Association between serum vitamin D and the risk of diabetic kidney disease in patients with type 2 diabetes.

Aims: This investigation explored the potential correlation between serum vitamin D concentration and diabetic kidney disease (DKD) among patients with type 2 diabetes mellitus (T2DM). Methods: This cross-sectional study assessed 4,570 patients with T2DM drawn from the National Health and Nutrition Examination Survey (NHANES) dataset. Restricted cubic splines were utilized to examine the dose-response relationship between serum vitamin D levels and the risk of DKD in patients with T2DM. Serum vitamin D concentrations were divided into quartiles for multivariable logistic regression analysis to evaluate the association between varying serum vitamin D levels and DKD risk in patients with T2DM. Additionally, sex-stratified analyses were conducted to determine consistency of the results. The influence of vitamin D concentrations on mortality risk was assessed using a Cox regression model. Results: Of the patients with T2DM, 33% were diagnosed with DKD. Restricted cubic spline plots revealed a U-shaped relationship between vitamin D levels and DKD risk, with a protective effect noted in the mid-range, indicating optimal serum vitamin D concentrations between 59.6 nmol/L and 84.3 nmol/L. The multivariate Cox regression analysis suggested that higher VID levels were associated with a reduced mortality risk, particularly in male patients. Conclusion: The regulation and monitoring of serum vitamin D levels within an optimal range may play a pivotal role in the prevention of DKD in patients with T2DM. Public health strategies should emphasize the regular monitoring of vitamin D levels, especially among populations at elevated risk, to mitigate the progression of DKD and decrease the associated mortality rates.

Advanced glycosylation end products promote the progression of CKD-MBD in rats, and its natural inhibitor, quercetin, mitigates disease progression.

Chronic kidney disease-mineral and bone metabolism disorder (CKD-MBD) is a common chronic kidney disease (CKD)-associated complication that increases the risk of metabolic bone diseases, fractures, osteoblastic trans-differentiation of vascular smooth muscle cells, and cardiovascular events. SD rats were randomised into five groups with six rats per group: sham, CKD, CKD + advanced glycosylation end products (AGEs), CKD + Quercetin, and CKD + AGEs + Quercetin. The protective effects of AGEs and quercetin on SD rats were assessed by renal function, renal pathology, bone metabolism, osteoblastic trans-differentiation of vascular smooth muscle cells, and the receptor for AGE (RAGE) expression. Compared with the control group, rats in the CKD and CKD + AGEs groups had significantly lower body weight, higher serum AGEs levels, impaired renal function, increased levels of oxidative stress in the kidney and bone marrow tissues, lower femoral bone mineral density (BMD), callus mineralised volume fraction (mineralised bone volume/total volume), abnormal serum bone metabolism levels, and increased renal tissue, bone tissue, and abdominal aorta RAGE expression levels, and the RAGE downstream NF-κB signalling pathway was upregulated. Quercetin significantly improved renal dysfunction, attenuated serum AGE levels, reduced oxidative stress levels in the kidney and bone marrow tissues, and downregulated RAGE expression in the kidney, bone, and abdominal aorta and the RAGE downstream NF-κB signalling pathway in rats with CKD. AGEs are involved in the pathogenesis of CKD-MBD by promoting osteoblastic trans-differentiation of vascular smooth muscle cells and abnormal bone metabolism. Quercetin plays a role in the prevention and treatment of CKD-MBD by reducing the production of AGEs.

Two new dihydro-ß-agarofuran sesquiterpenes from the roots of Celastrus angulatus.

Two new dihydro-ß-agarofuran sesquiterpenes chiapen T (1) and chiapen U (2), along with chiapen A (3), 1ß-hydroxy-2ß,6α,12-triacetoxy-8ß-(ß-nicotinoyloxy)-9ß-(benzoyloxy)-ß-dihydroagarofuran (4), wilforlide B (5), 3-hydroxy-2-oxo-3-friedelen-29-oic acid (6), epikatonic acid (7), 22-epi-maytenfolic acid (8), maytenoic acid (9), wilforic acid F (10), wilforic acid B (11), were reported for the first time from the Celastrus angulatus. The structures of all the compounds were elucidated by HR-ESI-MS, 1 D and 2 D NMR spectra, as well as single-crystal X-ray diffraction analyses. Compounds 1 and 2 were examined for anti-inflammatory activity, respectively. None of them showed potent activity.

[Analysis of medicinal resources diversity of 33 pilots (districts) in Guizhou province].

This study is based on the data analysis of medicinal plant resources and diversity collected from the fourth Chinese traditional medicine resource survey( pilot). Through the analysis of relevant data from 33 census pioneer plots in Guizhou province( area),a total of 265 families,1 432 genera and 5 296 species of medicinal resources were reported,including algae,fungi,lichens,mosses,a total of 43 genera and 35 families,57,48 families,120 genera and 453 species of ferns,gymnosperms 11 families,22 genera and 61 species,167 families,1 243 genera and 4 721 species of angiosperms,4 genera and 4 families four medicinal animals.Compared with the data related to the third survey of traditional Chinese medicine resources,the number of ferns,gymnosperms and angiosperms in the fourth survey has increased far more than that of the third survey. From the regional distribution of medicinal resources,the composition of the genus,the type of life,and the location of the medicine,the richness of the medicinal plant resources in Guizhou province is not only reflected in many types,but also in the variety of medicinal resources. These studies provide a scientific basis for vigorously developing the Chinese herbal medicine industry and the sustainably using medicinal plant resources in Guizhou province.

Circular polarization sensitive absorbers based on graphene.

It is well known that the polarization of a linearly polarized (LP) light would rotate after passing through a single layer graphene under the bias of a perpendicular magnetostatic field. Here we show that a corresponding phase shift could be expected for circularly polarized (CP) light, which can be engineered to design the circular polarization sensitive devices. We theoretically validate that an ultrathin graphene-based absorber with the thickness about λ/76 can be obtained, which shows efficient absorption >90% within incident angles of ±80°. The angle-independent phase shift produced by the graphene is responsible for the nearly omnidirectional absorber. Furthermore, a broadband absorber in frequencies ranging from 2.343 to 5.885 THz with absorption over 90% is designed by engineering the dispersion of graphene.

Catenary optics for achromatic generation of perfect optical angular momentum.

The catenary is the curve that a free-hanging chain assumes under its own weight, and thought to be a "true mathematical and mechanical form" in architecture by Robert Hooke in the 1670s, with nevertheless no significant phenomena observed in optics. We show that the optical catenary can serve as a unique building block of metasurfaces to produce continuous and linear phase shift covering [0, 2π], a mission that is extremely difficult if not impossible for state-of-the-art technology. Via catenary arrays, planar optical devices are designed and experimentally characterized to generate various kinds of beams carrying orbital angular momentum (OAM). These devices can operate in an ultra-broadband spectrum because the anisotropic modes associated with the spin-orbit interaction are almost independent of the incident light frequency. By combining the optical and topological characteristics, our approach would allow the complete control of photons within a single nanometric layer.

Near-field collimation of light carrying orbital angular momentum with bull's-eye-assisted plasmonic coaxial waveguides.

The orbital angular momentum (OAM) of light, as an emerging hotspot in optics and photonics, introduces many degrees of freedom for applications ranging from optical communication and quantum processing to micromanipulation. To achieve a high degree of integration, optical circuits for OAM light are essential, which are, however, challenging in the optical regime owing to the lack of well-developed theory. Here we provide a scheme to guide and collimate the OAM beam at the micro- and nano-levels. The coaxial plasmonic slit was exploited as a naturally occurring waveguide for light carrying OAM. Concentric grooves etched on the output surface of the coaxial waveguide were utilized as a plasmonic metasurface to couple the OAM beam to free space with greatly increased beam directivity. Experimental results at λ = 532 nm validated the novel transportation and collimating effect of the OAM beam. Furthermore, dynamic tuning of the topological charges was demonstrated by using a liquid crystal spatial light modulator (SLM).

Realization of low-scattering metamaterial shell based on cylindrical wave expanding theory.

In this paper, we demonstrate the design of a low-scattering metamaterial shell with strong backward scattering reduction and a wide bandwidth at microwave frequencies. Low echo is achieved through cylindrical wave expanding theory, and such shell only contains one metamaterial layer with simultaneous low permittivity and permeability. Cut-wire structure is selected to realize the low electromagnetic (EM) parameters and low loss on the resonance brim region. The full-model simulations show good agreement with theoretical calculations, and illustrate that near -20dB reduction is achieved and the -10 dB bandwidth can reach up to 0.6 GHz. Compared with the cloak based on transformation electromagnetics, the design possesses advantage of simpler requirement of EM parameters and is much easier to be implemented when only backward scattering field is cared.

Spatially and spectrally engineered spin-orbit interaction for achromatic virtual shaping.

The geometries of objects are deterministic in electromagnetic phenomena in all aspects of our world, ranging from imaging with spherical eyes to stealth aircraft with bizarre shapes. Nevertheless, shaping the physical geometry is often undesired owing to other physical constraints such as aero- and hydro-dynamics in the stealth technology. Here we demonstrate that it is possible to change the traditional law of reflection as well as the electromagnetic characters without altering the physical shape, by utilizing the achromatic phase shift stemming from spin-orbit interaction in ultrathin space-variant and spectrally engineered metasurfaces. The proposal is validated by full-wave simulations and experimental characterization in optical wavelengths ranging from 600 nm to 2800 nm and microwave frequencies in 8-16 GHz, with echo reflectance less than 10% in the whole range. The virtual shaping as well as the revised law of reflection may serve as a versatile tool in many realms, including broadband and conformal camouflage and Kinoform holography, to name just a few.

Anesthesia and postoperative analgesia during unilateral lower-extremity fracture surgeries using multiple injections through catheters beside the lumbar plexus or sciatic nerve.

OBJECTIVE: To compare the clinical effects of anesthesia and postoperative analgesia for patients with unilateral lower-extremity fracture between multiple injections through catheters beside the lumbar plexus or sciatic nerve and continuous epidural analgesia. METHODS: Seventy patients with unilateral lower-extremity fracture scheduled for internal fixation were randomly divided into group N (n = 35) and group E (n = 35). Patients in group N received combined lumbar plexus and sciatic nerve block, then a catheter was inserted into the psoas compartment or beside the sciatic nerve, according to the surgical site, and 25 mL 0.375% ropivacaine was injected into patients in group N through the peripheral nerve catheter 12 hours after operation. Patients in group E received combined spinal and epidural anesthesia, and when the operation was complete kept the epidural catheter and received patient-controlled epidural analgesia with an analgesia pump. RESULTS: The visual analog scores of patients at each time point in the two groups showed no significant difference (P > 0.05). Mean arterial pressure at 30 minutes after anesthesia and 4 hours postoperation in group E decreased significantly and was significantly lower than group N (P < 0.01). Group E had significantly higher rate of urinary retention than group N (P < 0.05), and the time of first food intake of patients in group N was significantly shorter than in group E (P < 0.001). CONCLUSION: For patients with unilateral lower-extremity fracture receiving internal fixation, multiple injections through catheters beside the lumbar plexus or sciatic nerve can provide adequate postoperative analgesia, with very few adverse effects.

The analgesic efficacy of subcostal transversus abdominis plane block compared with thoracic epidural analgesia and intravenous opioid analgesia after radical gastrectomy.

BACKGROUND: The transversus abdominis plane (TAP) block has been shown to provide effective postoperative analgesia in lower abdominal surgery. Subcostal TAP block has also been proposed as a new technique to provide analgesia for the supraumbilical abdomen. We compared the analgesic and opioid-sparing effects of a single-injection subcostal TAP block with continuous thoracic epidural analgesia and IV opioid analgesia. METHODS: Ninety patients undergoing elective radical gastrectomy were randomized to receive either combined general-subcostal TAP anesthesia (group TAP), combined general-epidural anesthesia (group EA), or general anesthesia (group GA), and were analyzed on an intention-to-treat basis. In group TAP, a bilateral subcostal TAP block was performed after induction of general anesthesia using 20 mL of 0.375% ropivacaine. In group EA, a thoracic epidural was placed between T8 and T9 and bolused with 8 mL of 0.25% ropivacaine before induction of general anesthesia. The epidural was maintained with 5 mL/h of 0.25% ropivacaine during the surgery. Group GA received standard general anesthesia. In the postanesthesia care unit (PACU), all groups received IV morphine titration for visual analog scale (VAS) pain scores >3. All patients were started on IV patient-controlled analgesia with morphine after morphine titration in the PACU, while group EA also had their epidural maintained with 5 mL/h of 0.125% bupivacaine with 8 µg/mL morphine. Patients were assessed in the PACU and at 1, 3, 6, 24, 48, and 72 hours postoperatively. Primary outcomes measured were morphine consumption at 24 hours and all VAS pain scores. RESULTS: Data from 82 of 90 (91.1%) patients were included in the study. Group TAP demonstrated decreased cumulative morphine consumption at 24 hours (98.75% confidence intervals, -29 to -9 mg) and noninferiority on VAS pain scores at all measurement times, as compared with group GA with standard opioid analgesia. However, group EA was superior to group TAP regarding cumulative morphine consumption at 24 hours (98.75% confidence intervals, -23 to -4 mg) and noninferior to group TAP on VAS pain scores at all comparison points. Group TAP had reduced morphine consumption from PACU admission to 6 hours as compared with group GA, but increased morphine consumption for 6 to 24 hours as compared with group EA. CONCLUSION: Single-injection subcostal TAP block was more effective than IV opioid analgesia, while continuous thoracic epidural analgesia was more effective than the single-injection subcostal TAP block.

Strong enhancement of light absorption and highly directive thermal emission in graphene.

Graphene is a two-dimensional material with exotic electronic, optical and thermal properties. The optical absorption in monolayer graphene is limited by the fine structure constant α. Here we demonstrated the strong enhancement of light absorption and thermal radiation in homogeneous graphene. Numerical simulations show that the light absorbance can be controlled from near zero to 100% by tuning the Fermi energy. Moreover, a set of periodically located absorption peaks is observed at near grazing incidence. Based on this unique property, highly directive comb-like thermal radiation at near-infrared frequencies is demonstrated.

Investigation of Fano resonance in planar metamaterial with perturbed periodicity.

In this paper, we report the formation of sharp Fano resonance in planar metamaterial array with perturbed periodicity. Rigorous sheet impedance theory is given to analyze the electric-magnetic and magnetic-magnetic coupling effects. It is found that periodicity perturbation can provide a general approach for Fano resonance with ultra-strong local field enhancement.

Conversion of broadband energy to narrowband emission through double-sided metamaterials.

In this paper, an energy harvesting/re-radiating device is proposed to realize high efficiency energy conversion in the solar thermo-photovoltaic system. Such device consists of double-sided metamaterials which are assembled by a broadband absorber working in the major solar spectrum, and a back-by-back narrowband emitter working in the infrared band. It is theoretically proved that most of solar light (from 0.28 µm to 4 µm) can be collected, and then, converted to a sharp emission at the maximal response energy level (~0.4 eV) of photovoltaic cells in thermal equilibrium state. The impact of high temperature (as large as 966 K) and the parasitic radiation on the performance is discussed and compensated by geometric optimization.

Engineering heavily doped silicon for broadband absorber in the terahertz regime.

Highly efficient absorber is of particular importance in terahertz regime as naturally occurring materials with frequency-selective absorption in this frequency band is difficult to find. Here we present the design and characterization of a broadband terahertz absorber based on heavily Boron-doped silicon (0.7676 Ω cm) grating. It is numerically demonstrated by utilizing both the zero- and first order diffraction in the doped silicon wafer, relative absorption bandwidth larger than 100% can be achieved. Furthermore, the design can be easily extended to higher frequencies as the optical property of doped silicon is tunable through changing the doping concentration.

Multi-band circular polarizer using planar spiral metamaterial structure.

A multi-band circular polarizer is proposed by using multi layered planar spiral metamaterial structure in analogy with classic spiral antenna. At three distinct resonant frequencies, the incident linearly polarized wave with electric field paralleling to one specific direction is transformed into left/right-handed circularly polarized waves through electric field coupling. Measured and simulated results show that right-handed circularly polarized wave is produced at 13.33 GHz and 16.75 GHz while left-handed circularly polarized wave is obtained at 15.56 GHz. The surface current distributions are studied to investigate the transformation behavior for both circular polarizations. The relationship between the resonant positions and the structure parameters is discussed as well.

Engineering the dispersion of metamaterial surface for broadband infrared absorption.

We propose a broadband infrared absorber by engineering the frequency dispersion of metamaterial surface (metasurface) to mimic an ideal absorbing sheet. With a thin layer of structured nichrome, a polarization-independent absorber with absorption larger than 97% is numerically demonstrated over a larger than one octave bandwidth. It is shown that the bandwidth enhancement is related with the transformation of the Drude model of free electron gas in metal film to the Lorentz oscillator model of a bound electron in the structured metallic surface. We believe that the concept of dispersion engineering may provide helpful guidance for the design of a broadband absorber.

Ultrathin broadband nearly perfect absorber with symmetrical coherent illumination.

As highlighted by recent articles [Phys. Rev. Lett. 105, 053901 (2010) and Science 331, 889-892 (2011)], the coherent control of narrowband perfect absorption in intrinsic silicon slab has attracted much attention. In this paper, we demonstrate that broadband coherent perfect absorber (CPA) can be achieved by heavily doping an ultrathin silicon film. Two distinct perfect absorption regimes are derived with extremely broad and moderately narrow bandwidth under symmetrical coherent illumination. The large enhancement of bandwidth may open up new avenues for broadband applications. Subsequently, interferometric method is used to control the absorption coherently with extremely large contrast between the maximum and minimum absorptance. Compared with the results in literatures, the thin film CPAs proposed here show much more flexibility in both operation frequency and bandwidth.

Truncated spherical voids for nearly omnidirectional optical absorption.

Truncated spherical voids nanostructured tungsten films are shown to have nearly perfect absorption with characteristics of broad-band, polarization-independent and wide-incidence angle in near infrared and visible regime. Through optimizing material and structural parameters, we can achieve the absorbance above 90% from 420THz to 600THz within incidence angle from 0° to 60° for TE polarization and from 450THz to 800THz within incidence angle from 0° to 75° for TM polarization. In particular, absorbance can achieve 99.9% at 550.5THz for both polarizations under normal incidence. Such strong absorption is explained using multilayer effective media theory and cavity resonance.

Design principles for infrared wide-angle perfect absorber based on plasmonic structure.

An approach for designing a wide-angle perfect absorber at infrared frequencies is proposed. The technique is based on a perfectly impedance-matched sheet (PIMS) formed by plasmonic nanostructure. It is shown that the effective impedance is more physical meaningful and beneficial than effective medium in describing the electromagnetic properties of metamaterial absorber. As a specific implementation of this technique, a wide-angle polarization-independent dual-band absorber is numerically demonstrated at frequencies of 100THz and 280THz with absorption close to 100% simultaneously. Circuit models are utilized to describe the impedance property of localized plasmon modes and the results show good agreement with that retrieved from reflection coefficient at normal incidence.