensible. The explanation of decisions regarding the malignancy of skin lesions from dermoscopic images demands particular clarity, as the underlying medical problem definition is ambiguous in itself. This work presents ExAID (Explainable AI for Dermatology), a novel XAI framework for biomedical image analysis that provides multi-modal concept-based explanations, consisting of easy-to-understand textual explanations and visual maps, to justify the predictions.

Our framework relies on Concept Activation Vectors to map human-understandable concepts to those learned by an arbitrary Deep Learning (DL) based algorithm, and Concept Localisacations in other biomedical fields.Complex study of quadrupolar azacrown dye (E,E)-5,5́-Bis[2-(4-(4',7',10',13',16'-pentaoxa-1 azacyclooctadecyl)phenyl)ethenyl]-2,2́-bipyridine 1 was performed. Electronic spectra of absorption and fluorescence in different solvents exhibit strong solvatochromism. Electrooptical absorption measurements (EOAM) were performed to determine the electric dipole moments. These measurements gave large values of dipole moments in the ground μg and Franck-Condon excited state μeFC equal to 6.8 ± 0.14C m and 39.3 ± 0.3C m, respectively. Furthermore, the results of EOAM suggest the existence two conformers in the ground state with close energies of electronic transitions. Density functional theory (DFT) calculations directly show that the shape of this molecule is not planar in the ground state and also allows the existence of two stable conformers with close energies. They appeared due to different orientations of the left and right pyridine fragments of the solute. The energies, electric dipole moments and dependences of dipole moments on the strength of applied electric field were calculated for found stable conformers of 1. DFT calculations with TD / B3LYP / 3-21G and cc-pVDZ (Time Depend) approach show that external electric field increases dramatically the dipole moments of the solute under study. The higher field intensity the larger the excited electric dipole in the range intensities from zero to ∼ 2.8·× 10 9 V/m.A simple, rapid and straightforward method for detecting reduced glutathione (GSH) was developed supported on smartphone analysis software package and a peroxide simulated catalyst nanoparticles (Fe3O4@Au) system. The nanocomposite was prepared by self-assembling technique, and the characterization was carried out using transmission electron microscopy, Fourier transforms infrared, and X-ray diffractometer. Fe3O4@Au materials have catalyzed the oxidation of a typical colorimetric substrate in the presence of H2O2, with the color changes from colorless to green oxidized. A smartphone with a free self-developed app referred to as "Color Capture" was accustomed live the RGB (red-greenblue) values of color intensity within the Fe3O4@Au system and computationally convert them GSH concentrations. The smartphone detection system showed high property and sensitivity of GSH detection. It gave a constant correlation (R2 = 0.9973) between the colour intensity of I and the GSH concentration, with a linear vary of 0-0.25 mmol/L, and a detection limit of 0.013 μmol/L. link3 The results obtained were most consistent with the results obtained in ultraviolet spectrophotometry. The colorimetric system is based on smartphone analysis software developed to detect GSH in actual samples with potential application values.Iron is an essential yet toxic micronutrient and its transport across biological membranes is tightly regulated in all living organisms. One such iron transporter, the Ftr-type permeases, is found in both eukaryotic and prokaryotic cells. These Ftr-type transporters are required for iron transport, predicted to form α-helical transmembrane structures, and conserve two ArgGluxxGlu (x = any amino acid) motifs. In the yeast Ftr transporter (Ftr1p), a ferroxidase (Fet3p) is required for iron transport in an oxidation coupled transport step. None of the bacterial Ftr-type transporters (EfeU and FetM from E. coli; cFtr from Campylobacter jejuni; FtrC from Brucella, Bordetella, and Burkholderia spp.) contain a ferroxidase protein. Bioinformatics report predicted periplasmic EfeO and FtrB (from the EfeUOB and FtrABCD systems) as novel cupredoxins. The Cu2+ binding and the ferrous oxidation properties of these proteins are uncharacterized and the other two bacterial Ftr-systems are expressed without any ferroxidase/cupredoxin, leading to controversy about the mode of function of these transporters. Here, we review published data on Ftr-type transporters to gain insight into their functional diversity. Based on original bioinformatics data presented here evolutionary relations between these systems are presented.Rheumatoid arthritis(RA) is a debilitating chronic inflammatory disease. Suppressors of Cytokine Signaling(SOCS) proteins regulate homeostasis and pathogenesis in several diseases. The intersection between RA pathophysiology and SOCS2 is unclear. Herein, we investigated the roles of SOCS2 during the development of an experimental antigen-induced arthritis(AIA). In wild type mice, joint SOCS2 expression was reduced during AIA development. At the peak of inflammation, SOCS2-/- mice presented with reduced numbers of infiltrated cells in their joints. At the late phase of AIA, however, exhibited increased adhesion/infiltration of neutrophils, macrophages, CD4+-T cells, CD4+CD8+-T cells, and CD4-CD8--T cells associated with elevated IL-17 and IFN-γ levels, joint damage, proteoglycan loss, and nociception. SOCS2 deficiency resulted in lower numbers of apoptotic neutrophils and reduced efferocytosis. The present study demonstrated the vital role of SOCS2 during the development and resolution of an experimental RA model. Hence, this protein may be a novel therapeutic target for this disorder.

Preeclampsia with severe features when diagnosed at less than 34 weeks is associated with maternal morbidity and is managed by immediate delivery or inpatient expectant management.

This study aimed to compare maternal morbidity in women with preeclampsia with severe features in whom the American College of Obstetricians and Gynecologists recommends immediate delivery versus those eligible for expectant management.

This was a retrospective cohort study of women with preeclampsia with severe features delivered between 23 to 34 weeks of gestation from 2013 to 2017 at a single tertiary center. Women were categorized into 2 groups (1) those recommended by the American College of Obstetricians and Gynecologists for immediate delivery, that is, ineligible for expectant management, and (2) those eligible for expectant management. The primary outcome was composite postpartum maternal morbidity, which included maternal intensive care unit admission, stroke, death, and other severe morbidities. The secondary outco, 1.35-19.08]). There was no demonstrable difference in neonatal outcomes between the 2 groups.

Women with preeclampsia with severe features who were ineligible for expectant management per the American College of Obstetricians and Gynecologists guidelines had a 5-fold increased risk of maternal morbidity, confirming the need for escalation of care and delivery without delay.

Women with preeclampsia with severe features who were ineligible for expectant management per the American College of Obstetricians and Gynecologists guidelines had a 5-fold increased risk of maternal morbidity, confirming the need for escalation of care and delivery without delay.

Rates of severe maternal morbidity are steadily increasing in the United States and are highest among women who are Black, publicly insured, or deliver at a safety-net hospital. There is limited information on the risk of severe maternal morbidity recurrence in subsequent births, particularly among socially vulnerable women.

To estimate the risk of severe maternal morbidity recurrence among singleton births in a large, public hospital system.

We conducted a population-based cohort study using electronic medical record data on deliveries occurring at an urban public hospital between 2011 and 2020. We included all women with 2 singleton deliveries at ≥20 weeks of gestation (live or stillborn) during the study period and assessed severe maternal morbidity recorded at delivery or within 42 days postpartum. We used generalized linear models to estimate adjusted risk ratios, adjusted risk differences, and 95% confidence intervals for severe maternal morbidity at the subsequent birth, controlling for age, pario experienced severe maternal morbidity in a previous birth are at increased risk for severe maternal morbidity recurrence and may warrant additional monitoring in subsequent pregnancies.

Anemia during pregnancy is associated with increased risks of preterm birth, preeclampsia, cesarean delivery, and maternal morbidity. The most prevalent modifiable cause of pregnancy-associated anemia is iron deficiency. link3 However, it is still unclear whether iron therapy can reduce the risks of adverse outcomes in women with anemia.

This study aimed to determine whether response to iron therapy among women with anemia is associated with a change in odds of adverse maternal and neonatal outcomes.

This was a population-based cohort study (2011-2019) using an institutional database composed of obstetrical patients from 2 delivery hospitals. Patients with adequate prenatal care were classified as being anemic or nonanemic (reference). Patients with anemia were further stratified by success or failure of treatment with oral iron therapy using the American College of Obstetricians and Gynecologists criteria for anemia at the time of admission for delivery successfully treated (Hgb≥11 g/dL) or unsuccessfully tr 1.24-1.89] and 1.44 [95% confidence interval, 1.25-1.67], respectively). All groups of women with anemia had increased odds of postpartum hemorrhage and decreased odds of delivering a small for gestational age neonate. There was no difference in composite neonatal morbidity.

Successful treatment of anemia with oral iron therapy was associated with a reduction in the odds of preterm birth and preeclampsia. Women with refractory anemia had similar outcomes to those who were untreated, emphasizing the importance of monitoring response to iron therapy during pregnancy.

Successful treatment of anemia with oral iron therapy was associated with a reduction in the odds of preterm birth and preeclampsia. Women with refractory anemia had similar outcomes to those who were untreated, emphasizing the importance of monitoring response to iron therapy during pregnancy.

Newborns exhibit the lowest immediate respiratory morbidity rates when born at full term (39-40 completed weeks of gestation). We evaluated whether early-term deliveries (37 0/7 to 38 6/7 weeks of gestation) bear a substantial impact on overall and specific long-term respiratory outcomes of offspring up to the age of 18 years compared with full-term or later deliveries.

We searched PubMed, Medline, Embase, and relevant reference lists from January 2012 to May 2020.

This systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews guidelines and was registered on International Prospective Register of Systematic Reviews. Any observational or randomized human trials addressing the association between early-term delivery and long-term respiratory outcomes in the offspring, restricted to studies published in English, were included. The search included terms relating to gestational age, pediatric morbidity, and respiratory outcomes. We included studies asiratory diseases (relative risk, 1.22; 95% confidence interval, 1.17-1.29). Most studies were of acceptable quality.

This comprehensive meta-analysis suggested that early-term delivery poses a risk of long-term pediatric respiratory morbidity compared with full-term delivery. Other factors throughout the years cannot be accounted for. Our study has added an important perspective to be considered when balancing the fetal, maternal, and neonatal risks associated with delivery timing.

This comprehensive meta-analysis suggested that early-term delivery poses a risk of long-term pediatric respiratory morbidity compared with full-term delivery. Other factors throughout the years cannot be accounted for. Our study has added an important perspective to be considered when balancing the fetal, maternal, and neonatal risks associated with delivery timing.