A novel metal-organic framework based electrochemical immunosensor for the rapid detection of Salmonella typhimurium detection in milk

Salmonella is one of the most prevalent pathogens causing foodborne diseases. In this study, a novel electrochemical immunosensor was designed for the rapid and accurate detection of Salmonella typhimurium (S. typhimurium) in milk. Platinum nanoparticles and Co/Zn-metal-organic framework @carboxylic multiwalled carbon nanotubes in the immunosensor acted synergistically to enhance the sensing sensitivity and stability. The materials and sensors were characterised using X-ray diffractometry, scanning electron microscopy, Fourier-transform infrared spectroscopy, differential pulse voltammetry, cyclic voltammetry, and other techniques. The optimised immunosensor showed a linear response for S. typhimurium concentrations in the range from 1.3 × 102 to 1.3 × 108 CFU mL-1, with a detection limit of 9.4 × 101 CFU mL-1. The assay also demonstrates good specificity, reproducibility, stability, and practical application potential, and the method can be extended to other foodborne pathogens.

CuO (111) Microcrystalline Evoked Indium-Organic Framework for Efficient Electroreduction of CO2 to Formate

Electrochemical reduction of carbon dioxide (CO2RR) to formate is economically beneficial but suffers from poor selectivity and high overpotential. Herein, enriched microcrystalline copper oxide is introduced on the surface of indium-based metal-organic frameworks. Benefiting from the CuO (111) microcrystalline shell and formed catalytic active In-Cu interfaces, the obtained MIL-68(In)/CuO heterostructure display excellent CO2RR to formate with a Faradaic efficiency (FE) as high as 89.7% at low potential of only -0.7 V vs. RHE in a flow cell. Significantly, the membrane electrode assembly (MEA) cell based on MIL-68(In)/CuO exhibit a remarkable current density of 640.3 mA cm-2 at 3.1 V and can be stably operated for 180 h at 2.7 V with a current density of 200 mA cm-2. The ex/in situ electrochemical investigations reveal that the introduction of CuO increases the formation rate of the carbon dioxide reduction intermediate *HCOO- and inhibits the competitive hydrogen evolution reaction. This work not only provides an in-depth study of the mechanism of the CO2RR pathways on In/Cu composite catalyst but also offers an effective strategy for the interface design of electrocatalytic carbon dioxide reduction reaction.

Low thermal contact resistance boron nitride nanosheets composites enabled by interfacial arc-like phonon bridge

Two-dimensional materials with ultrahigh in-plane thermal conductivity are ideal for heat spreader applications but cause significant thermal contact resistance in complex interfaces, limiting their use as thermal interface materials. In this study, we present an interfacial phonon bridge strategy to reduce the thermal contact resistance of boron nitride nanosheets-based composites. By using a low-molecular-weight polymer, we are able to manipulate the alignment of boron nitride nanosheets through sequential stacking and cutting, ultimately achieving flexible thin films with a layer of arc-like structure superimposed on perpendicularly aligned ones. Our results suggest that arc-like structure can act as a phonon bridge to lower the contact resistance by 70% through reducing phonon back-reflection and enhancing phonon coupling efficiency at the boundary. The resulting composites exhibit ultralow thermal contact resistance of 0.059 in2 KW-1, demonstrating effective cooling of fast-charging batteries at a thickness 2-5 times thinner than commercial products.

Precutting Endoscopic Band Ligation-Assisted Resection Is Safe and Effective for Treating Gastric Submucosal Tumors from the Muscularis Propria

BACKGROUND

We previously treated small gastric submucosal tumors originating from the muscularis propria layer by precutting endoscopic band ligation but lacked precise pathological results. Then, precutting endoscopic band ligation was modified by additional snare resection after ligation to obtain tumor specimens, termed precutting endoscopic band ligation-assisted resection.

AIMS

In this study, we aimed to explore the safety, feasibility, and efficacy of precutting endoscopic band ligation-assisted resection.

METHODS

From 2021 to 2022, a total of 16 consecutive patients underwent precutting endoscopic band ligation-assisted resection to treat small gastric submucosal tumors originating from the muscularis propria. The clinical demography, perioperative data, and follow-up outcomes were retrospectively collected.

RESULTS

With a mean operative time of 21.3 min, all lesions were successfully and completely resected, and no severe adverse events or local recurrences occurred postoperatively. More importantly, en bloc and R0 resection were achieved in all 16 patients.

CONCLUSION

Precutting endoscopic band ligation-assisted resection is a safe, effective, and time-saving endoscopic technique for managing gastric small gastric submucosal tumors originating from the muscularis propria for both diagnosis and eradication.

Precutting endoscopic band ligation-assisted resection versus endoscopic submucosal dissection in patients with small gastric submucosal tumors originating from the muscularis propria: study protocol of a randomized controlled trial

BACKGROUND

The management of small gastric submucosal tumors (SMTs) originating from the muscularis propria layer (SMT-MPs) remains a subject of debate. Endoscopic submucosal dissection (ESD) is currently considered the optimal treatment for resection. However, high expenses, complex procedures, and the risk of complications have limited its application. Our previously proposed novel operation, precutting endoscopic band ligation (precutting EBL), has been demonstrated in a long-term, single-arm study to be an effective and safe technique for removing small gastric SMTs. However, the absence of a pathological examination and the potential for delayed perforation have raised concerns. Thus, we modified the precutting EBL by adding endoscopic resection to the snare after ligation and closure, yielding the precutting endoscopic band ligation-assisted resection (precutting EBLR). Moreover, the initial pilot study confirmed the safety and efficacy of the proposed approach and we planned a randomized controlled trial (RCT) to further validate its clinical feasibility.

METHODS

This was a prospective, single-center, open-label, parallel group, and randomized controlled trial. Approximately 40 patients with SMT-MPs will be included in this trial. The patients included were allocated to two groups: ESD and precutting EBLR. The basic clinical data of the patients were collected in detail. To better quantify the difference between ESD and precutting EBLR, the primary outcome was set as the operation duration. The secondary outcomes included total operation cost and hospitalization, intraoperative adverse events, and postoperative recurrence. The primary outcome was tested for superiority, while the secondary outcomes were tested for noninferiority. SPSS is commonly used for statistical analysis.

DISCUSSION

This study was designed to validate the feasibility of a novel operation for removing gastric SMT-MPs. To intuitively assess this phenomenon, the operation durations of precutting EBLR and ESD were compared, and other outcomes were also recorded comprehensively.

TRIAL REGISTRATION

Chinese Clinical Trial Registry ChiCTR2200065473 . Registered on November 5, 2022.

A retrospective cohort study on the efficacy and safety of percutaneous vertebroplasty combined with bone-filling mesh container in vertebral metastases with posterior wall defect

Background

To evaluate the clinical safety and efficacy of percutaneous vertebroplasty (PVP) combined with bone-filling mesh containers (BFMCs) for vertebral metastases with posterior wall defect.

Methods

From January 2019 to December 2021, patients with vertebral metastases and posterior wall defect who received BFMCs combined with PVP were included. The visual analog scale (VAS) scores and Oswestry disability index (ODI) scores were evaluated before and 72 hours after the operation, respectively. Post-operational X-ray and computed tomography (CT) scans were conducted to observe bone cement leakage, and complications were recorded. Follow-up CT and magnetic resonance imaging (MRI) were conducted to evaluate the condition of the operated vertebrae and the recurrence or progression of other bone metastases.

Results

A total of 43 patients with 44 operated vertebrae were included. All patients successfully completed the surgery. The average VAS score decreased from 7.35 ± 0.78 to 1.63 ± 0.93 (p < 0.05), and the ODI score decreased from 80.06 ± 8.91 to 32.5 ± 4.87 (p < 0.05). Bone cement leakage was observed in 18 operated vertebrae, which were all asymptomatic. No intraspinal leakage, post-operative spinal nerve compression, pulmonary embolism, or other serious complications were recorded. A total of 21 patients had a follow-up of more than 1 year, with no operated vertebral progression, 13 target vertebrae showed obvious sclerosis and necrosis, and no adjacent pathological fracture occurred. Of these patients, 16 had different degrees of bone metastasis of other sites other than the operated vertebrae.

Conclusion

For spinal metastases with posterior wall defect, PVP combined with BFMCs was highly safe and can effectively relieve pain for patients. A 1-year follow-up showed a local antitumor effect.

Correlation of endoplasmic reticulum stress patterns with the immune microenvironment in hepatocellular carcinoma: a prognostic signature analysis

Backgrounds

The extended duration of endoplasmic reticulum stress (ERS) can impact the progression of hepatocellular carcinoma (HCC) and the efficacy of immunotherapies by interacting with immune cells that have infiltrated the tumor microenvironment (TME).

Methods and results

The study utilized a training cohort of 364 HCC patients with complete information from The Cancer Genome Atlas Program (TCGA) database, and a validation cohort of 231 HCC patients from the International Cancer Genome Consortium (ICGC) database. The genes related to ERS exhibiting a strong correlation with overall survival (OS) were identified using univariate Cox regression analysis. A 13-gene predictive signature was then produced through the least absolute shrinkage and selection operator (LASSO) regression approach. The data revealed that the ERS-associated gene signature effectively stratified patients into high- or low-risk groups regarding OS in both the training and validation cohorts (P < 0.0001 and P = 0.00029, respectively). Using the multivariate method, it is still an independent prognostic factor in both the training and validation cohorts (P < 0.001 and P = 0.008, respectively). Moreover, several metabolic pathways were identified to be enriched among the 13 genes in the predictive signature. When the ERS-associated gene signature was combined with the tumor-node-metastasis (TNM) stage, the ERS nomogram performed better than either the gene signature or the TNM stage alone (C-index values: 0.731, 0.729, and 0.573, respectively). Further analysis revealed that patients in the high-risk group exhibited increased infiltration of immune cells. Additionally, GP6 was downregulated in HCC tissues among these signature genes (P < 0.05), which was related to poor OS.

Conclusions

The data suggest that this novel ERS-associated gene signature could contribute to personalized cancer management for HCC. Moreover, targeting GP6 inhibition might be a potential method for HCC therapy.

High-Efficiency Narrow-Band Green-Emitting Manganese(II) Halide for Multifunctional Applications

Zero-dimensional (0D) Mn2+-based metal halides used as luminescent materials and scintillators have become a research hotspot in the field of photoelectric materials and devices due to their unique composition, structure, and fluorescence properties. It is of great value to explore new Mn2+-based metal halides to achieve multifunctional applications. Herein, the novel 0D Mn2+-based metal halide single crystal (BPTP)2MnBr4 is synthesized by a simple solvent-antisolvent recrystallization method. Under excitation at 468 nm, the (BPTP)2MnBr4 single crystal shows a pronounced narrow-band green luminescence centered at 515 nm derived from the d-d transition of the Mn2+ ion. This emission has a relatively narrow full width at half maximum of 43 nm and a high photoluminescence quantum yield (PLQY) of 82%. In addition, (BPTP)2MnBr4 exhibits good thermal stability at 393 K with a retention of 79% of the initial photoluminescence intensity at 298 K. Benefiting from its strong blue light excitation, high PLQY, and good thermal stability, we manufacture an ideal white light-emitting diode (LED) device using a 460 nm blue LED chip, green-emitting (BPTP)2MnBr4, and commercial K2SiF6:Mn4+ red phosphor. Under 20 mA drive current, the LED shows a high luminous efficiency of 112 lm/W and a wide color gamut of 110.8%, according to the National Television System Committee standard. In addition, (BPTP)2MnBr4 crystals show a strong X-ray absorption. Based on the commercial Lu3Al5O12:Ce3+ scintillator, the calculated light yield of (BPTP)2MnBr4 reaches up to about 136,000 photons/MeV and the detection limit reaches 0.282 μGyair s-1. Additionally, a melt quenching approach is used to construct a (BPTP)2MnBr4 clear glass scintillation screen, realizing a spatial resolution of 10.1 lp/mm. The proper performances of (BPTP)2MnBr4 as phosphor-converted LED materials and the X-ray scintillator with the addition of eco-friendly, low-cost solution processability make 0D Mn2+-based metal halides potential luminescent materials for multifunctional applications.

Runx2 activates hepatic stellate cells to promote liver fibrosis via transcriptionally regulating Itgav expression

BACKGROUNDS AND AIMS

As a central event during liver fibrosis, hepatic stellate cells (HSC) have been thought to be a potential therapeutic target for liver fibrosis. Previous studies have shown that runt-related transcription factor 2 (Runx2) is associated with the development of non-alcoholic fatty liver disease, while its specific role in HSC activation and hepatic fibrosis remains elusive.

APPROACH AND RESULTS

In this study, we found that Runx2 expression was significantly upregulated in human liver fibrosis with different aetiologies. Runx2 expression was also gradually elevated in mouse liver during fibrosis, and Runx2 was mainly expressed in the activated HSC. Knockdown of Runx2 in HSC markedly alleviated CCl₄ -induced, 3,5-diethoxycarbonyl-1,4-dihydrocollidine-induced or methionine-choline deficient (MCD)-induced liver fibrosis, while hepatic overexpression of Runx2 via HBAAV-Runx2 or VA-Lip-Runx2 injection exacerbated CCl₄ -induced liver fibrosis. In vitro analysis demonstrated that Runx2 promoted HSC activation and proliferation, whereas Runx2 knockdown in HSC suppressed these effects. RNA-seq and Runx2 ChIP-seq analysis demonstrated that Runx2 could promote integrin alpha-V (Itgav) expression by binding to its promoter. Blockade of Itgav attenuated Runx2-induced HSC activation and liver fibrosis. Additionally, we found that cytokines (TGF-β1, PDGF, EGF) promote the expression and nuclear translocation of Runx2 through protein kinase A (PKA) in HSC.

CONCLUSIONS

Runx2 is critical for HSC activation via transcriptionally regulating Itgav expression during liver fibrosis, and may be a promising therapeutic target for liver fibrosis.

Composite cathode with low-defect NiFe Prussian blue analogue on reduced graphene oxide for aqueous sodium-ion hybrid supercapacitors

Although sodium-ion hybrid supercapacitor (Na-ion HSC) has attracted great interest, exploitation of suitable cathode materials for reversible Na⁺ insertion reaction remains a challenge. Herein, a novel binder-free composite cathode with highly crystallized NiFe Prussian blue analogue (NiFePBA) nanocubes in-situ grown on reduced graphene oxide (rGO) was fabricated via sodium pyrophosphate (Na₄P₂O₇)-assisted co-precipitation and the subsequent ultrasonic spraying and chemical reduction. Profiting from the low-defect PBA framework and close interface contact of PBA and conductive rGO, the NiFePBA/rGO/carbon cloth composite electrode exhibits a high specific capacitance of 451F g^-1, remarkable rate performance and satisfactory cycling stability in aqueous Na₂SO₄ electrolyte. Impressively, the aqueous Na-ion HSC assembled with the composite cathode and activated carbon (AC) anode manifests a high energy density of 51.11 Wh kg^-1, superb power density of 10 kW kg^-1 and the intriguing cycling stability. This work may open a door for scalable fabrication of binder-free PBA cathode material for aqueous Na-ion storage.

Malignant mediastinal mesothelioma treated with anlotinib: a case report and review of the literature

Malignant mesothelioma that originates from mediastinal (MMM) is a rare form of malignant pleural mesothelioma (MPM). The prognosis of advanced stage MPM was poor, and the traditional treatment was chemotherapy. Here, we present a patient with MMM that was treated with anlotinib, a multitargeted tyrosine kinase inhibitor (TKI) who had a 24-month progression-free survival (PFS). Further review of the literature showed that, despite some explorations of applying small-molecule multitargeted TKIs in the treatment of MPM, until today, no large series had a positive result. Anlotinib had been approved by the China Food and Drug Administration on treating non-small cell lung cancer, soft tissue sarcoma, renal cell carcinoma, and medullary thyroid cancer. We assumed that the ability of anlotinib to target more tyrosine kinase receptors than most of other TKIs could contribute to the long duration of PFS in this case, but further study is needed to further validate the efficacy of anlotinib in treatment of MPM.

[Methylated SDC2 testing in stool DNA for early screening of colorectal cancer in Shipai Town, Dongguan City]

Objective: To explore the utility of stool-based DNA test of methylated SDC2 (mSDC2) for colorectal cancer (CRC) screening in residents of Shipai Town, Dongguan City. Methods: This was a cross-sectional study. Using a cluster sampling method, residents of 18 villages in Shipai Town, Dongguan City were screened for CRC from May 2021 to February 2022. In this study, mSDC2 testing was employed as a preliminary screening method. Colonoscopy examination was recommended for individuals identified as high-risk based on the positive mSDC2 tests. The final screening results, including the rate of positive mSDC2 tests, the rate of colonoscopy compliance, the rate of lesions detection, and the cost-effectiveness of screening, were analyzed to explore the benefits of this screening strategy. Results: A total of 10 708 residents were enrolled and completed mSDC2 testing, giving a participation rate of 54.99% (10 708/19 474) and a pass rate of 97.87% (10 708/10 941). These individuals included 4 713 men (44.01%) and 5 995 women (55.99%) with a mean age of (54.52±9.64) years. The participants were allocated to four age groups (40-49, 50-59, 60-69, and 70-74 years), comprising 35.21%(3770/10 708), 36.25% (3882/10 708), 18.84% (2017/10 708), and 9.70% (1039/10 708) of all participants, respectively. mSDC2 testing was positive in 821/10 708 (7.67%) participants, 521 of whom underwent colonoscopy, resulting in a compliance rate of 63.46% (521/821). After eliminating of 8 individuals without pathology results, data from 513 individuals were finally analyzed. Colonoscopy detection rate differed significantly between age groups (χ²=23.155, P<0.001),ranging from a low of 60.74% in the 40-49 year age group to a high of 86.11% in the 70-74 year age group. Colonoscopies resulted in the diagnosis of 25 (4.87%) CRCs, 192 (37.43%) advanced adenomas, 67 (13.06%) early adenomas, 15 (2.92%) serrated polyps, and 86 (16.76%) non- adenomatous polyps. The 25 CRCs were Stage 0 in 14 (56.0%) individuals, stage I in 4 (16.0%), and Stage II in 7(28.0%). Thus, 18 of the detected CRCs were at an early stage. The early detection rate of CRCs and advanced adenomas was 96.77% (210/217). The rate of mSDC2 testing for all intestinal lesions was 75.05% (385/513). In particular, the financial benefit of this screening was 32.64 million yuan, and the benefit-cost ratio was 6.0. Conclusion: Screening for CRCs using stool-based mSDC2 testing combined with colonoscopy has a high lesion detection rate and a high cost-effectiveness ratio. This is a CRC screening strategy that deserves to be promoted in China.

A Malleable Composite Dough with Well-Dispersed and High-Content Boron Nitride Nanosheets

Aggregation of two-dimensional (2D) nanosheet fillers in a polymer matrix is a prevalent problem when the filler loading is high, leading to degradation of physical and mechanical properties of the composite. To avoid aggregation, a low-weight fraction of the 2D material (<5 wt %) is usually used to fabricate the composite, limiting performance improvement. Here, we develop a mechanical interlocking strategy where well-dispersed high filling content (up to 20 wt %) of boron nitride nanosheets (BNNSs) can be incorporated into a polytetrafluoroethylene (PTFE) matrix, resulting in a malleable, easy-to-process and reusable BNNS/PTFE composite dough. Importantly, the well-dispersed BNNS fillers can be rearranged into a highly oriented direction due to the malleable nature of the dough. The resultant composite film has a high thermal conductivity (4408% increase), low dielectric constant/loss, and excellent mechanical properties (334%, 69%, 266%, and 302% increases for tensile modulus, strength, toughness, and elongation, respectively), making it suitable for thermal management applications in the high-frequency areas. The technique is useful for the large-scale production of other 2D material/polymer composites with a high filler content for different applications.

S-Species-Evoked High-Valence Ni2+ δ of the Evolved β-Ni(OH)2 Electrode for Selective Oxidation of 5-Hydroxymethylfurfural

An efficient NiS_x -modified β-Ni(OH)₂ electrode is reported for the selective oxidation reaction of 5-hydroxymethylfurfural (HMFOR) with excellent electrocatalytic 5-hydroxymethylfurfural (HMF) selectivity (99.4%), conversion (97.7%), and Faradaic efficiency (98.3%). The decoration of NiS_x will evoke high-valence Ni^{2+ δ} species in the reconstructed β-Ni(OH)₂ electrode, which are the real active species for HMFOR. The generated NiS_x /Ni(OH)O modulates the proton-coupled electron-transfer (PCET) process of HMFOR, where the electrocatalytically generated Ni(OH)O can effectively trap the protons from the CHO end in HMF to realize electron transfer. The oxygen evolution reaction (OER) competes with the HMFOR when NiS_x /Ni(OH)O continues to accumulate, to generate the NiS_x /NiO_x (OH)_y intermediate. Density functional theory (DFT) calculations and experimental results verify that the adsorption energy of HMF can be optimized through the increased NiS_x composition for more efficient capture of protons and electrons in the HMFOR.

Peroxisomal trans-2-enoyl-CoA inhibits proliferation, migration and invasion of hepatocellular carcinoma cells

OBJECTIVES

Peroxisomal trans-2-enoyl-CoA reductase (PECR) encodes proteins related to fatty acid metabolism and synthesis. It has been confirmed that PECR has decreased expression in colon cancer and breast cancer, while the role of PECR in liver cancer is unknown. We aimed to study the role and mechanism of PECR in the genesis and development of liver cancer.

METHODS

In this study, the expression of PECR was queried in the Cancer Genome Atlas Database and Western Blotting and RT-PCR experiments were carried out in paired liver cancer tissues to detect the expression of PECR. Functional tests were evaluated by cell count kit-8 (CCK-8), Flow cytometry, wound healing assay, Transwell, migration. In vivo study, we constructed a nude mouse tumorigenic model to observe the effect of PECR on the proliferation of liver cancer. And the tumor body of the mouse was taken out for histochemistry (IHC). Multiple Cox regression was used to analyze the correlation between PECR and Clinicopathology.

RESULTS

We confirmed that the overexpression of PECR inhibited the proliferation, migration and invasion of hepatocellular carcinoma and promoted the apoptosis of hepatocellular carcinoma. The low expression group of PECR promoted the proliferation and metastasis of liver cancer. In vivo, overexpression of PECR inhibits the proliferation of mouse tumors. In addition, the mechanism study shows that PECR may indirectly affect the proliferation of hepatocellular carcinoma cells through ERK pathway.

CONCLUSION

In general, PECR may be a new diagnostic marker and a potential therapeutic target for hepatocellular carcinoma.

Self-Expandable Metal Stent in the Management of Malignant Airway Disorders

Background

Self-expanding metallic stent (SEMS) is a palliative therapy for patients with malignant central airway obstruction (CAO) or tracheoesophageal fistula (TEF). Despite this, many patients experience death shortly after SEMS placement.

Aims

We aimed to investigate the effect of SEMS on the palliative treatment between malignant CAO and malignant TEF patients and investigate the associated prognostic factors of the 3-month survival.

Methods

We performed a single-center, retrospective study of malignant CAO or TEF patients receiving SEMS placement. Clinical data were collected using the standardized data abstraction forms. Data were analyzed using SPSS 22.0. A two-sided P-value &lt;0.05 was statistically significant.

Results

106 malignant patients (82 CAO and 24 TEF) receiving SEMS placement were included. The body mass index (BMI), hemoglobin levels, and albumin levels in the malignant TEF group were lower than in the malignant CAO group (all P &lt; 0.05). The procalcitonin levels, C-reactive protein levels, and the proportion of inflammatory lesions were higher in the malignant TEF group than in the malignant CAO group (all P &lt; 0.05). The proportion of symptomatic improvement after the SEMS placement was 97.6% in the malignant CAO group, whereas 50.0% in the malignant TEF group, with a significant difference (P = 0.000). Three months after SEMS placement, the survival rate at was 67.0%, significantly lower in the malignant TEF group than in the malignant CAO group (45.8% vs. 73.2%, P = 0.013). Multivariate analysis revealed that BMI [odds ratio (OR) = 1.841, 95% certificated interval (CI) (1.155-2.935), P = 0.010] and neutrophil percentage [OR = 0.936, 95% CI (0.883–0.993), P = 0.027] were the independent risk factors for patients who survived three months after SEMS placement.

Conclusions

We observed symptom improvement in malignant CAO and TEF patients after SEMS placement. The survival rate in malignant TEF patients after SEMS placement was low, probably due to aspiration pneumonitis and malnutrition. Therefore, we recommend more aggressive treatment modalities in patients with malignant TEF, such as strong antibiotics, nutrition support, and strategic ventilation. More studies are needed to investigate the prognostic factors in patients with malignant airway disorders receiving SEMS placement.

Efficacy of the Dynesys Hybrid Surgery for Patients with Multi-Segmental Lumbar Spinal Stenosis

Objective

The efficacy of hybrid (Dynesys and fusion) surgery and the traditional transforaminal lumbar interbody fusion surgery was compared in patients with multi-segmental lumbar spinal stenosis.

Methods

A total of 68 patients with multi-segmental lumbar spinal stenosis subjected to surgery were recruited between January 2013 and October 2020 in the First Affiliated Hospital of Southern University of Science and Technology. The patients were divided into a hybrid group (N = 33) and a TLIF group (N = 35) by surgery. After surgery, follow-up was conducted for 12 months. Between the two groups, the following parameters were compared: general conditions, clinical symptom scores, imaging parameters, and early complications.

Results

A statistically significant difference in the duration of surgery was noted between the two groups. After 12 months of follow-up, the range of motion disappeared in the TLIF group, while 63.53% was preserved in the hybrid group with statistically significant differences. A statistically significant difference was identified in the Oswestry Disability Index one week after surgery. Nonetheless, no statistically significant differences were observed at the 12-month post-surgical follow-up. Pfirrmann grade showed a 3.03% upper adjacent segment degeneration rate in the hybrid group (1/33) at 12-month follow-up and 2.86% (1/35) in the TLIF group. Notably, no early complications (screw loosening and wound infection) were identified in the two groups.

Conclusion

The Dynesys hybrid surgery combined the advantages of two systems of dynamic stabilization and rigid fusion. Besides, hybrid surgery is potentially a novel approach for the treatment of multi-segmental lumbar spinal stenosis.

Age-Related Changes in Micro Brain Characteristics Based on Relaxed Mean-Field Model

Brain health is an important research direction of neuroscience. In addition to the effects of diseases, we cannot ignore the negative effect of aging on brain health. There have been many studies on brain aging, but only a few have used dynamic models to analyze differences in micro brain characteristics in healthy people. In this article, we use the relaxed mean-field model (rMFM) to study the effects of normal aging. Two main parameters of this model are the recurrent connection strength and subcortical input strength. The sensitivity of the rMFM to the initial values of the parameters has not been fully discussed in previous research. We examine this issue through repeated numerical experiments and obtain a reasonable initial parameter range for this model. Differences in recurrent connection strength and subcortical input strength due to aging have also not been studied previously. We use statistical methods to find the regions of interest (ROIs) exhibiting significant differences between young and old groups. Further, we carry out a difference analysis on the process of change of these ROIs on a more detailed timescale. We find that even with the same final results, the trends of change in these ROIs are different. This shows that to develop possible methods to prevent or delay brain damage due to aging, more attention needs to be paid to the trends of change of different ROIs, not just the final results.

Crumpled graphene microspheres anchored with NiCo2O4 nanoparticles as advanced composite electrode for asymmetric supercapacitor with ultralong cycling life

Rational design of composite electrode that may take full advantage of pseudocapacitive metal oxides and graphene is still challenging. Herein, nickel cobaltate (NiCo2O4) nanoparticles anchored crumpled graphene microspheres (CGM) were...

Fe3O4 nanoplates anchored on Ti3C2Tx MXene with enhanced pseudocapacitive and electrocatalytic properties

Ti₃C₂T_x, as novel members of the two-dimensional material family, hold great promise for electrochemical energy storage and catalysis, however, the electrochemical performance of Ti₃C₂T_x is largely limited by the self-restacking of their layers due to van der Waals forces. In this study, we report a high-performance electrode material, Ti₃C₂T_x supported Fe₃O₄ nanoplates (denoted as MXene-Fe), synthesized by a simple in situ wet chemistry method in a solvothermal system. The mesoporous MXene-Fe material as a supercapacitor electrode exhibits a high specific capacitance of 368.0 F g^-1 at 1.0 A g^-1 and long cycling stability with about 81% capacitance retention after 10 000 cycles at 10.0 A g^-1. Moreover, the optimized MXene-Fe also displays high electrocatalytic activity and stability toward the oxygen evolution reaction in alkaline solution (1.0 M KOH) with a low overpotential of 290 mV at 10 mA cm^-2 and a small Tafel slope of 65.1 mV dec^-1. This work provides an effective strategy for developing novel Ti₃C₂T_x-based functional materials with outstanding electrochemical performance for supercapacitors and electrocatalysis.

Identification and validation of EPHX2 as a prognostic biomarker in hepatocellular carcinoma

Hepatocellular carcinoma (HCC) is one of the most common types of cancer, which is associated with a poor prognosis. It is necessary to identify novel prognostic biomarkers and therapeutic targets to improve the survival of patients with HCC. In the present study, a seven-gene signature associated with HCC progression was identified using weighted gene co-expression network analysis and least absolute shrinkage and selection operator, and its prognostic prediction value was confirmed in The Cancer Genome Atlas-liver HCC and International Cancer Genome Consortium liver cancer-RIKEN, Japan cohorts. Subsequently, a rarely reported gene, epoxide hydrolase 2 (EPHX2), was selected for further validation. Downregulation of EPHX2 in HCC was revealed using multiple expression datasets. Furthermore, reduced expression of EPHX2 was confirmed in HCC tissue samples and cell lines using reverse transcription-quantitative polymerase chain reaction and western blotting. Additionally, Kaplan-Meier survival curves indicated that patients with higher EPHX2 expression exhibited better prognosis, and clinicopathological analysis also revealed elevated EPHX2 levels in patients with early-stage HCC. Notably, EPHX2 was identified as an independent prognostic biomarker for overall survival of patients with HCC. Gene Ontology analysis, Kyoto Encyclopedia of Genes and Genomes analysis and gene set enrichment analysis were performed to elucidate the functions of EPHX2. The results suggested that EPHX2 expression was closely associated with metabolic reprogramming. Finally, the prognostic value of EPHX2 was evaluated using HCC tissue microarrays. In conclusion, downregulation of EPHX2 was significantly associated with the development of HCC; therefore, EPHX2 may be considered a putative therapeutic candidate for the targeted treatment of HCC.

Integrative Characterization of Immune-relevant Genes in Hepatocellular Carcinoma

BACKGROUND AND AIMS

Tumor microenvironment plays an essential role in cancer development and progression. Cancer immunotherapy has become a promising approach for the treatment of hepatocellular carcinoma (HCC). We aimed to analyze the HCC immune microenvironment characteristics to identify immune-related genetic changes.

METHODS

Key immune-relevant genes (KIRGs) were obtained through integrating the differentially expressed genes of The Cancer Genome Atlas, immune genes from the Immunology Database and Analysis Portal, and immune differentially expressed genes determined by single-sample gene set enrichment analysis scores. Cox regression analysis was performed to mine therapeutic target genes. A regulatory network based on KIRGs, transcription factors, and immune-related long non-coding RNAs (IRLncRNAs) was also generated. The outcomes of risk score model were validated in a testing cohort and in clinical samples using tissue immunohistochemistry staining. Correlation analysis between risk score and immune checkpoint genes and immune cell infiltration were investigated.

RESULTS

In total, we identified 21 KIRGs, including programmed cell death-1 (PD-1) and cytotoxic T-lymphocyte associated protein 4 (CTLA4), and found IKBKE, IL2RG, EDNRA, and IGHA1 may be equally important to PD-1 or CTLA4. Meanwhile, KIRGs, various transcription factors, and IRLncRNAs were integrated to reveal that the NRF1-AC127024.5-IKBKE axis might be involved in tumor immunity regulation. Furthermore, the immune-related risk score model was established according to KIRGs and key IRLncRNAs, and verified more obvious discriminating power in the testing cohort. Correlation analysis indicated TNFSF4 , LGALS9 , KIAA1429 , IDO2, and CD276 were closely related to the risk score, and CD4 T cells, macrophages, and neutrophils were the primary immune infiltration cell types.

CONCLUSIONS

Our results highlight the importance of immune genes in the HCC microenvironment and further unravel the underlying molecular mechanisms in the development of HCC.

N and Mn dual-doped cactus-like cobalt oxide nanoarchitecture derived from cobalt carbonate hydroxide as efficient electrocatalysts for oxygen evolution reactions

Collaborative design in both nanoarchitecture and electronic structure is of great significance for cost-effective electrocatalysts towards oxygen evolution reaction (OER). Herein, cactus-like porous cobalt oxide (Co₃O₄) nanoarchitecture doped with manganese cation and nitrogen anion (N-Mn-Co₃O₄) was fabricated on the nickel foam by hydrothermal and subsequent N₂ plasma treatment. Unique hierarchical structure and surface atomic engineering endow the N-Mn-Co₃O₄ with rich active sites, abundant oxygen vacancies, enhanced electrical conductivity and rapid ion diffusion. Hence, as electrocatalysts for OER, the N-Mn-Co₃O₄ exhibits low overpotentials of 302 and 320 mV to drive the current density of 50 and 100 mA cm^-2, respectively, and superior stability over 40 h under alkaline environments. More strikingly, when assembling the N-Mn-Co₃O₄ with Pt/C anode into an alkaline electrolyzer, the system delivers a small voltage of 1.55 V at the current density of 10 mA cm^-2 with excellent durability. This work may shed light on design and fabrication of efficient OER electrocatalysts by synergistically tailoring electronic and geometric structures.

V2O5/vertically-aligned carbon nanotubes as negative electrode for asymmetric supercapacitor in neutral aqueous electrolyte

Development of aqueous asymmetric supercapacitors (ASCs) is often limited by low specific capacitance of negative electrodes. Herein, a composite electrode with tiny vanadium pentoxide (V₂O₅) nanoparticles homogeneously decorated in vertically-aligned carbon nanotube arrays (VACNTs) is prepared by supercritical CO₂ impregnation and subsequent annealing, and used as binder-free negative electrode for aqueous ASCs. Owing to its unique three-dimensional (3D) hierarchical nanostructure, the V₂O₅/VACNTs (VN) electrodes exhibit an ideal specific capacitance of 284 F g^-1 in the potential range of -1.1 to 0 V vs SCE at 2 A g^-1 and outstanding cycling stability in the Na₂SO₄ aqueous solution. An aqueous ASC device possessing wide potential range of 1.7 V was constructed with pure VACNTs and VN-350 as the positive and negative electrodes, respectively. The ASC delivers a high energy density of 32.3 Wh kg^-1 at a power density of 118 W kg^-1 and satisfactory cycling life with capacitance retention of 76% after 5000 cycles.

Molybdenum-tungsten Oxide Nanowires Rich in Oxygen Vacancies as An Advanced Electrocatalyst for Hydrogen Evolution

Electrolysis of water is a promising way to produce hydrogen fuel in large scale. The commercialization of this technology requires highly efficient non-noble metal electrocatalysts to decease the energy input for the hydrogen evolution reaction (HER). In this work, a novel nanowire structured molybdenum-tungsten bimetallic oxide (CTAB-D-W₄ MoO₃ ) is synthesized by a simple hydrothermal method followed with post annealing treatment. The obtained metal oxides feature with enhanced conductivity, rich oxygen vacancies and customized electronic structure. As such, the composite electrocatalyst exhibits excellent electrocatalytic performance for HER in an acidic environment, achieving a large current density of 100 mA cm^-2 at overpotential of only 286 mV and a small Tafel slope of 71.2 mV dec^-1 . The excellent electrocatalytic HER performance of CTAB-D-W₄ MoO₃ is attributed to the unique nanowire structure, rich catalytic active sites and promoted electron transfer rate.

Hypoxia-Induced Aquaporin-3 Changes Hepatocellular Carcinoma Cell Sensitivity to Sorafenib by Activating the PI3K/Akt Signaling Pathway

Purpose

Hypoxia-induced changes are primarily activated in patients with hepatocellular carcinoma (HCC) and long-term sorafenib exposure, thereby reducing the sensitivity to the drug. Aquaporin-3 (AQP3), a member of the aquaporin family, is a hypoxia-induced substance that affects the chemosensitivity of non-hepatocellular tumors. However, its expression and role in the sensitivity of hypoxic HCC cells to sorafenib-induced apoptosis remain unclear. The purpose of this study was to detect changes in AQP3 expression in hypoxic HCC cells and to determine whether these changes alter the sensitivity of these cells to sorafenib.

Materials and Methods

Huh7 and HepG2 hypoxic cell models were established and AQP3 expression was detected using quantitative real-time polymerase chain reaction (qPCR) and Western blotting. Furthermore, the role of AQP3 in cell sensitivity to sorafenib was evaluated via flow cytometry, Western blotting, and a CCK-8 assay.

Results

The results of qPCR and Western blotting showed that AQP3 was overexpressed in the Huh7 and HepG2 hypoxic cell models. Furthermore, AQP3 protein levels were positively correlated with hypoxia-inducible factor-1α (HIF-1α) levels. Compared with cells transfected with lentivirus-GFP (Lv-GFP), hypoxic cells transfected with lentivirus-AQP3 (Lv-AQP3) were less sensitive to sorafenib-induced apoptosis. However, the sensitivity to the drug increased in cells transfected with lentivirus-AQP3RNAi (Lv-AQP3RNAi). Akt and Erk phosphorylation was enhanced in Lv-AQP3-transfected cells. Compared with UO126 (a Mek1/2 inhibitor), LY294002 (a PI3K inhibitor) attenuated the AQP3-induced insensitivity to sorafenib observed in hypoxic cells transfected with Lv-AQP3. Combined with LY294002-treated cells, hypoxic cells transfected with Lv-AQP3RNAi were more sensitive to sorafenib.

Conclusion

The study results show that AQP3 is a potential therapeutic target for improving the sensitivity of hypoxic HCC cells to sorafenib.

Hierarchical Mo-doped CoP3 interconnected nanosheet arrays on carbon cloth as an efficient bifunctional electrocatalyst for water splitting in an alkaline electrolyte

Design and fabrication of highly efficient and robust noble-metal-free bifunctional electrocatalysts for overall water splitting in alkaline media is challenging. Herein, we report a unique bifunctional electrocatalyst consisting of three-dimensional (3D) hierarchical Mo-doped CoP₃ nanosheet arrays on carbon cloth (Mo-CoP₃ NAs@CC) fabricated by a facile electrodeposition process and the subsequent PH₃ plasma-assisted phosphorization. Benefiting from the hierarchical nanostructure and doping effect of Mo, the optimal Mo-CoP₃-2@CC electrode demonstrates excellent HER and OER catalytic activity with an overpotential of 62 and 300 mV at 10 mA cm^-2, respectively, and reasonable stability up to 20 h in 1.0 M KOH. Impressively, when Mo-CoP₃-2@CC is used as both HER and OER electrodes in an alkaline electrolyzer, a current density of 10 mA cm^-2 is achieved at a cell voltage of only 1.65 V, and the stable water-splitting current is maintained for 25 h, showing great promise for practical applications.

Effects of cage size on growth performance, blood biochemistry, and antibody response in layer breeder males during rearing stage

This study was conducted to investigate the effects of cage size on growth performance, blood biochemistry, and antibody response in layer breeder males during rearing stage. 575 one-day-old Jinghong layer breeder males were randomly allocated into 3 treatments and reared in 3 cage sizes: large (160 × 160 × 62 cm; LC), medium (120 × 120 × 62 cm; MC), and small (80 × 70 × 62 cm; SC). The stocking density of birds in 3 treatments was kept identical and adjusted every 2 wk, from 45 birds/m2 during the period of 0 to 2 wk of age to 12 birds/m2 during the period of 17 to 18 wk of age. Body weight and shank length were measured every 2 wk, and then the daily weight gain and daily feed intake were calculated. Tibia length and breaking strength were determined at 8 wk of age. Blood parameters including malodiadehyde (MDA), glutathione peroxidase (GSH-Px), superoxide dismutase (SOD), alkaline phosphatase (ALP) and corticosterone (CORT), and antibody titers against avian influenza viruses H5N1 (Re-5 strain) and H9N2 (Re-2 strain) and Newcastle disease virus in response to vaccination were determined at 18 wk of age, respectively. Body weight, shank length, and daily weight gain of birds in LC were similar with those in MC, and were greater than those in SC at 18 wk of age (P < 0.05), respectively. No significant difference was found in average daily feed intake among the 3 treatments from 11 to 18 wk of age. Birds in LC and MC had the similar tibia length; however, birds in SC were smaller (P < 0.05). Tibia breaking strength of birds in LC was higher than those in SC (P < 0.05), respectively. Birds in LC showed lower plasma MDA, GSH-Px, SOD, and CORT contents than those in MC and SC (P < 0.05); however, birds in LC exhibited higher levels of serum antibody titers against H5N1 and H9N2 avian influenza viruses as compared with MC and SC (P < 0.05). Consequently, LC and MC were superior to SC and were beneficial for birds' growth and development.

Ultrasmall Co2P2O7 nanocrystals anchored on nitrogen-doped graphene as efficient electrocatalysts for the oxygen reduction reaction

A novel composite electrocatalyst with ultrasmall Co₂O₂P₇ nanocrystals supported on nitrogen-doped graphene has been developed and exhibits remarkable ORR performance.

The protective effect of chlorogenic acid on bovine mammary epithelial cells and neutrophil function

Chlorogenic acid (CGA) is the ester of caffeic acid and quinic acid and plays an important role in antibacterial activity and anti-inflammatory properties. The objective of this study was to examine the effects of CGA on the growth of Staphylococcus aureus and the mRNA levels of the genes encoding the inflammatory response cytokines, κ-casein, and neutrophil function in bovine mammary epithelial cells (BMEC) exposed to S. aureus. Chlorogenic acid has important antibacterial, antioxidant, and anti-inflammatory functions; however, the effect of CGA on BMEC and neutrophils exposed to S. aureus has not been investigated previously. Our results demonstrated that 10, 20, and 30 μg/mL CGA had no cytotoxic effects on BMEC in culture, and that 20 μg/mL CGA enhanced the viability of BMEC exposed to S. aureus, whereas 30 μg/mL CGA reduced S. aureus growth after 9 h compared with controls. The rate of S. aureus invasion into BMEC was also attenuated by 30 μg/mL CGA compared with controls, whereas this treatment led to reduced abundance of IL6, IL8, and TLR2 mRNA in S. aureus-exposed BMEC. Migration of bovine polymorphonuclear leukocytes was significantly decreased in S. aureus-exposed BMEC with 10 and 20 μg/mL CGA treatment when compared with S. aureus treatment alone. In addition, incubation with 20 or 30 μg/mL CGA enhanced the phagocytic ability of polymorphonuclear leukocytes compared with the control group. Importantly, levels of κ-casein were enhanced by treatment of S. aureus-exposed BMEC with CGA. Our results suggest that the use of CGA may be a potent therapeutic tool against bovine mastitis caused by S. aureus.

High-Rota Synthesis of Single-/Double-/Multi-Unit-Cell Ti-HSZ Nanosheets To Catalyze Epoxidation of Large Cycloalkenes Efficiently

This work first reports high-efficiency epoxidation of large cycloalkenes (carbon number ≥ 7) with tert-butyl hydroperoxide (TBHP) over single-/double-/multi-unit-cell nanosheet-constructed hierarchical zeolite, which is synthesized by one-step hydrothermal crystallization using piperidine as the structure-directing agent of the microporous structure. The excellent catalytic property of the material is ascribed to its unique structural characteristic. Plenty of surface titanols or silanols on the surface of MWW nanosheets are beneficial for the formation of transition-state intermediates; a large number of intercrystalline mesopores in the shell of the material not only facilitate the formation of the intermediate for TBHP but also have nearly no hindrance for the diffusion and mass transfer of bulky cycloalkene to the above intermediates; the 12-MR side cups penetrating into the crystals from the external surface are exposed as much as possible to the reaction system because of the single-/double-/multi-unit-cell MWW nanosheet, serving as the primary reaction space for the epoxidation of bulky cyclic alkene and oxidants and providing enough space for the transition state of Ti-OO^tBu and bulky cycloalkane. Moreover, an efficient calcination-free catalytic reaction-regeneration method is developed to overcome the challenge for the recyclability of microporous Ti-zeolite in the catalytic epoxidation of bulky cycloalkenes.

Proximal femoral nail antirotation versus dynamic hip screw fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures in elderly patients

Objective To evaluate long-term radiographic and functional outcomes between dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA) fixation for treatment of osteoporotic type 31-A1 intertrochanteric femoral fractures (IFFs) among elderly patients Methods A retrospective comparative study was carried out. Follow-up was performed at 1, 3, 6, 9, and 12 months postoperatively and yearly thereafter. The primary outcome was the radiographic outcome, and the secondary outcome was the functional outcome. Results A significant difference in radiographic complications was observed between the DHS group (n = 45, 40.2%) and PFNA group (n = 15, 13.6%). The risk of femoral shaft fracture after implant removal at the 1-year follow-up was increased by 0.9% (n = 1) and 6.3% (n = 7) in the PFNA and DHS groups, respectively. This difference persisted with rates of 3.6% (n = 4) and 12.5% (n = 14) at the final follow-up. Additionally, significant differences were present in the Harris hip score at each visit. Conclusion Our results indicate that PFNA yields better outcomes than DHS fixation among elderly patients with osteoporotic type 31-A1 IFFs.

The impact of high total cholesterol and high low-density lipoprotein on avascular necrosis of the femoral head in low-energy femoral neck fractures

Background

Avascular necrosis of the femoral head (AVNFH) typically constitutes 5 to 15% of all complications of low-energy femoral neck fractures, and due to an increasingly ageing population and a rising prevalence of femoral neck fractures, the number of patients who develop AVNFH is increasing. However, there is no consensus regarding the relationship between blood lipid abnormalities and postoperative AVNFH. The purpose of this retrospective study was to investigate the relationship between blood lipid abnormalities and AVNFH following the femoral neck fracture operation among an elderly population.

Methods

A retrospective, comparative study was performed at our institution. Between June 2005 and November 2009, 653 elderly patients (653 hips) with low-energy femoral neck fractures underwent closed reduction and internal fixation with cancellous screws (Smith and Nephew, Memphis, Tennessee). Follow-up occurred at 1, 6, 12, 18, 24, 30, and 36 months after surgery. Logistic multi-factor regression analysis was used to assess the risk factors of AVNFH and to determine the effect of blood lipid levels on AVNFH development. Inclusion and exclusion criteria were predetermined to focus on isolated freshly closed femoral neck fractures in the elderly population. The primary outcome was the blood lipid levels. The secondary outcome was the logistic multi-factor regression analysis.

Results

A total of 325 elderly patients with low-energy femoral neck fractures (AVNFH, n = 160; control, n = 165) were assessed. In the AVNFH group, the average TC, TG, LDL, and Apo-B values were 7.11 ± 3.16 mmol/L, 2.15 ± 0.89 mmol/L, 4.49 ± 1.38 mmol/L, and 79.69 ± 17.29 mg/dL, respectively; all of which were significantly higher than the values in the control group. Logistic multi-factor regression analysis showed that both TC and LDL were the independent factors influencing the postoperative AVNFH within femoral neck fractures.

Conclusions

This evidence indicates that AVNFH was significantly associated with blood lipid abnormalities in elderly patients with low-energy femoral neck fractures. The findings of this pilot trial justify a larger study to determine whether the result is more generally applicable to a broader population.

Cobalt sulfide supported on nitrogen and sulfur dual-doped reduced graphene oxide for highly active oxygen reduction reaction

An efficient composite catalyst of Co–S/NS-rGO has been successfully prepared by a facile one-step annealing approach, which demonstrates excellent catalytic activity and good durability in alkaline solution.

Percutaneous imaging-guided cryoablation for lung cancer

Percutaneous cryoablation under imaging guidance has been proved to be a safe and effective method for ablation and debulking of tumors, providing radical cure or palliation, as the case may be, for patients with different stages of disease. The local control rate is high with cryoablation, and the complications are usually controllable, making it a reasonable choice in lung cancer treatment. In this paper the technique and mechanism of action of cryoablation are summarized, and studies performed on the application of percutaneous cryoablation in various stages of lung cancer are reviewed. Its emerging application in the treatment of pure ground-glass nodules (GGNs) is also introduced.

Layer-by-layer thinning of two-dimensional MoS2 films by using a focused ion beam

A layer-controlled two-dimensional (2D) molybdenum disulfide (MoS2) film with tunable bandgaps is highly desired for the fabrication of electronic/photoelectronic devices. In this work, we demonstrate that a focused ion beam (FIB) can be applied to thin MoS2 films layer-by-layer. The layer number can be controlled by simply changing the Ga(+) beam exposure time and the thinning speed is about half a layer per second. OM, AFM, PL and Raman spectra were used to monitor the change of layer numbers and characterize the morphology, thickness, and homogeneity of MoS2 films. The FIB layer-by-layer thinning technology will establish a new methodology for rationally thinning all kinds of 2D layered materials.

Co-supported catalysts on nitrogen and sulfur co-doped vertically-aligned carbon nanotubes for oxygen reduction reaction

A high-performance ORR catalyst of Co supported on nitrogen and sulfur co-doped VACNTs was fabricated by cobalt sputtering and subsequent annealing in decomposition atmosphere of NH₄SCN.