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1.
Nature ; 621(7979): 493-498, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37437603

RESUMO

Although high-transition-temperature (high-Tc) superconductivity in cuprates has been known for more than three decades, the underlying mechanism remains unknown1-4. Cuprates are the only unconventional superconductors that exhibit bulk superconductivity with Tc above the liquid-nitrogen boiling temperature of 77 K. Here we observe that high-pressure resistance and mutual inductive magnetic susceptibility measurements showed signatures of superconductivity in single crystals of La3Ni2O7 with maximum Tc of 80 K at pressures between 14.0 GPa and 43.5 GPa. The superconducting phase under high pressure has an orthorhombic structure of Fmmm space group with the [Formula: see text] and [Formula: see text] orbitals of Ni cations strongly mixing with oxygen 2p orbitals. Our density functional theory calculations indicate that the superconductivity emerges coincidently with the metallization of the σ-bonding bands under the Fermi level, consisting of the [Formula: see text] orbitals with the apical oxygen ions connecting the Ni-O bilayers. Thus, our discoveries provide not only important clues for the high-Tc superconductivity in this Ruddlesden-Popper double-layered perovskite nickelates but also a previously unknown family of compounds to investigate the high-Tc superconductivity mechanism.

2.
Eur J Neurosci ; 58(4): 2961-2984, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37518943

RESUMO

Post-stroke depression, a common complication after stroke, severely affects the recovery and quality of life of patients with stroke. Owing to its complex mechanisms, post-stroke depression treatment remains highly challenging. Hippocampal synaptic plasticity is one of the key factors leading to post-stroke depression; however, the precise molecular mechanisms remain unclear. Numerous studies have found that neurotrophic factors, protein kinases and neurotransmitters influence depressive behaviour by modulating hippocampal synaptic plasticity. This review further elaborates on the role of hippocampal synaptic plasticity in post-stroke depression by summarizing recent research and analysing possible molecular mechanisms. Evidence for the correlation between hippocampal mechanisms and post-stroke depression helps to better understand the pathological process of post-stroke depression and improve its treatment.


Assuntos
Depressão , Qualidade de Vida , Humanos , Depressão/etiologia , Plasticidade Neuronal/fisiologia , Hipocampo/metabolismo , Fatores de Crescimento Neural/metabolismo
3.
Phys Rev Lett ; 128(19): 195301, 2022 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-35622050

RESUMO

It is known that the loss of phase coherence of Cooper pairs in two-dimensional superconductivity corresponds to the unbinding of vortex-antivortex pairs with the quasi-long-range order in the order-parameter phase field, described by the Berezinskii-Kosterlizt-Thouless (BKT) transition of a 2D XY model. Here we show that the second-order Josephson coupling can induce an exotic superconducting phase in a bilayer system. By using tensor-network methods, the partition function of the 2D classical model is expressed as a product of 1D quantum transfer operator, whose eigenequation can be solved by an algorithm of matrix product states rigorously. From the singularity shown by the entanglement entropy of the 1D quantum analog, various phase transitions can be accurately determined. Below the BKT phase transition, an interlayer Ising long-range order is established at T_{Ising}, and the phase coherence of both intralayers and interlayers is locked together. For two identical layers, the Ising transition coincides with the BKT transition at a multicritical point. For two inequivalent layers, however, there emerges an intermediate quasi-long-range order phase (T_{Ising}

4.
Gen Physiol Biophys ; 40(2): 147-154, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33881001

RESUMO

Renal fibrosis poses critical health problem. We aimed to investigate role of let-7i-5p in renal fibrosis. In silico reproduction of Mouse Kidney FibrOmics browser was used to identify potential target of let-7i-5p. In vivo validation was conducted in C57BL/6 mice with unilateral ureteral obstruction (UUO) and folic acid (FA) induction. In vitro validation was performed in transforming growth factor (TGF)-ß1-treated HK-2 cells. Mimics and inhibitors of let-7i-5p, and target gene polypeptide N-acetylgalactosaminyltransferase 1 (GALNT1) were monitored by RT-PCR and Western blotting. Fibrosis markers, injury markers, and house-keeping genes were evaluated. Levels of interleukin (IL)-6, IL-1ß, and tumor necrosis factor (TNF)-α in serum and media were measured by ELISA. In silico analysis showed gradual increase of let-7i-5p and decrease of GALNT1 over time and the combination was validated both in mouse and human miR-gene target prediction databases. Expression of GALNT1 decreased while expression of let-7i-5p increased in renal tissues of both UUO and FA mice. Serum IL-6, IL-1ß, and TNF-α levels were elevated in vivo. In vitro models revealed negative correlation between expression levels of let-7i-5p and GALNT1. Overexpression of let-7i-5p inhibited GALNT1 expression and reduced release of inflammatory factors. In conclusion, overexpression of GALNT1 may combat the inflammation induced by let-7i-5p.


Assuntos
Nefropatias , MicroRNAs , Animais , Fibrose , Rim/patologia , Nefropatias/genética , Nefropatias/patologia , Camundongos , Camundongos Endogâmicos C57BL , MicroRNAs/genética
5.
Phys Rev Lett ; 124(13): 130603, 2020 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-32302160

RESUMO

The non-Abelian topological phase with Fibonacci anyons minimally supports universal quantum computation. In order to investigate the possible phase transitions out of the Fibonacci topological phase, we propose a generic quantum-net wave function with two tuning parameters dual with each other, and the norm of the wave function can be exactly mapped into a partition function of the two-coupled ϕ^{2}-state Potts models, where ϕ=(sqrt[5]+1)/2 is the golden ratio. By developing the tensor network representation of this wave function on a square lattice, we can accurately calculate the full phase diagram with the numerical methods of tensor networks. More importantly, it is found that the non-Abelian Fibonacci topological phase is enclosed by three distinct nontopological phases and their dual phases of a single ϕ^{2}-state Potts model: the gapped dilute net phase, critical dense net phase, and spontaneous translation symmetry breaking gapped phase. We also determine the critical properties of the phase transitions among the Fibonacci topological phase and those nontopological phases.

6.
Phys Rev Lett ; 124(18): 186602, 2020 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-32441947

RESUMO

We report theoretical and experimental analyses of the thermal Hall conductivity in correlated systems. For both fermionic and bosonic excitations with nontrivial topology, we show that at "intermediate" temperatures, the thermal Hall conductivity exhibits an unexpected universal scaling with a simple exponential form. At low temperatures, it behaves differently and reflects the spectral properties of underlying excitations. Our predictions are examined as examples in two prototype compounds, the quantum paraelectric SrTiO_{3} and the spin-liquid compound RuCl_{3}. The experimental data can be largely covered by our proposed minimal phenomenological model independent of microscopic details, revealing dominant bosonic contributions in SrTiO_{3} and gapped fermionic excitations in RuCl_{3}. Our work establishes a phenomenological link between microscopic models and experimental data and provides a unified basis for analyzing the thermal Hall conductivity in correlated systems over a wide temperature region.

7.
Phys Rev Lett ; 122(17): 176401, 2019 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-31107080

RESUMO

In the tensor network representation, a deformed Z_{2} topological ground state wave function is proposed and its norm can be exactly mapped to the two-dimensional solvable Ashkin-Teller model. Then the topological (toric code) phase with anyonic excitations corresponds to the partial order phase of the Ashkin-Teller model, and possible topological phase transitions are precisely determined. With the electric-magnetic self-duality, a novel gapless Coulomb state with quasi-long-range order is obtained via a quantum Kosterlitz-Thouless phase transition. The corresponding ground state is a condensate of pairs of logarithmically confined electric charges and magnetic fluxes, and the scaling behavior of various anyon correlations can be exactly derived, revealing the effective interaction between anyons and their condensation. Deformations away from the self-duality drive the Coulomb state into either the gapped Higgs phase or the confining phase.

8.
Oecologia ; 189(3): 769-779, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30725373

RESUMO

Increasing availability of reactive nitrogen (N) threatens plant diversity in diverse ecosystems. While there is mounting evidence for the negative impacts of N deposition on one component of diversity, species richness, we know little about its effects on another one, species evenness. It is suspected that ecosystem management practice that removes nitrogen from the ecosystem, such as hay-harvesting by mowing in grasslands, would mitigate the negative impacts of N deposition on plant diversity. However, empirical evidence is scarce. Here, we reported the main and interactive effects of N deposition and mowing on plant diversity in a temperate meadow steppe with 4-year data from a field experiment within which multi-level N addition rates and multiple N compounds are considered. Across all the types of N compounds, species richness and evenness significantly decreased with the increases of N addition rate, which was mainly caused by the growth of a tall rhizomatous grass, Leymus chinensis. Such negative impacts of N addition were accumulating with time. Mowing significantly reduced the dominance of L. chinensis, and mitigated the negative impacts of N deposition on species evenness. We present robust evidence that N deposition threatened biodiversity by reducing both species richness and evenness, a process which could be alleviated by mowing. Our results highlight the changes of species evenness in driving the negative impacts of N deposition on plant diversity and the role of mowing in mediating such negative impacts of N deposition.


Assuntos
Ecossistema , Plantas , Biodiversidade , Nitrogênio , Poaceae
9.
Oecologia ; 190(1): 269-272, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30953166

RESUMO

Unfortunately, the panels of (f) in Figures 1, 2, and 4.

10.
Sensors (Basel) ; 18(2)2018 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-29438336

RESUMO

In ultrasonic array imaging, 3D ultrasonic wavefields are normally recorded by an ultrasonic piezo array transducer. Its performance is limited by the configuration and size of the array transducer. In this paper, a method based on digital holographic interferometry is proposed to record the 3D ultrasonic wavefields instead of the array transducer, and the measurement system consisting of a pulsed laser, ultrasonic excitation, and synchronization and control circuit is designed. A consecutive sequence of holograms of ultrasonic wavefields are recorded by the system. The interferograms are calculated from the recorded holograms at different time sequence. The amplitudes and phases of the transient ultrasonic wavefields are recovered from the interferograms by phase unwrapping. The consecutive sequence of transient ultrasonic wavefields are stacked together to generate 3D ultrasonic wavefields. Simulation and experiments are carried out to verify the proposed technique, and preliminary results are presented.

11.
Addict Biol ; 22(1): 229-234, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26040446

RESUMO

To compare the effects of heroin and methamphetamine (METH) addiction on dopamine transporters (DATs) in the same dose and duration, we assessed DAT levels in the striatum by 99m Tc-TRODAT-1 single-photon emission computed tomography (SPECT) brain images in people with heroin and METH dependence. We recruited 21 healthy human controls, 23 heroin-dependent subjects and 25 METH abusers. The heroin- and METH-dependent subjects exhibited negative urine toxicology after undergoing physiological detoxification. All subjects underwent SPECT brain imaging, and specific tracer uptake ratios (SURs) were assessed bilaterally in the regions of interest. A significant SUR reduction in heroin-dependent subjects and METH-dependent subjects compared with healthy controls was found in the left striatum, right striatum, left caudate nucleus, right caudate nucleus, left putamen and right putamen. There were no significant differences in the heroin group and METH group for the left striatum, right striatum, left caudate nucleus, right caudate nucleus, left putamen and right putamen. The scores of craving, HAMA (Hamilton Anxiety Rating Scale), in heroin abusers were lower than in the METH abusers. Our results show that people with heroin and METH dependence who are currently abstinent had lower DAT levels in the striatum than healthy controls. There were no differences in striatal DAT in heroin and METH users. These results suggest that chronic heroin and METH abuse appears to produce similar effects in striatal DAT in humans. METH users may have more serious craving and anxiety symptoms than heroin users with prolonged abstinence.


Assuntos
Transtornos Relacionados ao Uso de Anfetaminas/metabolismo , Corpo Estriado/metabolismo , Proteínas da Membrana Plasmática de Transporte de Dopamina/metabolismo , Dependência de Heroína/metabolismo , Heroína/metabolismo , Metanfetamina/metabolismo , Adulto , Núcleo Caudado/efeitos dos fármacos , Núcleo Caudado/metabolismo , Doença Crônica , Corpo Estriado/diagnóstico por imagem , Proteínas da Membrana Plasmática de Transporte de Dopamina/efeitos dos fármacos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Putamen/efeitos dos fármacos , Putamen/metabolismo , Tomografia Computadorizada de Emissão de Fóton Único , Adulto Jovem
12.
Guang Pu Xue Yu Guang Pu Fen Xi ; 36(12): 3931-6, 2016 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-30235411

RESUMO

Taking into consideration of the large size of near-infrared spectral data, the spectral data has to be compressed to reduce the computational complexity of the established spectral calibration model and improve accuracy and robustness of the model. Near Infrared Spectroscopy wavelength variable selection method based on discrete firefly algorithm is presented. First, the Monte Carlo method was used to exclude outliers, and Kennard-Stone method was chosen for the selection of calibration set and prediction set. General firefly algorithm was discretized, by improving the attractiveness of adaptive formula, increasing traction weights in mobile formula and so on. In order to adapt to the effects of discretization and optimize algorithm, elitist strategy was added in the discrete firefly algorithm, to accelerate the convergence rate. The optimum value of the DFA algorithm parameters was found in the experiment. With wavelength variables selection based on discrete firefly algorithm, succinic acid concentration of the fermentation broth partial least squares NIR calibration model was built, which was compared with genetic algorithm method. The results showed that the correlation coefficient of calibration set (R2c) of PLS calibration model based on discrete wavelengths firefly algorithm is 0.986, RMSEC of which is 0.409. Correlation coefficient of prediction set (R2p) is 0.969 while RMSEP is 0.458. It is superior to full spectrum modeling and calibration model using genetic algorithm method. DFA shows superiority of the near-infrared spectral data filtering.

13.
Phys Rev Lett ; 112(13): 136401, 2014 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-24745442

RESUMO

We use scanning tunneling microscopy to investigate the (001) surface of a cleaved SmB6 Kondo insulator. Variable temperature dI/dV spectroscopy up to 60 K reveals a gaplike density of state suppression around the Fermi level, which is due to the hybridization between the itinerant Sm 5d band and localized Sm 4f band. At temperatures below 40 K, a sharp coherence peak emerges within the hybridization gap near the lower gap edge. We propose that the in-gap resonance state is due to a collective excitation in magnetic origin with the presence of spin-orbital coupling and mixed valence fluctuations. These results shed new light on the electronic structure evolution and transport anomaly in SmB6.

14.
Environ Technol ; 35(17-20): 2604-9, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25145217

RESUMO

This paper investigated Mg2+ enhancement of biomass production through regulating the generation and use of energy in Rubrivivax gelatinosus wastewater treatment. Results showed that proper Mg2+ dosage range was 1.5-15 mg/L. With optimal Mg2+ dosage (10 mg/L), biomass production (5010 mg/L) was improved by 60%. Both protein and chemical oxygen demand (COD) removals reached above 90%. Biomass yield improved by 38%. Hydraulic retention time was shortened by 25%. Mechanism analysis indicated that as activator, Mg2+ promoted specifically isocitrate dehydrogenase (IDH) and Ca2+ / Mg2+ -ATPase activities in energy metabolism, and then improved the generation of adenosine triphosphate (ATP) and the use of ATP. This enhanced the secretion and activity of protease, protein and COD removals, and then led to more biomass production. With 10 mg/L Mg2+, IDH and Ca2+ / Mg2+ -ATPase activities, ATP production, protease activity were improved by 43.8%, 40.6%, 39.4% and 46.5%, respectively.


Assuntos
Betaproteobacteria/metabolismo , Biomassa , Reatores Biológicos/microbiologia , Águas Residuárias/microbiologia , Purificação da Água/métodos , Trifosfato de Adenosina/metabolismo , Magnésio/metabolismo , Reciclagem
15.
J Refract Surg ; 40(3): e164-e172, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38466765

RESUMO

PURPOSE: To evaluate the dynamic changes in anterior segment parameters during accommodation following Implantable Collamer Lens (ICL) implantation with swept-source optical coherence tomography (SS-OCT). METHODS: Under the accommodation of 0.00 diopters (D), 3.00 D, and maximum amplitude, SS-OCT was used to examine the anterior segment parameters, including ICL vault, ICL depth (the distance between the corneal endothelium and the posterior surface of ICL), crystalline lens thickness, anterior chamber depth, and various parameters of the anterior chamber angle, comprising angle opening distance, angle recess area, trabecular iris space area, and trabecular iris angle. RESULTS: During accommodation, the ICL vault showed a significant decrease from baseline (536 ± 278 µm) to 3.00 D (522 ± 281 µm), followed by an increase from 3.00 D to maximum amplitude (548 ± 306 µm) (analysis of variance [ANOVA], P < .001). Four eyes (2.61%) exhibited a decrease in ICL vault to less than 100 µm (47 ± 32 µm) at maximum accommodation. The ICL depth decreased significantly as accommodation increased (ANOVA, P < .001). Crystalline lens thickness increased, whereas anterior chamber depth decreased during accommodation (ANOVA, P < .001). The anterior chamber angle widened during 3.00 D of accommodation but narrowed at maximum accommodation, leading to significant changes in the angle opening distance, angle recess area, trabecular iris space area, and trabecular iris angle during accommodation (ANOVA, P < .001 for all). CONCLUSIONS: The anterior segment, including ICL vault and anterior chamber angle, undergo significant dynamic changes during accommodation. These accommodative changes may require careful monitoring for the surgery design of ICL implantation. [J Refract Surg. 2024;40(3):e164-e172.].


Assuntos
Cristalino , Miopia , Lentes Intraoculares Fácicas , Humanos , Implante de Lente Intraocular/métodos , Miopia/cirurgia , Acomodação Ocular , Câmara Anterior/diagnóstico por imagem , Pseudofacia/cirurgia , Tomografia de Coerência Óptica , Biometria
16.
World J Psychiatry ; 14(4): 553-562, 2024 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-38659604

RESUMO

BACKGROUND: This study employs a descriptive phenomenological approach to investigate the challenges anesthesia nurses face in managing emergence delirium (ED), a common and complex postoperative complication in the post-anesthesia care unit. The role of nurses in managing ED is critical, yet research on their understanding and management strategies for ED is lacking. AIM: To investigate anesthetic nurses' cognition and management experiences of ED in hopes of developing a standardized management protocol. METHODS: This study employed a descriptive phenomenological approach from qualitative research methodologies. Purposeful sampling was utilized to select 12 anesthetic nurses from a tertiary hospital in Shanghai as research subjects. Semi-structured interviews were conducted, and the data were organized and analyzed using Colaizzi's seven-step analysis method, from which the final themes were extracted. RESULTS: After analyzing the interview content, four main themes and eight subthemes were distilled: Inefficient cognition hinders the identification of ED (conceptual ambiguity, empirical identification), managing diversity and challenges (patient-centered safe care, low level of medical-nursing collaboration), work responsibilities and pressure coexist (heavy work responsibilities, occupational risks and stress), demand for high-quality management (expecting the construction of predictive assessment tools and prevention strategies, and pursuing standardized management processes to enhance management effectiveness). CONCLUSION: Nursing managers should prioritize the needs and suggestions of nurses in order to enhance their nursing capabilities and provide guidance for standardized management processes.

17.
Vaccine ; 42(19): 4030-4039, 2024 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-38796326

RESUMO

We conducted a phase I, randomized, double-blind, placebo-controlled trial including healthy adults in Sui County, Henan Province, China. Ninety-six adults were randomly assigned to one of three groups (high-dose, medium-dose, and low-dose) at a 3:1 ratio to receive one vaccine dose or placebo. Adverse events up to 28 days after each dose and serious adverse events up to 6 months after all doses were reported. Geometric mean titers and seroconversion rates were measured for anti-rotavirus neutralizing antibodies using microneutralization tests. The rates of total adverse events in the placebo group, low-dose group, medium-dose group, and high-dose group were 29.17 % (12.62 %-51.09 %), 12.50 % (2.66 %-32.36 %), 50.00 % (29.12 %-70.88 %), and 41.67 % (22.11 %-63.36 %), respectively, with no significant difference in the experimental groups compared with the placebo group. The results of the neutralizing antibody assay showed that in the adult group, the neutralizing antibody geometric mean titer at 28 days after full immunization in the low-dose group was 583.01 (95 % confidence interval [CI]: 447.12-760.20), that in the medium-dose group was 899.34 (95 % CI: 601.73-1344.14), and that in the high-dose group was 1055.24 (95 % CI: 876.28-1270.75). The GMT of serum-specific IgG at 28 days after full immunization in the low-dose group was 3444.26 (95 % CI: 2292.35-5175.02), that in the medium-dose group was 6888.55 (95 % CI: 4426.67-10719.6), and that in the high-dose group was 7511.99 (95 % CI: 3988.27-14149.0). The GMT of serum-specific IgA at 28 days after full immunization in the low-dose group was 2332.14 (95 % CI: 1538.82-3534.45), that in the medium-dose group was 4800.98 (95 % CI: 2986.64-7717.50), and that in the high-dose group was 3204.30 (95 % CI: 2175.66-4719.27). In terms of safety, adverse events were mainly Grades 1 and 2, indicating that the safety of the vaccine is within the acceptable range in the healthy adult population. Considering the GMT and positive transfer rate of neutralizing antibodies for the main immunogenicity endpoints in the experimental groups, it was initially observed that the high-dose group had higher levels of neutralizing antibodies than the medium- and low-dose groups in adults aged 18-49 years. This novel inactivated rotavirus vaccine was generally well-tolerated in adults, and the vaccine was immunogenic in adults (ClinicalTrials.gov number, NCT04626856).


Assuntos
Anticorpos Neutralizantes , Anticorpos Antivirais , Vacinas contra Rotavirus , Vacinas de Produtos Inativados , Humanos , Adulto , Método Duplo-Cego , Masculino , Feminino , Anticorpos Antivirais/sangue , Anticorpos Antivirais/imunologia , Anticorpos Neutralizantes/sangue , Anticorpos Neutralizantes/imunologia , Pessoa de Meia-Idade , Adulto Jovem , Adolescente , Vacinas de Produtos Inativados/imunologia , Vacinas de Produtos Inativados/administração & dosagem , Vacinas de Produtos Inativados/efeitos adversos , Vacinas contra Rotavirus/imunologia , Vacinas contra Rotavirus/administração & dosagem , Vacinas contra Rotavirus/efeitos adversos , China , Imunogenicidade da Vacina , Infecções por Rotavirus/prevenção & controle , Infecções por Rotavirus/imunologia , Rotavirus/imunologia , Voluntários Saudáveis , Testes de Neutralização
18.
Sensors (Basel) ; 13(11): 15290-306, 2013 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-24217354

RESUMO

The vibration of a violin bridge is a dynamic contact vibration with two interfaces: strings-bridge, and bridge feet-top plate. In this paper, the mobility of an isolated bridge under in-plane excitation is explored using finite element modeling based on the contact vibration model. Numerical results show that the dynamic contact stiffness in the two contact interfaces has a great impact on the bridge mobility. A main resonance peak is observed in the frequency range of 2-3 kHz in the frequency response of the isolated bridge when the contact stiffness is smaller than a critical threshold. The main resonance peak frequency is affected by the contact stiffness as well. In order to verify the numerical findings, a novel experimental system is then designed on the basis of a piezoelectric dynamometer for bridge mobility analysis. Experimental results confirm the impact of the dynamic contact stiffness on the bridge mobility.

19.
J Reconstr Microsurg ; 29(9): 593-600, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23804020

RESUMO

Posttraumatic infected massive bone defects in lower extremities are difficult to repair because they frequently exhibit massive bone and/or soft tissue defects, serious bone infection, and excessive scar proliferation. This study aimed to determine whether these defects could be classified and repaired at a single stage. A total of 51 cases of posttraumatic infected massive bone defect in lower extremity were included in this study. They were classified into four types on the basis of the conditions of the bone defects, soft tissue defects, and injured limb length, including Type A (without soft tissue defects), Type B (with soft tissue defects of 10 × 20 cm or less), Type C (with soft tissue defects of 10 × 20 cm or more), and Type D (with the limb shortening of 3 cm or more). Four types of single-stage microsurgical repair protocols were planned accordingly and implemented respectively. These protocols included the following: Protocol A, where vascularized fibular graft was implemented for Type A; Protocol B, where vascularized fibular osteoseptocutaneous graft was implemented for Type B; Protocol C, where vascularized fibular graft and anterior lateral thigh flap were used for Type C; and Protocol D, where limb lengthening and Protocols A, B, or C were used for Type D. There were 12, 33, 4, and 2 cases of Types A, B, C, and D, respectively, according to this classification. During the surgery, three cases of planned Protocol B had to be shifted into Protocol C; however, all microsurgical repairs were completed. With reference to Johner-Wruhs evaluation method, the total percentage of excellent and good results was 82.35% after 6 to 41 months of follow-up. It was concluded that posttraumatic massive bone defects could be accurately classified into four types on the basis of the conditions of bone defects, soft tissue coverage, and injured limb length, and successfully repaired with the single-stage repair protocols after thorough debridement.


Assuntos
Alongamento Ósseo , Fraturas Ósseas/cirurgia , Traumatismos da Perna/classificação , Traumatismos da Perna/cirurgia , Microcirurgia/métodos , Retalhos Cirúrgicos , Adolescente , Adulto , Criança , Desbridamento , Feminino , Fíbula/transplante , Fraturas Ósseas/complicações , Humanos , Traumatismos da Perna/complicações , Masculino , Pessoa de Meia-Idade , Lesões dos Tecidos Moles/cirurgia , Adulto Jovem
20.
Nat Commun ; 14(1): 5477, 2023 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-37673936

RESUMO

A charge order (CO) with a wavevector [Formula: see text] is observed in infinite-layer nickelates. Here we use first-principles calculations to demonstrate a charge-transfer-driven CO mechanism in infinite-layer nickelates, which leads to a characteristic Ni1+-Ni2+-Ni1+ stripe state. For every three Ni atoms, due to the presence of near-Fermi-level conduction bands, Hubbard interaction on Ni-d orbitals transfers electrons on one Ni atom to conduction bands and leaves electrons on the other two Ni atoms to become more localized. We further derive a low-energy effective model to elucidate that the CO state arises from a delicate competition between Hubbard interaction on Ni-d orbitals and charge transfer energy between Ni-d orbitals and conduction bands. With physically reasonable parameters, [Formula: see text] CO state is more stable than uniform paramagnetic state and usual checkerboard antiferromagnetic state. Our work highlights the multi-band nature of infinite-layer nickelates, which leads to some distinctive correlated properties that are not found in cuprates.

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