Patient Readmission for Ischemic Stroke: Risk Factors and Impact on Mortality.

Patient readmission for ischemic stroke significantly strains the healthcare and medical insurance systems. Current understanding of the risk factors associated with these readmissions, as well as their subsequent impact on mortality within China, remains insufficient. This is particularly evident in the context of comprehensive, contemporary population studies. This 4-year retrospective cohort study included 125 397 hospital admissions for ischemic stroke from 838 hospitals located in 22 regions (13 urban and 9 rural) of a major city in western China, between January 1, 2015 and December 31, 2018. The Chi-square tests were used in univariate analysis. Accounting for intra-subject correlations of patients' readmissions, accelerated failure time (AFT) shared frailty models were used to examine readmission events and pure AFT models for mortality. Risk factors for patient readmission after ischemic stroke include frequent admission history, male gender, employee's insurance, advanced age, residence in urban areas, index hospitalization in low-level hospitals, extended length of stay (LOS) during index hospitalization, specific comorbidities and subtypes of ischemic stroke. Furthermore, our findings indicated that an additional admission for ischemic stroke increased patient mortality by 16.4% (P < .001). Stroke readmission contributed to an increased risk of hospital mortality. Policymakers can establish more effective and targeted policies to reduce readmissions for stroke by controlling these risk factors.

Synthesis and Characterization of Two-Photon Active Chromophores Based on Tetrathienoacene (TTA) and Dithienothiophene (DTT).

Three new donor-π-donor (D-π-D) tetrathienoacene (thieno[2',3':4,5]thieno[3,2-b]thieno[2,3-d]thiophene (TTA))-cored chromophores, end-functionalized with electron-donating triphenylamine (TPA) groups, were developed and characterized for their two-photon-related properties by using both nano- and femtosecond laser pulses as the probing tools. TTA-based chromophores exhibit stronger and more widely dispersed two-photon absorption (2PA) than those of dithienothiophene (DTT)-based congeners. As a consequence, the bithiophene-conjugated TTA chromophore exhibits the highest maximum 2PA cross-section value (up to 2500 GM) with good thermal stability, and thus, it is the best performing two-photon chromophore among the studied model compounds. The bithiophene-conjugated DTT analogue exhibits the second highest maximum two-photon absorptivity of 1950 GM, which is nearly 7 times larger than that of previously reported DTT-based chromophores.

Synthesis and characterization of two-photon chromophores based on a tetrasubstituted tetraethynylethylene scaffold.

A new series of model dye molecules composed of three multibranched analogues based on the tetrasubstituted tetraethynylethylene structural motif have been synthesized and experimentally shown to possess strong and widely dispersed two-photon absorption (2PA) in the near-IR region. It was found that the spectral position of the major 2PA band could be tuned by the electronic nature of the selected substitution units. The studied model fluorophores also exhibited fairly low photodegradation of their fluorescence intensity even under prolonged UV-light irradiation, which is beneficial for the development of fluorescence probes that are needed for long-term light exposure. Furthermore, representative chromophores were selected to demonstrate the power-control properties within the femtosecond and nanosecond time domains.

Photocatalytic degradation of p-phenylenediamine with TiO2-coated magnetic PMMA microspheres in an aqueous solution.

This study investigates the photocatalytic degradation of p-phenylenediamine (PPD) with titanium dioxide-coated magnetic poly(methyl methacrylate) (TiO2/mPMMA) microspheres. The TiO2/mPMMA microspheres are employed as novel photocatalysts with the advantages of high photocatalytic activity, magnetic separability, and good durability. The scanning electron microscopy (SEM), energy dispersive spectrometer (EDS), and transmission electron microscopy (TEM) images of the TiO2/mPMMA microspheres are used to characterize the morphology, element content, and distribution patterns of magnetite and TiO2 nanoparticles. The BET-specific surface area and saturation magnetization of the TiO2/mPMMA microspheres are observed as 2.21 m(2)/g and 4.81 emu/g, respectively. The photocatalytic degradation of PPD are performed under various experimental conditions to examine the effects of initial PPD concentration, TiO2/mPMMA microsphere dosage, and illumination condition on the eliminations of PPD and chemical oxygen demand (COD) concentrations. Good repeatability of photocatalytic performance with the use of the TiO2/mPMMA microspheres has been demonstrated in the multi-run experiments. The photocatalytic kinetics for the reductions of PPD and COD associated with the initial PPD concentration, UV radiation intensity, and TiO2/mPMMA microsphere dosage are proposed. The relationships between the reduction percentages of COD and PPD are clearly presented.