A community-based cross-sectional study of sleep quality in middle-aged and older adults.

BACKGROUND: Sleep quality has been widely studied among western countries. However, there is limited population-based evidence on insomnia in Chinese adult populations, especially in middle-aged and older adults. The aims of present study are to (1) examine the prevalence of poor sleep among Chinese middle-age and older adults, (2) compare the Pittsburgh Sleep Quality Index (PSQI) seven domain scores across different physical health statuses, (3) explore factors associated with insomnia. METHODS: A cross-sectional survey was conducted using a multi-instrument questionnaire. In total, 1563 residents aged 45 or older in the community were interviewed. The Chinese version of the PSQI was used to assess sleep quality while poor sleep was defined as a total PSQI score >5. Socio-demographic, lifestyle and physical health data were also collected. RESULTS: The prevalence of poor sleep among adults aged over 45 years was 20.67 %. Clusters logistic regression analysis identified that migrant workers, single marital status, lower education level, no physical exercise, illness within 2 weeks, and a higher total number of chronic diseases contribute to increased risk of poor sleep (P < 0.05). Among three clusters, physical health has the biggest independent contribution on sleep quality. CONCLUSIONS: Our results indicated that poor sleep was common in middle-aged and older adults. It was associated with identity of migrant worker, education level, exercise, illness within 2 weeks and number of chronic disease. Being ill within 2 weeks and having more chronic diseases were the major physical health-related factors contributing to poor sleep in the middle-aged and older people. Physical health may be a major determinant in sleep quality.

Stretchable MoS2 Electromechanical Sensors with Ultrahigh Sensitivity and Large Detection Range for Skin-on Monitoring.

Although two-dimensional (2D) layered molybdenum disulfide (MoS2) has widespread electrical applications in catalysis, energy storage, display, and photodetection, very few reports are available to achieve MoS2 for electromechanical sensing. Here, we report a novel solution-processed MoS2 strain sensor by constructing nanojunctions between layered MoS2 nanosheets and high-conductivity silver nanofibers (AgNFs) inside an elastic film. Benefiting from the outstanding lubrication property of layered MoS2 nanosheets, these nanojunctions can be easily separated by strains, giving rise to excellent electromechanical response. The resulting MoS2 strain sensor for the first time exhibits ultrahigh sensitivity with a gauge factor of 3,300 in a large detection range over 10%. The pronounced strain-sensing ability, combined with fast response speed and good operational stability, enables the MoS2 sensor for real-time and skin-on monitorings of various physiological signals such as finger movements, pulse, and breath. Our results may pave the way to extend 2D materials in novel applications such as soft robotics and human-machine interfaces.

An ultra-stretchable, highly sensitive and biocompatible capacitive strain sensor from an ionic nanocomposite for on-skin monitoring.

Flexible strain sensors that can be comfortably attached onto the skin for real-time and accurate detection of physiological signals are particularly important for the realization of healthcare, soft robotics and human-machine interfacing. It is still challenging to develop strain sensors that satisfy both high stretchability and high sensitivity. Here, we demonstrate an ultra-stretchable, highly sensitive and biocompatible capacitive-type strain sensor based on a nanocomposite containing ionic hydrogels and silver nanofibers (AgNFs). The sensor exhibits an ultra-high stretchability of 1000% and high sensitivity with a maximum gauge factor (GF) of up to 165. We find that the incorporation of AgNFs greatly increases the electrical-double layer (EDL) area at the hydrogel/metal interface and hence enhances by 3 orders of magnitude the strain sensitivity. With a short response time and good operation stability, the sensor and its matrix were successfully applied to monitor various physiological signals such as arm and finger motions, pulse, electrocardiographs (ECG), breath, speaking and emotion changes.

Flexible and Broad-Spectral Hybrid Optical Modulation Transistor Based on a Polymer-Silver Nanoparticle Blend.

The light-matter interplay on a soft substrate is critically important for novel optoelectronic applications such as soft robotics, human-machine interfaces, and wearable devices. Here, we for the first time report a flexible and efficiency-enhanced hybrid optical modulation transistor (h-OMT) in the ultraviolet-infrared spectral range by blending a polymer with silver nanoparticles (AgNPs). The h-OMT device exhibits a unipolar transport and an ultrahigh on-off ratio of ∼4.8 × 106 in a small voltage range of ∼2 V. Using charge modulation reflection spectroscopy, we demonstrate that the h-OMT device shows a broad-spectral response from 400 to 2000 nm and maximum optical modulation of ∼15% at λ = 785 nm, 6-fold higher magnitude than that of the device without AgNPs. Furthermore, the incorporation of AgNPs enhances the extinction ratio by 4-fold magnitude without any complex geometry designs. We find that the performance improvement relies on the AgNP-induced electron trap states and electrochemical dopings in the polymer. Importantly, the device exhibits pronounced mechanical flexibility, and the optical modulation is kept down to a bending radius of 0.5 mm. Our data provide the possibility of organic materials for constructing novel optoelectronic systems in the future.

H-Type Hypertension and C Reactive Protein in Recurrence of Ischemic Stroke.

Hypertension with high homocysteine (HHcy) (H-type hypertension) and C reactive protein (CRP) can increase the incidence of ischemic stroke. However, it is not clear whether recurrent ischemic stroke (RIS) is related to H-type hypertension and CRP. The present study investigated the correlation of H-type hypertension and CRP level with RIS. Totally, 987 consecutive patients with acute ischemic stroke were recruited in a teaching hospital in Henan province, China during March 2014 to March 2015. The demographic and clinical characteristics and blood biochemical parameters of patients were analyzed. Elevated levels of CRP and homocysteine (Hcy) were defined as >8.2 mg/L and 10 µmol/L, respectively. Among the 987 patients, 234 were RIS. Thirty-eight percent of RIS patients had elevated CRP level and 91.5% of RIS patients had HHcy. In multivariate analysis, adjusted odds ratio (OR) of RIS in patients aged ≥60 years was 1.576 (95% CI: 1.125-2.207), in male patients 1.935 (95% CI: 1.385-2.704), in patients with diabetes 1.463 (95% CI: 1.037-2.064), CRP levels 1.013 (95% CI: 1.006-1.019), simple hypertension 3.370 (95% CI: 1.15-10.183), and H-type hypertension 2.990 (95% CI: 1.176-7.600). RIS was associated with older age, male, diabetes, H-type hypertension and CRP. Controlling H-type hypertension and CRP level may reduce the risk of RIS.