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1.
Chem Sci ; 15(15): 5589-5595, 2024 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-38638218

RESUMO

Organic deep-red (DR) and near-infrared (NIR) emitters with high photoluminescence quantum yield (PLQY) are rare due to the strong non-radiative (knr) decay. Here, we report two DR/NIR emitters with high PLQY, TPANZPyPI and TPANZ3PI. Interestingly, the TPANZPyPI film exhibits 46.5% PLQY at 699 nm. Theoretical calculations indicate that TPANZPyPI can achieve this high PLQY in the near-infrared emission region due to its small S1 to S0 internal conversion (IC) rate. Meanwhile, research has found that, compared to TPANZ3PI, TPANZPyPI with a more rigid structure can effectively suppress the T2 to T1 IC process, which is conducive to higher exciton utilization efficiency (EUE). TPANZPyPI's non-doped OLED shows NIR emission with 4.6% @ 684 nm maximum external quantum efficiency (EQEmax). Its doped OLEDs radiate DR with an EQEmax of 6.9% @ 666 nm. These EQEs are among the highest values for hybridized local charge transfer state materials emitting more than 640 nm. This work demonstrates for the first time, based on a combination of theory and experiment, that increasing the molecular rigidity can inhibit the excited state IC process in addition to the S1 to S0 IC, realizing efficient electroluminescence.

2.
Phys Chem Chem Phys ; 26(6): 5147-5155, 2024 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-38259229

RESUMO

Narrowband emitters with thermally activated delayed fluorescence (TADF) features, known as multi-resonant TADF (MR-TADF) emitters, are drawing increasing research interest owing to their properties of high efficiency and excellent color purity. However, MR-TADF-based devices often face serious efficiency roll-off at high luminance intensity, which could be attributed to undesired triplet-triplet annihilation (TTA) caused by the structural planarity and relatively small reverse intersystem crossing rate constants (krisc) of MR-TADF emitters. Herein, combining a sp3-C inserted strategy to suppress harmful bimolecular interactions and chalcogens to improve the krisc, a series of asymmetric narrowband emitters, namely, DMAC-O, DMAC-S, and DMAC-Se, have been theoretically designed to break the slow rate-limiting step of krisc of experimental BN-DMAC. For comparison, both O and Se atoms were doped into the MR skeleton to substitute two sp3-inserted units, yielding BN-O-Se. The combination of TD-DFT and the wavefunction-based STEOM-DLPNO-CCSD approach exhibits that those asymmetric molecules are promising for simultaneously exhibiting narrow emission spectral full-width at half-maximums (FWHMs) and high luminous efficiencies. The contributions of chalcogens to hole distributions result in red-shifted fluorescent peaks, and the asymmetric strategy also helps with twisted molecular configuration, which is beneficial for suppressing unfavorable TTA. Furthermore, the incorporation of chalcogens is sufficient to promote the intersystem crossing and reverse intersystem crossing channels of asymmetric emitters. More importantly, the doped heavy Se atom results in a significantly increased krisc of 2.32 × 106 s-1 for DMAC-Se, which is more than 200 times larger than 1.09 × 104 s-1 of pristine BN-DMAC. These results suggest that the combination of the heavy Se atom and an sp3-inserted unit is a feasible strategy for achieving poor planarity and significantly enhancing krisc, which will help in harvesting triplet excitons, thereby inhibiting efficiency roll-off in corresponding narrowband devices.

3.
Angew Chem Int Ed Engl ; 63(14): e202319650, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38275283

RESUMO

Luminescent ferroelectrics are holding exciting prospect for integrated photoelectronic devices due to potential light-polarization interactions at electron scale. Integrating ferroelectricity and long-lived afterglow emission in a single material would offer new possibilities for fundamental research and applications, however, related reports have been a blank to date. For the first time, we here achieved the combination of notable ferroelectricity and afterglow emission in an organic-inorganic hybrid material. Remarkably, the presented (4-methylpiperidium)CdCl3 also shows noticeable antiferroelectric behavior. The implementation of cationic customization and halogen engineering not only enables a dramatic enhancement of Curie temperature of 114.4 K but also brings a record longest emission lifetime up to 117.11 ms under ambient conditions, realizing a leapfrog improvement of at least two orders of magnitude compared to reported hybrid ferroelectrics so far. This finding would herald the emergence of novel application potential, such as multi-level density data storage or multifunctional sensors, towards the future integrated optoelectronic devices with multitasking capabilities.

4.
Angew Chem Int Ed Engl ; 63(2): e202313590, 2024 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-37814153

RESUMO

The ability to generate and manipulate photoluminescence (PL) behavior has been of primary importance for applications in information security. Excavating novel optical effects to create more possibilities for information encoding has become a continuous challenge. Herein, we present an unprecedented PL temporary quenching that highly couples with thermodynamic phase transition in a hybrid crystal (DMML)2 MnBr4 (DMML=N,N-dimethylmorpholinium). Such unusual PL behavior originates from the anomalous variation of [MnBr4 ]2- tetrahedrons that leads to non-radiation recombination near the phase transition temperature of 340 K. Remarkably, the suitable detectable temperature, narrow response window, high sensitivity, and good cyclability of this PL temporary quenching will endow encryption applications with high concealment, operational flexibility, durability, and commercial popularization. Profited from these attributes, a fire-new optical encryption model is devised to demonstrate high confidential information security. This unprecedented optical effect would provide new insights and paradigms for the development of luminescent materials to enlighten future information encryption.

5.
Front Neurosci ; 17: 1170951, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37795184

RESUMO

Background: Studies on eye movements found that children with autism spectrum disorder (ASD) had abnormal gaze behavior to social stimuli. The current study aimed to investigate whether their eye movement patterns in relation to cartoon characters or real people could be useful in identifying ASD children. Methods: Eye-tracking tests based on videos of cartoon characters and real people were performed for ASD and typically developing (TD) children aged between 12 and 60 months. A three-level hierarchical structure including participants, events, and areas of interest was used to arrange the data obtained from eye-tracking tests. Random forest was adopted as the feature selection tool and classifier, and the flattened vectors and diagnostic information were used as features and labels. A logistic regression was used to evaluate the impact of the most important features. Results: A total of 161 children (117 ASD and 44 TD) with a mean age of 39.70 ± 12.27 months were recruited. The overall accuracy, precision, and recall of the model were 0.73, 0.73, and 0.75, respectively. Attention to human-related elements was positively related to the diagnosis of ASD, while fixation time for cartoons was negatively related to the diagnosis. Conclusion: Using eye-tracking techniques with machine learning algorithms might be promising for identifying ASD. The value of artificial faces, such as cartoon characters, in the field of ASD diagnosis and intervention is worth further exploring.

6.
J Neuroinflammation ; 20(1): 180, 2023 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-37525172

RESUMO

BACKGROUND: Dysfunction of microglia during aging affects normal neuronal function and results in the occurrence of neurodegenerative diseases. Retinal microglial senescence attributes to retinal ganglion cell (RGC) death in glaucoma. This study aims to examine the role of ATP-P2X7R in the mediation of microglia senescence and glaucoma progression. METHODS: Forty-eight participants were enrolled, including 24 patients with primary open-angle glaucoma (POAG) and age-related cataract (ARC) and 24 patients with ARC only. We used ARC as the inclusion criteria because of the availability of aqueous humor (AH) before phacoemulsification. AH was collected and the adenosine triphosphate (ATP) concentration was measured by ATP Assay Kit. The chronic ocular hypertension (COH) mouse model was established by microbead occlusion. Microglia were ablated by feeding PLX5622 orally. Mouse bone marrow cells (BMCs) were prepared and infused into mice through the tail vein for the restoration of microglia function. Western blotting, qPCR and ELISA were performed to analyze protein and mRNA expression in the ocular tissue, respectively. Microglial phenotype and RGC survival were assessed by immunofluorescence. The mitochondrial membrane potential was measured using a JC-1 assay kit by flow cytometry. RESULTS: ATP concentrations in the AH were increased in older adults and patients with POAG. The expression of P2X7R was upregulated in the retinal tissues of mice with glaucoma, and functional enrichment analysis showed that P2X7R was closely related to cell aging. Through in vivo and in vitro approaches, we showed that pathological activation of ATP-P2X7R induced accelerated microglial senescence through impairing PTEN-induced kinase 1 (PINK1)-mediated mitophagy, which led to RGC damage. Additionally, we found that replacement of senescent microglia in COH model of old mice with BMCs from young mice reversed RGC damage. CONCLUSION: ATP-P2X7R induces microglia senescence by inhibiting PINK1-mediated mitophagy pathway. Specific inhibition of ATP-P2X7R may be a fundamental approach for targeted therapy of RGC injury in microglial aging-related glaucoma.


Assuntos
Glaucoma de Ângulo Aberto , Glaucoma , Hipertensão Ocular , Camundongos , Animais , Células Ganglionares da Retina/patologia , Microglia/metabolismo , Trifosfato de Adenosina/farmacologia , Glaucoma de Ângulo Aberto/complicações , Glaucoma de Ângulo Aberto/metabolismo , Glaucoma de Ângulo Aberto/patologia , Hipertensão Ocular/patologia , Glaucoma/metabolismo , Modelos Animais de Doenças , Proteínas Quinases/metabolismo
7.
Adv Mater ; 35(36): e2301020, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37452606

RESUMO

Organic photodetectors, as an emerging wearable photoplethysmographic (PPG) technology, offer exciting opportunities for next-generation photonic healthcare electronics. However, the mutual restraints among photoresponse, structure complexity, and fabrication cost have intrinsically limited the development of organic photodetectors for ubiquitous health monitoring in daily activities. Here, an effective route to dramatically boost the performance of organic photodetectors with a solution-processed integration circuit for health monitoring application is reported. Through creating an ideal metal-semiconductor junction interface that minimizes the trap states within the device, solution-printed organic field-effect transistors (OFETs) are achieved with an ultrahigh signal amplification efficiency of 37.1 S A-1 , approaching the theoretical thermionic limit. Consequently, monolithic integration of the OFET with an organic photoconductor enables the remarkable amplification of photoresponse signal-to-noise ratio by more than four orders of magnitude from 5.5 to 4.6 × 105 , which is able to meet the demand for accurately extracting physiological information from the PPG waveforms. This work offers an effective and versatile approach to greatly enhance the photodetector performance, promising to revolutionize health monitoring technologies.

8.
Nature ; 621(7978): 396-403, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37130545

RESUMO

Messenger RNA (mRNA) vaccines are being used to combat the spread of COVID-19 (refs. 1-3), but they still exhibit critical limitations caused by mRNA instability and degradation, which are major obstacles for the storage, distribution and efficacy of the vaccine products4. Increasing secondary structure lengthens mRNA half-life, which, together with optimal codons, improves protein expression5. Therefore, a principled mRNA design algorithm must optimize both structural stability and codon usage. However, owing to synonymous codons, the mRNA design space is prohibitively large-for example, there are around 2.4 × 10632 candidate mRNA sequences for the SARS-CoV-2 spike protein. This poses insurmountable computational challenges. Here we provide a simple and unexpected solution using the classical concept of lattice parsing in computational linguistics, where finding the optimal mRNA sequence is analogous to identifying the most likely sentence among similar-sounding alternatives6. Our algorithm LinearDesign finds an optimal mRNA design for the spike protein in just 11 minutes, and can concurrently optimize stability and codon usage. LinearDesign substantially improves mRNA half-life and protein expression, and profoundly increases antibody titre by up to 128 times in mice compared to the codon-optimization benchmark on mRNA vaccines for COVID-19 and varicella-zoster virus. This result reveals the great potential of principled mRNA design and enables the exploration of previously unreachable but highly stable and efficient designs. Our work is a timely tool for vaccines and other mRNA-based medicines encoding therapeutic proteins such as monoclonal antibodies and anti-cancer drugs7,8.


Assuntos
Algoritmos , Vacinas contra COVID-19 , COVID-19 , Estabilidade de RNA , RNA Mensageiro , SARS-CoV-2 , Vacinas de mRNA , Animais , Humanos , Camundongos , Códon/genética , COVID-19/genética , COVID-19/imunologia , COVID-19/prevenção & controle , Vacinas contra COVID-19/química , Vacinas contra COVID-19/genética , Vacinas contra COVID-19/imunologia , Meia-Vida , Herpesvirus Humano 3/genética , Herpesvirus Humano 3/imunologia , Vacinas de mRNA/química , Vacinas de mRNA/genética , Vacinas de mRNA/imunologia , Estabilidade de RNA/genética , Estabilidade de RNA/imunologia , RNA Mensageiro/química , RNA Mensageiro/genética , RNA Mensageiro/imunologia , RNA Mensageiro/metabolismo , SARS-CoV-2/genética , SARS-CoV-2/imunologia
9.
Bioresour Technol ; 383: 129227, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37244313

RESUMO

To achieve advanced nitrogen removal from low-carbon wastewater, a partial-nitrification/anammox and endogenous partial-denitrification/ anammox (PN/A-EPD/A) process was developed in a sequential batch biofilm reactor (SBBR). Advanced nitrogen was achieved with the effluent total nitrogen (TN) of 3.29 mg/L when the influent COD/TN and the TN were 2.86 and 59.59 mg/L, respectively. This was attributed to a stable PN/A-EPD/A, which was achieved through the integration of four strategies, including treating the inoculated sludge with free nitrous acid, inoculating anammox biofilm, discharging excess activated sludge and residual ammonium at the end of oxic stage. The 16S rRNA high-throughput sequencing results demonstrated that anammox bacteria coexisted with ammonia oxidizing bacteria, nitrite oxidizing bacteria, denitrifying glycogen accumulating organisms (DGAOs) and denitrifying phosphorus accumulating organisms (DPAOs) in biofilms. The abundance of anammox bacteria in the inner layer of the biofilm is higher, while that of DGAOs and DPAOs is higher in the outer layer.


Assuntos
Nitrificação , Águas Residuárias , Esgotos/microbiologia , Desnitrificação , Nitrogênio , Carbono , RNA Ribossômico 16S/genética , Oxidação Anaeróbia da Amônia , Reatores Biológicos/microbiologia , Bactérias/genética , Fósforo , Oxirredução
10.
Chemphyschem ; 24(13): e202200922, 2023 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-37042238

RESUMO

The study of piezochromic materials (PCMs) has become an attractive field and numerous scholars have reported various material structures and phenomena. PCMs incorporating near-infrared (NIR) emission have led to a broader range of applications due to the strong penetration and interference resistance of longer wavelength light sources. However, NIR PCMs are still rare due to difficulties in tuning molecular configuration, conformation and stacking structure. In this review, organic compounds are classified according to their types and structures, and recent advances in NIR PCMs are comprehensively summarized and described. The various factors affecting the piezochromic properties from the perspective of the compound structure are shown. The effects of pressure on the photophysical changes of different compounds are discussed. It is expected to provide ideas for subsequent NIR PCMs, from structural design to predicting their photophysical properties under pressure.

11.
Sci Total Environ ; 876: 162763, 2023 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-36921872

RESUMO

In this study, the adsorption capacity of activated carbon was enhanced after zinc chloride activation. The effects of pore filling, n-π and π-π interaction and electrostatic interaction on the adsorption of polystyrene nanoplastics (PSNPs) by activated carbon were determined by SEM, BET, Raman spectrum, FTIR and surface Zeta potential. Pore filling, electrostatic interaction and n-π interaction and π-π interaction all played a role in the adsorption process, but n-π interaction and π-π interaction was not the decisive role. The adsorption of PSNPs on activated carbon conformed to the pseudo-second-order kinetics and Langmuir isotherm, and there was spontaneous physical adsorption process driven by entropy in the adsorption process. Further, the effects of common anions SO42-, HCO3-, and Cl- in water on the adsorption of PSNPs by activated carbon were investigated, and the results showed that the presence of these ions could increase the adsorption capacity to some extent. ZCAC has a stable adsorption capacity under tap water, but its adsorption capacity is affected under lake water. In addition, the reuse of activated carbon was investugated, and the adsorption capacity of activated carbon was fully recovered after high temperature calcination. This study provided a direction for materials modification of adsorbed nanoplastics and a feasible method for removal of nanoplastics in drinking water treatment plants.

12.
Tree Physiol ; 43(7): 1066-1080, 2023 07 09.
Artigo em Inglês | MEDLINE | ID: mdl-36928744

RESUMO

Fire is an important regulator of ecosystem dynamics in boreal forests, and in particular has a complicated association with growth and physiological processes of fire-tolerant tree species. Stable isotope ratios in tree rings are used extensively in eco-physiological studies for evaluating the impact of past environmental (e.g., drought and air pollution) factors on tree growth and physiological processes. Yet, such studies based on carbon (δ13C) and oxygen (δ18O) isotope ratios in tree rings are rarely conducted on fire effect, and are especially not well explored for fire-tolerant trees. In this study, we investigated variations in basal area increment and isotopes of Larix gmelinii (Rupr.) Rupr. before and after three moderate fires (different fire years) at three sites across the Great Xing'an Mountains, Northeastern China. We found that the radial growth of L. gmelinii trees has significantly declined after the fires across study sites. Following the fires, a simultaneous increase in δ13C and δ18O has strengthened the link between the two isotopes. Further, fires have significantly enhanced the 13C-derived intrinsic water-use efficiency (iWUE) and largely altered the relationships between δ13C, δ18O, iWUE and climate (temperature and precipitation). A dual-isotope conceptual model revealed that an initial co-increase in δ13C and δ18O in the fire year can be mainly attributed to a reduction in stomatal conductance with a constant photosynthetic rate. However, this physiological response would shift to different patterns over post-fire time between sites, which might be partly related to spring temperature. This study is beneficial to better understand, from a physiological perspective, how fire-tolerant tree species adapt to a fire-prone environment. It should also be remembered that the limitation of model assumptions and constraints may challenge model applicability and further inferred physiological response.


Assuntos
Ecossistema , Larix , Larix/fisiologia , Carbono , Clima , Isótopos , Água , Isótopos de Carbono/análise , Isótopos de Oxigênio , Florestas
13.
Ying Yong Sheng Tai Xue Bao ; 34(2): 315-323, 2023 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-36803708

RESUMO

Betula platyphylla is a pioneer tree species after fire disturbance in forest communities in the Daxing'an Mountains of China. Bark, as an external structure of vascular cambium, plays an important role in protection and transport. To understand the survival strategy of B. platyphylla under fire disturbance, we analyzed the functional traits of inner and outer bark of B. platyphylla at different heights (0.3, 0.8 and 1.3 m) in natural secondary forest of the Daxing'an Mountains. We further quantified the explanation of three environmental factors (stand, topography and soil) and identified the key factors driving the changes in those traits. The results showed that the relative inner bark thickness of B. platyphylla in burned plot followed an order of 0.3 m (4.7%) > 0.8 m (3.8%) > 1.3 m (3.3%), which was 28.6%, 14.4% and 3.1% higher than that in the unburned plot (30-35 years without fire disturbance), respectively. The relative outer bark thickness and the relative total bark thickness showed similar pattern with tree height. Fire had different effects on other bark functional traits of B. platyphylla. The inner bark density of B. platyphylla in burned plot was significantly decreased by 3.8%-5.6% and water content was significantly increased by 11.0%-12.2%, compared with that in unburned plot across the three heights. However, the contents of carbon, nitrogen, and phosphorus in inner (or outer) bark were not significantly affected by fire. Further, the mean inner bark nitrogen content at 0.3 m in burned plot (5.24 g·kg-1) was significantly higher than that at the other two heights (4.56-4.76 g·kg-1). Environmental factors explained 49.6% and 28.1% of the total variation in inner and outer bark functional traits, respectively, with the highest single explanation (18.9% or 9.9%) of soil factors. Diameter at breast height was the most important factor affecting the growth of inner and outer barks. In summary, fire affected survival strategies of B. platyphylla (e.g., increased the resource allocation to the base bark) via changing the environment factors, which would help improve their defense ability under fire disturbance.


Assuntos
Florestas , Casca de Planta , Árvores , Betula , Solo
14.
Pain Physician ; 26(1): 13-19, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36791289

RESUMO

BACKGROUND: How to minimize postoperative pain following spinal surgery has been a great challenge for both surgeons and patients. We hypothesized that intraoperative multi-drug wound infiltration could relieve postoperative pain following single-level transforaminal lumbar interbody fusion (TLIF) surgery. OBJECTIVES: To evaluate the effect of intraoperative multi-drug wound infiltration for postoperative pain following single-level TLIF surgery. STUDY DESIGN: A randomized, double-blinded controlled trial (RCT). SETTING: Department of Orthopaedic Surgery, Qilu Hospital of Shandong University. METHODS: The RCT enrolled 50 patients with 25 cases in 2 groups. The study group received intraoperative wound infiltration of mixed solution with lidocaine, ropivacaine, and epinephrine before wound closure. The control group was infiltrated with an equal amount of normal saline. The primary outcome measure was the visual analog scale (VAS) of postoperative incision pain. The secondary outcome measures were the postoperative opioids dosage, the time of first analgesic demand, and the Oswestry Disability Index (ODI). RESULTS: The VAS of postoperative pain in the study group was significantly lower than the control group within postoperative 24 hours. The opioid dosage was significantly less and the time of first analgesic demand of patient-controlled analgesia (PCA) in the study group was significantly longer than the control group. None of the patients in the study group required analgesic supplementation. The side effects of opioids were significantly less in the study group. There was no significant difference in ODI, operation time, intraoperative blood loss, postoperative drainage, and postoperative incision complications between the 2 groups. LIMITATIONS: Single-center study for single-level TLIF surgery. CONCLUSIONS: Intraoperative multi-drug wound infiltration before closure could significantly relieve postoperative pain following single-level TLIF surgery.


Assuntos
Vértebras Lombares , Fusão Vertebral , Humanos , Vértebras Lombares/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos , Resultado do Tratamento , Fusão Vertebral/efeitos adversos , Dor Pós-Operatória/tratamento farmacológico , Dor Pós-Operatória/etiologia , Complicações Pós-Operatórias/etiologia , Analgésicos Opioides/uso terapêutico , Estudos Retrospectivos
15.
Chemistry ; 29(17): e202300049, 2023 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-36732309

RESUMO

Piezochromic materials, which exhibit a fluorescence response with large emission spectral shifts and high sensitivity, may be useful in important applications, but there have been few reports of such organic luminophores. Herein, we report a new high-sensitivity piezochromic material based on the incorporation of an o-carborane unit, which exhibits aggregation-induced emission properties. In a high-pressure experiment, compared to carborane-free MTY, which exhibits an emission spectral shift of 75 nm and a sensitivity of 19.1 nm ⋅ GPa-1 , the o-carborane dyad MTCb shows a larger emission wavelength difference of 131 nm and a higher sensitivity of 32.8 nm ⋅ GPa-1 , demonstrating a performance that ranks among the best of organic piezochromic materials reported thus far. MTCb molecules adopt a J-aggregated pattern and have relatively loose molecular packing in the crystalline state. Interestingly, nonconjugated spherical carborane can disrupt the π-π interactions between adjacent molecules during compression, which results in excellent piezochromic performance.

16.
Am J Forensic Med Pathol ; 44(2): 111-115, 2023 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-36689553

RESUMO

ABSTRACT: Pulmonary thromboembolism (PTE) is a common cause of sudden unexpected death in forensic and clinical practice. Although the prevention of thrombosis has been paid more attention in clinical practice in recent years, the number of deaths due to PTE remains extensive. In the present study, 145 cases of fatal PTE were collected and retrospectively analyzed from 2001 to 2020 at the School of Forensic Medicine, China Medical University in Liaoning Province, northeast of China. The demographic characteristics, risk factors of PTE, origins of thrombi, and time interval from the occurrence of main risk factors to PTE were retrospectively analyzed. The 40 to 59 age group accounted for the 51.0% of the total cases. Immobilization, trauma (especially fracture of the pelvis, femur, tibia, or fibula), surgery, cesarean section, and mental disorders were the top 5 high-risk factors. Among the involved cases, 92.9% of the PTE (130/140) occurred within 60 days and peak at 8 to 15 days after the exposure of main risk factors. According to the autopsy findings, 87.6% of the thrombi blocked the bilateral pulmonary arteries at pulmonary hilus, with a maximum diameter of 1.6 cm and a maximum length of 21.9 cm, which were mainly derived from lower limb (65.5%) or pelvic veins (10.3%). Although the embolus limited the pulmonary circulation, there is no difference on the ratio of lung-to-heart weight between PTE and the disease-free accident victims. Overall, our present retrospective study provides important information for the forensic analysis on the cause of death and potential guidance on clinical prevention of PTE.


Assuntos
Cesárea , Embolia Pulmonar , Gravidez , Humanos , Feminino , Estudos Retrospectivos , Cesárea/efeitos adversos , Embolia Pulmonar/patologia , Patologia Legal , Medicina Legal , Morte Súbita/etiologia
17.
Clin Exp Med ; 23(2): 381-396, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35428957

RESUMO

Gastric cancer is a very common gastrointestinal malignancy. Since the disease is often asymptomatic in its early stage, it is often diagnosed in its late stage. In this study, our objective was to evaluate the efficacy and safety of combination chemotherapy regimens containing taxanes in the first-line treatment of advanced gastric cancer (AGC). We searched published randomized controlled trials (RCTs) to compare the effect of taxanes combined with basic chemotherapy and chemotherapy without taxanes on AGC. The extracted data are the number of people who achieved the objective response rate (ORR) and disease control rate (DCR), as well as the hazard ratio (HR) of progression-free survival (PFS) and overall survival (OS) including their 95% confidence intervals (95% CI). Six RCTs involving 2263 patients were included. Compared with chemotherapy without taxanes, patients receiving taxanes combined with basic chemotherapy had significantly longer PFS (HR 0.73, 95% CI 0.61-0.88, p = 0.001) and significantly longer OS (HR 0.80, 95% CI 0.69-0.93, p = 0.003); significantly better ORR (RR 1.34, 95% CI 1.15-1.57, p = 0.0001) and significantly better DCR (RR 1.20, 95% CI 1.08-1.33, p = 0.001). However, in patients treated with taxanes combined with basic chemotherapy, diarrhea, leukopenia and neutropenia were significantly increased (p < 0.05). In summary, taxanes combined with basic chemotherapy are superior to chemotherapy without taxanes in first-line treatment of AGC patients.


Assuntos
Neoplasias Gástricas , Taxoides , Humanos , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Paclitaxel , Neoplasias Gástricas/tratamento farmacológico , Taxoides/efeitos adversos
18.
Angew Chem Int Ed Engl ; 62(6): e202214483, 2023 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-36346193

RESUMO

Excitation-dependent emission (Ex-de) materials have been of considerable academic interest and have potential applications in real life. Such multicolour luminescence is a characteristic exception to the ubiquitously accepted Kasha's rule. This phenomenon has been increasingly presented in some studies on different luminescence systems; however, a systematic overview of the mechanisms underlying this phenomenon is currently absent. Herein, we resolve this issue by classifying multicolour luminescence from single chromophores and dual/ternary chromophores, as well as multiple emitting species. The underlying processes are described based on electronic and/or geometrical conditions under which the phenomenon occurs. Before we present it in categories, related photophysical and photochemical foundations are introduced. This systematic overview will provide a clear approach to designing multicolour luminescence materials for special applications.

19.
Angew Chem Int Ed Engl ; 62(8): e202217547, 2023 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-36585393

RESUMO

Organic single crystals (OSCs) with excellent flexibility and unique optical properties are of great importance due to their broad applicability in optical/optoelectronic devices and sensors. Nevertheless, fabricating flexible OSCs with room-temperature phosphorescence (RTP) remains a great challenge. Herein, we propose a host-guest doping strategy to achieve both RTP and flexibility of OSCs. The single-stranded crystal is highly bendable upon external force application and can immediately return to its original straight shape after removal of the stress, impressively emitting bright deep-red phosphorescence. The theoretical and experimental results demonstrate that the bright RTP arises from Förster resonance energy transfer (FRET) from the triphenylene molecules to the dopants. This strategy is both conceptually and synthetically simple and offers a universal approach for the preparation of flexible OSCs with RTP.

20.
Front Surg ; 9: 964985, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36211264

RESUMO

Background: The optimization of surgical procedures and the management of surgical quality and safety have become the focus of attention of hospital managers. The application of multimodal identification technology in the innovative management mode of hospital operating department has made remarkable progress. Methods: To investigate the effect of the upgraded multimodal identification technology on the innovative management of the operating department, 2,280 cases of laparoscopic surgery using traditional surgical management procedures from January to December 2019 before the management upgrade were set as the control group, and 2,350 laparoscopic surgeries with the upgraded multimodal identification management process from January to December 2020 were selected as the experimental group. The operating efficiency, material management efficiency, and patient experience and satisfaction of the two groups were investigated and compared. Results: Compared with traditional procedures, the upgraded multimodal surgical management system significantly improves the efficiency of laparoscopic surgery and reduces surgical consumption and costs. In addition, the multimodal surgical information identification system significantly improves the surgical experience for patients undergoing laparoscopic surgery. Conclusion: Application of multimodal identification technology improves the innovative management of operation department compared with traditional surgery management procedure.

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