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1.
Artículo en Inglés | MEDLINE | ID: mdl-39240735

RESUMEN

We propose an end-to-end visuomotor navigation framework that leverages Neural Radiance Fields (NeRF) for spatial cognition. To the best of our knowledge, this is the first effort to integrate such implicit spatial representation with embodied policy end-to-end for cognitive decision-making. Consequently, our system does not necessitate modularized designs nor transformations into explicit scene representations for downstream control. The NeRF-based memory is constructed online during navigation, without relying on any environmental priors. To enhance the extraction of decision-critical historical insights from the rigid and implicit structure of NeRF, we introduce a spatial information extraction mechanism named Structural Radiance Attention (SRA). SRA empowers the agent to grasp complex scene structures and task objectives, thus paving the way for the development of intelligent behavioral patterns. Our comprehensive testing in image-goal navigation tasks demonstrates that our approach significantly outperforms existing navigation models. We demonstrate that SRA markedly improves the agent's understanding of both the scene and the task by retrieving historical information stored in NeRF memory. The agent also learns exploratory awareness from our pipeline to better adapt to low signal-to-noise memory signals in unknown scenes. We deploy our navigation system on a mobile robot in real-world scenarios, where it exhibits evident cognitive capabilities while ensuring real-time performance.

2.
Artículo en Inglés | MEDLINE | ID: mdl-39288036

RESUMEN

The fundamental prerequisite for embodied agents to make intelligent decisions lies in autonomous cognition. Typically, agents optimize decision-making by leveraging extensive spatiotemporal information from episodic memory. Concurrently, they utilize long-term experience for task reasoning and foster conscious behavioral tendencies. However, due to the significant disparities in the heterogeneous modalities of these two cognitive abilities, existing literature falls short in designing effective coupling mechanisms, thus failing to endow robots with comprehensive intelligence. This article introduces a navigation framework, the hierarchical topology-semantic cognitive navigation (HTSCN), which seamlessly integrates both memory and reasoning abilities within a singular end-to-end system. Specifically, we represent memory and reasoning abilities with a topological map and a semantic relation graph, respectively, within a unified dual-layer graph structure. Additionally, we incorporate a neural-based cognition extraction process to capture cross-modal relationships between hierarchical graphs. HTSCN forges a link between two different cognitive modalities, thus further enhancing decision-making performance and the overall level of intelligence. Experimental results demonstrate that in comparison to existing cognitive structures, HTSCN significantly enhances the performance and path efficiency of image-goal navigation. Visualization and interpretability experiments further corroborate the promoting role of memory, reasoning, as well as their online learned relationships, on intelligent behavioral patterns. Furthermore, we deploy HTSCN in real-world scenarios to further verify its feasibility and adaptability.

3.
J Colloid Interface Sci ; 678(Pt C): 291-297, 2024 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-39298980

RESUMEN

Transition metal sulfides have emerged as compelling anode materials for sodium-ion batteries (SIBs), leveraging their abundant elemental reserves and high theoretical capacities. However, the reaction of sulfur with Na ions is usually accompanied by significant volume dilation, which hinders their further development and application. Hence, constructing bimetallic sulfide (FeSn)/S for SIBs anode material greatly alleviates the circulation attenuation caused by volume expansion. Through constructing bimetallic heterojunction materials from nanocube precursors, the (FeSn)/S anode material retains a high specific capacity of 578 mAh/g at an intense current density of 2 A/g after 1000 cycles, and exhibits an great rate capability, delivering 796 mAh/g at 100 mA/g. The excellent electrochemical performance of the heterojunction material presents a promising solution to the enduring quest for enhanced anode material for SIBs.

4.
J Colloid Interface Sci ; 678(Pt C): 346-358, 2024 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-39298987

RESUMEN

In recent years, core-shell structured Prussian Blue Analogues (PBAs) have been considered as highly promising cathode materials for sodium-ion batteries. Reducing production costs and simplifying the preparation method for core-shell PBAs have also become crucial considerations. This paper presents a novel approach for the first time: by acid-treating the as-synthesized solution from a simple coprecipitation reaction, a high-crystallinity, sodium-rich Mn2+-doped iron hexacyanoferrate (Fe/MnHCF) shell material is self-grown on the surface of manganese hexacyanoferrate (MnHCF). This method significantly improves the electrochemical properties of the MnHCF material. The core-shell structured PBA exhibits excellent cycling performance (with a capacity retention of 95.5 % for 400 cycles at 1 A/g) and high rate performance (134.2mAh/g@10 mA/g, 95.2mAh/g@1 A/g). In this article, we explore the growth mechanism of the high-sodium content, high-crystallinity shell structure and introduce a green chelating agent that is better suited for the crystallization of Mn and Fe-type PBA systems. Our study demonstrates that Mn2+ doping enhances the conductivity of the shell material. Meanwhile, the heterojunction structure of MnHCF@Fe/MnHCF conducive to charge separation and migration. This straightforward synthesis strategy offers a novel approach for fabricating high-performance core-shell structured Prussian Blue Analogue materials.

5.
Heart Rhythm ; 2024 Aug 05.
Artículo en Inglés | MEDLINE | ID: mdl-39111609

RESUMEN

Recent studies have highlighted the critical role of calcium/calmodulin-dependent protein kinase II (CaMKII) overactivation in the pathogenesis of various cardiac arrhythmias. Ruxolitinib, a Janus kinase inhibitor widely used for the treatment of myelofibrosis and acute graft-vs-host disease, has expanded its research horizons to include its potential as a CaMKII inhibitor in the treatment of cardiac arrhythmias. This article reviews the basic pharmacologic properties of ruxolitinib and delves into the role of CaMKII in cardiac arrhythmias, including its structural fundamentals, activation mechanisms, and association with arrhythmic conditions. Furthermore, the current state of CaMKII inhibitor research is discussed, with a special focus on the advances and clinical potential of ruxolitinib in this field. Studies indicate that ruxolitinib effectively inhibits CaMKII activity and has therapeutic potential against cardiac arrhythmias in animal models and at the cellular level. In addition, we address the critical issues that need to be resolved before the clinical application of ruxolitinib in arrhythmia treatment, including dosage concerns, long-term inhibitory effects, potential impacts on the nervous system, and efficacy across different types of arrhythmias. Future research directions involve further exploration of the clinical application potential of ruxolitinib, particularly in diseases such as heart failure, hypertrophic cardiomyopathy, dilated cardiomyopathy, and ischemic arrhythmias. In summary, the efficacy, low toxicity, and safety profile of ruxolitinib as a CaMKII inhibitor in the treatment of cardiac arrhythmias suggest a promising future for its development as a therapeutic drug in this domain.

6.
ACS Appl Mater Interfaces ; 16(36): 48660-48666, 2024 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-39207881

RESUMEN

In the preparation process of c-Si solar cells, qualified Si wafers must be processed through mechanical processing during manufacturing. Most of these processes involve mechanical processing, which inevitably results in severe mechanical damage layers and a wafer surface with large roughness. The current industry practice involves etching of the damage layer using an acid/alkali solution, and it is usually followed by deposition of additional passivation layers in the subsequent processes. However, even with these treatments, there still remain non-negligible microscopic saw damage and scratches on the wafer surface, which hinder the urgent development of a higher conversion efficiency of solar cells. Here, we provide a simple method to effectively suppress the impact of this surface damage. UV-OZONE treatment, which involves generation of an oxide layer and subsequent cleaning with hydrofluoric acid, leads to the effective regain of solar cell performance due to the passivation of dangling bonds and removal of sharp microstructures based on the creation of mechanical scratches. In addition, PEDOT:PSS/n-Si solar cells were prepared to exploit their strong surface dependence to investigate the effect of scratches on the overall performance. These results further validate the impact of scratches on solar cells, and a simple and effective method for surface damage suppression is provided.

7.
Materials (Basel) ; 17(15)2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39124449

RESUMEN

Carbon-based functional nanocomposites have emerged as potent antimicrobial agents and can be exploited as a viable option to overcome antibiotic resistance of bacterial strains. In the present study, graphitic carbon nitride nanosheets are prepared by controlled calcination of urea. Spectroscopic measurements show that the nanosheets consist of abundant carbonyl groups and exhibit apparent photocatalytic activity under UV photoirradiation towards the selective production of singlet oxygen. Therefore, the nanosheets can effectively damage the bacterial cell membranes and inhibit the growth of bacterial cells, such as Gram-negative Escherichia coli, as confirmed in photodynamic, fluorescence microscopy, and scanning electron microscopy measurements. The results from this research highlight the unique potential of carbon nitride derivatives as potent antimicrobial agents.

8.
Artículo en Inglés | MEDLINE | ID: mdl-39193652

RESUMEN

OBJECTIVE: To investigate the effect of spectacle correction on refractive progression in children with unilateral myopic anisometropia (UMA). METHODS: In this retrospective study, 153 children with UMA (aged 8-12 years) were recruited and classified into an uncorrected (UC) group (n = 47) and a spectacle (SP) group (n = 106). The spherical equivalent refraction (SER) of the myopic eyes ranged from -0.75 to -4.00 D; the SER of the emmetropic eyes ranged from +1.00 to -0.25 D; anisometropia was ≥1.00 D and the follow-up duration was 1 year. Nineteen subjects from the SP group with follow-up records spanning at least 6 months before and after wearing spectacles were selected as a subgroup. Changes in the SER and axial length (AL), the degree of anisometropia and interocular AL differences of the two groups and the subgroup were analysed. RESULTS: During the 1-year follow-up period, AL and SER changes in myopic eyes were significantly greater than those in emmetropic eyes in the UC group (p < 0.001). For the UC group, the degree of anisometropia and AL change increased (all p < 0.001). For the SP group, there were no significant differences in the degree of anisometropia or AL change (all p > 0.05). When comparing the groups, AL elongation of the myopic eyes in the UC group occurred significantly faster than in the SP group (p = 0.02), and AL elongation for the emmetropic eyes in the UC group occurred significantly slower than in the SP group (p = 0.04). For the subgroup, the AL and SER changes in the myopic eyes 6 months before wearing spectacles occurred significantly faster than those after correction (p < 0.001). CONCLUSIONS: Spectacle correction could prevent increased anisometropia in uncorrected children with UMA by slowing myopia progression in the myopic eyes and accelerating the myopic shift in the contralateral eye.

9.
BMC Microbiol ; 24(1): 314, 2024 Aug 26.
Artículo en Inglés | MEDLINE | ID: mdl-39187803

RESUMEN

Pneumocystis jirovecii is a prevalent opportunistic fungal pathogen that can lead to life-threatening Pneumocystis pneumonia in immunocompromised individuals. Given that timely and accurate diagnosis is essential for initiating prompt treatment and enhancing patient outcomes, it is vital to develop a rapid, simple, and sensitive method for P. jirovecii detection. Herein, we exploited a novel detection method for P. jirovecii by combining recombinase polymerase amplification (RPA) of nucleic acids isothermal amplification and the trans cleavage activity of Cas12a. The factors influencing the efficiency of RPA and Cas12a-mediated trans cleavage reaction, such as RPA primer, crRNA, the ratio of crRNA to Cas12a and ssDNA reporter concentration, were optimized. Our RPA-Cas12a-based fluorescent assay can be completed within  30-40 min, comprising a 25-30 min RPA reaction and a 5-10 min trans cleavage reaction. It can achieve a lower detection threshold of 0.5 copies/µL of target DNA with high specificity. Moreover, our RPA-Cas12a-based fluorescent method was examined using 30 artificial samples and demonstrated high accuracy with a diagnostic accuracy of 93.33%. In conclusion, a novel, rapid, sensitive, and cost-effective RPA-Cas12a-based detection method was developed and demonstrates significant potential for on-site detection of P. jirovecii in resource-limited settings.


Asunto(s)
Técnicas de Amplificación de Ácido Nucleico , Pneumocystis carinii , Sensibilidad y Especificidad , Pneumocystis carinii/genética , Pneumocystis carinii/aislamiento & purificación , Técnicas de Amplificación de Ácido Nucleico/métodos , Humanos , Neumonía por Pneumocystis/diagnóstico , Neumonía por Pneumocystis/microbiología , Técnicas de Diagnóstico Molecular/métodos , Endodesoxirribonucleasas/genética , Endodesoxirribonucleasas/metabolismo , Proteínas Asociadas a CRISPR/genética , ADN de Hongos/genética , Recombinasas/metabolismo , Recombinasas/genética , Proteínas Bacterianas
10.
Front Biosci (Landmark Ed) ; 29(8): 294, 2024 Aug 20.
Artículo en Inglés | MEDLINE | ID: mdl-39206894

RESUMEN

BACKGROUND: Intracranial aneurysm (IA) is a localized abnormal dilation of the cerebral vascular wall, the degeneration of which is closely related to high oxidative stress. METHODS: Clinical information and RNA-seq data from five public datasets were downloaded from the Gene Expression Omnibus (GEO). Using the "GSVA" package, enrichment analysis was performed on the gene sets of the oxidative stress, reactive oxygen species (ROS), metabolism, and inflammatory pathways retrieved from the MsigDB and Kyoto encyclopedia of genes and genomes (KEGG) databases. Weighted gene co-expression network analysis (WGCNA) was conducted using the "WGCNA" package, followed by using the "limma" R package to select differentially expressed genes (DEGs). Key genes were determined by applying three machine learning algorithms (random forest, Lasso, and SVM-RFE). The expression levels of the key genes were verified by the quantitative real-time polymerase chain reaction (qRT-PCR) in IA. Finally, ESTIMATE and CIBERPSORT algorithms were used for immune infiltration analysis. RESULTS: The enrichment score of the oxidative stress, ROS, metabolism, and inflammatory pathways was calculated, and we found that these pathways were significantly activated in IA samples with higher immune infiltration. The intersection between the blue module related to oxidative stress (610 genes identified by WGCNA) and 380 upregulated DEGs contained a total of 209 key genes, which were further processed by machine learning algorithms to obtain four crucial diagnostic markers (FLVCR2, SDSL, TBC1D2, and SLC31A1) for IA. These key genes are highly expressed in human brain vascular smooth muscle cells. The expressions of the four markers were significantly positively correlated with the abnormal activation phenotypes of oxidative stress, the ROS and glucometabolic pathways, and suppressive immune infiltration. CONCLUSION: This study employed WGCNA combined with three machine learning algorithms to identify four oxidative stress-related signature markers for IA, providing novel insights into the clinical management of IA patients.


Asunto(s)
Biología Computacional , Aneurisma Intracraneal , Estrés Oxidativo , Aneurisma Intracraneal/genética , Aneurisma Intracraneal/metabolismo , Estrés Oxidativo/genética , Humanos , Biología Computacional/métodos , Redes Reguladoras de Genes , Perfilación de la Expresión Génica/métodos , Especies Reactivas de Oxígeno/metabolismo , Aprendizaje Automático , Biomarcadores/metabolismo , Algoritmos , Bases de Datos Genéticas
11.
Sci Bull (Beijing) ; 2024 Aug 03.
Artículo en Inglés | MEDLINE | ID: mdl-39214741

RESUMEN

Urinary incontinence (UI) is a disease that quietly yet seriously impacts women's health and represents a global health burden that is often neglected. This study aims to systematically assess the prevalence and dynamics of female UI in China, and can inform further policies and have international implications. This study used three nationwide investigations: A national cross-sectional survey in 2021; another nationwide cross-sectional survey in 2006; and data regarding the institutions and physicians providing pelvic floor rehabilitation services from 2005 to 2019. The weighted prevalence of female UI and its subtypes, including stress UI (SUI), urgency UI (UUI), and mixed UI (MUI), were estimated as primary outcomes. Knowledge, attitude and care-seeking behaviors of UI were evaluated. It was found that the weighted prevalence of female UI was 16.0 % (95% CI, 13.3 %-19.1%) with SUI remaining the predominant subtype (7.0%) in 2021, followed by MUI (6.5%) and UUI (1.9%). The estimated absolute number of Chinese adult women with UI was 85.8 million in 2021. 52.7% (95% CI, 45.9%-59.4 %) of women were aware that UI was a medical condition, and only 10.1% of women with UI sought health care. After 15 years of development, there were 8400 pelvic floor rehabilitation institutions and nearly 10,000 relevant physicians in China-they were found to be associated with UI prevalence. The UI prevalence in China was significantly lower in 2021 compared to that in 2006. Despite the achievement, UI remains a public health problem, especially given China's fast aging and three-child policy. More innovations, especially those that can facilitate care seeking, are needed to address this prevalent yet treatable condition.

12.
Small ; : e2404729, 2024 Aug 08.
Artículo en Inglés | MEDLINE | ID: mdl-39113671

RESUMEN

Development of high-performance, low-cost catalysts for electrochemical water splitting is key to sustainable hydrogen production. Herein, ultrafast synthesis of carbon-supported ruthenium-copper (RuCu/C) nanocomposites is reported by magnetic induction heating, where the rapid Joule's heating of RuCl3 and CuCl2 at 200 A for 10 s produces Ru-Cl residues-decorated Ru nanocrystals dispersed on a CuClx scaffold, featuring effective Ru to Cu charge transfer. Among the series, the RuCu/C-3 sample exhibits the best activity in 1 m KOH toward both the hydrogen evolution reaction (HER) and oxygen evolution reaction (OER), with an overpotential of only -23 and +270 mV to reach 10 mA cm-2, respectively. When RuCu/C-3 is used as bifunctional catalysts for electrochemical water splitting, a low cell voltage of 1.53 V is needed to produce 10 mA cm-2, markedly better than that with a mixture of commercial Pt/C+RuO2 (1.59 V). In situ X-ray absorption spectroscopy measurements show that the bifunctional activity is due to reduction of the Ru-Cl residues at low electrode potentials that enriches metallic Ru and oxidation at high electrode potentials that facilitates the formation of amorphous RuOx. These findings highlight the unique potential of MIH in the ultrafast synthesis of high-performance catalysts for electrochemical water splitting.

13.
Nat Commun ; 15(1): 6117, 2024 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-39033169

RESUMEN

Per- and polyfluoroalkyl substances (PFAS) are persistent and bioaccumulative pollutants that can easily accumulate in soil, posing a threat to environment and human health. Current PFAS degradation processes often suffer from low efficiency, high energy and water consumption, or lack of generality. Here, we develop a rapid electrothermal mineralization (REM) process to remediate PFAS-contaminated soil. With environmentally compatible biochar as the conductive additive, the soil temperature increases to >1000 °C within seconds by current pulse input, converting PFAS to calcium fluoride with inherent calcium compounds in soil. This process is applicable for remediating various PFAS contaminants in soil, with high removal efficiencies ( >99%) and mineralization ratios ( >90%). While retaining soil particle size, composition, water infiltration rate, and cation exchange capacity, REM facilitates an increase of exchangeable nutrient supply and arthropod survival in soil, rendering it superior to the time-consuming calcination approach that severely degrades soil properties. REM is scaled up to remediate soil at two kilograms per batch and promising for large-scale, on-site soil remediation. Life-cycle assessment and techno-economic analysis demonstrate REM as an environmentally friendly and economic process, with a significant reduction of energy consumption, greenhouse gas emission, water consumption, and operation cost, when compared to existing soil remediation practices.

14.
Talanta ; 278: 126496, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-38996563

RESUMEN

Dopamine is an important neurotransmitter in the body and closely related to many neurodegenerative diseases. Therefore, the detection of dopamine is of great significance for the diagnosis and treatment of diseases, screening of drugs and unraveling of relevant pathogenic mechanisms. However, the low concentration of dopamine in the body and the complexity of the matrix make the accurate detection of dopamine challenging. Herein, an electrochemical sensor is constructed based on ternary nanocomposites consisting of one-dimensional Pt nanowires, two-dimensional MXene nanosheets, and three-dimensional porous carbon. The Pt nanowires exhibit excellent catalytic activity due to the abundant grain boundaries and highly undercoordinated atoms; MXene nanosheets not only facilitate the growth of Pt nanowires, but also enhance the electrical conductivity and hydrophilicity; and the porous carbon helps induce significant adsorption of dopamine on the electrode surface. In electrochemical tests, the ternary nanocomposite-based sensor achieves an ultra-sensitive detection of dopamine (S/N = 3) with a low limit of detection (LOD) of 28 nM, satisfactory selectivity and excellent stability. Furthermore, the sensor can be used for the detection of dopamine in serum and in situ monitoring of dopamine release from PC12 cells. Such a highly sensitive nanocomposite sensor can be exploited for in situ monitoring of important neurotransmitters at the cellular level, which is of great significance for related drug screening and mechanistic studies.


Asunto(s)
Carbono , Dopamina , Técnicas Electroquímicas , Nanocompuestos , Nanocables , Platino (Metal) , Dopamina/análisis , Dopamina/sangre , Dopamina/química , Platino (Metal)/química , Células PC12 , Nanocables/química , Nanocompuestos/química , Animales , Carbono/química , Ratas , Porosidad , Técnicas Electroquímicas/métodos , Neuronas/metabolismo , Límite de Detección , Electrodos
15.
Arch Med Sci ; 20(3): 813-821, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39050175

RESUMEN

Introduction: Oral epithelial cells were recently shown to be able to differentiate into corneal epithelium, and the efficacy of cultured autologous oral mucosal epithelial cells (CAOMEC) has been suggested by the presence of epithelium replacement. Therefore, the aim of this study was to evaluate the treatment outcome in limbal stem cell deficiency (LSCD) by adding CAOMEC to regular amniotic membrane (AM) treatment. Material and methods: Eyes with LSCD were randomized to two groups to undergo either autologous oral mucosal epithelial cell sheet (CAOMECS) combined with AM transplantation (A group) or AM transplantation alone (B group). Clinical outcome measures were corneal epithelium healing, best corrected visual acuity, symblepharon, corneal transparency, corneal neovascularization and ocular surface inflammation. Results: The normal corneal epithelialization rate in group A (73.33%) was higher than that in group B (35.48%), and the average healing time was shorter (3.45 ±2.12 weeks vs. 4.64 ±1.63 weeks). The symblepharon in the above two groups was improved in the first 3 months after surgery, but after 6 months, part of the B group had recurrence. In improving corneal transparency, group A has obvious advantages. Corneal neovascularization (CNV) was improved to some extent in the first 3 months after surgery, but group A (1.47 ±0.64) was better than group B (1.94 ±0.85) after 6 months. Both groups can improve the inflammatory state to some extent. Conclusions: The transplantation of CAOMECS offers a viable and safe alternative in the reconstruction of a stable ocular surface. The effect is better than that of traditional AM transplantation, mainly in promoting corneal epithelialization, improving ocular surface structure, and reducing fiber and vascular infiltration.

16.
Dalton Trans ; 53(29): 12199-12207, 2024 Jul 23.
Artículo en Inglés | MEDLINE | ID: mdl-38973342

RESUMEN

Phosphorescent material with narrowband emission is crucial for advancing wide-color-gamut organic light-emitting diodes (OLEDs). In this work, two iridium(III) complexes, (PhthzICz)2Ir(tmd) and (thzICz)2Ir(tmd), using rigid 2-(benzothiazole-2-yl)indolo[3,2,1-jk]carbazole (PhthzICz) and 2-(thiazole-2-yl)indolo[3,2,1-jk]carbazole (thzICz) as cyclometalated ligands and 2,2,6,6-tetramethyl-3,5-heptanedione (tmd) as ancillary ligands, were synthesized. When these complexes were doped into the host material 3,3'-di(9H-carbazol-9-yl)-1,1'-biphenyl, the doped films exhibited yellow photoluminescence (PL) peaking at 537 and 531 nm, full width at half maximum (FWHM) bands of 35 and 60 nm, and PL quantum yields of 89.9% and 85.9%, respectively. OLEDs based on these two emitters display moderate performance characteristics with maximum external quantum efficiencies of 25.2% and 22.7%. Notably, the device based on (PhthzICz)2Ir(tmd) exhibits a narrow FWHM of 31 nm. Overall, the study highlights the practicality of incorporating rigid groups into the cyclometalated ligands of Ir(III) complexes as a viable strategy for achieving efficient Ir(III) complexes for OLEDs with narrow emission and high efficiency.

17.
Rev Cardiovasc Med ; 25(4): 138, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-39076550

RESUMEN

Pulsed field ablation with irreversible electroporation for the treatment of atrial fibrillation involves tissue-specific and non-thermal energy-induced cell necrosis, which helps avoid complications, such as pulmonary vein stenosis, atrial collateral tissue damage, and extensive atrial structural damage, often encountered with traditional thermal ablation. In existing clinical trials, pulsed field ablation has shown excellent effects on pulmonary vein isolation in patients with paroxysmal and persistent atrial fibrillation. Pulsed field ablation is easy, simple, and quick and can reduce iatrogenic injury. Therefore, the application of pulsed field ablation technology in the treatment of atrial fibrillation has a promising future. Notably, the adjustment of parameters in pulsed field ablation with different ablation catheter systems can strongly affect the area and depth of the necrotic myocardium, which greatly affects the likelihood of atrial fibrillation recurrence and incidence of adverse complications after ablation. In this paper, we review the mechanisms, advantages, and limitations of pulsed field ablation based on the results of a series of previous studies and provide ideas and directions for future research.

18.
Chem Asian J ; : e202400664, 2024 Jul 30.
Artículo en Inglés | MEDLINE | ID: mdl-39078718

RESUMEN

Circularly polarized organic light-emitting diodes (CP-OLEDs) hold significant promise for applications in 3D displays due to the ability to generate circularly polarized luminescence (CPL) directly. In this study, two pairs of circularly polarized thermally activated delayed fluorescence (CP-TADF) enantiomers, named RR/SS-ONCN and RS/SR-ONCN, were synthesized by integrating two distinct chiral groups into the dicyanobenzene unit. The RR/SS-ONCN and RS/SR-ONCN enantiomers show CPL properties with dissymmetry photoluminescence factors (|gPL|) of 1.3 × 10-3 and 2.0 × 10-3 in doped films, respectively. Notably, RR/SS-ONCN exhibit higher |gPL| values than that of RS/SR-ONCN, especially in doped films, indicating that when the configurations of the two chiral groups are identical, the |gPL| value of the CP-TADF materials can be enhanced, demonstrating a certain stacking effect. Moreover, the corresponding CP-OLEDs demonstrate good performances, achieving maximum external quantum efficiencies of up to 21.9% and notable CP electroluminescence with |gEL| factors of up to 1.0 × 10-3.

19.
Circ Heart Fail ; 17(8): e011269, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38887946

RESUMEN

Heart failure with preserved ejection fraction (HFpEF) is a common subtype of heart failure marked by impaired left ventricular diastolic function and decreased myocardial compliance. Given the limited availability of evidence-based pharmacological treatments for HFpEF, there is a growing interest in nonpharmacological interventions as viable therapeutic alternatives. This review aims to explore the pathophysiology of HFpEF and present recent advancements in nonpharmacological management approaches, encompassing noninvasive therapies, invasive procedures and targeted treatments for comorbidities. An extensive literature review was undertaken to identify and synthesize emerging nonpharmacological treatment options for HFpEF, assessing their potential to enhance patient outcomes. Nonpharmacological strategies, such as vagus nerve stimulation, percutaneous pulmonary artery denervation, renal denervation, transcatheter insertion of atrial shunts and pericardial resection, demonstrate promising potential for alleviating HFpEF symptoms and improving patient prognosis. Moreover, addressing comorbidities, such as hypertension and diabetes, may offer additional therapeutic benefits. These cutting-edge techniques, in conjunction with well-established exercise therapies, pave the way for future research and clinical applications in the field. Nonpharmacological interventions hold promise for advancing HFpEF patient care and fostering a deeper understanding of these treatment approaches, which will facilitate new clinical applications and contribute to the development of more targeted therapies.


Asunto(s)
Insuficiencia Cardíaca Diastólica , Insuficiencia Cardíaca Diastólica/fisiopatología , Insuficiencia Cardíaca Diastólica/terapia , Humanos , Comorbilidad , Manejo de la Enfermedad
20.
J Colloid Interface Sci ; 674: 49-66, 2024 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-38909594

RESUMEN

To achieve both the capacity and stability of metal sulfides simultaneously remains a significant challenge. In this study, we have synthesized the manganese-doped copper sulfide three-dimensional (3D) hollow flower-like sphere (M/CuS-NSC), encapsulated in a nitrogen and sulfur co-doped carbon. The hollow lamellae structure allows the rational self-aggregation process of numerous active surface area enlarged nanosheets, thereby enhancing electrochemical activity. The subsurface framework characterized by CSC bonds enhances the pseudo-capacitive properties. Furthermore, the transformation of sulfur and the isomerization of carbon contribute to the enhancement of sodium ion storage. The incorporation of Mn into CuS lattice increases the interplanar distance, providing additional space for the accommodation of sodium ions. Mn doping facilitates the localization of electrons near the Fermi level, thereby improving conductivity. Additionally, Cu foils coated with M/CuS-NSC-2 engage with the electrolyte and sulfur, initiating the reaction sequence through the formation of Cu9S8. Consequently, M/CuS-NSC-2 exhibits highly reversible capacities of 676.24 mAh g-1 after 100 cycles at 0.1 A g-1 and 511.52 mAh g-1 after 10000 cycles at 10 A g-1, with an average attenuation ratio of only 0.009 %. In this study, we propose an effective strategy that combines structural design with heteroatom doping, providing a novel approach to enhance the electrochemical performance of monometallic sulfide.

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