"Matching Rule" for Generation, Modulation and Amplification of Circularly Polarized Luminescence.

ConspectusCircularly polarized luminescence (CPL) generated by chiral luminescent systems has sparked enormous attention in multidisciplinary field as it brings infinite potential for applications, such as 3D optical displays, biological probes, and chiroptical sensors. Satisfying both the conditions of chirality and luminescence (including fluorescence or phosphorescence) is a prerequisite for constructing CPL materials. In this regard, whether in organic, inorganic, or hybrid systems, chiral and luminescent components generally involve effective coupling through covalent or noncovalent bonds. For covalent interactions, such as the copolymerization of chiral and luminescent monomers, although covalent bonds provide high stability for the system, they inevitably involve tedious preparation procedures that connect chirality and luminescence together. For noncovalent bonds, take supramolecular assembly as an example, chiral elements and achiral light-emitting units are chiral transferred through intermolecular interactions, and their advantages include the diversity of luminescent and chiral building blocks, the stimuli responsiveness brought by noncovalent bonds, as well as the potential amplification of CPL signals by coassembly. However, the stability of the assembly system may be poor, and the assembly chiroptical performance and morphology are difficult to predict. Gratifyingly, matching rule that do not rely on covalent together with noncovalent interactions allows for the effortless construction, modulation, as well as amplification of CPL systems.In this Account, we overview different strategies based on matching rule, including fluorescence-selective absorption, circularly polarized reflection, and circularly polarized fluorescence energy transfer (CPF-ET). Examples of these strategies are illustrated with a focus on helical polymers in light of their appealing structures and wide uses. For instance, for fluorescence-selective absorption, chiral helical polymers can convert racemic fluorescence light into a circularly polarized one with specific handedness by simply overlapping the helical polymer's circular dichroism (CD) spectra with the luminophore's emission spectra. For circularly polarized reflection, employing the selective reflection of certain handedness's circularly polarized light, the high helical twisting power (HTP) of the helical polymer in the cholesteric liquid crystals (N*-LCs) gives the system high glum. Additionally, for CPF-ET, only the emission spectrum of the donor and the absorption (or excitation) spectrum of the achiral acceptor are required to overlap, and no covalent or noncovalent interactions between the two are required. An outlook for the CPL materials related to matching rule which will avail the optimization and extension of this intriguing approach concludes the Account. We hope that the Account will offer insightful inspiration for the flourishing progress of chiroptical systems and present exciting opportunities.

Polymeric Cholesteric Superhelix Induced by Chiral Helical Polymer for Achieving Full-Color Circularly Polarized Room-Temperature Phosphorescence with Ultra-High Dissymmetry Factor.

Circularly polarized room-temperature phosphorescence (CPRTP) simultaneously featuring multiple colors and extremely high dissymmetry factor (glum) is crucial for increasing the complexity of optical characteristics and advancing further development, but such a type of CPRTP is still unprecedented. The present work develops an effective and universal strategy to achieve full-color CPRTP with ultra-high glum factors in a polymeric cholesteric superhelix network, which is constructed by cholesteric liquid crystal polymer and chiral helical polymer (CHP). Taking advantage of the high helical twisting power of CHP, the resulting polymeric cholesteric superhelix network exhibits remarkable optical activity. Significantly, by adopting a simple double-layered architectures consisting of the cholesteric superhelix film and phosphorescent films, blue-, green-, yellow-, and red-CPRTP emissions are successfully obtained, with maximum |glum| values up to 1.43, 1.39, 1.09 and 0.84, respectively. Further, a multilevel information encryption application is demonstrated based on the multidimensional optical characteristics of the full-color double-layered CPRTP architectures. This study offers new insights into fabricating polymeric cholesteric superhelix with considerable CPRTP performance in advanced photonic applications.

Transformation of 2D Flakes to 3D Hollow Bowls: Matthew Effect Enables Defects to Prevail in Electromagnetic Wave Absorption of Hollow rGO Bowls.

High-efficiency electromagnetic (EM) wave (EMW)-absorbing materials have attracted extensive scientific and technical interest. Although identifying the dominant EM loss mechanism in dielectric-loss materials is indispensable, it is challenging due to a complex synergism between dipole/interfacial polarization and conduction loss. Modulation of defects and microstructures can be a possible approach to determine the dominant EM loss mechanism and realize high-efficiency absorption. Herein, 2D reduced graphene oxide (rGO) flakes are integrated into a 3D hollow bowl-like structure, which increases defect sites (i.e., oxygen vacancy and lattice defect) and reduces the stacked thickness of rGO. Despite their lower stacked thicknesses, the hollow rGO bowls with more defects exhibit lower conductivities but higher permittivities. Accompanied by the transformation from 2D flakes to 3D hollow bowls, the dominant EM loss mechanism of rGO transforms from conduction loss to defect-induced polarization. Furthermore, the defect engineering and structural design endow rGO with well-matched impedance and strong EMW-absorbing capacity. A minimum reflection loss of -41.6 dB (1.3 mm) and an effective absorption bandwidth of 4.8 GHz (1.5 mm) is achieved at a filler loading of 5 wt%. This study will provide meaningful insights into the development of materials with superior EMW-absorbing performances via defect engineering and structural design.

Controllable Synthesis of Highly Symmetrical Streamlined Structure for Wideband Microwave Absorption.

Highly symmetrical and streamlined nanostructures possessing unique electron scattering, electron-phonon coupling, and electron confinement characteristics have attracted a lot of attention. However, the controllable synthesis of such a nanostructure with regulated shapes and sizes remains a huge challenge. In this work, a peanut-like MnO@C structure, assembled by two core-shell nanosphere is developed via a facile hydrogen ion concentration regulation strategy. Off-axis electron holography technique, charge reconstruction, and COMSOL Multiphysics simulation jointly reveal the unique electronic distribution and confirm its higher dielectric sensitive ability, which can be used as microwave absorption to deal with currently electromagnetic pollution. The results reveal that the peanut-like core-shell MnO@C exhibits great wideband properties with effective absorption bandwidth of 6.6 GHz, covering 10.8-17.2 GHz band. Inspired by this structure-induced sensitively dielectric behavior, promoting the development of symmetrical and streamlined nanostructure would be attractive for many other promising applications in the future, such as piezoelectric material and supercapacitor and electromagnetic shielding.

Genome-Wide Identification and Expression Profiling of Potato (Solanum tuberosum L.) Universal Stress Proteins Reveal Essential Roles in Mechanical Damage and Deoxynivalenol Stress.

Universal stress proteins (USPs) play an important regulatory role in responses to abiotic stress. Most of the research related to USPs so far has been conducted on plant models such as Arabidopsis (Arabidopsis thaliana), rice (Oryza sativa L.), and cotton (Gossypium hirsutum L.). The potato (Solanum tuberosum L.) is one of the four major food crops in the world. The potato is susceptible to mechanical damage and infection by pathogenic fungi during transport and storage. Deoxynivalenol (DON) released by Fusarium can seriously degrade the quality of potatoes. As a result, it is of great significance to study the expression pattern of the potato StUSP gene family under abiotic stress conditions. In this study, a total of 108 USP genes were identified from the genome of the Atlantic potato, divided into four subgroups. Based on their genetic structure, the physical and chemical properties of their proteins and other aspects of their biological characteristics are comprehensively analyzed. Collinear analysis showed that the homologous genes of StUSPs and four other representative species (Solanum lycopersicum, Arabidopsis, Oryza sativa L., and Nicotiana attenuata) were highly conserved. The cis-regulatory elements of the StUSPs promoter are involved in plant hormones, environmental stress, mechanical damage, and light response. RNA-seq analysis showed that there are differences in the expression patterns of members of each subgroup under different abiotic stresses. A Weighted Gene Coexpression Network Analysis (WGCNA) of the central gene showed that the differential coexpression gene is mainly involved in the plant-pathogen response process, plant hormone signal transduction, and the biosynthesis process of secondary metabolites. Through qRT-PCR analysis, it was confirmed that StUSP13, StUSP14, StUSP15, and StUSP41 may be important candidate genes involved in the response to adversity stress in potatoes. The results of this study provide a basis for further research on the functional analysis of StUSPs in the response of potatoes to adversity stress.

Synthesis and Application of Fluorescent Polymer Micro- and Nanoparticles.

Fluorescent polymer particles have witnessed an increasing interest in recent years, owing to their fascinating physicochemical properties as well as wide-ranging applications. In this review, the state-of-the-art research progress of fluorescent polymer particles in the past five years is summarized. First, the synthesis protocols for fluorescent polymer particles, including emulsion polymerization, precipitation polymerization, dispersion polymerization, suspension polymerization, nanoprecipitation, self-assembly, and post-polymerization modification, are presented in detail. Then, the applications of the resulting beguiling particles in anticounterfeiting, chemical sensing, and biomedicine, are illustrated. Finally, the challenges and opportunities that exist in the field are pointed out. This review aims to offer important guidance and stimulate more research attention to this rapidly developing field.

Gram-Scale Room-Temperature Synthesis of Solid-State Fluorescent Carbon Nanodots for Bright Electroluminescent Light Emitting Diodes.

The reaction conditions of high temperature and high pressure will introduce structural defects, high energy consumption, and security risks, severely hindering the industrial application of organic carbon nanodots (CDs). Moreover, the aggregation caused quenching effect also fundamentally limits the CDs based electroluminescent light emitting diodes (LEDs). Herein, for the first time, a rapid one-step room temperature synthetic strategy is introduced to prepare highly emissive solid-state-fluorescent CDs (RT-CDs). A strong oxidizing agent, potassium periodate (KIO4 ), is adopted as a catalyst to facilitate the cyclization of o-phenylenediamine and 4-dimethylamino phenol in aqueous solution at room temperature for only 5 min. The resultant organic molecule, 2-(dimethylamino) phenazine, will self-assemble kinetically to generate supramolecular-structure CDs during crystallization. The elaborately arranged supramolecular structure (J aggregates) endows CDs with intense solid-state-fluorescence. Density functional theory (DFT) calculation shows that the excited state of RT-CDs exhibits charge transfer characteristic owing to the unique donor-Π-acceptor structure. A high-performance monochrome RT-CDs based electroluminescent LEDs (2967 cd m-2 and 1.38 cd A-1 ) were fabricated via systematic optimizations of device engineering. This work provides a concrete and feasible avenue for the rapid and massive preparation of CDs, advancing the commercialization of CDs based optoelectronic devices.

An Ion-Engineering Strategy to Design Hollow FeCo/CoFe2 O4 Microspheres for High-Performance Microwave Absorption.

Although assembled hollow architectures have received considerable attention as lightweight functional materials, their uncontrollable self-aggregation and tedious synthetic methods hinder precise construction and modulation. Therefore, this study proposes a bi-ion synergistic regulation strategy to design assembled hollow-shaped cobalt spinel oxide microspheres. Dominated by the coordination-etching effects of F- and the hydrolysis-complex contributions of NH4 + , the unique construction is formed attributed to the dynamic cycles between metal complexes and precipitates. Meanwhile, their basic structures are perfectly retained after reduction treatment, enabling FeCo/CoFe2 O4 bimagnetic system to be obtained. Subsequently, in-depth analyses are conducted. Investigations reveal that multiscale magnetic coupling networks and enriched air-material heterointerfaces contribute to the remarkable magnetic-dielectric behavior, supported by the advanced off-axis electron holography technique. Consequently, the obtained FeCo/CoFe2 O4 composites exhibit excellent microwave absorption performances with minimal reflection losses (RLmin ) as high as -51.6 dB, an effective absorption bandwidth (EAB) of 4.7 GHz, and a matched thickness of 1.4 mm. Thus, this work provides an informative guide for rationally assembling building blocks into hollow architectures as advanced microwave absorbers through bi-ion and even multi-ion synergistic engineering mechanisms.

Mechanism Study of the Polymerization of Polyamide 56: Reaction Kinetics and Process Parameters.

Polyamide 56 (PA56) has gained significant attention in the academic field due to its remarkable mechanical and thermal properties as a highly efficient and versatile biobased material. Its superior moisture absorption property also makes it a unique advantage in the realm of fiber textiles. However, despite extensive investigations on PA56's molecular and aggregate state structure, as well as processing modifications, little attention has been paid to its polymerization mechanism. Herein, the influence of temperature and time on PA56's polycondensation reaction is detailed studied by end-group titration and carbon nuclear magnetic resonance (NMR) techniques. The reaction kinetics equations for the pre-polymerization and vacuum melt-polymerization stages of PA56 are established, and possible side reactions during the polycondensation process are analyzed. By optimizing the reaction process based on kinetic characteristics, PA56 resin with superior comprehensive properties (melting temperature of 252.6 °C, degradation temperature of 371.6 °C, and tensile strength of 75 MPa) is obtained. The findings provide theoretical support for the industrial production of high-quality biobased PA56.

Combined Transcriptome and Metabolome Analysis Reveals Adaptive Defense Responses to DON Induction in Potato.

Phytophthora infestans poses a serious threat to potato production, storage, and processing. Understanding plant immunity triggered by fungal elicitors is important for the effective control of plant diseases. However, the role of the potato stress response to Fusarium toxin deoxynivalenol (DON)-induced stress is still not fully understood. In this study, the metabolites of DON-treated potato tubers were studied for four time intervals using UPLC-MS/MS. We identified 676 metabolites, and differential accumulation metabolite analysis showed that alkaloids, phenolic acids, and flavonoids were the major differential metabolites that directly determined defense response. Transcriptome data showed that differentially expressed genes (DEGs) were significantly enriched in phenylpropane and flavonoid metabolic pathways. Weighted gene co-expression network analysis (WGCNA) identified many hub genes, some of which modulate plant immune responses. This study is important for understanding the metabolic changes, transcriptional regulation, and physiological responses of active and signaling substances during DON induction, and it will help to design defense strategies against Phytophthora infestans in potato.

Triphenylamine-Derived Solid-State Emissive Carbon Dots for Multicolor High-Efficiency Electroluminescent Light-Emitting Diodes.

Two kinds of triphenylamine-derived solid-state emissive carbon dots (CDs) with orange and yellow color are facilely synthesized through solvothermal treatment, taking advantage of the nonplanar structure and good carrier mobility of triphenylamine unit. Theoretical calculations show that the triphenylamine structure could greatly inhibit the direct π-π stacking of aromatic skeletons and enhance the fluorescence properties of CDs in aggregation state. By adopting the CDs as single emissive layer, high-performance orange-color and green-color electroluminescent light-emitting diodes (LEDs) are successfully fabricated, with maximum brightness of 9450/4236 cd m-2 , high current efficiency of 1.57/2.34 cd A-1 and low turn-on voltage of 3.1/3.6 eV are respectively achieved. Significantly, white-color LED device is further prepared. This work provides a universal platform for the construction of novel solid-state emissive CDs with significant applications in photoelectric device.

Electrostatic Adsorption Enables Layer Stacking Thickness-Dependent Hollow Ti3 C2 Tx MXene Bowls for Superior Electromagnetic Wave Absorption.

Although transition metal carbides/carbonitrides (MXenes) exhibit immense potential for electromagnetic wave (EMW) absorption, their absorbing ability is hindered by facile stacking and high permittivity. Layer stacking and geometric structures are expected to significantly affect the conductivity and permittivity of MXenes. However, it is still a formidable task to simultaneously regulate layer stacking and microstructure of MXenes to realize high-performance EMW absorption. Herein, a simple and viable strategy using electrostatic adsorption is developed to integrate 2D Ti3 C2 Tx MXene nanosheets into 3D hollow bowl-like structures with tunable layer stacking thickness. Density functional theory calculations indicate an increase in the density of states of the d orbital from the Ti atom near the Fermi level and the generation of additional electrical dipoles in the MXene nanosheets constituting the bowl walls upon reducing the layer stacking thickness. The hollow MXene bowls exhibit a minimum reflection loss (RLmin ) of -53.8 dB at 1.8 mm. The specific absorbing performance, defined as RLmin (dB)/thickness (mm)/filler loading (wt%), exceeds 598 dB mm-1 , far surpassing that of the most current MXene and bowl-like materials reported in the literature. This work can guide future exploration on designing high-performance MXenes with "lightweight" and "thinness" characteristics for superior EMW absorption.

Magnetic Interacted Interaction Effect in MXene Skeleton: Enhanced Thermal-Generation for Electromagnetic Interference Shielding.

With the rapid advancements of portable and wearable equipment, high-efficiency electromagnetic interference (EMI) shielding materials are highly entailed to eliminate radiated electromagnetic pollution. Herein, by assembling hexagonal SrFe12 O19 flakes into a Ti3 C2 Tx MXene/MWCNT substrate, a magnetized Ti3 C2 Tx -based film is successfully fabricated by a facile filtration approach. Carbon nanotubes are used as isolation agents to realize the submicroscopic dispersion of MXene and SrFe12 O19 . The obtained MXene/MWCNTs/SrFe12 O19 film shows a high electrical conductivity of 438 S cm-1 and an excellent EMI shielding effectiveness of 62.9 dB in X-band at a thickness of only 40 µm. Benefiting from a strong magnetic response ability and an expanded magnetic coupling space, hexagonal SrFe12 O19 sheets can efficiently consume incident magnetic field energy by domain wall migration and the ferromagnetic resonance effect. Boosted EMI shielding performance can be achieved by improving the magnetic loss in the Ti3 C2 Tx MXene/MWCNTs/SrFe12 O19 film, preventing the secondary reflection of electromagnetic waves. Meanwhile, magnetized MXene-based films display the freestanding and flexible features and are suitable for installation in electric devices. It is anticipated that this strategy offers new ideas for designing EMI shielding films and in broadening potential utility of MXene-based materials.

Helix-Sense-Selective Polymerization of Achiral Monomers for the Preparation of Chiral Helical Polyacetylenes Showing Intense CPL in Solid Film State.

Polymer-based circularly polarized luminescent (CPL) materials have attracted ever-increasing interest. However, to construct CPL materials from achiral monomers is still a big challenge. Here, a series of chiral helical substituted polyacetylenes are prepared by helix-sense-selective polymerization (HSSP) of achiral acetylenic monomers (achiral monomer + fluorescent monomer). HSSPs are accomplished in a bi-solvent mixture consisting of chloroform and chiral α-pinene (chiral component). Chirality transfers from the chiral component to the helical copolymers during polymerization, thereby endowing the copolymers with helical chirality. The resulting copolymers are then fabricated into blend films which exhibit intense optical activity and CPL. The monomer ratio and the physical state of the copolymers have significant impacts on their chiroptical and CPL properties. The maximum luminescence dissymmetry factor of the blend films can be up to 1.3 × 10-2 . The universality of the established strategy for exploring polymer-based CPL materials is demonstrated by using different achiral fluorescent monomers. The present work opens a novel alternative for developing CPL-active polymeric materials starting from achiral monomers.

Tumor-Promoting Actions of HNRNP A1 in HCC Are Associated with Cell Cycle, Mitochondrial Dynamics, and Necroptosis.

Hepatocellular carcinoma (HCC) is one of the most frequent malignancies in the world. Although increasing evidence supports the role of heterogeneous ribonucleoprotein particle A1 (HNRNP A1) in tumor progression, the function of HNRNP A1 in HCC remains unclear. Here, we focused on the role of HNRNP A1 in the development of HCC. In this study, we found HNRNP A1 participates in many aspects of HCC, such as progression and prognosis. Our results showed that HNRNP A1 is upregulated in human HCC tissues and cell lines. High expression of HNRNP A1 can promote the proliferation, migration, and invasion in HCC cells and accelerate tumor progression in mice. Moreover, we found that HNRNP A1 prevents the senescence process of HCC cells. Knocking down of HNRNP A1 promotes the expression of P16INK4, which arrests the cell cycle and then induces the senescence phenotype in HCC cells. Furthermore, we found that HNRNP A1 regulated necroptosis and mitochondrial dynamics. In summary, our study indicates that HNRNP A1 promotes the development of HCC, which suggests a potential therapeutic target for HCC.

Bacterioplankton community indicators for seasonal variation in a fragmented subtropical river.

In this study, spatiotemporal investigations were conducted along five cascade dams in the main channel of the North River of China during 2019 to explore bacterioplankton community indicators of water environments in a fragmented, highly regulated river. Bacterioplankton communities were good bioindicators of temporal variation in river environments, especially when considering the bacterial class level. Specifically, the most dominant bacterial classes (Gammaproteobacteria, Oxyphotobacteria, and Actinobacteria) and sub-dominant bacterial classes (Bacteroidia, Betaproteobacteria, and Acidimicrobiia) exhibited obvious temporal variation. Rainfall, water temperature (WT), water transparency (SD), and pH were all highly associated with temporal variation. In contrast, bacterioplankton indicators of spatial variation were limited to individual dominant bacterial classes for individual study periods, while rainfall, total phosphorus (TP), and pH were also associated with spatial variation. Clustering of bacterioplankton community compositions revealed that temporal differences were much stronger than spatial differences, which is consistent with most environmental parameters exhibiting obvious temporal differences, but minimal spatial differences. A possible reason for these observations could be that river fragmentation caused by cascade dams weakened spatial differences in communities, with WT, rainfall, and river runoff playing key roles in these patterns. In conclusion, bacterioplankton communities were good bioindicators of water environments in the fragmented river ecosystem of this study and their temporal variation was more apparent than their spatial variation.

p-Type Carbon Dots for Effective Surface Optimization for Near-Record-Efficiency CsPbI2 Br Solar Cells.

Interface modification to minimize charge recombination and trapping for efficient charge transport is crucial for the performance of perovskite solar cells (PSCs). Herein, functionalized p-type blue carbon dots (B-CDs) are ventured as an interface passivation layer to enhance the efficiency and long-term stability of all-inorganic CsPbI2 Br PSCs. It is found that first the blue carbon dots with abundant NH, CN, CO, and CO functional groups effectively passivate defects by reacting with I- and Pb2+ ions in the perovskite through hydrogen and coordinative bonds. Second, the p-type B-CDs modifiers form a P-N junction with the n-type perovskite to provide efficient pathways for hole transfer and electron blocking. Third, the B-CDs increase the hydrophobicity of the perovskite film to improve the stability of CsPbI2 Br PSCs. With the above advantages, the CsPbI2 Br PSC with B-CDs modification shows an efficiency as high as 16.76%, one of the highest for its type. In addition, the modification renders significant improvement of air and light stability, with 95.33% of the initial PCE retained after storage in the ambient environment for 1000 h. This work demonstrates the great potential of B-CDs application in perovskite-based optoelectronic devices.

Opportunities and challenges in microwave absorption of nickel-carbon composites.

In recent years, the problem of electromagnetic wave (EMW) pollution has attracted more and more attention with the development of science and technology. In order to solve this complex problem, the research and development of EMW-absorbing materials is crucial. The new absorbing materials should have the characteristics of light weight, high efficiency, wide bandwidth, environmental protection, oxidation resistance, and other characteristics. Traditional single-phase Ni materials exhibit remarkable ferromagnetic behavior and double-loss mechanisms (dielectric loss and magnetic loss), and are considered as efficient EMW absorbers. However, under the action of EMWs, especially in the GHz frequency band, Ni materials tend to produce an eddy current effect, which limits their application prospects. For Ni-based materials, there is much interest in modifying the composite materials by designing a hierarchical structure for their preparation. Traditional, single-phase, carbon-based materials have been widely used in related fields because of their light weight and good conductivity. However, a single-loss mechanism will affect the impedance matching of carbon materials, thus affecting their application in the field of absorbing waves. For carbon materials, people use them as a filler or matrix material to fabricate composites with metals, metal oxides, or polymer materials to obtain carbon-containing absorbing materials. This paper reviews the evaluation and design principles of the absorbing properties of EMW-absorbing materials. Then, the progress of modified single-phase Ni-based materials (designed materials with 0D, 1D, 2D, and 3D structures), the development of carbon materials (carbon black, carbon nanotubes, carbon fiber, graphite oxide, reduced graphene oxide, and biomedical carbon), and the research progress of Ni-C composite materials (the composite material formed by nickel and carbon) are reviewed. The ultimate goal is to obtain absorbers with light weight, strong absorbing ability, and a wide frequency band. In particular, Ni-MXene, Ni-biomedical carbon, and Ni-multiphase carbon composites are the target direction for designing new and high efficiency EMW absorbers. Finally, the basic challenges and opportunities in this field are discussed.

Distally Based Perforator-Plus Sural Neurocutaneous Flap with High or Low Pivot Point: Anatomical Considerations and a Retrospective Study of a Clinical Series of 378 Flaps.

BACKGROUND: This study is to describe the distribution of natural true anastomoses associated with the distally based perforator-plus sural neurocutaneous flap (sural flap), summarize our experience in the flap with high pivot point, and compare the outcomes between the flaps with high and low pivot points. METHODS: Five amputated lower limbs were perfused, and the integuments were radiographed. We retrospectively analyzed 378 flaps, which were divided into two groups: pivot points located ≤8.0 cm (low pivot point group) and >8.0 cm (high pivot point group) proximal to the tip of the lateral malleolus. Partial necrosis rates were compared between two groups. RESULTS: The arterial chain surrounding the sural nerve was linked by true anastomoses from the intermalleolar line to popliteal crease. True anastomoses existed among peroneal perforators and between these perforators and the arterial chain. There were 93 flaps with high pivot point and 285 flaps with low pivot point. Partial necrosis rates were 16 and 9.1% in the high and low pivot point group (p = 0.059), respectively. CONCLUSION: True anastomosis connections among peroneal perforators and the whole arterial chain around sural nerve enable the sural flap to survive with a greater length. The sural flap with high pivot point is a good option for reconstructing soft-tissue defects in the middle and distal leg, ankle, and foot, particularly when the lowest peroneal perforator presents damage, greater distance to the defects, discontinuity with the donor site, or anatomical variation.

1/2SH: A Simple, Accurate, and Reliable Method of Calculating the Hematoma Volume of Spontaneous Intracerebral Hemorrhage.

Background and Purpose- 1/2ABC has been used widely for assessing the volume of intracerebral hematoma. However, it is only suitable for calculating regular and small volume hematomas. Therefore, we re-explored the formula of hematoma volume to find a method that can calculate hematoma volumes accurately, reliably, and quickly. Methods- Computed tomography imaging data of 257 patients with intracerebral hemorrhage were collected. Hematoma volumes were estimated using 3-dimensional Slicer and 7 formulas (π/6ABC, 1/2ABC, 1/3ABC, 2/3SH, 1/2SH, π/6SH, and 2.5/6ABC). Taking the hematoma volumes measured by 3-dimensional Slicer as the reference standard, the accuracy and reliability of the 7 formulas were evaluated. Furthermore, the time needed to calculate hematoma volumes by the 1/2SH method was noted for further analysis. Results- (1) The accuracy of the 7 formulas based on the error analysis from the highest to the lowest was: π/6SH, 1/2SH, 2.5/6ABC, 1/3ABC, 1/2ABC, and π/6ABC or 2/3SH. According to concordance analysis and receiver operating characteristic curve analysis, the results from the highest to lowest were as follows: 1/2SH, π/6SH, 2.5/6ABC, 1/3ABC, 1/2ABC, 2/3SH, and π/6ABC. After categorizing cases according to size, shape, and location of hematoma, the results were almost the same as the results for overall accuracy evaluation in any subgroup. (2) Intraclass correlation coefficient (ICC) of 1/2SH in intra and inter-researcher were 0.998 and 0.989, respectively. For the formula π/6SH, intraclass correlation coefficient was the same as that of 1/2ABC. Kappa values of 1/2SH for intra- and inter-observer were 0.992 and 0.913, respectively. For π/6SH, kappa values of within- and between-reader were 0.984 and 0.904, respectively. (3) The average time taken to calculate hematoma volumes by 1/2SH was 74 seconds. Conclusions- The 1/2SH and π/6SH are accurate, reliable, and rapid methods for calculating hematoma volumes. The accuracy and reliability of 1/2SH were slightly higher than those of π/6SH.