Effect of thrombolysis in a mobile stroke unit versus in hospital for patients with ischemic stroke: A protocol for systematic review and meta-analysis of randomized controlled trials.

INTRODUCTION: Ischemic stroke caused by arterial occlusion is the cause of most strokes. The focus of treatment is rapid reperfusion through intravenous thrombolysis and intravascular thrombectomy. Two acute stroke management including prehospital thrombolysis and in hospital have been widely used clinically to treat ischemic stroke with satisfied efficacy. However, there is no systematic review comparing the effectiveness of these 2 therapies. The aim of this study is to compare the effect of prehospital thrombolysis versus in hospital for patients with ischemic stroke. METHODS AND ANALYSIS: The following electronic databases will be searched: Web of Science, PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), China Biology Medicine disc (CBM), Wanfang Database, and Chinese Scientific Journal Database.The randomized controlled trials of prehospital thrombolysis versus in hospital for ischemic stroke will be searched in the databases from their inception to December 2020 by 2 researchers independently. Onset to therapy (OTT) duration and National Institute Health Stroke Scale (NIHSS) scores will be assessed as the primary outcomes; safety assessment including intracerebral hemorrhage (ICH) and mortality will be assessed as the secondary outcomes. The Review Manager 5.3 will be used for meta-analysis and the evidence level will be assessed by using the method for Grading of Recommendations Assessment, Development and evaluation Continuous outcomes will be presented as the weighted mean difference or standardized mean difference with 95% confidence interval (CI), whereas dichotomous data will be expressed as relative risk with 95% CI. If heterogeneity existed (P < .05), the random effect model was used. Otherwise, we will use the fixed effect model for calculation. ETHICS AND DISSEMINATION: Ethical approval is not required because no primary data are collected. This review will be published in a peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42020200708.

A flower-inspired divergent light-trapping structure with quasi-spherical symmetry towards a high-performance flexible photodetector.

Molybdenum disulfide (MoS2) has received widespread attention in recent years due to its exciting properties. However, the practical applications of MoS2 in optoelectronic devices are impeded by the power supply problem, the lack of flexibility, and the low light absorption for planar nanosheets and nanosheet arrays. Inspired by the elaborate architecture of the flower Tagetes erecta L., in this work, a self-assembled divergent MoS2 nanoflower (MoS2_F) with quasi-spherical symmetry is successfully synthesized by a facile one-step hydrothermal method. It is of significance that coupled with asymmetric silver electrodes and packaged by polymethyl methacrylate (PMMA), a self-powered flexible photodetector (PD) based on MoS2_F is actualized and shows an excellent flexible photoresponse performance at zero bias voltage. The divergent structure with quasi-spherical symmetry enables the MoS2_F to achieve strong broadband and omnidirectional absorption (92.7%) and ensures that the MoS2_F maintains the same physical contact on a different bending degree. Intriguingly, excellent flexibility and stability have been achieved as MoS2_F PD retains 91.4% of the initial efficiency even when bent to 151° and retains 92.5% of the initial efficiency even after 1000 bending cycles. Therefore, by a low-cost process, this work demonstrates an innovative avenue to fabricate a self-powered flexible photodetector with excellent light absorption, broadband response, flexibility, and stability, which is of great practical significance for optoelectronic applications in various environments.