Analysis of mild and severe neonatal enterovirus infections in a Chinese neonatal tertiary center: a retrospective case-control study.

PURPOSE: To compare the clinical characteristics, virus serotype, and outcome in cases of mild and severe enteroviral infection at a tertiary neonatal intensive care unit in China. METHODS: A retrospective analysis of cases hospitalized between June and August 2019. Samples (stool or throat swabs) were examined using reverse transcription polymerase chain reaction. Positive cases were divided into two groups: mild infection and severe infection. RESULTS: A total of 149 cases were assigned to one of two groups: mild infection (n = 104) and severe infection (n = 45). There were no significant differences between the groups in terms of sex, gestational age, birth weight, mode of delivery, and onset within 7 days. Clinical symptoms in both groups mostly resembled sepsis (fever, rash, poor feeding, and lethargy); however, there were significant variations in concomitant symptoms such as hepatitis, thrombocytopenia, encephalitis, coagulopathy, and myocarditis. Severe cases were more likely to have abnormal complete blood counts, biochemical parameters, and cerebrospinal fluid markers. The predominant serotypes implicated in neonatal enterovirus infections were echoviruses and Coxsackievirus B. Invasive ventilation, intravenous immunoglobulin, vasoactive medications, and blood product transfusions were often required, with high mortality rates among severe cases. CONCLUSION: We found significant differences between mild and severe cases of neonatal enterovirus infection with respect to complications, laboratory findings, and enterovirus serotypes. It is crucial to exercise caution when newborns exhibit symptoms of sepsis, during an enterovirus outbreak. Anemia, thrombocytopenia, abnormal liver function, and coagulation dysfunction should be monitored closely as they could indicate the presence of a severe enteroviral infection.

Vanadium Oxide Cathode Coinserted by Ni2+ and NH4+ for High-Performance Aqueous Zinc-Ion Batteries.

Vanadium-based oxides have garnered significant attention as cathode materials for aqueous zinc-ion batteries (AZIBs) because of their high theoretical capacity and low cost. However, the limited reaction kinetics and poor long-term cycle stability hinder their widespread application. In this paper, we propose a novel approach by coinserting Ni2+ and NH4+ ions into V2O5·3H2O, i.e., NNVO. Structural characterization shows that the coinsertion of Ni2+ and NH4+ not only extends the interlayer spacing of V2O5·3H2O but also significantly promotes the transport kinetics of Zn2+ because of the synergistic "pillar" effect of Ni2+ and NH4+, as well as the increased oxygen vacancies that effectively lower the energy barrier for Zn2+ insertion. As a result, the AZIBs with an NNVO electrode exhibit a high capacity of 398.1 mAh g-1 (at 1.0 A g-1) and good cycle stability with 89.1% capacity retention even after 2000 cycles at 5.0 A g-1. At the same time, a highly competitive energy density of 262.9 Wh kg-1 is delivered at 382.9 W kg-1. Considering the simple scheme and the resultant high performance, this study may provide a positive attempt to develop high-performance AZIBs.

Newly discovered variants in unexplained neonatal encephalopathy.

BACKGROUND: The genetic background of neonatal encephalopathy (NE) is complicated and early diagnosis is beneficial to optimizing therapeutic strategy for patients. METHODS: NE Patients with unclear etiology received regular clinical tests including ammonia test, metabolic screening test, amplitude-integrated electroencephalographic (aEEG) monitoring, brain Magnetic Resonance Imaging (MRI) scanning, and genetic test. The protein structure change was predicted using Dynamut2 and RoseTTAFold. RESULTS: 15 out of a total of 113 NE Patients were detected with newly reported pathogenic variants. In this sub-cohort, (1) seizure was the primary initial symptoms; (2) four patients had abnormal metabolic screening results, and two of them were also diagnosed with excessive blood ammonia concentration; (3) the brain MRI results were irregular in three infants and the brain waves were of moderate-severe abnormality in about a half of the patients. The novel pathogenic variants discovered in this study belonged to 12 genes, and seven of them were predicted to introduce a premature translation termination. In-silicon predictions showed that four variants were destructive to the protein structure of KCNQ2. CONCLUSION: Our study expands the mutation spectrum of genes associated with NE and introduces new evidence for molecular diagnosis in this newborn illness.

Notable Performance Enhancement of CsPbI2Br Solar Cells by a Dual-Function Strategy with CsPbBr3 Nanocrystals.

Herein, a dual-function strategy, in which CsPbI2Br is treated by CsPbBr3 nanocrystals (NCs) via addition and surface modification to construct the "electron bridge" and gradient heterojunction, respectively, to notably improve the performance of the CsPbI2Br solar cells, is proposed. The "electron bridge" formed by the CsPbBr3 NCs provides an extra transport channel for the photogenerated electrons in the CsPbI2Br layer, thus facilitating electron transport. Meanwhile, surface modification of CsPbI2Br by the CsPbBr3 NCs forms a gradient heterojunction between the CsPbI2Br layer and the P3HT layer, enhancing hole extraction accordingly. In addition, the CsPbBr3 NC treatment passivates the defects at the bulk and surface of the CsPbI2Br layers, thus suppressing carrier recombination. Thanks to these positive effects of the CsPbBr3 NCs, the demonstration device with a simple configuration of ITO/SnO2/CsPbI2Br/P3HT/Ag achieves a notable power conversion efficiency of 17.03%, which is among the highest efficiencies reported for CsPbI2Br-based solar cells.

Recent Progress of Nanodiamond Film in Controllable Fabrication and Field Emission Properties.

The interest in the field electron emission cathode nanomaterials is on the rise due to the wide applications, such as electron sources, miniature X-ray devices, display materials, etc. In particular, nanodiamond (ND) film is regarded as an ideal next-generation cathode emitter in the field emission devices, due to the low or negative electron affinity, small grain size, high mechanical hardness, low work function, and high reliability. Increasing efforts are conducted on the investigation of the emission structures, manufacturing cost, and field emission properties improvement of the ND films. This review aims to summarize the recent research, highlight the new findings, and provide a roadmap for future developments in the area of ND film electron field emitter. Specially, the optimizing methods of large-scale, high-quality, and cost-effective synthesis of ND films are discussed to achieve more stable surface structure and optimal physical properties. Additionally, the mainstream strategies applied to produce high field emission performance of ND films are analyzed in detail, including regulating the grain size/boundary, hybrid phase carbon content, and doping element/type of ND films; meanwhile, the problems existing in the related research and the outlook in this area are also discussed.

Improved Comprehensive Photovoltaic Performance and Mechanisms by Additive Engineering of Ti3C2Tx MXene into CsPbI2Br.

CsPbI2Br is promising in the application of perovskite solar cells (PSCs) owing to its reasonable bandgap and good thermal stability. However, the reported power conversion efficiency (PCE) of the CsPbI2Br solar cells is still much lower than that of the organic-inorganic hybrid PSCs, mainly due to relatively poor CsPbI2Br crystal quality. Herein, additive engineering to the photoactive layer of CsPbI2Br using the Ti3C2Tx MXene nanosheets is reported. Thanks to the improved crystallinity/reduced defect density, together with the formation of the Schottky junction between the MXene nanosheets and CsPbI2Br, enhanced separation and transfer of the photogenerated electron-hole pairs can be achieved for optimal MXene addition. A simple device configuration of ITO/SnO2/Ti3C2Tx-added CsPbI2Br/P3HT/Ag can thus deliver a significantly boosted PCE of 15.10%, i.e., a ∼16.69% relative increment compared with that (12.94%) of the control device without adding MXene. In addition, the enhanced humidity resistance is achieved for the MXene-added CsPbI2Br layers.

Synergetic effects of a front ITO nanocylinder array and a back square Al array to enhance light absorption for organic solar cells.

Efficient light management is critical to obtain high performance for organic solar cells (OSCs), which aims to solve the contradiction between limited carrier extraction and light absorption for the normally employed photoactive layers generally having both short exciton diffusion lengths and low extinction coefficients. In this study, we introduce a simple and efficient light management structure consisting of a front indium tin oxide nanocylinder (ITO-NC) array and a back square Al array. Thanks to the synergetic effects of antireflection and light scattering induced by the ITO-NC array, together with the secondary scattering and localized surface plasmon resonance because of the square Al array, remarkably enhanced light absorption in a broad spectral range can be achieved. Taking the most investigated photoactive layer of the P3HT:PC61BM blend as an example, simulation results reveal that, compared with the planar control device of the ITO/PEDOT:PSS/P3HT:PC61BM(80nm)/ZnO/Al, the short-circuit current density and power conversion efficiency can be enhanced by 36.58% and 38.38% after incorporating the light management structure with the optimal structural parameters. Furthermore, good omnidirectional light management can be achieved for the proposed device structure. Given the excellent performance and simple structure, we believe that this study would provide a meaningful exploration of developing light management structures applicable for thin film-based optoelectronic devices.

Synthesis, Antibacterial and Pharmacokinetic Evaluation of Novel Derivatives of Harmine N9-Cinnamic Acid.

A series of 16 new derivatives of harmine N9-Cinnamic acid were synthesized and fully characterized using NMR and MS. The in vitro antibacterial evaluation revealed that most of the synthesized harmine derivatives displayed better antibacterial activities against Gram-positive strains (S. aureus, S. albus and MRSA) than Gram-negative strains (E. coli and PA). In particular, compound 3c showed the strongest bactericidal activity with a minimum inhibitory concentration of 13.67 µg/mL. MTT assay showed that compound 3c displayed weaker cytotoxicity than harmine with IC50 of 340.30, 94.86 and 161.67 µmol/L against WI-38, MCF-7 and HepG2 cell lines, respectively. The pharmacokinetic study revealed that the distribution and elimination of 3c in vivo were rapid in rats with an oral bioavailability of 6.9%.

MXenes for Solar Cells.

Application of two-dimensional MXene materials in photovoltaics has attracted increasing attention since the first report in 2018 due to their metallic electrical conductivity, high carrier mobility, excellent transparency, tunable work function and superior mechanical property. In this review, all developments and applications of the Ti3C2Tx MXene (here, it is noteworthy that there are still no reports on other MXenes' application in photovoltaics by far) as additive, electrode and hole/electron transport layer in solar cells are detailedly summarized, and meanwhile, the problems existing in the related studies are also discussed. In view of these problems, some suggestions are given for pushing exploration of the MXenes' application in solar cells. It is believed that this review can provide a comprehensive and deep understanding into the research status and, moreover, helps widen a new situation for the study of MXenes in photovoltaics.

Improvement of the Optoelectrical Properties of a Transparent Conductive Polymer via the Introduction of ITO Nanoparticles and Its Application in Crystalline Silicon/Organic Heterojunction Solar Cells.

Compared with conventional transparent conductive indium tin oxide (ITO) films, poly(3,4-ethylenedioxythiophene):poly (styrenesulfonic acid) (PEDOT:PSS) as a conductive polymer material has been diffusely applied in organic optoelectronic devices. However, its optoelectrical properties need to be further improved. Therefore, a simple and universal approach with introducing ITO nanoparticles (NPs) was proposed to improve the optoelectrical properties of PEDOT:PSS thin films. The results show that the vertical conductivity (σDC⊥) and average transmittance (from 300 to 1200 nm) of PEDOT:PSS films were enhanced about 26.8 and 6.3%, respectively. Crystalline silicon (c-Si)/organic heterojunction solar cells (HSCs) with PEDOT:PSS/ITO NP hybrid films were fabricated and performances led to further improvement. The spatial distributions of relative electrical field intensity and the carrier generation rate of the HSCs under the standard AM 1.5 G condition were simulated, which were in good agreement with the experimental conclusions.

Hybrid Aqueous/Nonaqueous Water-in-Bisalt Electrolyte Enables Safe Dual Ion Batteries.

Dual ion batteries (DIBs) have recently attracted ever-increasing attention owing to the potential advantages of low material cost and good environmental friendliness. However, the potential safety hazards, cost, and environmental concerns mainly resulted from the commonly used nonaqueous organic solvents severely hinder the practical application of DIBs. Herein, a hybrid aqueous/nonaqueous water-in-bisalt electrolyte with both broad electrochemical stability window and excellent safety performance is developed. The lithium-based DIB assembled using KS6 graphite and niobium pentoxide as the active materials in the cathode and anode exhibits good comprehensive performance including capacity, cycling stability, rate performance, and medium discharge voltage. Initial capacities of ≈47.6 and 29.6 mAh g-1 retention after 300 cycles can be delivered with a medium discharge voltage of around 2.2 V in the voltage window of 0-3.2 V at the current density of 200 mA g-1 . Good rate performance for the battery can be indicated by 29.7 mAh g-1 discharge capacity retention at 400 mA g-1 . It is noteworthy that the coulombic efficiency of the battery can reach as high as 93.9%, which is comparable to that of the corresponding DIBs using nonaqueous organic electrolytes.

Self-catalyzed metal organic chemical vapor deposition growth of vertical ß-Ga2O3 nanowire arrays.

Self-catalyzed metal organic chemical vapor deposition (MOCVD) growth of Ga2O3 nanowires on GaN layers prepared on a sapphire substrate has been studied. Nanowire orientations are found to be growth temperature dominated. The vertical yields over total (VOT) curve shows a maximum peak beyond 70% around 480 °C, based on scanning electron microscope observations. X-ray diffraction patterns revealed a primary ß-(-201) normal orientation of as grown nanowires all over the studied temperature interval. Further transmission electron microscopy characterization had confirmed ß-(-201) normal axial orientation of these vertical nanowires, which have well crystallinity. The ß-(010)//GaN(110) in-plane epitaxial relationship is consistent with reported Ga2O3 film/nanowire growth. Nanowires crystallized in ß-[001] axial orientation were considered to be the inclined ones. Based on contrast experiments, the temperature dominated growth behavior is considered a thermodynamic process. The two observed crystalline orientation might have distinguishable but similar system energy, which results in coexistence of multi orientation nanowires over a large temperature span and an optimum temperature window for vertical ß-(-201) normal orientation. The presented optimized ß-Ga2O3 nanowire arrays with highest VOT close to 90% should effectively promote development of reliable high performance devices based on Ga2O3 nanowires.

Excellent Light Confinement of Hemiellipsoid- and Inverted Hemiellipsoid-Modified Semiconductor Nanowire Arrays.

In this paper, we introduce hemiellipsoid- and inverted hemiellipsoid-modified semiconductor nanowire (NW) optical structures, and present a systematic investigation on light management of the corresponding arrays based on GaAs. It is found that the modification makes well utilization of light scattering and antireflection, thus leading to excellent light confinement with limited effective thickness. For example, 90% and 95% of the incident photons with the energy larger than the bandgap energy can be trapped by the inverted hemiellipsoid-modified NW arrays with the effective thicknesses of only ~ 180 and 270 nm, respectively. Moreover, excellent light confinement can be achieved in a broad range of the modification height. Compared to the corresponding array without top modification, spatial distribution of the photo-generated carriers is expanded, facilitating carrier collection especially for the planar pn junction configuration. Further investigation indicates that these composite nanostructures possess excellent omnidirectional light confinement, which is expected for advanced solar absorbers.

A Dual Carbon-Based Potassium Dual Ion Battery with Robust Comprehensive Performance.

Dual carbon-based potassium dual ion batteries (K-DCBs) have recently attracted ever-increasing attention owing to the potential advantages of high performance-to-cost ratio, good safety, and environmental friendliness. However, the reported K-DCBs still cannot simultaneously meet the requirements of high capacity, long cycling stability, and low cost, which are necessary for practical applications. In this study, a K-DCB with good comprehensive performance including capacity, cycling stability, medium discharge voltage, and energy density is developed by introducing the optimal cathode and anode materials, i.e., KS6 and natural graphite, respectively. An initial capacity of ≈54.6 mAh g-1 and 92.5% capacity retention after 400 cycles can be delivered in a wide voltage window of 2.4-5.4 V at the current density of 100 mA g-1 . A high medium discharge voltage around 4.2 V and an energy density up to 158.3 Wh kg-1 are meanwhile delivered by the K-DCB. In addition, the working mechanism of the devices is understood in detail. It is believed that valuable contributions to the electrochemical performance improvement of the related devices toward practical applications can be provided by this study.

Ultrasound Microbubbles Enhance the Activity of Vancomycin Against Staphylococcus epidermidis Biofilms In Vivo.

OBJECTIVES: Staphylococcus epidermidis is the predominant pathogen of device-associated infections. By forming biofilms on the device surface, S epidermidis has substantial resistance to antibiotics and is difficult to eradicate. This study aimed to explore the synergistic effect of ultrasound (US)-mediated microbubbles combined with vancomycin on S epidermidis biofilms in a rabbit model. METHODS: Two polytetrafluoroethene catheters with preformed S epidermidis biofilms were implanted subcutaneously in a rabbit, one on either side of the spine. Animals were randomized into different treatment groups, with each rabbit acting as its own control and treatment. Ultrasound was applied from 24 to 72 hours after surgery 2 times a day. The parameters were 300 kHz and 0.5 W/cm2 in a 50% duty cycle, with or without microbubbles injected subcutaneously into the implantation site. After treatments, animals were euthanized, and implants were removed for a scanning electron microscopic examination and bacterial counting. The hearts, kidneys, livers, and subcutaneous tissues were sent for histopathologic examinations. RESULTS: Ultrasound + microbubbles increased the bactericidal action of vancomycin by decreasing biofilm viability from a mean ± SD of 6.44 ± 0.03 log10 colony-forming units per catheter in the control group to 3.49 ± 0.02 log10 colony-forming units per catheter in US + microbubble + vancomycin group (P < .001). The antibacterial effect of US + microbubbles + vancomycin was more pronounced than that of US + vancomycin (P < .001). Under scanning electron microscopy, biofilms exposed to US + microbubbles + vancomycin showed a greater reduction in thickness and bacterial density than other treatments. Histopathologic examinations showed no abnormalities in organs and skins. CONCLUSIONS: Ultrasound microbubbles enhanced the antibacterial effect of vancomycin against S epidermidis biofilms in vivo without exerting obvious harms to the animals.

Wedge-shaped semiconductor nanowall arrays with excellent light management.

In this Letter, a light management structure composed of wedge-shaped semiconductor nanowall arrays is introduced. Theoretical investigation based on gallium arsenide (GaAs) indicates that a 1000 nm high array (wall base width/array periodicity: 500 nm) with an effective thickness of only 500 nm can deliver a maximum photocurrent density (Jph) of ∼29.0 mA/cm2 at AM1.5G illumination. (For an ideal absorber with the same bandgap, the corresponding value is ∼32.0 mA/cm2.) However, Jph of a 1500 nm thick flat GaAs film is only ∼19.2 mA/cm2 at the same illumination condition. The wedge-shaped nanowall arrays meanwhile exhibit good omnidirectional light confinement. At the incident angle of 60°, Jph of the aforementioned nanowall array is ∼12.7 mA/cm2, and the corresponding value for an ideal absorber is ∼16.0 mA/cm2. Considering the simple structure and excellent light confinement in a broad range of the system parameters, including array periodicity, the nanowall height, and the incident angle of light, the wedge-shaped semiconductor nanowall arrays provide a valuable platform for fabricating the related high performance-to-cost semiconductor optoelectronic devices.

MicroRNA-200b suppresses the invasion and migration of hepatocellular carcinoma by downregulating RhoA and circRNA_000839.

MicroRNAs could mediate the targeted coding gene and the targeted non-coding RNA to form endogenous competition, which have an important regulatory role in tumorigenesis of many types of cancer, including hepatocellular carcinoma. The goal of this study was to characterize the role of miR-200b in the pathogenesis of hepatocellular carcinoma. We identified miR-200b that was predicted to regulate RhoA and circ_000839. Our data establish that miR-200b is expressed at a relatively low level in hepatocellular carcinoma ( p < 0.001). RhoA and circ_000839 are expressed at a relatively high level in hepatocellular carcinoma ( p < 0.001, respectively). Our mechanistic data indicate that RhoA is a direct target of miR-200b ( p < 0.001), binding of which affects the expression of invasion and migration in hepatocellular carcinoma cell lines ( p < 0.05). And correlation analysis showed that miR-200b was inversely correlated with RhoA and circ_000839 ( p = 0.012, p = 0.002, respectively), while RhoA was positively correlated with circ_000839 ( p < 0.001). Taken together, our data suggest that miR-200b could mediate RhoA gene and circ_000839 to form endogenous competition. And this is a direction for the association study of miR-200b and RhoA in the future.

Effect of rGO Coating on Interconnected Co3O4 Nanosheets and Improved Supercapacitive Behavior of Co3O4/rGO/NF Architecture.

In this study, the effect of reduced graphene oxide (rGO) on interconnected Co3O4 nanosheets and the improved supercapacitive behaviors is reported. By optimizing the experimental parameters, we achieved a specific capacitance of ~1016.4 F g-1 for the Co3O4/rGO/NF (nickel foam) system at a current density of 1 A g-1. However, the Co3O4/NF structure without rGO only delivers a specific capacitance of ~520.0 F g-1 at the same current density. The stability test demonstrates that Co3O4/rGO/NF retains ~95.5% of the initial capacitance value even after 3000 charge-discharge cycles at a high current density of 7 A g-1. Further investigation reveals that capacitance improvement for the Co3O4/rGO/NF structure is mainly because of a higher specific surface area (~87.8 m2 g-1) and a more optimal mesoporous size (4-15 nm) compared to the corresponding values of 67.1 m2 g-1 and 6-25 nm, respectively, for the Co3O4/NF structure. rGO and the thinner Co3O4 nanosheets benefit from the strain relaxation during the charge and discharge processes, improving the cycling stability of Co3O4/rGO/NF.

Direct synthesis of hydrogen peroxide from plasma-water interactions.

Hydrogen peroxide (H2O2) is usually considered to be an important reagent in green chemistry since water is the only by-product in H2O2 involved oxidation reactions. Early studies show that direct synthesis of H2O2 by plasma-water interactions is possible, while the factors affecting the H2O2 production in this method remain unclear. Herein, we present a study on the H2O2 synthesis by atmospheric pressure plasma-water interactions. The results indicate that the most important factors for the H2O2 production are the processes taking place at the plasma-water interface, including sputtering, electric field induced hydrated ion emission, and evaporation. The H2O2 production rate reaches ~1200 µmol/h when the liquid cathode is purified water or an aqueous solution of NaCl with an initial conductivity of 10500 µS cm-1.