Amination and Protonation Facilitated Novel Isoxazole Derivative for Highly Efficient Electron and Hole Separation

It is of great importance to understand the intrinsic relationship between phototautomerization and photoelectric properties for the exploration of novel organic materials. Here, in order to chemically control the protonation process, the aminated isoxazole derivative (2,2'-(isoxazolo[5,4-d]isoxazole-3,6-diyl)dibenzenaminium, DP-DA-DPIxz) with -N═ as the proton acceptor was designed to achieve the twisted intramolecular charge transfer (TICT) state which was triggered by an excited-state intramolecular proton transfer (ESIPT) process. This kind of protonation enhanced the intramolecular hydrogen bonding, conjugative effect, and steric hindrance effects, ensuring a barrierless spontaneous TICT process. Through the intramolecular proton transfer, the configuration torsion and conjugation dissociation of the DP-DA-DPIxz molecule was favored, which led to efficient charge separation and remarkable variations in light-emitting properties. We hope the present investigation will provide a new approach to design novel optoelectronic organic materials and shine light on the understanding of the charge transfer and separation process in molecular science.

Solvation effect enabled visualized discrimination of multiple metal ions

Highly efficient detection of environmental residual potentially toxic species is of concern worldwide as their presence in an excessive amount would greatly endanger the health of human beings as well as environmental sustainability. The solvation effect is a critical factor to be considered for understanding chemical reaction progress as well as the photophysical behaviors of substances and thus is promising for visualized detection of metal ions. Herein, by applying 5-amino-1,10-phenanthroline (APT) as the optical probe, a sensing strategy was proposed based on the solvation effect modulated complexation of APT towards different metal ions to achieve the visualized discrimination of four critical ions (Cu(II), Zn(II), Cd(II), and Al(III)). How the crucial intrinsic properties of the solvent (e.g., polarity, solvent free energy, and electrostatic potential) influenced the complexation and the product emission was clarified, and the detection performances were systematically evaluated with detection limits as low as the nM level and good recognition selectivity. Furthermore, a portable sensing chip was developed with potential for highly efficient analysis in complicated scenes; thus, this strategy offers a new insight into determining multiple metal ions or other critical substances upon solvation manipulation.

Controlled Synthesis of Preferential Facet-Exposed Fe-MOFs for Ultrasensitive Detection of Peroxides

Exposing different facets on metal-organic frameworks (MOFs) is highly desirable to enhance the performance for various applications, however, exploiting a concise and effective approach to achieve facet-controlled synthesis of MOFs remains challenging. Here, by modulating the ratio of metal precursors to ligands, the facet-engineered iron-based MOFs (Fe-MOFs) exhibits enhanced catalytic activity for Fenton reaction are explored, and the mechanism of facet-dependent performance is revealed in detail. Fully exposed (101) and (100) facets on spindle-shaped Fe-MOFs enable rapid oxidation of colorless o-phenylenediamine (OPD) to colored products, thereby establishing a dual-mode platform for the detection of hydrogen peroxide (H2O2) and triacetone triperoxide (TATP). Thus, a detection limit as low as 2.06 nm is achieved, and robust selectivity against a wide range of common substances (>16 types) is obtained, which is further improved by incorporating a deep learning architecture with an SE-VGG16 network model, enabling precise differentiation of oxidizing agents from captured images. The present strategy is expected will shine light on both the rational synthesis of nanomaterials with modulated morphologies and the exploitation of high-performance trace chemical sensors.

Coherent Modulation of the Aggregation Behavior and Intramolecular Charge Transfer in Small Molecule Probes for Sensitive and Long-term Nerve Agent Monitoring

Aggregation-induced emission (AIE) shows promising performance in chemical sensing relying on the change of the emission behavior of the probe molecule monomers to the aggregated product. However, whether the response contrast could be further boosted by utilizing the emission property of the aggregated probe and the aggregated product remains a big challenge. Here, an exciting AIE probe regulation strategy was proposed by coherently modulating the aggregation behavior and the intramolecular charge transfer (ICT) property of the probes and thus an aggregated-to-aggregated colorimetric-fluorescent dual-mode detection was achieved. The blue emissive film obtained with the optimal AIE probe has been proven to be effective to recognize the vapor of nerve agent analog DCP in air by emitting a sharp green fluorescence. In addition, a porous polymer-based wet sensing chip loaded with the probe enables the immediate response to DCP vapor with a limit of detection (LOD) of 1.7 ppb, and it was further integrated into a wearable watch device for long-term monitoring of DCP vapor up to two weeks. We expect the present probe design strategy would greatly deepen the AIE-based science and provide new insights for long-term monitoring sensors toward trace hazardous substances.

A Self-Accelerating Naphthalimide-Based Probe Coupled with Upconversion Nanoparticles for Ultra-Accurate Tri-Mode Visualization of Hydrogen Peroxide

The design and development of ultra-accurate probe is of great significance to chemical sensing in complex practical scenarios. Here, a self-accelerating naphthalimide-based probe with fast response and high sensitivity toward hydrogen peroxide (H2O2) is designed. By coupling with the specially selected upconversion nanoparticles (UCNPs), an ultra-accurate colorimetric-fluorescent-upconversion luminescence (UCL) tri-mode platform is constructed. Owing to the promoted reaction process, this platform demonstrates rapid response (< 1 s), an ultra-low detection limit (4.34 nM), and superb anti-interferent ability even in presence of > 21 types of oxidants, explosives, metallic salts, daily compounds, colorful or fluorescent substances. In addition, the effectiveness of this design is further verified by a sponge-based sensing chip loaded with the UCNPs/probe in recognizing trace H2O2 vapor from interferents with the three characteristic colors existing simultaneously. The proposed design of probe and tri-mode visualization detection platform is expected to open up a brand-new methodology for ultra-accurate sensing.

Electrophilicity Modulation for Sub-ppm Visualization and Discrimination of EDA

Precise and timely recognition of hazardous chemical substances is of great significance for safeguarding human health, ecological environment, public security, etc., especially crucial for adopting appropriate disposition measures. Up to now, there remains a practical challenge to sensitively detect and differentiate organic amines with similar chemical structures with intuitive analysis outcomes. Here, a unique optical probe with two electrophilic recognition sites for rapid and ultra-sensitive ratiometric fluorescence detection of ethylenediamine (EDA) is presented, while producing distinct fluorescence signals to its structural analog. The probe exhibits ppb/nmol level sensitivity to liquidous and gaseous EDA, specific recognition toward EDA without disturbance to up to 28 potential interferents, as well as rapid fluorescence response within 0.2 s. By further combining the portable sensing chip with the convolutional algorithm endowed with image processing, this work cracked the problem of precisely discriminating the target and non-targets at extremely low concentrations.

Design of Highly Efficient Electronic Energy Transfer in Functionalized Quantum Dots Driven Specifically by Ethylenediamine

The exploration of emerging functionalized quantum dots (QDs) through modulating the effective interaction between the sensing element and target analyte is of great significance for high-performance trace sensing. Here, the chromone-based ligand grafted QDs (QDs-Chromone) were initiated to realize the electronic energy transfer (EET) driven specifically by ethylenediamine (EDA) in the absence of spectral overlap. The fluorescent and colorimetric dual-mode responses (from red to blue and from colorless to yellow, respectively) resulting from the expanded conjugated ligands reinforced the analytical selectivity, endowing an ultrasensitive and specific response to submicromolar-liquid of EDA. In addition, a QDs-Chromone-based sensing chip was constructed to achieve the ultrasensitive recognition of EDA vapor with a naked-eye observed response at a concentration as low as 10 ppm, as well as a robust anti-interfering ability in complicated scenarios monitoring. We expect the proposed EET strategy in shaping functionalized QDs for high-performance sensing will shine light on both rational probe design methodology and deep sensing mechanism exploration.

Platelet distribution width as an useful indicator of influenza severity in children

PURPOSE

The present study aims to investigate the potential of platelet distribution width as an useful parameter to assess the severity of influenza in children.

METHODS

Baseline characteristics and laboratory results were collected and analyzed. Receiver operating characteristic (ROC) curve analysis was used to joint detection of inflammatory markers for influenza positive children, and the scatter-dot plots were used to compare the differences between severe and non-severe group.

RESULTS

Influenza B positive children had more bronchitis and pneumonia (P < 0.05), influenza A infected children had more other serious symptoms (P = 0.007). Neutrophil count, lymphocyte count, neutrophil-to-lymphocyte ratio (NLR), and platelet parameters performed differently among < 4 years and ≥ 4 years children with influenza. Combined detection of platelet parameters and other indicators could better separate healthy children from influenza infected children than single indicator detection. The levels of platelet distribution width of children with severe influenza (A and B) infection was significantly dropped, compared with non-severe group (P < 0.05).

CONCLUSIONS

Platelet distribution width could be a very useful and economic indicator in distinction and severity assessment for children with influenza.

Coupling of different antioxidative systems in rice under the simultaneous influence of selenium and cadmium

Selenium (Se) elevates the antioxidant ability of rice against cadmium (Cd) stress, but previous studies only focused on the variation in antioxidant enzymes or nonenzymatic substances induced by Se under Cd stress and ignored the relationships between different antioxidant parameters during the interaction. Here, hydroponic experiments with rice were performed by adding both Cd and Se at doses in the range of 0-50 μM to explore the physiological responses of rice and their relationships in the presence of different levels of Se and Cd. Exogenous Cd markedly promoted the activity of antioxidant enzymes with the exception of catalase (CAT) and the concentration of nonenzymatic substances in aerial parts. Se enhanced the antioxidant capacity by improving the activities of all the enzymes tested in this study and increasing the concentrations of nonenzymatic compounds. The couplings among different antioxidant substances within paddy rice were then determined based on cluster and linear fitting results and their metabolic process and physiological functions. The findings specifically highlight that couplings among the ascorbic acid (AsA)-glutathione (GSH) cycle, glutathione synthase (GS)-phytochelatin synthetase (PCS) coupling system and glutathione peroxidase (GPX)-superoxide dismutase (SOD) coupling system in aerial parts helps protect plants from Cd stress. These coupling systems form likely due to the fact that one enzyme generated a product that could be the substrate for another enzyme. Noticeably, such coupling systems do not emerge in roots because the stronger damage to roots than other organs activates the ascorbate peroxidase (APX)-GPX-CAT and PCS-GS-SOD systems with distinct functions and structures. This study provides new insights into the detoxification mechanisms of rice caused by the combined effect of Se and Cd.

Mott-Schottky MXene@WS2 Heterostructure: Structural and Thermodynamic Insights and Application in Ultra Stable Lithium-Sulfur Batteries

Due to the "shuttle effect" and low conversion kinetics of polysulfides, the cycle stability of lithium sulfur (Li-S) battery is unsatisfactory, which hinders its practical application. The Mott-Schottky heterostructures for Li-S batteries not only provide more catalytic/adsorption active sites, but also facilitate electrons transport by a built-in electric field, which are both beneficial for polysulfides conversion and long-term cycle stability. Here, MXene@WS2 heterostructure was constructed by in-situ hydrothermal growth for separator modification. In-depth ultraviolet photoelectron spectroscopy and ultraviolet visible diffuse reflectance spectroscopy analysis reveals that there is an energy band difference between MXene and WS2 , confirming the heterostructure nature of MXene@WS2 . DFT calculations indicate that the Mott-Schottky MXene@WS2 heterostructure can effectively promote electron transfer, improve the multi-step cathodic reaction kinetics, and further enhance polysulfides conversion. The built-in electric field of the heterostructure plays an important role in reducing the energy barrier of polysulfides conversion. Thermodynamic studies reveal the best stability of MXene@WS2 during polysulfides adsorption. As a result, the Li-S battery with MXene@WS2 modified separator exhibits high specific capacity (1613.7 mAh g-1 at 0.1 C) and excellent cycling stability (2000 cycles with 0.0286 % decay per cycle at 2 C). Even at a high sulfur loading of 6.3 mg cm-2 , the specific capacity could be retained by 60.0 % after 240 cycles at 0.3 C. This work provides deep structural and thermodynamic insights into MXene@WS2 heterostructure and its promising prospect of application in high performance Li-S batteries.

Recycling spent masks to fabricate flexible hard carbon anode toward advanced sodium energy storage

The massive discard of spent masks during the COVID-19 pandemic imposes great environmental anxiety to the human society, which calls for a reliable and sustainable outlet to mitigate this issue. In this work, we demonstrate a green design strategy of recycling the spent masks to fabricate hard carbon fabrics toward high-efficient sodium energy storage. After a simple carbonization treatment, flexible hard carbon fabrics composed of interwoven microtubular fibers are obtained. When serving as binder-free anodes of sodium-ion batteries, a large Na-ion storage capacity of 280 mAh g^-1 is achieved for the optimized sample. More impressively, the flexible anode exhibits an initial coulombic efficiency of as high as 86% and excellent rate/cycling performance. The real-life practice of the flexible hard carbon is realized in the full-cells. The present study affords an enlightening approach for the recycling fabrication of high value-added hard carbon materials from the spent masks for advanced sodium energy storage.

Precise Electron-Withdrawing Strength Modulation of ESIPT Probes for Ultrasensitive and Specific Fluorescence Sensing

The precise regulation of the electron-withdrawing/electron-donating strength in a probe is of great significance for the design of reaction-based fluorescent probes with specific functionalities. Here, a family of excited-state intramolecular proton transfer (ESIPT)-based probes with fluorescence turn-on sensing properties toward KMnO₄ was designed by precisely modulating the electron-withdrawing strength of the substituents located at the para-position of the recognition group. It is found that -F, -CHO, and -H as the electron-withdrawing groups bound at the probe can specifically recognize KMnO₄, which ensures a blue emission displayed by the reaction products. Especially with -CHO as the electron-withdrawing group, the reaction product shows the most stable fluorescence. The probe 2-(benzo[d]oxazol-2-yl)-4-formylphenyl acrylate (BOPA-CHO) demonstrated a more superior sensing performance toward KMnO₄, including a low limit of detection (LOD, 0.96 nM), a rapid response (<3 s), and a rather good selectivity even in the presence of 21 interferents. Moreover, the practicality of the probe was further verified by a test pen comprising a BOPA-CHO-embedded sponge, which is capable of detecting KMnO₄ solid with a naked-eye LOD of 11.62 ng. The present probe design and modulation strategy would open up a new path for the design of high-performance fluorescent probes.

Amorphous Copper-Based Nanoparticles with Clusterization-Triggered Phosphorescence for Ultrasensing 2,4,6-Trinitrotoluene

Amorphous metal-based nanostructures have attracted great attention recently due to their facilitative electron transfer and abundant reactive sites, whereas it remains enigmatic as to whether amorphous copper-based nanoparticles (CuNPs) can be achieved. Here, for synthesizing amorphous CuNPs, glutathione is adopted as a ligand to inhibit the nucleation and crystallization process via its electrostatic repulsion. By subtly tailoring the solvent polarity, not only can amorphous glutathione-functionalized CuNPs (GSH-CuNPs) with phosphorescent performance be achieved after transferring the non-conjugation of GSH ligand to through-space conjugation, namely clusterization-triggered emission, but also the phosphorescence-off of GSH-CuNPs toward 2,4,6-trinitrotoluene (TNT) can be realized by the photoinduced electron-transfer process through the hydrogen bond channel, which is established between carboxyl and amino groups of GSH-CuNPs with the nitryl group of TNT. Benefitting from the intrinsic superiorities of the amorphous CuNPs, desired phosphorescence and detection performances of GSH-CuNPs toward airborne TNT microparticulates are undoubtedly realized, including high quantum yield (13.22%), excellent specificity in 33 potential interferents, instantaneous response, and ultralow detection limit (1.56 pg). The present GSH-CuNPs are expected to stretch amorphous metal-based nanostructures and deepen the insights into amorphous materials for optical detection.

A Bayesian network model to predict neoplastic risk for patients with gallbladder polyps larger than 10 mm based on preoperative ultrasound features

BACKGROUND

Polyp size of 10 mm is insufficient to discriminate neoplastic and non-neoplastic risk in patients with gallbladder polyps (GPs). The aim of the study is to develop a Bayesian network (BN) prediction model to identify neoplastic polyps and create more precise criteria for surgical indications in patients with GPs lager than 10 mm based on preoperative ultrasound features.

METHODS

A BN prediction model was established and validated based on the independent risk variables using data from 759 patients with GPs who underwent cholecystectomy from January 2015 to August 2022 at 11 tertiary hospitals in China. The area under receiver operating characteristic curves (AUCs) were used to evaluate the predictive ability of the BN model and current guidelines, and Delong test was used to compare the AUCs.

RESULTS

The mean values of polyp cross-sectional area (CSA), long, and short diameter of neoplastic polyps were higher than those of non-neoplastic polyps (P < 0.0001). Independent neoplastic risk factors for GPs included single polyp, polyp CSA ≥ 85 mm ², fundus with broad base, and medium echogenicity. The accuracy of the BN model established based on the above independent variables was 81.88% and 82.35% in the training and testing sets, respectively. Delong test also showed that the AUCs of the BN model was better than that of JSHBPS, ESGAR, US-reported, and CCBS in training and testing sets, respectively (P < 0.05).

CONCLUSION

A Bayesian network model was accurate and practical for predicting neoplastic risk in patients with gallbladder polyps larger than 10 mm based on preoperative ultrasound features.

A Modified Shielding and Rapid Transition DDES Model for Separated Flows

In this paper, the major problems associated with detached eddy simulation (DES) (namely, modeled stress depletion (MSD) and slowing of the RANS to LES transition (RLT)) are discussed and reviewed, and relevant improvements are developed. A modified version for the delayed DES (DDES) method with adaptive modified adequate shielding and rapid transition is proposed; this is called MSRT DDES. The modified shielding strategy can be adjusted adaptively according to the local flow conditions: keeping the RANS behavior in the whole boundary layer when there is no resolved turbulence, and weakening the shielding function when resolved turbulence exists in the mainstream over the boundary layer. This strategy can significantly ameliorate the MSD in the RANS boundary layer, regardless of the mesh refinement, and avoid excessive shielding in the fully developed resolved turbulence that may otherwise delay the development of the separated and reattached flow. Three cases are designed to test the modified DDES, namely, complete shielding in the RANS zone of a boundary layer (the zero-pressure gradient turbulent boundary layer with the refined mesh), modified adaptive improved shielding with a rapid transition (the flow over a hump), and the overall performance in a complex 3D separation (the corner separation in a compressor cascade). The results show that the modified shielding function is more physical than earlier proposals compared to shielding functions, and according to detailed comparisons of the wall skin friction coefficients, velocity profiles, total pressure-loss coefficients, entropy production analyses, and so on, the MSD and RLT problems are moderately alleviated by the MSRT DDES.

MOF-Derived Hollow Carbon Supported Nickel-Cobalt Alloy Catalysts Driving Fast Polysulfide Conversion for Lithium-Sulfur Batteries

Transition-metal compounds can be used as electrocatalysts to expedite polysulfide conversion effectively in lithium-sulfur batteries. However, insufficient conductivity and tedious preparation process still limit their practical applications. In this work, NiCo alloy nanoparticles embedded in hollow carbon spheres (NiCo@HCS) are fabricated via a facile, template-free strategy from the NiCo-metal-organic framework (MOF) precursor and used as electrocatalysts for separator modification. NiCo@HCS can not only improve the adsorption capacity of polysulfides by d-band deviation to the Fermi level but also reduce the energy barrier in the process of catalytic polysulfide conversion. Due to favorable three-dimensional (3-D) morphology, improved adsorption, and promoted kinetics of NiCo@HCS, the battery containing the NiCo@HCS-modified separator gives a starting capacity of 1377 mAh g^-1 at 0.2C, which is retained by 72% over 500 charge/discharge operations at 1.0C current density. Moreover, the battery's start capacity reaches 1180 mAh g^-1 (5.9 mAh cm^-2) with a high sulfur content of 5.0 mg cm^-1 at 0.2C.

A Seamless Metal-Organic Framework Interphase with Boosted Zn2+ Flux and Deposition Kinetics for Long-Living Rechargeable Zn Batteries

Zn metal has received immense interest as a promising anode of rechargeable aqueous batteries for grid-scale energy storage. Nevertheless, the uncontrollable dendrite growth and surface parasitic reactions greatly retard its practical implementation. Herein, we demonstrate a seamless and multifunctional metal-organic framework (MOF) interphase for building corrosion-free and dendrite-free Zn anodes. The on-site coordinated MOF interphase with 3D open framework structure could function as a highly zincophilic mediator and ion sifter that synergistically induces fast and uniform Zn nucleation/deposition. In addition, the surface corrosion and hydrogen evolution are significantly suppressed by the interface shielding of the seamless interphase. An ultrastable Zn plating/stripping is achieved with elevated Coulombic efficiency of 99.2% over 1000 cycles and prolonged lifetime of 1100 h at 10 mA cm^-2 with a high cumulative plated capacity of 5.5 Ah cm^-2. Moreover, the modified Zn anode assures the MnO₂-based full cells with superior rate and cycling performance.

A Deep Understanding on the Effective Generation of Twisted Intramolecular Charge Transfer by Protonation in Thiazolo[5,4-d]thiazole Derivatives

The exploration of the intrinsic relationship between the phototautomerization and photoelectric properties is of great significance for the application of the emerging novel organic materials, such as the (bi)heterocyclic thiazolo[5,4-d]thiazole derivatives (TzTz). Here, by introducing the chemical-controlling protonation, a barrierless spontaneous rotation movement of the designed TzTz derivative (2,5-diyl-amino-thiazolo[5,4-d]thiazole, DA-TzTz) was ensured through the facilitation of the excited-state intramolecular proton transfer (ESIPT) triggered twisted intramolecular charge transfer (TICT) process by the enhancement of the intramolecular hydrogen bonds, steric hindrance effect, and conjugative effect. It is further verified that the hetero S atoms could mostly effect the proton accepting ability of -N═ through comparing with the influences to the intramolecular H-bond between the protonated/nonprotonated amino groups and the -N═ atoms brought by the replacement of them with N or O atoms. As a result, the dissociation and rearrangement of the π conjugation in DA-TzTz accompanying with the variation of the optoelectronic characteristics was benefited from the establishment of the preferential charge-transfer and separation. We expect this tentative study could establish a new concept of designing an efficient charge-transfer and separation method, paving the way for the development of the TzTz derivatives and other optoelectronic organic materials.

Synthesis of the Ni2P-Co Mott-Schottky Junction as an Electrocatalyst to Boost Sulfur Conversion Kinetics and Application in Separator Modification in Li-S Batteries

To overcome the shuttling effect and sluggish conversion kinetics of polysulfides, a large number of catalysts have been designed for lithium-sulfur (Li-S) batteries. Herein, a Mott-Schottky junction catalyst composed of Co nanoparticles and Ni₂P was designed to improve polysulfide kinetics. Our investigations reveal the rearrangement of charges at the Schottky junction interface and the construction of the built-in electric field are crucial for lowering the activation energy of the dissolved Li₂S_n reduction and Li₂S nucleation reaction. Furthermore, a series of experimental and electrochemical tests were performed to demonstrate that the Schottky catalytic effect enhanced the synergistic catalytic effect. With a Ni₂P-Co@CNT catalyst, the battery exhibits an initial specific capacity of 874 mAh g^-1 at a rate of 4.0 C, and the decay rate per cycle is 0.049% in 700 cycles. Meanwhile, the battery shows 0.118% decay rate per cycle at 0.5 C in 100 cycles at a high sulfur loading of 10 mg cm^-2. The Schottky heterojunction structure proposed here has been shown to have a good catalytic effect on the reduction of Li₂S_n and nucleation of Li₂S, which provides a profound guidance for efficient and rational catalyst design.

Biomass-Derived Hard Carbon with Interlayer Spacing Optimization toward Ultrastable Na-Ion Storage

Hard carbons as a kind of nongraphitized amorphous carbon have been recognized as potential anode materials for sodium-ion batteries (SIBs) due to its large interlayer spacing. However, the issues in terms of onerous synthetic procedure and elusive working mechanism remains critical bottlenecks for practical implement. Herein, we report a facile production of tubular hard carbon through direct carbonization of platanus flosses (FHC) for the first time. Through optimizing the pyrolysis temperatures, the FHC obtained at 1300 °C possesses a key balance between the interlayer spacing and surface area, which can maintain the substantial active sites as well as reduce the irreversible sodium storage. Accordingly, it can deliver a reversible capacity of 324.6 mAh g^-1 with a high initial Coulombic efficiency of 80%, superb rate property of 107.2 mAh g^-1 at 2 A g^-1, and long operating stability over 1000 cycles. Furthermore, the in situ Raman spectroscopic studies certify that sodium ions are stored in FHC following the "adsorption-insertion" mechanism. Our study could provide a promising route for large-scale development of the biomass-derived carbonaceous anodes for high-performance SIBs.

A TD-DFT study of a class of D-π-A fluorescent probes for detection of typical oxidants

A deep understanding of the fluorescence response mechanisms is the foundation for design-oriented strategies for D-π-A probes for trace hazardous chemicals. Here, from the perspective of electronegativity regulation of the π-bridge recognition site, an electron-donation modulation strategy involving various comprehensive evaluations of the optical and chemical properties is proposed through a series of theoretical analyses. Due to the preferential combined interaction between the π-bridge recognition site and MnO₄^-, high electrophilic reactivity and feasible chemical reaction energy barrier, a high-performance filter paper chip and hydrogel chip for the detection of aqueous and air-suspended environmental KMnO₄ was achieved. We expect the present modulation strategy will facilitate efficient fluorescent probe design and provide a universal methodology for the exploration of functional D-π-A molecules.

A Bayesian network prediction model for gallbladder polyps with malignant potential based on preoperative ultrasound

BACKGROUND

It is important to identify gallbladder polyps (GPs) with malignant potential and avoid unnecessary cholecystectomy by constructing prediction model. The aim of the study is to develop a Bayesian network (BN) prediction model for GPs with malignant potential in a long diameter of 8-15 mm based on preoperative ultrasound.

METHODS

The independent risk factors for GPs with malignant potential were screened by χ² test and Logistic regression model. Prediction model was established and validated using data from 1296 patients with GPs who underwent cholecystectomy from January 2015 to December 2019 at 11 tertiary hospitals in China. A BN model was established based on the independent risk variables.

RESULTS

Independent risk factors for GPs with malignant potential included age, number of polyps, polyp size (long diameter), polyp size (short diameter), and fundus. The BN prediction model identified relationships between polyp size (long diameter) and three other variables [polyp size (short diameter), fundus and number of polyps]. Each variable was assigned scores under different status and the probabilities of GPs with malignant potential were classified as [0-0.2), [0.2-0.5), [0.5-0.8) and [0.8-1] according to the total points of [- 337, - 234], [- 197, - 145], [- 123, - 108], and [- 62,500], respectively. The AUC was 77.38% and 75.13%, and the model accuracy was 75.58% and 80.47% for the BN model in the training set and testing set, respectively.

CONCLUSION

A BN prediction model was accurate and practical for predicting GPs with malignant potential patients in a long diameter of 8-15 mm undergoing cholecystectomy based on preoperative ultrasound.

Computation of Analytical Derivatives for Airborne TEM Inversion Using a Cole-Cole Parameterization Based on the Current Waveform of the Transmitter

Airborne transient electromagnetic (ATEM) technology is a technique often used in mineral exploration and geological mapping. Due to inductive polarization (IP) phenomena, the ATEM response curve often shows a negative response or declines rapidly to the attenuation curve. Traditional resistivity inversion techniques do not explain the IP response of a signal well, so the negative response is usually removed during data processing, resulting in a reduced correctness and authenticity of the findings. In this paper, in the parameter inversion based on the Cole-Cole model, the Jacobian matrix chain analysis method is used to calculate, and the current waveform calculation is also considered in the inversion. The results show that compared with the perturbation method, the analysis technique can greatly reduce the calculation time and improve the inversion efficiency. In the single-point one-dimensional inversion and lateral constraint quasi-two-dimensional inversion, the Cole-Cole four-parameter forward response has strong inversion accuracy, which can successfully invert the actual exploration content and the Cole-Cole four-parameter response. Some measured sounding data in the Qingchengzi survey area of Liaoning Province, China have a negative response to IP, and the resistivity scheme cannot be used alone for inversion, but the real underground resistivity structure can be obtained through the method studied in this paper, and good exploration results can be obtained.

A General Twisted Intramolecular Charge Transfer Triggering Strategy by Protonation for Zero-Background Fluorescent Turn-On Sensing

The exploration of organic fluorescent sensing materials and mechanisms is of great significance, especially for the deep understanding of twisted intramolecular charge transfer (TICT). Here, the electron-donating ability of a chemically protonated amino group and the corresponding excitation primarily ensure the occurrence of excited-state intramolecular proton transfer. Due to the hybridization of the amino group from sp³ to sp², the steric hindrance effect and conjugative effect together boost the rotation efficiency of the TICT process and the complete elimination of the background fluorescent signal. Furthermore, a sharp turn-on fluorescent detection of trace nitrite particulate with a diameter of 0.44 μm was realized. In addition, this protonation-induced change in the amino group configuration was verified through around nine categories of compounds. We expect this modulation of the photochemical activity path of the TICT process would greatly facilitate the exploration of novel fluorescent sensing mechanisms.

Polyethyleneimine-capped copper nanoclusters for detection and discrimination of 2,4,6-trinitrotoluene and 2,4,6-trinitrophenol

The detection and discrimination of 2,4,6-trinitrotoluene (TNT) and 2,4,6-trinitrophenol (TNP) from analogues are of great importance to global security and are full of challenges in the field of trace sensing. Here, benefitting from the strong electrophilicity of TNT, a sensing strategy is established by synthesizing polyethyleneimine capped copper nanoclusters (PEI-Cu NCs) with abundant -NH₂ groups. By carefully controlling the size and structure of PEI-Cu NCs, Förster resonance energy transfer (FRET) from PEI-Cu NCs to the Meisenheimer complex occurs resulting from their spectral overlap when detecting TNT, while, due to the energy level match of TNP with PEI-Cu NCs, as well as the strong affinity between its -OH and -NH₂ in PEI-Cu NCs, photo-induced electron transfer (PET) is feasibly expected. As a result, TNT and TNP could be detected from 26 types of analogues and cations with a limit of detection (LOD) of 26.57 and 12.82 nM, respectively. Besides, owing to the brown color of the Meisenheimer complex, the discrimination of TNT and TNP could be additionally realized by colorimetric detection. We expect that the proposed methodology would not only shine light on the detection and discrimination of TNT and TNP that mitigate against public security concerns, but also pave a way for the deep understanding of FRET and PET related fluorescence quenching mechanisms from the aspect of controllable sensing material design and synthesis.

Antimony release and volatilization from rice paddy soils: Field and microcosm study

The fate of antimony (Sb) in submerged soils and the impact of common agricultural practices (e.g., manuring) on Sb release and volatilization is understudied. We investigated porewater Sb release and volatilization in the field and laboratory for three rice paddy soils. In the field study, the porewater Sb concentration (up to 107.1 μg L^-1) was associated with iron (Fe) at two sites, and with pH, Fe, manganese (Mn), and sulfate (SO₄^2-) at one site. The surface water Sb concentrations (up to 495.3 ± 113.7 μg L^-1) were up to 99 times higher than the regulatory values indicating a potential risk to aquaculture and rice agriculture. For the first time, volatile Sb was detected in rice paddy fields using a validated quantitative method (18.1 ± 5.2 to 217.9 ± 160.7 mg ha^-1 y^-1). We also investigated the influence of two common rice agriculture practices (flooding and manuring) on Sb release and volatilization in a 56-day microcosm experiment using the same soils from the field campaign. Flooding induced an immediate, but temporary, Sb release into the porewater that declined with SO₄^2-, indicating that SO₄^2- reduction may reduce porewater Sb concentrations. A secondary Sb release, corresponding to Fe reduction in the porewater, was observed in some of the microcosms. Our results suggest flooding-induced Sb release into rice paddy porewaters is temporary but relevant. Manuring the soils did not impact the porewater Sb concentration but did enhance Sb volatilization. Volatile Sb (159.6 ± 108.4 to 2237.5 ± 679.7 ng kg^-1 y^-1) was detected in most of the treatments and was correlated with the surface water Sb concentration. Our study indicates that Sb volatilization could be occurring at the soil-water interface or directly in the surface water and highlights that future works should investigate this potentially relevant mechanism.

Highly Retentive, Anti-Interference, and Covert Individual Marking Taggant with Exceptional Skin Penetration

The development of high-performance individual marking taggants is of great significance. However, the interaction between taggant and skin is not fully understood, and a standard for marking taggants has yet to be realized. To achieve a highly retentive, anti-interference, and covert individual marking fluorescent taggant, Mn²⁺ -doped NaYF₄ :Yb/Er upconversion nanoparticles (UCNPs), are surface-functionalized with polyethyleneimine (PEI) to remarkably enhance the interaction between the amino groups and skin, and thus to facilitate the surface adhesion and chemical penetration of the taggant. Electrostatic interaction between PEI₆₀₀ -UCNPs and skin as well as remarkable penetration inside the epidermis is responsible for excellent taggant retention capability, even while faced with robust washing, vigorous wiping, and rubbing for more than 100 cycles. Good anti-interference capability and reliable marking performance in real cases are ensured by an intrinsic upconversion characteristic with a distinct red luminescent emission under 980 nm excitation. The present methodology is expected to shed light on the design of high-performance individual marking taggants from the perspective of the underlying interaction between taggant and skin, and to help advance the use of fluorescent taggants for practical application, such as special character tracking.

Analysis of the Therapeutic Effect of Multimode Mechanical Thrombectomy in the Treatment of Acute Ischemic Stroke

OBJECTIVE

We sought to observe the effectiveness and safety of multimode mechanical thrombectomy in the treatment of acute ischemic stroke.

METHODS

The data from patients with acute intracranial artery occlusion treated with multimode mechanical thrombectomy between November 2018 and December 2019 were collected, and the clinical features, imaging data, treatment, and clinical follow-up results 90 days after the operation were analyzed. Postoperative recanalization and the 90-day modified Rankin Scale score were used as clinically effective endpoints. The incidence of symptomatic intracranial hemorrhage within 72 hours and postoperative 90-day mortality were used to evaluate safety.

RESULTS

A total of 70 patients were enrolled, including 18 cases with bridging treatment, 11 cases with stent implantation, and 10 cases with balloon dilatation. During the 90 days of follow-up after surgery, 35.7% of (25/70) patients had a good prognosis (modified Rankin Scale score of 0-2). The incidence of postoperative symptomatic intracranial hemorrhage was 11.4% (8/70), and postoperative mortality was 34.3% (24/70). The onset-to-puncture time in the good-prognosis group and the poor-prognosis group was 270 (225-345) versus 330 (270-420) minutes, respectively, and the onset-to-recanalization time in the 2 groups was 350 (295-405) versus 410 (340-470) minutes, respectively. Successful recanalization in the good-prognosis group and the poor-prognosis group was 96.0% versus 57.8%, respectively, and the incidence of symptomatic intracranial hemorrhage in the 2 groups was 0% versus 17.8%, respectively. The difference between the 2 groups was statistically significant (P < 0.05).

CONCLUSIONS

Multimode mechanical thrombectomy is a safe and effective therapy for the intracranial occlusion of large vessels in patients with acute ischemic stroke.

Leveraging Pt/Ce1-xLaxO2-δ To Elucidate Interfacial Oxygen Vacancy Active Sites for Aerobic Oxidation of 5-Hydroxymethylfurfural

The interfacial oxygen-defective sites of oxide-supported metal catalysts are generally regarded as active centers in diverse redox reactions. Identification of their structure-property relationship at the atomic scale is of great importance but challenging. Herein, a series of La³⁺-doped three-dimensionally ordered macroporous CeO₂ (3D-Ce_1-xLa_xO_2-δ) were synthesized and applied as supports for Pt nanoparticles. The pieces of evidence from a suite of in-situ/ex-situ characterizations and theoretical calculations revealed that the La³⁺-mono-substituted La-□(-Ce)₂ sites (where □ represents an oxygen vacancy) exhibited superior charge transfer ability, behaving as trapping centers for Pt nanoparticles. The resulting interfacial Pt^δ+/La-□(-Ce)₂ sites served as the reversible active species in the aerobic oxidation of 5-hydroxymethylfurfural to boost catalytic performance by simultaneously promoting oxygen activated capacity and the cleavage of O-H/C-H bonds of adsorbed hydroxymethyl groups. Consequently, the Pt/3D-Ce_0.9La_0.1O_2-δ catalyst possessing the highest number of Pt^δ+/La-□(-Ce)₂ sites showed the best catalytic performance with 99.6% yield to 2,5-furandicarboxylic acid in 10 h. These results offer more insights into the promoting mechanism of interfacial oxygen-defective sites for the liquid-phase aerobic oxidation of aldehydes and alcohols.

Ultrasensitive and rapid colorimetric detection of urotropin boosted by effective electrostatic probing and non-covalent sampling

Leakage and contamination of hazardous chemical substances have been widely recognized as the critical issue in ensuring human health, maintaining environmental sustainability, and safeguarding public security. Urotropin as a crucial raw material in industrial holds a potential threat to aquatic/atmospheric environment with refractory degradation problem, hence, there remains a severe challenge to effectively and on-site monitor urotropin. Here, a general design with all-in-one strategy was presented, in which a highly integrated "pocket sensing chip" combining a sampling unit and a detecting unit together endows a rapid and ultrasensitive colorimetric detection without dead-zone towards urotropin. By loading fast blue B as sensing reagent in the detecting unit, a moderate and sensitive detection towards urotropin via electrostatic interaction was achieved with detection limits of 9 μM for liquid and 17.19 ng for particulates. Furthermore, an expandable sensing chip for the purpose of simultaneously screening on multi-target exhibited remarkable applicability for examining suspicious objects with all sorts of surface in real scenes, being unacted on environmental complexity. We expect this design would provide a universal strategy and the high referential value to propel the development of handy and portable sensing device to efficiently screen the environmental relevant critical substance on-site.

Complete Inhibition of the Rotation in a Barrierless TICT Probe for Fluorescence-On Qualitative Analysis

Inhibition of twisting intramolecular charge transfer (TICT) is one of the most attractive methods for fluorescence-on analysis, whereas it remains enigmatic whether the fluorescence in a TICT-based probe could be thoroughly lightened. Here, for maximizing the fluorescence-on signal of the TICT-based probe, we develop a model by employing chemical reaction to directly cleave the linkage between the rotational electron donor and acceptor with a predisposed fluorescent signal close to zero. To validate this assumption, a nonfluorescent probe with barrierless rotation is successfully achieved by grafting acryloyl with -C═C- recognition sites onto coumarin, and 7-hydroxycoumarin with bright blue fluorescence could be released within 3 s upon probing KMnO₄ with an amount as low as 0.95 nM and 6.6 pg. We believe that the present strategy could not only deepen the insights of photochemistry but also facilitate the development of a theranostic drug delivery system, energy conversion, pollution control, and health risk reduction.

The lithological characteristics of natural gas hydrates in permafrost on the Qinghai of China

The environment is seriously threatened by the methane emitted as permafrost melts. Studying deposits of natural gas hydrates that include methane is therefore important. This study presents a novel approach based on the rock Archie formula to discover the porosity and saturation of gas hydrates. The relationship between resistivity and porosity and the porosity of hydrates was studied, and the results showed that the resistivity of hydrate reservoirs was closely related to porosity and hydrate saturation, and the polarization rate was only related to the concentration of natural gas hydrates and had nothing to do with porosity. Using the multi-channel time domain induced polarization (MTIP) method, the profile with five boreholes in the Muli area of the permafrost area of the Qinghai-Tibet Plateau was observed, and the thickness of the shallow permafrost distribution and the underground structure were inferred based on the resistivity of the MTIP data. The polarization rate and hydrate saturation of the inversion assessed the presence of hydrates in the Muli region. The results show that the MTIP method can be used to detect the thickness of permafrost distribution, determine fault boundaries, reveal the distribution of natural gas transport paths, and evaluate the presence of natural gas hydrates.

Electronic Tuning in Reaction-Based Fluorescent Sensing for Instantaneous and Ultrasensitive Visualization of Ethylenediamine

Manipulation of a multi-physical quantity to steer a molecular photophysical property is of great significance in improving sensing performance. Here, an investigation on how a physical quantity rooted in the molecular structure induces an optical behavior change to facilitate ultrasensitive detection of ethylenediamine (EDA) is performed by varying a set of thiols. The model molecule consisting of a thiol with dual-carboxyl exhibits the strongest fluorescence, which is ascribed to the electron-donating ability and prompted larger orbital overlap and oscillator strength. The elevated fluorescence positively corelated to the increased EDA, endowing an ultrasensitive response to the nanomolar-liquid/ppm-vapor. A gas detector with superior performance fulfills a contactless and real-time management of EDA. We envisage this electron-tuning strategy-enabled fluorescence enhancement can offer in-depth insight in advancing molecule-customized design, further paving the way to widening applications.

D-π-A Dual-Mode Probe Design for the Detection of nM-Level Typical Oxidants

Although a set of functional molecules with the D-π-A structure has been explored as optical probes for the detection of target analytes, it remains a great challenge to elaborately design a single probe for distinguishing different analytes by their intrinsic oxidation or reduction capabilities and thus to generate distinct optical responses. Here, a unique TCF-based probe (DMA-CN) containing two unsaturated double bonds in the π-conjugation bridge and TCF with different reaction activities that could be cut off by KMnO₄ and NaClO in varying degrees was developed, causing remarkably distinguishable responses for both fluorescence and colorimetric channels to discriminate KMnO₄ and NaClO from each other. The fluorescence and colorimetric limits of detection (LODs) of the proposed DMA-CN toward KMnO₄ were calculated as 60 and 91 nM, respectively, while those for NaClO were 13.3 and 214 nM, and all the optical signal change can be observed within 1 s with good specificity. Based on the proposed probe design strategy, a well-fabricated test strip was proven to be promising for the rapid, in-field detection and risk management. We expect that the present probe design methodology would provide a powerful strategy for efficient probe exploration, especially for discriminating the substances with similar oxidizing properties.

[Relationship between white matter lesions and theresponse of cerebral spinal fluid tap test and clinical features in the patients with idiopathic normal pressure hydrocephalus]

Objective: To explore the relationship between white matter lesions and clinical features and response of cerebral spinal fluid (CSF) tap test in patients with idiopathic normal pressure hydrocephalus(iNPH). Methods: Possible iNPH patients were enrolled from outpatients and inpatients in Peking Union Medical College Hospital between 2014 and 2019. All patients underwent detailed neuropsychological and walking assessments, CSF tap test, as well as head magnetic resonance imaging. The Fazekas score of white matter lesions, the fractional anisotropy (FA)and mean diffusivity (MD) values of regions of interest by means ofdiffusion tensor imaging (DTI) were compared between CSF tap test positive and negative response groups. The correlation between DTI parameters and clinical characteristics was analyzed. Results: Forty-three patients (29 male and 14 female, age range: 52-79 years] wererecruited.Compared with the negative group, patients in the positive group tended to have higher Fazekas score of periventricular white matter(U=108.00, P=0.03), higher MD value of the region near anterior horn of left lateral ventricles[(1.14±0.27)×10^-9mm²/s vs (0.85±0.08) ×10^-9mm²/s, P=0.003], lower FA value of the region near anterior horn of the right lateral ventricles[(0.20±0.07)vs(0.27±0.09), P=0.058], and higher MD value near the posterior horn of right lateral ventricle [(1.17±0.34)×10^-9mm²/s vs (0.95±0.01)×10^-9mm²/s, P=0.003]. FA and MD were significantly correlated with motor function, cognitive and functional scores, and iNPH grading scale (iNPHGS) scores(all P<0.05). Conclusions: The white matter lesions might be one of the pathogeneses of lNPH and apathological changewhich can be reversed by CSF drainage. More white matter lesions should not be the contraindication of CSF drainage surgery.

Nanosheet-assembled NiCo-LDH hollow spheres as high-performance electrodes for supercapacitors

Layered double hydroxides (LDHs) have been considered as favorable pseudocapacitive electrode materials for supercapacitors due to their tunable layered structure/compositions and low cost. Here, we report the NiCo-LDH hollow spheres prepared with Co-glycerate as the sacrificial template and cobalt source. The hollow spheres are assembled with frizzy NiCo-LDH nanosheets, where the hollow structure can inhibit agglomeration of the LDH nanosheets to expose more active sites and shorten the diffusion path of electrolyte ions. The prepared NiCo-LDH hollow spheres show a high specific capacitance of 1962 F g^-1 at 1 A g^-1 and good capacitance retention rate of 66.4 % at 30 A g^-1. The asymmetric supercapacitors fabricated using NiCo-LDH hollow spheres as positive electrode yields a large energy density 62.9 Wh kg^-1 at the power density of 0.8 kW kg^-1. This research may develop a facile synthesis way to prepare LDH hollow spheres for supercapacitors.

Facile Synthesis of Heterostructured MoS2-MoO3 Nanosheets with Active Electrocatalytic Sites for High-Performance Lithium-Sulfur Batteries

In order to overcome the shuttling effect of soluble polysulfides in lithium-sulfur (Li-S) batteries, we have designed and synthesized a creative MoS₂-MoO₃/carbon shell (MoS₂-MoO₃/CS) composite by a H₂O₂-enabled oxidizing process under mild conditions, which is further used for separator modification. The MoS₂-MoO₃ heterostructures can conform to the CS morphology, forming two-dimensional nanosheets, and thus shorten the transport path of lithium ion and electrons. Based on our theoretical calculations and experiments, the heterostructures show strong surface affinity toward polysulfides and good catalytic activity to accelerate polysulfide conversion. Benefiting from the above merits, the Li-S battery with a MoS₂-MoO₃/CS modified separator exhibits good electrochemical performance: it delivers a high discharge capacity of 1531 mAh g^-1 at 0.2 C; the initial capacity can be maintained by 92% after 600 cycles at 1 C, and the discharge capacity decay rate is only 0.0135% per cycle. Moreover, the MoS₂-MoO₃/CS battery still achieves good cycling stability with 78% capacity retention after 100 cycles at 0.2 C with a high sulfur loading of 5.9 mg cm^-2. This work offers a facile design to construct the MoS₂-MoO₃ heterostructures for high-performance Li-S batteries, and may also improve one's understanding on the heterostructure contribution during polysulfide adsorption and conversion.

Piezo-Photocatalysis over Metal-Organic Frameworks: Promoting Photocatalytic Activity by Piezoelectric Effect

The built-in electric field can be generated in the piezoelectric materials under mechanical stress. The resulting piezoelectric effect is beneficial to charge separation in photocatalysis. Meanwhile, the mechanical stress usually gives rise to accelerated mass transfer and enhanced catalytic activity. Unfortunately, it remains a challenge to differentiate the contribution of these two factors to catalytic performance. Herein, for the first time, isostructural metal-organic frameworks (MOFs), i.e., UiO-66-NH₂ (Zr) and UiO-66-NH₂ (Hf), are adopted for piezo-photocatalysis. Both MOFs, featuring the same structures except for diverse Zr/Hf-oxo clusters, possess distinctly different piezoelectric properties. Strikingly, UiO-66-NH₂ (Hf) exhibits ≈2.2 times of activity compared with that of UiO-66-NH₂ (Zr) under simultaneous light and ultrasonic irradiation, though both MOFs display similar activity in the photocatalytic H₂ production without ultrasonic irradiation. Given their similar pore features and mass transfer behaviors, the activity difference is unambiguously assignable to the piezoelectric effect. As a result, the contributions of the piezoelectric effect to the piezo-photocatalysis can be clearly distinguished owing to the stronger piezoelectric property of UiO-66-NH₂ (Hf).

Insight into skywave theory and breakthrough applications in resource exploration

Skywave refers to the electromagnetic wave reflected or refracted from the ionosphere and propagated in the form of a guided wave between the ionosphere and the Earth's surface. Since the skywave can propagate over large distances, it has been widely used in long-distance communication. This paper explores and demonstrates the feasibility of skywave for deep resource and energy exploration at depths of up to 10 km. Theoretical and technical advancements were accomplished in furthering skywave applications. A new solution method based on Green's function has been developed to study skywave propagation in a fully coupled lithosphere-air-ionosphere full space model. For the first time, the model allows one to study skywave distribution characteristics in the lithosphere containing inhomogeneity such as ore deposits or oil and gas reservoirs. This model also lays a foundation for skywave data processing and interpretation. On a parallel line, we have developed a multi-channel, broadband, low-noise, portable data acquisition system suitable for receiving skywave signals. Using the skywave field excited by a high-power fixed source located in central China, actual field surveys have been carried out in some areas in China including the Biyang depression of Henan Province. The initial results appear encouraging-the interpreted resistivity models prove to be consistent with those of seismic exploration and known geological information, and the exploration cost is only ∼1/4 to 1/10 that of seismic surveys. These initial successful applications of the skywave theory lay a solid foundation for further verification of the new method.

Longitudinal course and phenotypes of health-related quality of life in adults with atopic dermatitis

BACKGROUND

The real-world course of health-related quality of life (HRQoL) in atopic dermatitis (AD) is not well established.

AIM

To examine predictors, longitudinal course and phenotypes of HRQoL in adult patients with AD.

METHODS

This was a prospective dermatology-practice based study of 955 patients with AD (age 18-97 years). Patients were assessed at baseline and approximately 6, 12, 18 and 24 months. HRQoL was assessed using the 10-item short-form Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health (PGH). AD severity and impact was assessed by patient-reported global AD severity, Patient-Oriented Eczema Measure (POEM), Eczema Area and Severity Index (EASI), Objective SCORing Atopic Dermatitis (O-SCORAD), Investigator's Global Assessment (IGA), Numerical Rating Scale (NRS) average and worst itch, PROMIS sleep-related impairment (SRI), and nine-item Patient Health Questionnaire (PHQ)-9. Repeated-measures regression models were constructed to examine itch over time.

RESULTS

In multivariable linear regression models controlling for age, race/ethnicity, history of asthma, hay fever and food allergy, baseline PGH-physical (PGH-P4) T scores were inversely associated with patient-reported global AD severity, POEM, EASI, objective SCORAD, IGA, NRS average and worst itch, PROMIS SRI and PHQ-9, with stepwise decreases of physical health with worsening severity. PGH-mental health (PGH-M4) T scores were associated with all aforementioned severity measures aside from POEM. In multivariable repeated measures linear regression models, decreased PGH-P4 and PGH-M4 T scores and mapped five-dimension EuroQoL over time were associated with self-reported global AD severity, NRS worst and mean itch, POEM, PROMIS sleep disturbance and SRI, EASI, objective SCORAD, IGA and PHQ-9. Latent class analysis identified six classes of HRQoL, which were associated with measures of AD severity, nonwhite race, Hispanic ethnicity and having only public health insurance, but not age or sex.

CONCLUSION

Patients with AD have a heterogeneous longitudinal course and distinct patterns of HRQoL. Many patients had fluctuating HRQoL over time. Most patients with moderate to severe disease at baseline had persistent HRQoL impairment over time.

Establishment of a nomogram prediction model for long diameter 10-15 mm gallbladder polyps with malignant tendency

BACKGROUND

Surgical indications for the treatment of gallbladder polyps are controversial. Evaluation of gallbladder polyps with malignant tendency and indications for cholecystectomy in patients with long diameter polyps of 10 to 15 mm require further analysis and discussion. In this study, our objective was to re-evaluate indications for the surgical resection of gallbladder polyps and construct a nomogram model for the prediction of gallbladder polyps with malignant tendency.

METHODS

Clinicopathologic data of 2,272 patients who had undergone cholecystectomy for gallbladder polyps were collected from 11 medical centers in China. Risk factor analyses and nomogram prediction model for gallbladder polyps with malignant tendency were conducted.

RESULTS

Excluding 311 patients with cholelithiasis and 488 patients with long diameter polyps ≤5 and >15 mm, factors that differed significantly among patients with gallbladder polyps having a long diameter of 6 to 9 mm (885 cases) and 10 to 15 mm (588 cases) were polyp detection time, CEA and CA19-9 levels, number of polyps, fundus, echogenicity, gallbladder wall thickness and postoperative pathologic features (P < .05). Among 588 patients with gallbladder polyps with a long diameter of 10 of 15 mm, multivariate analysis indicated the following independent risk factors of gallbladder polyps with malignant tendency: single polyps (OR = 0.286/P < .001), polyps with broad base (OR = 2.644/P = .001), polyps with medium/low echogenicity (OR = 2.387/P = .003), and polyps with short diameter of 7 to 9 or 10 to 15 mm (OR = 3.820/P = .005; OR = 2.220/P = .048, respectively). The C-index of the nomogram model and internal validation were .778 and .768, respectively. In addition, a sample online calculator for the nomogram prediction model had been created (https://docliqi.shinyapps.io/dynnom/).

CONCLUSION

Indications for cholecystectomy in patients with gallbladder polyps with a long diameter of 10 to 15 mm should be assessed by combining the information on short diameter, number of polyps, fundus, and echogenicity. The nomogram model can be used to predict the risk for the development of gallbladder polyps with malignant tendency.

Sulfonated covalent organic framework modified separators suppress the shuttle effect in lithium-sulfur batteries

Lithium-sulfur batteries (LSBs) have gained intense research enthusiasm due to their high energy density. Nevertheless, the 'shuttle effect' of soluble polysulfide (a discharge product) reduces their cycling stability and capacity, thus restricting their practical application. To tackle this challenging issue, we herein report a sulfonated covalent organic framework modified separator (SCOF-Celgard) that alleviates the shuttling of polysulfide anions and accelerates the migration of Li⁺ions. Specifically, the negatively charged sulfonate can inhibit the same charged polysulfide anion through electrostatic repulsion, thereby improving the cycle stability of the battery and preventing the Li-anode from being corroded. Meanwhile, the sulfonate groups may facilitate the positively charged lithium ions to pass through the separator. Consequently, the battery assembled with the SCOF-Celgard separator exhibits an 81.1% capacity retention after 120 cycles at 0.5 C, which is far superior to that (55.7%) of the battery with a Celgard separator. It has a low capacity degradation of 0.067% per cycle after 600 cycles at 1 C, and a high discharge capacity (576 mAh g^-1) even at 2 C. Our work proves that the modification of a separator with a SCOF is a viable and effective route for enhancing the electrochemical performance of a LSB.

Exogenous selenium (cadmium) inhibits the absorption and transportation of cadmium (selenium) in rice

Antagonism between selenium (Se) and cadmium (Cd) has been demonstrated in plants. However, a mutual suppression threshold for Se and Cd has not been identified in previous studies using Cd or Se individually. To fill this knowledge gap, we determined the levels of Se and Cd in various tissues of rice under concentration gradients of Se and Cd with different Se application times via hydroponic experiments. The results showed that the application of exogenous Se or Cd reduced the uptake and transport of the other. When the molar ratio of Se/Cd (R (Se/Cd)) was higher than 1, the concentration and transfer factor of Cd (TF-Cd) in all parts of rice simultaneously reached the lowest values. The minimum Se absorption in rice was obtained at R (Cd/Se) greater than 20, while no inhibition threshold was found for Se transport. In addition, approximately 1:1 R (Se/Cd) was observed in roots and the addition of exogenous Cd or Se promoted the enrichment of the other element in roots. These data suggested a mutual inhibition of Se and Cd in their absorption, transportation and accumulation in rice, which might be related to the formation of insoluble Cd-Se complexes in roots. This study provided new insights into a plausible explanation of the interactions between Se and Cd and contributed to the remediation and treatment of combined Se and Cd pollution in farmland systems.

What are the best endpoints for Eczema Area and Severity Index and Scoring Atopic Dermatitis in clinical practice? A prospective observational study

BACKGROUND

Multiple strategies have been used to evaluate the minimal important change (MIC) of the Eczema Area and Severity Index (EASI) and Scoring Atopic Dermatitis (SCORAD). The meaningfulness of these MICs is not well established across all severities of atopic dermatitis (AD).

OBJECTIVES

To determine the MIC of percentage and absolute improvement of EASI and SCORAD scores in adults and children with AD.

METHODS

We performed a prospective dermatology practice-based study using questionnaires and evaluation by a dermatologist (n = 826). An anchor-based approach was used to determine thresholds for the percentage and absolute MICs of EASI, SCORAD and objective SCORAD (O-SCORAD) at follow-up from baseline.

RESULTS

One-grade improvements of Physician's Global Assessment (PGA) and validated Investigator Global Assessment scale for AD (vIGA-AD) were associated with 50%, 35% and 35% decreases of EASI, SCORAD and O-SCORAD, respectively. The thresholds for percentage MIC of EASI (Kruskal-Wallis test, P = 0·61), SCORAD (P = 0·07) and O-SCORAD (P = 0·09) were similar across baseline AD severities. One-grade improvements of PGA and vIGA-AD were associated with 14·0- and 14·9-point decreases of EASI, 19·9- and 14·9-point decreases of SCORAD, and 15·5- and 17·4-point decreases of O-SCORAD. The thresholds for the absolute MIC of EASI (P < 0·001), SCORAD (P < 0·001) and O-SCORAD (P < 0·001) significantly differed by baseline AD severity. Percentage and absolute MICs for EASI and SCORAD were associated with improvements of AD symptoms and quality of life.

CONCLUSIONS

EASI 50, SCORAD 35 and O-SCORAD 35 were meaningful percentage MICs regardless of baseline AD severity. The absolute MICs for EASI, SCORAD and O-SCORAD varied by baseline AD severity.