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1.
Nano Lett ; 24(18): 5647-5655, 2024 May 08.
Article in English | MEDLINE | ID: mdl-38655813

ABSTRACT

Anisotropic nanocrystals such as nanorods (NRs) display unique linearly polarized emission, which is expected to break the external quantum efficiency (EQE) limit of quantum dot-based light-emitting diodes (LEDs). However, the progress in achieving a higher EQE using NRs encounters several challenges, primarily involving a low photoluminescence quantum yield (PLQY) of NRs and imbalanced charge injection in NR-LEDs. In this work, we investigated NR-LEDs based on CdSe/CdZnS/ZnS rod-in-rod NRs with a high PLQY and higher linear polarization compared to those of dot-in-rod NRs. The balanced charge injection is achieved using ZnMgO nanoparticles as the electron transport layer and poly-TPD {poly[N,N'-bis(4-butylphenyl)-N,N'-bis(phenyl)benzidine]} as the hole transport layer. Therefore, the NR-LEDs exhibit a maximum EQE of 21.5% and a maximum luminance of >120 000 cd/m2 owing to the high level of in-plane transitions with a dipole moment of 90%. The NR-LEDs also have greatly inhibited droop in EQE under a high current density as well as outstanding operation lifetime and cycle stability.

2.
Sci Rep ; 14(1): 7777, 2024 Apr 02.
Article in English | MEDLINE | ID: mdl-38565939

ABSTRACT

Low-energy and efficient coal gangue sorting is crucial for environmental protection. Multispectral imaging (MSI) has emerged as a promising technology in this domain. This work addresses the challenge of low resolution and poor recognition performance in underground MSI equipment. We propose an attention-based multi-level residual network (ANIMR) within a super-resolution reconstruction model (ANIMR-GAN) inspired by CycleGAN. This model incorporates improvements to the discriminator and loss function. We trained the model on 600 coal and gangue MSI samples and validated it on an independent set of 120 samples. The ANIMR-GAN, combined with a random forest classifier, achieved a maximum accuracy of 97.78% and an average accuracy of 93.72%. Furthermore, the study identifies the 959.37 nm band as optimal for coal and gangue classification. Compared to existing super-resolution methods, ANIMR-GAN offers advantages, paving the way for intelligent and efficient coal gangue sorting, ultimately promoting advancements in sustainable mineral processing.

3.
Adv Sci (Weinh) ; 11(19): e2401184, 2024 May.
Article in English | MEDLINE | ID: mdl-38467038

ABSTRACT

Perovskite films with large crystal size, preferred orientation, and facile fabrication process, combining advantages of single-crystal and polycrystalline films, have gained considerable attention recently. However, there is little research on the facet properties of perovskite films. Here, (111)- and (001)-oriented perovskite films with bandgaps ranging from 1.53 to 1.77 eV, and systematically investigated their orientation-dependent properties are achieved. The (111)-oriented films show electron-dominated traps and the (001)-oriented films show hole-dominated traps, which are related to their atomic arrangement at the surface. Compared with the (001)-oriented films, the (111)-oriented films exhibit lower work function and superior water/oxygen robustness. For the wide-bandgap films, the lattice of the (001)-oriented film provides an unobstructed passage for ion migration. Comparably, the (111)-oriented films exhibit suppressed ion migration and excellent phase stability. The optimized unencapsulated solar cells based on both (001) and (111) orientations show a similar high efficiency of ≈23%. The (111)-oriented solar cell exhibits excellent stability, maintaining 95% of its initial efficiency after 1500 h maximum power point (MPP) tracking test, and 97% initial efficiency after 3000 h aging in ambient conditions. This work paves the way for the rational design, controllable synthesis, and targeted optimization of uniaxial-oriented perovskite films for various electronic applications.

4.
Biomaterials ; 305: 122458, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38211370

ABSTRACT

Uveal melanoma is the most common primary ocular tumor owing to its highly invasive and metastatic characteristics. Currently, standard clinical treatment has an unsatisfied curative effect due to the lack of an effective approach to inhibit the tumor metastasis. Therefore, it is necessary to develop a new strategy that can both restraint local tumors and suppress the ocular tumor metastasis. Herein, we developed ultrasound-responsive nanoparticles (FeP NPs) that can both hinder the growth of in situ ocular tumor and prevent the tumor metastasis through the ferroptosis-apoptosis combined-anticancer strategy. The FeP NPs were assembling by stimulating gallic acid-Fe (III) and paclitaxel, then could be internalized into tumor cells under the cooperative effect of ultrasound, which further activates the intracellular Fenton reaction and generates high reactive oxygen species levels, ultimately leading to mitochondrial damage, lipid per-oxidation, and apoptosis. The FeP NPs can efficiently inhibit the tumor growth in an orthotopic uveal melanoma model. More importantly, the level of the promoting-metastatic factor nerve growth factor receptor (NGFR) secreted by cancer cells is significantly reduced, further limits cancer metastasis to the cervical lymph node and finally inhibits lung metastasis of uveal melanoma. We believe that these designed ultrasound-enhanced nanoparticles possess potential clinical application for preventing the regeneration and metastasis of uveal melanoma.


Subject(s)
Ferroptosis , Melanoma , Uveal Neoplasms , Humans , Melanoma/diagnostic imaging , Melanoma/drug therapy , Melanoma/metabolism , Uveal Neoplasms/drug therapy , Uveal Neoplasms/metabolism , Uveal Neoplasms/pathology , Ultrasonography
5.
Cancer Med ; 12(24): 21592-21604, 2023 12.
Article in English | MEDLINE | ID: mdl-38062912

ABSTRACT

BACKGROUND: Chromosomal translocations involving core binding factor (CBF) genes account for 15% of adult acute myeloid leukemia (AML) cases in China. Despite being classified as favorable-risk by European Leukemia Net (ELN), CBF-AML patients have a 40% relapse rate. This study aims to analyze clinical characteristics and prognosis of CBF-AML, compare its subtypes (inv(16) and t(8;21)), and validate prognostic factors. METHODS: Retrospective analysis of 149 AML patients (75 CBF-AML, 74 non-CBF) at Peking University First Hospital (March 2012-March 2022). RESULTS: CBF-AML patients have significantly lower disease-free survival (DFS) (p = 0.005) and higher non-relapse mortality (NRM) (p = 0.028) compared to non-CBF AML. inv (16) and t(8;21) show distinct co-occurring gene mutation patterns, with inv(16) being prone to central nervous system (CNS) leukemia. Multivariate analysis identifies age as a risk factor for overall survival (OS) and disease free survival (DFS), kinase mutation as a risk factor for DFS and Recurrence, while WT1 mutation as a risk factor for OS and non relapse mortality (NRM) risk in t(8;21) AML. Allogeneic hematopoietic stem cell transplantation (allo-HSCT) improves prognosis in low-risk t(8;21). CONCLUSION: Prognosis of CBF-AML is poorer than ELN guidelines suggest. inv(16) and (8;21) are separate entities with relatively poor prognoses, requiring rational risk stratification strategies. Allo-HSCT may benefit low-risk t(8;21), but further research is needed for conclusive evidence.


Subject(s)
Hematopoietic Stem Cell Transplantation , Leukemia, Myeloid, Acute , Adult , Humans , Prognosis , Retrospective Studies , Leukemia, Myeloid, Acute/diagnosis , Leukemia, Myeloid, Acute/genetics , Leukemia, Myeloid, Acute/therapy , Core Binding Factors/genetics , Recurrence , Risk Factors
6.
Front Immunol ; 14: 1274492, 2023.
Article in English | MEDLINE | ID: mdl-37928518

ABSTRACT

Background: The widespread adoption of Allogeneic Hematopoietic Stem Cell Transplantation (Allo-HSCT) has significantly improved the survival rates of patients with hematological malignancies. However, Graft-Versus-Host Disease (GVHD) remains a formidable complication, threatening patient prognosis. Recent research has indicated that decitabine (DAC), known for its hypomethylating properties may also exhibit immune-regulatory capabilities and a potential for reducing GVHD incidence and enhancing survival. Methods: We retrospectively reviewed data from AML/MDS patients who underwent Allo-HSCT at our center from January 2010 to January 2023. From a total of 251 patients with complete data, we employed propensity score matching (PSM) to create 100 matched pairs (200 patients) for comprehensive trial analysis. Patients receiving low-dose DAC-containing regimen were matched with those who did not receive DAC. Results: Patients in the DAC group exhibited a significantly lower incidence of grade II-IV acute GVHD (aGVHD) compared to non-DAC group (21% vs. 38%, P=0.013). Univariable and multivariable logistic regression analysis demonstrated DAC intervention as a protective factor against grade II-IV aGVHD (P=0.017, OR=0.47, 95% CI 0.23-0.81; P=0.018, OR=0.46, 95% CI 0.24-0.87). Multivariate competing risk regression further supported administration of decitabine as a protective factor against grade II-IV aGVHD (P=0.038, SHR=0.53, 95%CI 0.29-0.97). There was no significant difference between both groups concerning chronic GVHD, infection, disease relapse, overall survival, disease-free survival and GVHD free, relapse free survival. In MRD negative or intermediate risk subgroup, the grade II-IV aGVHD ameliorating effect of DAC was confirmed as well. Conclusion: Low-dose DAC-intensified modified conditioning regimen could improve prognosis in AML/MDS Patients treated with allogeneic hematopoietic stem cell transplantation.


Subject(s)
Graft vs Host Disease , Hematopoietic Stem Cell Transplantation , Leukemia, Myeloid, Acute , Humans , Decitabine/therapeutic use , Retrospective Studies , Transplantation, Homologous , Neoplasm Recurrence, Local , Hematopoietic Stem Cell Transplantation/adverse effects , Graft vs Host Disease/etiology , Graft vs Host Disease/prevention & control , Leukemia, Myeloid, Acute/pathology
7.
Ann Hematol ; 102(11): 3061-3074, 2023 Nov.
Article in English | MEDLINE | ID: mdl-37667046

ABSTRACT

Acute myeloid leukemia (AML) is a malignant lymphohematopoietic tumor that ranks among the most frequent indications for allogeneic hematopoietic stem cell transplantation (allo-HSCT). This article aims to provide a comprehensive analysis of the application of allo-HSCT for AML and identify prognostic factors to enhance future treatment effect. This retrospective study collected data from 323 patients diagnosed with AML at Peking University First Hospital who underwent allo-HSCT between September 2003 and July 2022. The annual number of transplantations has steadily increased. Our center has observed a rise in the proportion of cytogenetic high-risk and measurable residual disease (MRD) positive patients since 2013, as well as an increase in the number of haploidentical transplantations. The overall leukocyte engraftment time has decreased over the past 20 years. Furthermore, both overall survival (OS) and disease-free survival (DFS) have significantly improved, while non-relapse mortality (NRM) has significantly decreased since 2013. Multivariate analysis identified transplantation before 2013, patients in complete remission (CR) 2 or non-CR, and recipients older than 50 years as risk factors for NRM, while patients in non-CR and patients with positive MRD are risk factors for recurrence. These findings offer insights into AML treatment outcomes in China, highlighting changes in transplantation practices and the need to reduce post-transplant relapse. Effective interventions, such as MRD monitoring and risk stratification schemes, are crucial for further enhancing transplant outcomes.

8.
Spectrochim Acta A Mol Biomol Spectrosc ; 301: 122909, 2023 Nov 15.
Article in English | MEDLINE | ID: mdl-37302195

ABSTRACT

Froth flotation is the most critical process for separating stibnite from raw ore. Concentrate grade is a vital production indicator in the antimony flotation process. It is a direct reflection of the product quality of the flotation process and an essential basis for the dynamic adjustment of its operating parameters. Existing methods of measuring concentrate grades suffer from expensive measurement equipment, difficult maintenance of complex sampling systems, and extended testing times. This paper presents a nondestructive and fast methodology to quantify the concentrate grade in the antimony flotation process based on in situ Raman spectroscopy. A particular Raman spectroscopic measuring system is designed for on-line measurement of the Raman spectra of the mixed minerals from the froth layer during the antimony flotation process. To obtain representative Raman spectra that better characterize the concentrate grades, a traditional Raman spectroscopic system has been redesigned to account for the different interferences during actual flotation field acquisition. A one-dimensional convolutional neural network (1D-CNN) is combined with a gated recurrent unit (GRU) and applied to construct a model for online prediction of concentrate grades based on continuously collected Raman spectra of mixed minerals in the froth layer. With an average prediction error of 4.37% and a maximum prediction deviation of 10.56%, the quantitative analysis of concentrate grade by the model demonstrates that our method is distinguished by high accuracy, low deviation, and in situ analysis, and it essentially satisfies the requirements for online quantitative determination of concentrate grade in the antimony flotation site.


Subject(s)
Antimony , Spectrum Analysis, Raman , Neural Networks, Computer , Minerals
9.
Int Immunopharmacol ; 120: 110299, 2023 Jul.
Article in English | MEDLINE | ID: mdl-37201405

ABSTRACT

Donor-specific anti-HLA antibody (DSA) is a significant obstacle to successful haploidentical hematopoietic stem cell transplantation (haplo-HSCT) and is associated with poor engraftment rates. DSA strongly positive patients with a mean fluorescence intensity (MFI) over 5000 have a primary poor graft function (PGF) rate of over 60%. Currently, there is no consensus on the desensitization of DSA, and existing strategies are complex and have limited effectiveness. To address this issue, we conducted a retrospective study on 19 patients with strongly positive DSA (MFI over 5000) who underwent haplo-HSCT and were treated with intravenous immunoglobulin (IVIg)-based therapy. We also included 38 baseline-matched patients with DSA-negative as controls. Our findings revealed that the cumulative incidence of engraftment, PGF, graft-versus-host disease (GVHD), virus infection, overall survival (OS), disease-free survival (DFS), relapse, and non-relapse mortality (NRM) in the DSA strongly positive group after desensitization were comparable to those in the DSA negative group (P > 0.05). Our multivariable analysis showed that disease remission was a protective factor against PGF (P = 0.005, OR = 0.019, 95% CI 0.001-0.312). Subgroup analysis revealed that the desensitization efficacy was equal regardless of DSA type against HLA-I or II, and MFI value over 5000 or not. In conclusion, we propose a simple and effective DSA desensitization strategy based on immunoglobulin to ensure successful engraftment and improve patient prognosis.


Subject(s)
Hematopoietic Stem Cell Transplantation , Transplantation, Haploidentical , Humans , Retrospective Studies , Tissue Donors , Immunoglobulins, Intravenous/therapeutic use , Antilymphocyte Serum , HLA Antigens
10.
Ann Hematol ; 102(4): 961-966, 2023 Apr.
Article in English | MEDLINE | ID: mdl-36864209

ABSTRACT

Patients with hematological malignancies who experience severe infections are at risk of developing dangerous complications due to excessive inflammatory cytokines. To improve the prognosis, it is crucial to identify better ways to manage the systemic inflammatory storm after infection. In this study, we evaluated four patients with hematological malignancies who developed severe bloodstream infections during the agranulocytosis phase. Despite receiving antibiotics, all four patients presented elevated serum IL-6 levels as well as persistent hypotension or organ injury. Adjuvant therapy with tocilizumab, an IL-6-receptor antibody, was administered, and three of the four patients showed significant improvement. Unfortunately, the fourth patient died due to multiple organ failure caused by antibiotic resistance. Our preliminary experience suggests that tocilizumab, as an adjuvant therapy, may help alleviate systemic inflammation and reduce risk of organ injury in patients with elevated IL-6 levels and severe infection. Further randomized controlled trials are needed to confirm the effectiveness of this IL-6 targeting approach.


Subject(s)
COVID-19 , Hematologic Neoplasms , Humans , Interleukin-6 , SARS-CoV-2 , Cytokine Release Syndrome , Treatment Outcome , Hematologic Neoplasms/complications , Hematologic Neoplasms/drug therapy
11.
Nanoscale ; 15(13): 6234-6242, 2023 Mar 30.
Article in English | MEDLINE | ID: mdl-36892211

ABSTRACT

Spacer organic cations in two-dimensional (2D) perovskites play vital roles in inducing structural distortion of the inorganic components and dominating unique excitonic properties. However, there is still little understanding of spacer organic cations with identical chemical formulas, and different configurations have an impact on the excitonic dynamics. Herein, we investigate and compare the evolution of the structural and photoluminescence (PL) properties of [CH3(CH2)4NH3]2PbI4 ((PA)2PbI4) and [(CH3)2CH(CH2)2NH3]2PbI4 ((PNA)2PbI4) with isomeric organic molecules for spacer cations by combining steady-state absorption, PL, Raman and time-resolved PL spectra under high pressures. Intriguingly, the band gap is continuously tuned under pressure and decreased to 1.6 eV at 12.5 GPa for (PA)2PbI4 2D perovskites. Simultaneously, multiple phase transitions occur and the carrier lifetimes are prolonged. In contrast, the PL intensity of (PNA)2PbI4 2D perovskites exhibits an almost 15-fold enhancement at 1.3 GPa and an ultrabroad spectral range of up to 300 nm in the visible region at 7.48 GPa. These results indicate that the isomeric organic cations (PA+ and PNA+) with different configurations significantly mediate distinct excitonic behaviors due to different resilience to high pressures and reveal a novel interaction mechanism between organic spacer cations and inorganic layers under compression. Our findings not only shed light on the vital roles of isomeric organic molecules as organic spacer cations in 2D perovskites under pressure, but also open a route to rationally design highly efficient 2D perovskites incorporating such spacer organic molecules in optoelectronic devices.

12.
China Tropical Medicine ; (12): 715-2023.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-979792

ABSTRACT

@#Abstract: Objective To analyze the treatment outcomes of elderly patients with pulmonary tuberculosis in Chongqing, so as to provide reference for the prevention and control strategies of the epidemic of elderly pulmonary tuberculosis. Methods The data of tuberculosis cases aged ≥65 years in Chongqing from 2015 to 2020 were collected from the National Health Insurance Information Project Disease Prevention and Control Information system. Descriptive statistical methods were used to analyze the data. Results The registration rates of elderly active pulmonary tuberculosis patients and etiological positive patients were 110.95/10-5and 32.25/10-5 in 2015 and 84.06/10-5 and 57.29/10-5 in 2020. The annual decline rate of active tuberculosis registration was 5.40%, and the annual increase rate of pathogenic-positive tuberculosis registration was 12.18%. The registration rates of active tuberculosis patients and etiological positive patients in the whole population were 70.75/10-5 and 17.63/10-5 in 2015 and 50.34/10-5 and 29.14/10-5 in 2020. The annual decline rate of active tuberculosis registration was 6.58%, and the annual increase rate of pathogenic-positive tuberculosis registration was 10.57%. From 2015 to 2020, a total of 25 931 cases of elderly pulmonary tuberculosis were registered, of which 21 374 (82.43%) cases were successfully treated and 4 010 (15.80%) cases had unfavorable outcomes. The proportion of cured and death patients showed an increasing trend year by year (χ2trend=313.853, 100.502, P<0.01). From 2015 to 2020, the average annual successful treatment rate of elderly pulmonary tuberculosis in the whole city was 82.43%, with the lowest rate in southeast Chongqing (74.23%), followed by urban areas (81.99%). The success rate of elderly pulmonary tuberculosis treatment in the whole city, west Chongqing, northeast Chongqing and southeast Chongqing showed a downward trend year by year (χ2trend=230.199, 35.278, 108.076, 112.130, all P<0.01), with annual decline rates of 2.77%, 2.26%, 3.0% and 4.12%, respectively. Among the registered elderly patients, female, 65-<75 years old, Han nationality, newly diagnosed, no complications, and negative for etiology (χ2=15.234, 255.910, 146.842, 179.998, 25.575, 131.170, P<0.01) had higher success treatment rates. Conclusions The prevalence of pulmonary tuberculosis in the elderly population in Chongqing City is declining, but the positive registration rate of etiology is increasing annually, and the success rate of treatment is decreasing. Therefore, it is necessary to strengthen the systematic management, publicity and education of elderly patients (especially those in southeast Chongqing, male, positive patients and severe patients) to effectively control the epidemic of tuberculosis in the elderly.

13.
Sci Rep ; 12(1): 22365, 2022 12 26.
Article in English | MEDLINE | ID: mdl-36572762

ABSTRACT

The fusion of X-ray fluorescence spectroscopy (XRF) and visible near infrared spectroscopy (visNIR) has been widely used in geological exploration. The outer product analysis (OPA) has a good effect in the fusion. The dimension of the spectral matrix obtained by OPA is large, and the Competitive Adaptive Reweighted Sampling (CARS) cannot cover the whole spectrum. As a result, the selected variables by the method are inconsistent each time. In this paper, a new feature variable screening method is proposed, which uses the Least Angle Regression (LAR) to select the high dimensional spectral matrix first, and then uses CARS to complete the secondary selection of the spectral matrix, forming the LAR-CARS algorithm. The purpose is to make the sampling method cover all the spectral data. XRF and visNIR tests were carried out on three cores in two boreholes, and a cross-validation set, validation set and a test set were established by combining the results of wavelength dispersion X-ray fluorescence spectrometer and ITRAX Core scanner in the laboratory. The quantitative model was established with the Extreme Gradient Boosting (XGBoost) and LAR-CARS was compared to these other algorithms (LAR, Successive Projections Algorithm, Monte Carlo uninformative variables elimination and CARS). The results showed that the RMSEP values of the models established by the LAR-CARS for six rock-forming elements (Si, Al, K, Ca, Fe, Ti) were relatively small, and the RPD ranges from 1.424 to 2.514. All these results show that the high-dimensional matrix formed by XRF and visNIR integration combined with LAR-CARS can be used for quantitative analysis of rock forming elements in in-situ coal seam cores, and the analysis results can be used as the basis for judging lithology. The research will provide necessary technical support for digital mine construction.


Subject(s)
Algorithms , Spectroscopy, Near-Infrared , Spectroscopy, Near-Infrared/methods , Least-Squares Analysis , Monte Carlo Method
14.
ACS Nano ; 16(11): 18729-18745, 2022 11 22.
Article in English | MEDLINE | ID: mdl-36278973

ABSTRACT

Fungal keratitis is one of the most common blindness-causing diseases, but clinical antifungal treatment remains a challenge. The fungal cell wall and biofilm matrix which severely confine the drug preparation are the critical obstructive factors to therapeutic effects. Herein, we report ethylenediaminetetraacetic acid (EDTA) modified AgCu2O nanoparticles (AgCuE NPs) to disrupt the cell wall and then eradicate C. albicans through the internal cascade synergistic effects of ion-released chemotherapy, chemodynamic therapy, photodynamic therapy, and mild photothermal therapy. AgCuE NPs exhibited excellent antifungal activity both in preventing biofilm formation and in destroying mature biofilms. Furthermore, AgCuE NP based gel formulations were topically applied to kill fungi, reduce inflammation, and promote wound healing, using optical coherence tomography and photoacoustic imaging to monitor nanogel retention and therapeutic effects on the infected murine cornea model. The AgCuE NP gel showed good biosafety and no obvious ophthalmic and systemic side effects. This study suggests that the AgCuE NP gel is an effective and safe antifungal strategy for fungal keratitis with a favorable prognosis and potential for clinical translation.


Subject(s)
Antifungal Agents , Keratitis , Mice , Animals , Antifungal Agents/pharmacology , Antifungal Agents/therapeutic use , Candida albicans , Biofilms , Keratitis/drug therapy , Keratitis/microbiology , Cell Wall
15.
J Clin Med ; 11(16)2022 Aug 21.
Article in English | MEDLINE | ID: mdl-36013154

ABSTRACT

Primary EBV-positive mucocutaneous ulcer (EBVMCU) is a rare and indolent disorder occurring in the oropharynx, skin, and gastrointestinal tract, with remission after removal of the immunosuppressive causes. We present a 69-year-old woman with heartburn, regurgitation of gastric acid, enlarged lymph nodes, and parotid glands. The endoscopic examination showed a circumscribed ulcer in the lower esophagus. A biopsy pathology indicated an esophageal EBV-associated lymphoproliferative disorder and a parotid gland/lymph node indolent B-cell lymphoma. Interestingly, the patient did not undergo any treatment, but the endoscopic ulcer improved significantly after more than 2 months. The last pathology showed EBV negativity, and EBVMCU was considered in combination with clinical and endoscopic manifestations. We followed up with the patient at 6 months, and the symptoms of acid reflux and heartburn had disappeared. Our case demonstrates that EBVMCU may occur in the esophagus with spontaneous regression.

16.
BMJ Open ; 12(4): e053797, 2022 04 20.
Article in English | MEDLINE | ID: mdl-35443945

ABSTRACT

OBJECTIVE: Tuberculosis (TB) treatment management services (TTMSs) are crucial for improving patient treatment adherence. Under the TB integrated control model in China, healthcare workers (HCWs) in the primary healthcare (PHC) sectors are responsible for TTMS delivery. This mixed-method study aimed to explore the status of and barriers to TTMS delivery faced by HCWs in PHC sectors from the health organisational and patient perspectives. DESIGN: We completed a questionnaire survey of 261 TB healthcare workers (TB HCWs) and 459 patients with TB in the PHC sector and conducted 20 semistructured interviews with health organisational leaders, TB HCWs and patients with TB. SPSS V.22.0 and the framework approach were used for data analysis. SETTING: PHC sectors in Southwest China. RESULTS: Our results showed that TTMS delivery rate by HCWs in PHC sectors was <90% (88.4%) on average, and the delivery rates of intensive and continuation phase directly observed therapy (DOT) were only 54.7% and 53.0%, respectively. HCWs with high work satisfaction and junior titles were more likely to deliver first-time home visits and DOT services. Our results suggest that barriers to TTMS delivery at the organisational level include limited patient-centred approaches, inadequate resources and incentives, insufficient training, poor cross-sectional coordination, and strict performance assessment. At the patient level, barriers include low socioeconomic status, poor health literacy and TB-related social stigma. CONCLUSION: TTMSs in Southwest China still need further improvement, and this study highlighted specific barriers to TTMS delivery in the PHC sector. Comprehensive measures are urgently needed to address these barriers at the organisational and patient levels to promote TB control in Southwest China.


Subject(s)
Health Care Sector , Tuberculosis , Cross-Sectional Studies , Directly Observed Therapy , Health Personnel , Humans , Tuberculosis/drug therapy
17.
BMC Infect Dis ; 22(1): 201, 2022 Mar 01.
Article in English | MEDLINE | ID: mdl-35232384

ABSTRACT

BACKGROUND: China is one of 30 countries with a high tuberculosis (TB) burden, and poor adherence to TB treatment is one of the biggest challenges for TB control. We aimed to explore the barriers and facilitators of treatment adherence among drug-sensitive tuberculosis (DS-TB) patients under the "Integrated model" in Western China, to provide evidence-based treatment and control regimens for DS-TB patients to improve adherence behaviours. METHODS: Both qualitative and quantitative research methods were used to explore the factors associated with self-reported adherence (SRA) behaviours. Questionnaire surveys with DS-TB patients and in-depth interviews with leaders from the Centers for Disease Control and Prevention (CDC) and community health sectors (CHCs), healthcare workers (HCWs) from CHCs, and DS-TB patients were conducted. RESULTS: A total of 459 eligible patients were included in the quantitative survey, and two patients and 13 healthcare providers were included in the in-depth interviews. The percentage of patients who experienced a missed dose, lack of follow-up sputum examination, and interrupted treatment were 19.0%, 11.3%, and 9.2%, respectively. Patients aged 20-39 had a higher risk of missed dose [OR (95% CI): 2.302 (1.001-5.305)] and a lower risk of interrupted treatment [OR (95% CI): 0.278 (0.077-0.982)] than patients more than 60 years. Patients who were of Han ethnicity (OR [95% CI]: 0.524 [0.301-0.912]) received psychological support (OR [95% CI]: 0.379 [0.144-0.998]) from their family and had a lower risk of missed doses. Patients who had drug side effects had a higher risk of interrupted treatment (OR [95% CI]: 2.587 [1.237-5.412]). Patients who possessed higher knowledge had a lower risk of lack of follow-up sputum examination [OR (95% CI): 0.817 (0.673-0.991)]. The results of the qualitative study also reported that patients' poor TB knowledge was the main reason for their non-SRA behaviours. CONCLUSIONS: Patient-centred strategies should be implemented to improve health literacy and strengthen psychological support. More effective case management should be designed and implemented based on different patient characteristics to improve adherence behaviours in further studies.


Subject(s)
Antitubercular Agents , Tuberculosis , Adult , Antitubercular Agents/therapeutic use , China , Humans , Self Report , Surveys and Questionnaires , Tuberculosis/drug therapy , Young Adult
18.
Opt Express ; 29(24): 40051-40060, 2021 Nov 22.
Article in English | MEDLINE | ID: mdl-34809355

ABSTRACT

All-inorganic perovskite nanomaterials have attracted much attention recently due to their prominent optical performance and potential application for optoelectronic devices. The carriers dynamics of all-inorganic perovskites has been the research focus because the understanding of carriers dynamics process is of critical importance for improving the fluorescence conversion efficiency. While photophysical properties of excited carrier are usually measured at the macroscopic scale, it is necessary to probe the in-situ dynamics process at the nanometer scale and gain deep insights into the photophysical mechanisms and their localized dependence on the thin-film nanostructures. Stimulated emission depletion (STED) nanoscopy with super-resolution beyond the diffraction limit can directly provide explicit information at a single particle level or nanometer scale. Through this unique technique, we firstly study the in-situ dynamics process of single CsPbBr3 nanocrystals(NCs) and nanostructures embedded inside high-dense samples. Our findings reveal the different physical mechanisms of PL blinking and antibunching for single CsPbBr3 NCs and nanostructures that correlate with thin-film nanostructural features (e.g. defects, grain boundaries and carrier mobility). The insights gained into such nanostructure-localized physical mechanisms are critically important for further improving the material quality and its corresponding device performance.

20.
BMC Cardiovasc Disord ; 21(1): 400, 2021 08 19.
Article in English | MEDLINE | ID: mdl-34412586

ABSTRACT

BACKGROUND: Elevated plasma carbohydrate antigen-125 (CA-125) levels are strongly associated with new-onset atrial fibrillation (AF) and heart failure, but the relationship between plasma CA-125 level and AF recurrence following radiofrequency catheter ablation (RFCA) remains poorly investigated. We aimed to assess whether elevated CA-125 levels are related to long-term AF recurrence following RFCA. METHODS: Preoperative CA-125 levels were determined in AF patients undergoing initial RFCA. Multivariate-adjusted Cox models were constructed to determine the relationship between CA-125 levels and AF recurrence. Multivariate logistic regression analyses were performed to determine predictors of AF recurrence. RESULTS: Of the 353 enrolled patients, 85 patients (24.1%) had AF recurrence at the 12-month follow-up. These patients had significantly higher baseline CA-125 levels than those without AF recurrence [(18.71 ± 12.63) vs. (11.27 ± 5.40) U/mL, P < 0.001]. The incidence of AF recurrence across quartiles 1-4 of CA-125 was 11.5%, 13.3%, 21.6% and 50.0%, respectively (P-trend < 0.001). The adjusted hazard ratios (aHRs) for AF recurrence across quartiles 1-4 of CA-125 were 1.00 (reference), 1.085 (95% CI, 0.468-2.520), 1.866 (95% CI, 0.867-4.019), and 4.246 (95% CI, 2.113-8.533), respectively (P-trend < 0.001). A similar effect was obtained when CA-125 was studied as continuous data (aHR per unit increase in LnCA-125, 3.225, 95% CI, 2.258-4.606; P < 0.001). When a predefined CA-125 cut-off of 13.75 U/mL was established, patients with CA-125 ≥ 13.75 U/mL had a higher risk of recurrent AF than those with CA-125 < 13.75 U/mL (aHR, 3.540, 95% CI, 2.268-5.525, P < 0.001). Multivariate analysis revealed CA-125, high-sensitivity C-reactive protein, and left atrium anteroposterior diameter as independent risk factors for AF recurrence. CONCLUSIONS: Elevated preoperative CA-125 levels are related to a higher risk of AF recurrence and can independently predict AF recurrence following RFCA.


Subject(s)
Atrial Fibrillation/surgery , CA-125 Antigen/blood , Catheter Ablation , Membrane Proteins/blood , Aged , Atrial Fibrillation/blood , Atrial Fibrillation/diagnosis , Biomarkers/blood , Catheter Ablation/adverse effects , Female , Humans , Male , Middle Aged , Predictive Value of Tests , Prospective Studies , Recurrence , Risk Assessment , Risk Factors , Time Factors , Treatment Outcome , Up-Regulation
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