Evaluation of activities of daily living using an electronic version of the Longshi Scale in patients with stroke: reliability, consistency, and preference.

BACKGROUND: The Longshi Scale is a pictorial assessment tool for evaluating activities of daily living (ADL) in patients with stroke. The paper-based version presents challenges; thus, the WeChat version was created to enhance accessibility. Herein, we aimed to validate the inter-rater and test-retest reliabilities of the WeChat version of the Longshi Scale and explore its potential clinical applications. METHODS: We recruited 115 patients with stroke in the study. The ADL results of each patient were assessed using both the WeChat and paper-based version of the Longshi Scale; each evaluation was conducted by 28 health professionals and 115 caregivers separately. To explore the test-retest reliability of the WeChat version, 22 patients were randomly selected and re-evaluated by health professionals using the WeChat version. All evaluation criteria were recorded, and all evaluators were surveyed to indicate their preference between the two versions. RESULTS: Consistency between WeChat and the paper-based Longshi Scale was high for ADL scores by health professionals (ICC2,1 = 0.803-0.988) and caregivers (ICC2,1 = 0.845-0.983), as well as for degrees of disability (κw = 0.870 by professionals; κw = 0.800 by caregivers). Bland-Altman analysis showed no significant discrepancies. The WeChat version exhibited good test-retest reliability (κw = 0.880). The WeChat version showed similar inter-rater reliability in terms of the ADL score evaluated using the paper-based version (ICC2,1 = 0.781-0.941). The time to complete assessments did not differ significantly, although the WeChat version had a shorter information entry time (P < 0.001, 95% confidence interval: -43.463 to -15.488). Health professionals favored the WeChat version (53.6%), whereas caregivers had no significant preference. CONCLUSIONS: The WeChat version of the Longshi Scale is reliable and serves as a suitable alternative for health professionals and caregivers to assess ADL levels in patients with stroke. The WeChat version of the Longshi Scale is considered user-friendly by health professionals, although it is not preferred by caregivers. TRIAL REGISTRATION: This study was approved by the Ethics Committee of the Second People's Hospital of Shenzhen (approval number: 20210812003-FS01) and registered on the Clinical Trial Register Center website: clinicaltrials.gov on January 31, 2022 (registration no.: NCT05214638).

Detection of Single Nucleotide Polymorphisms of Circulating Tumor DNA by Strand Displacement Amplification Coupled with Liquid Chromatography.

The detection of multiple single nucleotide polymorphisms (SNPs) of circulating tumor DNA (ctDNA) is still a great challenge. In this study, we designed enzyme-assisted nucleic acid strand displacement amplification combined with high-performance liquid chromatography (HPLC) for the simultaneous detection of three ctDNA SNPs. First, the trace ctDNA could be hybridized to the specially designed template strand, which initiated the strand displacement nucleic acid amplification process under the synergistic action of DNA polymerase and restriction endonuclease. Then, the targets would be replaced with G-quadruplex fluorescent probes with different tail lengths. Finally, the HPLC-fluorescence assay enabled the separation and quantification of multiple signals. Notably, this method can simultaneously detect both the wild type (WT) and mutant type (MT) of multiple ctDNA SNPs. Within a linear range of 0.1 fM-0.1 nM, the detection limits of BRAF V600E-WT, EGFR T790M-WT, and KRAS 134A-WT and BRAF V600E-MT, EGFR T790M-MT, and KRAS 134A-MT were 29, 31, and 11 aM and 22, 29, and 33 aM, respectively. By using this method, the mutation rates of multiple ctDNA SNPs in blood samples from patients with lung or breast cancer can be obtained in a simple way, providing a convenient and highly sensitive analytical assay for the early screening and monitoring of lung cancer.

Photocatalytic degradation of bisphenol A by temperature-sensitive magnetic hydrogel with enhanced service life.

Easy diffusion and low reusability limit the practicality of photocatalysts. In this study, a hollow sphere (HS) heterojunction was synthesized based on oxygen-doped carbon nitride (OCN) and layered double hydroxides (LDHs). A thermosensitive HS hydrogel (HS Gel) was prepared by mixing HS with N-isopropylacrylamide. Bisphenol A (BPA), being widely manufactured and used in commercial and domestical products and its high toxicity, was chosen as the target pollutant to demonstrate the photocatalytic ability and practicality of the HS Gel. HS Gel presented effective BPA degradation (95% degradation in 70 mins, 4.2 × 10-2 min-1 of kobs) at ambient temperature which is much better than kobs = 1.8 × 10-2 min-1 of OCN and kobs = 0.08 × 10-2 min-1 of LDH), and increased by two-fold the recycling service life (retention of >80% degradation efficiency after 13 usage cycles) compared to other carbon-based photocatalysts (retention of >80% degradation efficiency after 5-6 usage cycles). This is due to its multifunctional characteristics (magnetic property and thermal sensitivity). Under ambient temperature, the hydrophilic HS Gel swelled in the aqueous solution, which promoted the photocatalytic reaction between HS and BPA in the gel state. After the reaction, the HS Gel was subjected to shrinkage by high temperature heating to enhance the mechanical strength for recovery. The magnetic recovery was realized by the paramagnetic properties of layered double oxide to reduce environmental interference. Detailed studies of HS gel related to enhanced service life were conducted including structural changes, catalyst leaking and magnetic changing. A new kind of type Ӏ plus Z-scheme mechanism was also proposed based on the Kubelka-Munk equation, UV diffuse reflectance spectroscopy and Mott-Schotty technique.

Three-dimensional ordered DNA network constructed by a biomarker pair for accurate monitoring of colorectal cancer.

Precise and early screening of colorectal cancer (CRC) is one crucial yet challenging task for its treatment, and the analysis of multi-targets of CRC in a single assay with high accuracy is essential for pathological research and clinical diagnosis. Here, a CRC-related biomarker pair, microRNA-211 (miRNA-211) and H2S, was detected by constructing a three-dimensional (3D) ordered DNA network. First, trace amount of miRNA-211 could initiate a hybridization chain reaction-based amplification process. A highly ordered 3D DNA network was formed based on the organized assembly of DNA-cube frameworks that were constructed by DNA origamis and Ag nanoparticles (NPs) encapsulated inside. In the presence of the H2S, Ag NPs within the network can be etched to generate Ag2S quantum dots, which could be better visualized in fluorescence in situ cell imaging. Using the 3D DNA ordered network as the sensing platform, it can acquire dual analysis of biomolecule (miRNA-211) and inorganic gas (H2S) in vitro, overcoming the limitations of single type of biomarker detection in a single assay. This assay achieved a wide linearity range of H2S from 0.05 to 10 µM, and exhibited a low limit of detection of 4.78 nM. This strategy allows us to acquire the spatial distributions of H2S and miRNA expression levels in living CRC cells simultaneously, providing a highly sensitive and selective tool for early screening and monitoring of CRC.

Production of extracellular vesicles from equine embryo-derived mesenchymal stromal cells.

In brief: Mesenchymal stromal cell (MSC)-derived extracellular vesicles (EVs) have shown promise as off-the-shelf therapeutics; however, producing them in sufficient quantities can be challenging. In this study, MSCs were isolated from preimplantation equine embryos and used to produce EVs in two commercially available bioreactor designs. Abstract: Mesenchymal stromal cells (MSC) have recently been explored for their potential use as therapeutics in human and veterinary medicine applications, such as the treatment of endometrial inflammation and infertility. Allogeneic MSC-derived extracellular vesicles (EVs) may also provide therapeutic benefits with advantage of being an 'off-the-shelf' solution, provided they can be produced in large enough quantities, without contamination from bovine EVs contained in fetal bovine serum that is a common component of cell culture media. Toward this aim, we demonstrated the successful isolation and characterization of equine MSCs from preimplantation embryos. We also demonstrate that many of these lines can be propagated long-term in culture while retaining their differentiation potential and conducted a head-to-head comparison of two bioreactor systems for scalable EV production including in serum-free conditions. Based on our findings, the CELLine AD 1000 flasks enabled higher cell density cultures and significantly more EV production than the FiberCell system or conventional culture flasks. These findings will enable future isolation of equine MSCs and the scalable culture of their EVs for a wide range of applications in this rapidly growing field.

Duplex-specific nuclease-based electrochemical biosensor for the detection of microRNAs by conversion of homogeneous assay into surface-tethered electrochemical analysis.

We proposed a simple and sensitive strategy for the detection of microRNAs (miRNAs) by converting homogeneous assay into surface-tethered electrochemical analysis. Specifically, the biotinylated detection probes (biotin-DNA-biotin) can trigger the in-situ assembly of tetrameric streptavidin (SA) proteins on an electrode surface via the SA-biotin interactions. The (SA-biotin-DNA-biotin)n assemblies electrically insulated the electrode interface, thereby blocking the electron transfer of [Fe(CN)6]3-/4-. When the probe was hybridized with the target miRNA, it would be cleaved into small fragments (denoted as biotin-DNA) by duplex-specific nuclease (DSN). The released target miRNA can enter into the next hybridization-enzymolysis cycle, thus leading to the generation of considerable amounts of biotin-DNA fragments. The released biotin-DNA competed with the detection probe to bind SA, thus limiting the in-situ formation of (SA-biotin-DNA-biotin)n assemblies. The surface-tethered electrochemical analysis by the dual signal amplification of DSN and (SA-biotin-DNA-biotin)n assemblies has been used for the determination of miRNAs in cell lysate with a satisfactory result. The method showed a detection limit down to 10 aM. The "one-step" immobilization-free strategy can be used to design novel biosensors for the detection of other biomarkers.

Modification-free amperometric biosensor for the detection of wild-type p53 protein based on the in situ formation of silver nanoparticle networks for signal amplification.

Sensitive and accurate quantification of wild-type p53 protein is of great importance for biological research and clinical diagnosis. Herein, a modification-free amperometric biosensor was proposed for sensitive detection of wild-type p53 protein by the signal amplification of silver nanoparticles (AgNPs) networks formed in situ on electrode surface. Double-stranded DNA (dsDNA) probe containing two consensus sites was immobilized on gold electrode surface to capture wild-type p53 protein. The cysteine thiol and amine groups on the exterior of the protein allowed for the attachment of bare AgNPs through the AgS or AgN interactions. Meanwhile, benzene-1,4-dithiol (BDT) molecules in solution triggered the assembly of more AgNPs on electrode surface through the AgS interactions, thus leading to the in situ formation of AgNPs networks for signal amplification. The target at the concentration as low as 0.1 pM can be readily determined. This method was further applied to determine wild-type p53 protein in spiked human serum and cell lysates with satisfactory results. Moreover, the biosensor is regenerative and does not require the modification of AgNPs with recognition element for signal readout. The modification-free strategy can potentially be applied to develop novel biosensors for detection of other biological macromolecules.

Effects of Optical Turbulence and Density Gradients on Particle Image Velocimetry.

Particle image velocimetry (PIV) is a well-established tool to collect high-resolution velocity and turbulence data in the laboratory, in both air and water. Laboratory experiments are often performed under conditions of constant temperature or salinity or in flows with only small gradients of these properties. At larger temperature or salinity variations, the changes in the index of refraction of water or air due to turbulent microstructure can lead to so-called optical turbulence. We observed a marked influence of optical turbulence on particle imaging in PIV. The effect of index of refraction variations on PIV has been described in air for high Mach number flows, but in such cases the distortion is directional. No such effect has previously been reported for conditions of isotropic optical turbulence in water. We investigated the effect of optical turbulence on PIV imaging in a large Rayleigh-Bénard tank for various path lengths and turbulence strengths. The results show that optical turbulence can significantly affect PIV measurements. Depending on the strength of the optical turbulence and path length, the impact can be mitigated in post-processing, which may reduce noise and recover the mean velocity signal, but leads to the loss of the high-frequency turbulence signal.

A Silicon-tipped Fiber-optic Sensing Platform with High Resolution and Fast Response.

In this article, we introduce an innovative and practically promising fiber-optic sensing platform (FOSP) that we proposed and demonstrated recently. This FOSP relies on a silicon Fabry-Perot interferometer (FPI) attached to the fiber end, referred to as Si-FOSP in this work. The Si-FOSP generates an interferogram determined by the optical path length (OPL) of the silicon cavity. Measurand alters the OPL and thus shifts the interferogram. Due to the unique optical and thermal properties of the silicon material, this Si-FOSP exhibits an advantageous performance in terms of sensitivity and speed. Furthermore, the mature silicon fabrication industry endows the Si-FOSP with excellent reproducibility and low cost toward practical applications. Depending on the specific applications, either a low-finesse or high-finesse version will be utilized, and two different data demodulation methods will be adopted accordingly. Detailed protocols for fabricating both versions of the Si-FOSP will be provided. Three representative applications and their according results will be shown. The first one is a prototype underwater thermometer for profiling the ocean thermoclines, the second one is a flow meter to measure flow speed in the ocean, and the last one is a bolometer used for monitoring exhaust radiation from magnetically confined high-temperature plasma.

Does orbital angular momentum have effect on laser's scattering by molecular atmosphere?

Lasers with orbital angular momentum (OAM) have potential applications in communication technology, manipulation of particles, and remote sensing. Because of its unusual light-scattering properties, the OAM laser's interaction with a molecular atmosphere must be studied to ensure that it is not lossy for communication or remote-sensing applications that involve its transmission through an atmospheric environment. In this study, the finite-difference time-domain (FDTD) method [21] is applied to calculate the light scattering of the purely azimuthal (the radial mode number is assumed to be zero) Laguerre-Gaussian (LG) beams with OAM by very small dielectric particles. Not like Lorentz-Mie solutions, the FDTD method can calculate for particles off the central axis of the LG beam. It is found that when the particles are very small, and the topological charge number of the OAM of a laser is not extremely large, the laser's OAM has little effect on the scattering phase function. This suggests that Rayleigh theory can be applied directly to calculate the light scattering by atmospheric molecules. The transmission of a laser beam with OAM in a molecular atmosphere is not different from that of a regular Gaussian beam.

Experimental and numerical study of underwater beam propagation in a Rayleigh-Bénard turbulence tank.

The propagation of a laser beam through Rayleigh-Bénard (RB) turbulence is investigated experimentally and by way of numerical simulation. For the experimental part, a focused laser beam transversed a 5 m×0.5 m×0.5 m water filled tank lengthwise. The tank is heated from the bottom and cooled from the top to produce convective RB turbulence. The effect of the turbulence on the beam is recorded on the exit of the beam from the tank. From the centroid motion of the beam, the index of refraction structure constant Cn2 is determined. For the numerical efforts RB turbulence is simulated for a tank of the same geometry. The simulated temperature fields are converted to the index of refraction distributions, and Cn2 is extracted from the index of refraction structure functions, as well as from the simulated beam wander. To model the effect on beam propagation, the simulated index of refraction fields are converted to discrete index of refraction phase screens. These phase screens are then used in a split-step beam propagation method to investigate the effect of the turbulence on a laser beam. The beam wander as well as the index of refraction structure parameter Cn2 determined from the experiment and simulation are compared and found to be in good agreement.

Introducing SiTTE: A controlled laboratory setting to study the impact of turbulent fluctuations on light propagation in the underwater environment.

Small-scale spatial variation in temperature can lead to localized changes in the index of refraction and can distort electro-optical (EO) signal transmission in ocean and atmosphere. This phenomenon is well-studied in the atmosphere, where it is generally called "optical turbulence". Less is known about how turbulent fluctuations in the ocean distort EO signal transmissions, an effect that can impact various underwater applications, from diver visibility to active and passive remote sensing. To provide a test bed for the study of the impacts from turbulent flows on EO signal transmission, and to examine and mitigate turbulence effects, we set up a laboratory turbulence environment allowing the controlled and repeatable variation of turbulence intensity. The laboratory measurements are complemented by high resolution computational fluid dynamics simulations emulating the tank environment. This controlled Simulated Turbulence and Turbidity Environment (SiTTE) can be used to assess optical image degradation in the tank in relation to turbulence intensity, as well as to examine various adaptive optics mitigation techniques.

Self-gauged fiber-optic micro-heater with an operation temperature above 1000°C.

We report a fiber-optic micro-heater based on a miniature crystalline silicon Fabry-Perot interferometer (FPI) fusion spliced to the endface of a single-mode fiber. The silicon FPI, having a diameter of 100 µm and a length of 10 or 200 µm, is heated by a 980 nm laser diode guided through the lead-in fiber, leading to a localized hot spot with a temperature that can be conveniently tuned from the ambient temperature to >1000°C in air. In the meantime, using a white light system operating in the 1550 nm wavelength window where the silicon is transparent, the silicon FPI itself also serves as a thermometer with high resolution and high speed for convenient monitoring and precise control of the heater temperature. Due to its small size, high temperature capability, and easy operation, the micro-heater is attractive for applications in a variety of fields, such as biology, microfluidics system, mechanical engineering, and high-temperature optical sensing. As an example, the application of this micro-heater as a micro-boiler and micro-bubble generator has been demonstrated.

Serum levels of endothelial glycocalyx constituents in women at 20†weeks' gestation who later develop gestational diabetes mellitus compared to matched controls: a pilot study.

OBJECTIVES: The aim of this pilot study was to determine the serum concentration of heparan sulfate, hyaluronan, chondroitin sulfate and syndecan-1 and if these serum concentrations can be used to identify women at 20 weeks' gestation who later develop gestational diabetes mellitus (GDM). DESIGN: Nested case-control study from Auckland, New Zealand participants in the prospective cohort Screening for Pregnancy Endpoints study. SETTING: Auckland, New Zealand. PARTICIPANTS: 20 pregnant women (70% European, 15% Indian, 10% Asian, 5% Pacific Islander) at 20 weeks' gestation without any hypertensive complications who developed GDM by existing New Zealand criteria defined as a fasting glucose ≥5.5 mmol/L and/or 2 hours ≥9.0 mmol/L after a 75 g Oral Glucose Tolerance Test. Women not meeting these criteria were excluded from this study. The patients with GDM were matched with 20 women who had uncomplicated pregnancies and negative screening for GDM and matched for ethnicity, maternal age and BMI. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary measures were the serum concentrations of syndecan-1, heparan sulfate, hyaluronan and chondroitin sulfate determined by quantitative ELISA. There were no secondary outcome measures. RESULTS: Binary logistic regression was performed to determine if serum concentrations of endothelial glycocalyx layer constituents in women at 20 weeks' gestation would be useful in predicting the subsequent diagnosis of GDM. The model was not statistically significant χ2=12.5, df=8, p=0.13, which indicates that the model was unable to distinguish between pregnant women at 20 weeks' gestation who later developed GDM and those who did not. CONCLUSIONS: Serum concentrations of syndecan-1, heparan sulfate, hyaluronan and chondroitin sulfate in pregnant women at 20 weeks' gestation were not associated with later development of GDM. To further explore whether there is any relationship between endothelial glycocalyx constituents and GDM, the next step is to evaluate serum concentrations at the time diagnosis of GDM.

Optical fiber vector flow sensor based on a silicon Fabry-Perot interferometer array.

We report a miniature fiber-optic water vector flow sensor based on an array of silicon Fabry-Perot interferometers (FPIs). The flow sensor is composed of four silicon FPIs, one in the center with the other three equally distributed around it. The center FPI is heated by a cw laser at 980 nm, which is guided through the lead-in single mode fiber. The temperature structure established within the sensor head due to laser heating is a function of the flow vector (speed and direction), which can be deduced from the wavelength shifts of the four FPIs. Theoretical analysis has been conducted to illustrate the operating principle and experimental demonstration has been provided.

Experimental study of a compressive line sensing imaging system in a turbulent environment.

Turbulence poses challenges in many atmospheric and underwater surveillance applications. The compressive line sensing (CLS) active imaging scheme has been demonstrated in simulations and test tank experiments to be effective in scattering media such as turbid coastal water, fog, and mist. The CLS sensing model adopts the distributed compressive sensing theoretical framework that exploits both intrasignal sparsity and the highly correlated nature of adjacent areas in a natural scene. During sensing operation, the laser illuminates the spatial light modulator digital micromirror device to generate a series of one-dimensional binary sensing patterns from a codebook to encode the current target line segment. A single element detector photomultiplier tube acquires target reflections as the encoder output. The target can then be recovered using the encoder output and a predicted on-target codebook that reflects the environmental interference of original codebook entries. In this work, we investigated the effectiveness of the CLS imaging system in a turbulent environment. The development of a compact CLS prototype will be discussed, as will a series of experiments using various turbulence intensities at the Naval Research Lab's Simulated Turbulence and Turbidity Environment. The experimental results showed that the time-averaged measurements improved both the signal-to-noise radio and the resolution of the reconstructed image in the extreme turbulence environment. The contributing factors for this intriguing and promising result will be discussed.

Quantification of optical turbulence in the ocean and its effects on beam propagation.

The influence of optically active turbulence on the propagation of laser beams is investigated in clear ocean water over a path length of 8.75 m. The measurement apparatus is described and the effects of optical turbulence on the laser beam are presented. The index of refraction structure constant is extracted from the beam deflection and the results are compared to independently made measures of the turbulence strength (Cn2) by a vertical microstructure profiler. Here we present values of Cn2 taken from aboard the R/V Walton Smith during the Bahamas optical turbulence exercise (BOTEX) in the Tongue of the Ocean between June 30 and July 12, 2011, spanning a range from 10-14 to 10-10 m-2/3. To the best of our knowledge, this is the first time such measurements are reported for the ocean.

Influence of fiber bending on wavelength demodulation of fiber-optic Fabry-Perot interferometric sensors.

In practical applications of fiber optic sensors based on Fabry-Perot interferometers (FPIs), the lead-in optical fiber often experiences dynamic or static bending due to environmental perturbations or limited installation space. Bending introduces wavelength-dependent losses to the sensors, which can cause erroneous readings for sensors based on wavelength demodulation interrogation. Here, we investigate the bending-induced wavelength shift (BIWS) to sensors based on FPIs. Partially explicit expressions of BIWSs for the reflection fringe peaks and valleys have been derived for sensors based on low-finesse FPI. The theoretical model predicts these findings: 1) provided that a fringe peak experiences the same modulation slope by bending losses with a fringe valley, BIWSs for the peak and valley have opposite signs and the BIWS for the valley has a smaller absolute value; 2) BIWS is a linear function of the length of the bending section; 3) a FPI with higher visibility and longer optical path length is more resistant to the influence of bending. Experiments have been carried out and the results agree well with the theoretical predictions.

High-resolution, large dynamic range fiber-optic thermometer with cascaded Fabry-Perot cavities.

The paradox between a large dynamic range and a high resolution commonly exists in nearly all kinds of sensors. Here, we propose a fiber-optic thermometer based on dual Fabry-Perot interferometers (FPIs) made from the same material (silicon), but with different cavity lengths, which enables unambiguous recognition of the dense fringes associated with the thick FPI over the free-spectral range determined by the thin FPI. Therefore, the sensor combines the large dynamic range of the thin FPI and the high resolution of the thick FPI. To verify this new concept, a sensor with one 200 µm thick silicon FPI cascaded by another 10 µm thick silicon FPI was fabricated. A temperature range of -50°C to 130°C and a resolution of 6.8×10-3°C were demonstrated using a simple average wavelength tracking demodulation. Compared to a sensor with only the thick silicon FPI, the dynamic range of the hybrid sensor was more than 10 times larger. Compared to a sensor with only the thin silicon FPI, the resolution of the hybrid sensor was more than 18 times higher.

Fast-response fiber-optic anemometer with temperature self-compensation.

We report a novel fiber-optic anemometer with self-temperature compensation capability based on a Fabry-Pérot interferometer (FPI) formed by a thin silicon film attached to the end face of a single-mode fiber. Guided in the fiber are a visible laser beam from a 635 nm diode laser used to heat the FPI and a white-light in the infrared wavelength range as the signal light to interrogate the optical length of the FPI. Cooling effects on the heated sensor head by wind is converted to a wavelength blueshift of the reflection spectral fringes of the FPI. Self-temperature-compensated measurement of wind speed is achieved by recording the difference in fringe wavelengths when the heating laser is turned on and then off. Large thermal-optic coefficient and thermal expansion coefficient of silicon render a high sensitivity that can also be easily tuned by altering the heating laser power. Furthermore, the large thermal diffusivity and the small mass of the thin silicon film endow a fast sensor response.