The design and fabrication of high toughness electromagnetic interference(EMI)shielding composite films with diminished reflection are an imperative task to solve electromagnetic pollution problem.Ternary MXene/ANF(ar...The design and fabrication of high toughness electromagnetic interference(EMI)shielding composite films with diminished reflection are an imperative task to solve electromagnetic pollution problem.Ternary MXene/ANF(aramid nanofibers)–MoS_(2)composite films with nacre-like layered structure here are fabricated after the introduction of MoS_(2)into binary MXene/ANF composite system.The introduction of MoS_(2)fulfills an impressive“kill three birds with one stone”improvement effect:lubrication toughening mechanical performance,reduction in secondary reflection pollution of electromagnetic wave,and improvement in the performance of photothermal conversion.After the introduction of MoS_(2)into binary MXene/ANF(mass ratio of 50:50),the strain to failure and tensile strength increase from 22.1±1.7%and 105.7±6.4 MPa and to 25.8±0.7%and 167.3±9.1 MPa,respectively.The toughness elevates from 13.0±4.1 to 26.3±0.8 MJ m^(−3)(~102.3%)simultaneously.And the reflection shielding effectiveness(SE_(R))of MXene/ANF(mass ratio of 50:50)decreases~10.8%.EMI shielding effectiveness(EMI SE)elevates to 41.0 dB(8.2–12.4 GHz);After the introduction of MoS_(2)into binary MXene/ANF(mass ratio of 60:40),the strain to failure increases from 18.3±1.9%to 28.1±0.7%(~53.5%),the SE_(R)decreases~22.2%,and the corresponding EMI SE is 43.9 dB.The MoS_(2)also leads to a more efficient photothermal conversion performance(~45 to~55℃).Additionally,MXene/ANF–MoS_(2)composite films exhibit excellent electric heating performance,quick temperature elevation(15 s),excellent cycle stability(2,2.5,and 3 V),and long-term stability(2520 s).Combining with excellent mechanical performance with high MXene content,electric heating performance,and photothermal conversion performance,EMI shielding ternary MXene/ANF–MoS_(2)composite films could be applied in many industrial areas.This work broadens how to achieve a balance between mechanical properties and versatility of composites in the case of high-function fillers.展开更多
Background: As a common and high incidence of disease, the minor ischemic stroke (MIS) has become an important public health problem. The aim of this study was to address whether patients with MIS have different types...Background: As a common and high incidence of disease, the minor ischemic stroke (MIS) has become an important public health problem. The aim of this study was to address whether patients with MIS have different types and outcome in the elderly in northern China. Methods: A retrospective cohort of consecutive patients was selected for study;all registered neurologic outpatients of the tertiary teaching hospital in northern Jiangsu, China between February, 2011 and February, 2012. A total of 433 outpatients, clinically only having had an initial visit and a MRI study of the brain, were enrolled. Results: Of 433 outpatients, 247 (57.0%) patients with MIS were diagnosed. The clinical types of MIS included stable MIS in 58.3%, acute progressive MIS in 5.3%, and chronic progressive MIS in 36.4% of patients. After adjusted Odd ratio (OR), only aged (OR, 1.0;95% confidence interval [CI], 1.007 - 1.087, p = 0.021), episode duration (OR, 1.8;95% CI, 1.011 - 1.024, p = 0.001), initial number of MIS (OR, 1.1;95% CI, 1.047 - 1.207, p = 0.001), and infarcts volume (OR, 1.8;95% CI, 1.253 - 2.681, p = 0.002) were independently associated with stable MIS and progressive MIS. Total survival was favorable among groups (p = 0.094), but the followed mRS score was significantly higher among those progressive MIS than those stable MIS (2.3 ± 1.0 vs 0.1 ± 0.3, p Conclusion: MIS had a very high prevalence and different clinical types. Stable MIS is a benign stroke, whereas those progressive MIS may have long-term instability or acute and chronic progressive trend. This information is important in prospectively determining outcome of MIS and in patient treatment.展开更多
Hemichorea with corresponding putamenal T1 hyper-intensity and T2 hypointensity on MR imaging has occasionally been reported in diabetes mellitus with nonketotic hyperglycemia. However, the signal intensity in pu-tame...Hemichorea with corresponding putamenal T1 hyper-intensity and T2 hypointensity on MR imaging has occasionally been reported in diabetes mellitus with nonketotic hyperglycemia. However, the signal intensity in pu-tamenal and cerebellum lesion on MR imaging, which is believed to be pathogenetically related to hemichorea, is rarely documented in diabetes mellitus with nonketotic hyperglycemia. We describe a 57-year-old man with nonketotic hyperglycemic hemichorea on his right arm and legs, whose signal intensity in putamenal and cerebellum lesion was demonstrated by MR imaging.展开更多
The huge?congenital?intracranial teratoma is very rare. We report a case of a 77 years old male with giant congenital brain teratoma without clinical symptoms. His computed tomography (CT) scan showed a massive tumor ...The huge?congenital?intracranial teratoma is very rare. We report a case of a 77 years old male with giant congenital brain teratoma without clinical symptoms. His computed tomography (CT) scan showed a massive tumor (6 × 5 × 6 cm) of irregular high density (inside with some point flaky low density) in left temporal lobe region, the lower corner of the left ventricle downward shift, and enhanced CT scan no enhancement. Magnetic resonance imaging (MRI) on brain showed an irregular huge tumor in the left temporal lobe area, with multiple nodular or lobulated mixd high and low or equal signal changes, in which the liquid signal based. The midline was shift to the right, and the posterior horn of the left ventricle was compressed and downward shift, expansion, and hydrocephalus. After follow-up 12 months, the patient presents a normal daily life and work and no neurological signs as usual. Our observations show that the huge tumor in brain with multiple nodular or lobulated variety of mixed signal changes on MRI without symptoms is a congenital intracranial silent teratoma.展开更多
Background: Although patients with acute headache frequently present in emergency department, the causes and predictors of short-term outcome in patients with acute headache in general neurology have not been adequate...Background: Although patients with acute headache frequently present in emergency department, the causes and predictors of short-term outcome in patients with acute headache in general neurology have not been adequately investigated. Methods: We prospectively reviewed the medical records of 130 hospitalized acute headache pa-tients in general neurology of China. Their initial CT scan was assessed, as was their lumbar puncture (LP) examination if performed. Results: The main cause of acute headache was acute secondary headache (80.8%), which was mainly attributable to acute cerebrovascular events (72.4%) followed by intracranial infection (19.0%). Among the 10.8% of patients who died during hospitalization most (85.7%) had subarachnoid hemorrhage (SAH). Significant predictors of survival were severe headache versus thunderclap headache, meningismus, de-layed loss of consciousness, and hypertension (all p < 0.05). Multiple logistic regression analyses showed significant differences in severe headache or thunderclap headache (OR, 0.255;95%CI, 0.066 - 0.990;p = 0.048) and delayed loss of consciousness (OR, 0.060;95%CI, 0.016 - 0.224, p = 0.000) between patients who died and those who survived. Conclusions: The main underlying cause of hospitalized acute headache was acute cerebrovascular events. Severe headache and delayed loss of consciousness are predictors for poor outcome of acute headache.展开更多
The high power density and intelligence of next-generation flexible electronic devices bring many challenges to fabricate flexible composite films with electromagnetic interference(EMI)shielding effectiveness(SE)prope...The high power density and intelligence of next-generation flexible electronic devices bring many challenges to fabricate flexible composite films with electromagnetic interference(EMI)shielding effectiveness(SE)property and excellent toughness via a simple method.Herein,inspired by the layered structure and biopolymer matrix networks in natural nacre,nacre-like layered Ti_(3)C2TX(MXene)/aramid nanofiber(ANF)films were fabricated through sol-gel,vacuum-assisted filtration,and hot-pressing.Three-dimensional(3D)interconnected aramid nanofibers networks between adjacent layered MXene result in an ultralong strain-to-failure of the film.Even though the functional filler MXene contents are as high as 60 wt.%and 70 wt.%,the strain-to-failure of the films could reach astonishing values of 18.34%±1.86%and 14.43%±1.26%,respectively.And the tensile strength could maintain about 85 MPa.Excitingly,with such a high filler,the film can also withstand double folding and vigorous rubbing without damage,which could better adapt to a harsh application environment.The result means that this work provides a convenient way to prepare other high functional filler composite films with excellent mechanical performance.The EMI SE values could reach 45 and 52.15 dB at 60 wt.%and 70 wt.%MXene in 8.2–12.4 GHz.Meanwhile,the films have prominent Joule heating properties,high sensitivity(<15 s),small voltage operation(0.5 V),and high operation constancy(1300 s).Therefore,nacre-inspired MXene/ANF composite films in this work have ability to apply in many areas including communication technology,military,and aerospace.展开更多
A facile strategy was designed for the fabrication of Fe3O4-nanoparticle- decorated TiO2 nanofiber hierarchical heterostructures (FTHs) by combining the versatility of the electrospinning technique and the hydrother...A facile strategy was designed for the fabrication of Fe3O4-nanoparticle- decorated TiO2 nanofiber hierarchical heterostructures (FTHs) by combining the versatility of the electrospinning technique and the hydrothermal growth method. The hierarchical architecture of Fe3O4 nanoparticles decorated on TiO2 nanofibers enables the successful integration of the binary composite into batteries to address structural stability and low capacity. In the resulting unique architecture of FTHs, the 1D heterostructures relieve the strain caused by severe volume changes of Fe3O4 during numerous charge-discharge cycles, and thus suppress the degradation of the electrode material. As a result, FTHs show excellent performance including higher reversible capacity, excellent cycle life, and good rate performance over a wide temperature range owing to the synergistic effect of the binary composition of TiO2 and Fe304 and the unique features of the hierarchical nanofibers.展开更多
Layered double hydroxides(LDHs)are promising electrode candidates for supercapacitors.However,lim-itations like inferior cycling stability and unsatisfactory charge storage capability at low temperatures have exerted ...Layered double hydroxides(LDHs)are promising electrode candidates for supercapacitors.However,lim-itations like inferior cycling stability and unsatisfactory charge storage capability at low temperatures have exerted negative effects on their applications.Herein,a novel synthetic process has been elaborately designed and provided to have the composition and structure of the C/N-NiCoMn-LDH/Ag(C/N-CNMA)delicately regulated.Both the experimental and theoretical researches unveil that the incorporated manganese species and elemental silver could dramatically modulate the bandgap,crystallinity and surface electron structure of the LDH,leading to the remarkable improvement in its conductivity,exposed active sites and intrinsic electrochemical activity,and thus the OH^(*)and O^(*)adsorption free energy could be remarkably optimized,even at low temperatures.In addition,the low crystallinity C/N-CNMA is of great electrochemical compatibility with both the KOH aqueous electrolyte and the isobutyl alcohol(IPA)modulated organohydrogel electrolyte.By means of adjusting the solvation and hydrogen bonding in the electrolytes,the assembled hybrid supercapacitors deliver excellent energy density,power density and cycling stability in the temperature range of-30 to 25℃.Specifically,the gel electrolyte with IPA as the anti-freezing functional additive displays high flexibility and ionic conductivity at low temperatures.展开更多
Background:It is of great clinical significance to further explore new strategies and potential combined therapeutic targets for gastric cancer.This study aimed to investigate the synthetic lethal effect of RBBP8 mole...Background:It is of great clinical significance to further explore new strategies and potential combined therapeutic targets for gastric cancer.This study aimed to investigate the synthetic lethal effect of RBBP8 molecular intervention combined with a poly ADP ribose polymerase(PARP)inhibitor in non-BRCA mutant gastric cancer and clarify the mechanism by which RBBP8 regulates homologous recombination repair.Methods:The role of RBBP8 in DNA damage repair was observed using bioinformatic analysis,western blot analysis,and immunofluorescence.The synthetic lethal effect was verified using 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium,inner salt(MTS)and flow cytometry apoptosis experiments.Results:Among the patients with gastric cancer treated with chemotherapy,the prognosis of patients with high RBBP8 expression levels was worse(homologous recombination[HR]=1.54,p=0.028).RBBP8 knockdown induced DNA damage and had a synergistic effect with PARP inhibitor treatment on cell viability inhibition and cell apoptosis in AGS(generic code for human gastric adenocarcinoma cells)(t=11.154,p<0.001)and N87(t=6.362,p<0.001)cells.RBBP8 knockdown inhibited RAD51 activation and DNA terminal excision in homologous recombination repair.Conclusion:RBBP8 is involved in homologous recombination repair,and molecular intervention into RBBP8 could achieve a synthetic lethal effect with PARP inhibitor treatment in gastric cancer cells.展开更多
基金supported by the Talent Fund of Beijing Jiaotong University(No,2023XKRC015)the National Natural Science Foundation of China(Nos.52172081,52073010 and 52373259).
文摘The design and fabrication of high toughness electromagnetic interference(EMI)shielding composite films with diminished reflection are an imperative task to solve electromagnetic pollution problem.Ternary MXene/ANF(aramid nanofibers)–MoS_(2)composite films with nacre-like layered structure here are fabricated after the introduction of MoS_(2)into binary MXene/ANF composite system.The introduction of MoS_(2)fulfills an impressive“kill three birds with one stone”improvement effect:lubrication toughening mechanical performance,reduction in secondary reflection pollution of electromagnetic wave,and improvement in the performance of photothermal conversion.After the introduction of MoS_(2)into binary MXene/ANF(mass ratio of 50:50),the strain to failure and tensile strength increase from 22.1±1.7%and 105.7±6.4 MPa and to 25.8±0.7%and 167.3±9.1 MPa,respectively.The toughness elevates from 13.0±4.1 to 26.3±0.8 MJ m^(−3)(~102.3%)simultaneously.And the reflection shielding effectiveness(SE_(R))of MXene/ANF(mass ratio of 50:50)decreases~10.8%.EMI shielding effectiveness(EMI SE)elevates to 41.0 dB(8.2–12.4 GHz);After the introduction of MoS_(2)into binary MXene/ANF(mass ratio of 60:40),the strain to failure increases from 18.3±1.9%to 28.1±0.7%(~53.5%),the SE_(R)decreases~22.2%,and the corresponding EMI SE is 43.9 dB.The MoS_(2)also leads to a more efficient photothermal conversion performance(~45 to~55℃).Additionally,MXene/ANF–MoS_(2)composite films exhibit excellent electric heating performance,quick temperature elevation(15 s),excellent cycle stability(2,2.5,and 3 V),and long-term stability(2520 s).Combining with excellent mechanical performance with high MXene content,electric heating performance,and photothermal conversion performance,EMI shielding ternary MXene/ANF–MoS_(2)composite films could be applied in many industrial areas.This work broadens how to achieve a balance between mechanical properties and versatility of composites in the case of high-function fillers.
文摘Background: As a common and high incidence of disease, the minor ischemic stroke (MIS) has become an important public health problem. The aim of this study was to address whether patients with MIS have different types and outcome in the elderly in northern China. Methods: A retrospective cohort of consecutive patients was selected for study;all registered neurologic outpatients of the tertiary teaching hospital in northern Jiangsu, China between February, 2011 and February, 2012. A total of 433 outpatients, clinically only having had an initial visit and a MRI study of the brain, were enrolled. Results: Of 433 outpatients, 247 (57.0%) patients with MIS were diagnosed. The clinical types of MIS included stable MIS in 58.3%, acute progressive MIS in 5.3%, and chronic progressive MIS in 36.4% of patients. After adjusted Odd ratio (OR), only aged (OR, 1.0;95% confidence interval [CI], 1.007 - 1.087, p = 0.021), episode duration (OR, 1.8;95% CI, 1.011 - 1.024, p = 0.001), initial number of MIS (OR, 1.1;95% CI, 1.047 - 1.207, p = 0.001), and infarcts volume (OR, 1.8;95% CI, 1.253 - 2.681, p = 0.002) were independently associated with stable MIS and progressive MIS. Total survival was favorable among groups (p = 0.094), but the followed mRS score was significantly higher among those progressive MIS than those stable MIS (2.3 ± 1.0 vs 0.1 ± 0.3, p Conclusion: MIS had a very high prevalence and different clinical types. Stable MIS is a benign stroke, whereas those progressive MIS may have long-term instability or acute and chronic progressive trend. This information is important in prospectively determining outcome of MIS and in patient treatment.
文摘Hemichorea with corresponding putamenal T1 hyper-intensity and T2 hypointensity on MR imaging has occasionally been reported in diabetes mellitus with nonketotic hyperglycemia. However, the signal intensity in pu-tamenal and cerebellum lesion on MR imaging, which is believed to be pathogenetically related to hemichorea, is rarely documented in diabetes mellitus with nonketotic hyperglycemia. We describe a 57-year-old man with nonketotic hyperglycemic hemichorea on his right arm and legs, whose signal intensity in putamenal and cerebellum lesion was demonstrated by MR imaging.
文摘The huge?congenital?intracranial teratoma is very rare. We report a case of a 77 years old male with giant congenital brain teratoma without clinical symptoms. His computed tomography (CT) scan showed a massive tumor (6 × 5 × 6 cm) of irregular high density (inside with some point flaky low density) in left temporal lobe region, the lower corner of the left ventricle downward shift, and enhanced CT scan no enhancement. Magnetic resonance imaging (MRI) on brain showed an irregular huge tumor in the left temporal lobe area, with multiple nodular or lobulated mixd high and low or equal signal changes, in which the liquid signal based. The midline was shift to the right, and the posterior horn of the left ventricle was compressed and downward shift, expansion, and hydrocephalus. After follow-up 12 months, the patient presents a normal daily life and work and no neurological signs as usual. Our observations show that the huge tumor in brain with multiple nodular or lobulated variety of mixed signal changes on MRI without symptoms is a congenital intracranial silent teratoma.
文摘Background: Although patients with acute headache frequently present in emergency department, the causes and predictors of short-term outcome in patients with acute headache in general neurology have not been adequately investigated. Methods: We prospectively reviewed the medical records of 130 hospitalized acute headache pa-tients in general neurology of China. Their initial CT scan was assessed, as was their lumbar puncture (LP) examination if performed. Results: The main cause of acute headache was acute secondary headache (80.8%), which was mainly attributable to acute cerebrovascular events (72.4%) followed by intracranial infection (19.0%). Among the 10.8% of patients who died during hospitalization most (85.7%) had subarachnoid hemorrhage (SAH). Significant predictors of survival were severe headache versus thunderclap headache, meningismus, de-layed loss of consciousness, and hypertension (all p < 0.05). Multiple logistic regression analyses showed significant differences in severe headache or thunderclap headache (OR, 0.255;95%CI, 0.066 - 0.990;p = 0.048) and delayed loss of consciousness (OR, 0.060;95%CI, 0.016 - 0.224, p = 0.000) between patients who died and those who survived. Conclusions: The main underlying cause of hospitalized acute headache was acute cerebrovascular events. Severe headache and delayed loss of consciousness are predictors for poor outcome of acute headache.
基金Financial support from the Talent Fund of Beijing Jiaotong University(No,2023XKRC015)the National Natural Science Foundation of China(No.52172081)is gratefully acknowledged.
文摘The high power density and intelligence of next-generation flexible electronic devices bring many challenges to fabricate flexible composite films with electromagnetic interference(EMI)shielding effectiveness(SE)property and excellent toughness via a simple method.Herein,inspired by the layered structure and biopolymer matrix networks in natural nacre,nacre-like layered Ti_(3)C2TX(MXene)/aramid nanofiber(ANF)films were fabricated through sol-gel,vacuum-assisted filtration,and hot-pressing.Three-dimensional(3D)interconnected aramid nanofibers networks between adjacent layered MXene result in an ultralong strain-to-failure of the film.Even though the functional filler MXene contents are as high as 60 wt.%and 70 wt.%,the strain-to-failure of the films could reach astonishing values of 18.34%±1.86%and 14.43%±1.26%,respectively.And the tensile strength could maintain about 85 MPa.Excitingly,with such a high filler,the film can also withstand double folding and vigorous rubbing without damage,which could better adapt to a harsh application environment.The result means that this work provides a convenient way to prepare other high functional filler composite films with excellent mechanical performance.The EMI SE values could reach 45 and 52.15 dB at 60 wt.%and 70 wt.%MXene in 8.2–12.4 GHz.Meanwhile,the films have prominent Joule heating properties,high sensitivity(<15 s),small voltage operation(0.5 V),and high operation constancy(1300 s).Therefore,nacre-inspired MXene/ANF composite films in this work have ability to apply in many areas including communication technology,military,and aerospace.
基金supported by the National Natural Science Foundation of China(U21A2093,51973173,and 52073010)Kunpeng Ruan would like to thank the Innovation Foundation for Doctor Dissertation of Northwestern Polytechnical University(CX2022073)。
基金This work is financially supported by the fundamental research funds for the central universities, the National Natural Science Foundation of China (Grant Nos. 51372007 and 21301014).
文摘A facile strategy was designed for the fabrication of Fe3O4-nanoparticle- decorated TiO2 nanofiber hierarchical heterostructures (FTHs) by combining the versatility of the electrospinning technique and the hydrothermal growth method. The hierarchical architecture of Fe3O4 nanoparticles decorated on TiO2 nanofibers enables the successful integration of the binary composite into batteries to address structural stability and low capacity. In the resulting unique architecture of FTHs, the 1D heterostructures relieve the strain caused by severe volume changes of Fe3O4 during numerous charge-discharge cycles, and thus suppress the degradation of the electrode material. As a result, FTHs show excellent performance including higher reversible capacity, excellent cycle life, and good rate performance over a wide temperature range owing to the synergistic effect of the binary composition of TiO2 and Fe304 and the unique features of the hierarchical nanofibers.
基金supported by the National Natural Science Foundation of China (Nos.51972049 and 51672040)the Jilin Province Development and Reform Commission (No.2021C040-4).
文摘Layered double hydroxides(LDHs)are promising electrode candidates for supercapacitors.However,lim-itations like inferior cycling stability and unsatisfactory charge storage capability at low temperatures have exerted negative effects on their applications.Herein,a novel synthetic process has been elaborately designed and provided to have the composition and structure of the C/N-NiCoMn-LDH/Ag(C/N-CNMA)delicately regulated.Both the experimental and theoretical researches unveil that the incorporated manganese species and elemental silver could dramatically modulate the bandgap,crystallinity and surface electron structure of the LDH,leading to the remarkable improvement in its conductivity,exposed active sites and intrinsic electrochemical activity,and thus the OH^(*)and O^(*)adsorption free energy could be remarkably optimized,even at low temperatures.In addition,the low crystallinity C/N-CNMA is of great electrochemical compatibility with both the KOH aqueous electrolyte and the isobutyl alcohol(IPA)modulated organohydrogel electrolyte.By means of adjusting the solvation and hydrogen bonding in the electrolytes,the assembled hybrid supercapacitors deliver excellent energy density,power density and cycling stability in the temperature range of-30 to 25℃.Specifically,the gel electrolyte with IPA as the anti-freezing functional additive displays high flexibility and ionic conductivity at low temperatures.
文摘Background:It is of great clinical significance to further explore new strategies and potential combined therapeutic targets for gastric cancer.This study aimed to investigate the synthetic lethal effect of RBBP8 molecular intervention combined with a poly ADP ribose polymerase(PARP)inhibitor in non-BRCA mutant gastric cancer and clarify the mechanism by which RBBP8 regulates homologous recombination repair.Methods:The role of RBBP8 in DNA damage repair was observed using bioinformatic analysis,western blot analysis,and immunofluorescence.The synthetic lethal effect was verified using 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium,inner salt(MTS)and flow cytometry apoptosis experiments.Results:Among the patients with gastric cancer treated with chemotherapy,the prognosis of patients with high RBBP8 expression levels was worse(homologous recombination[HR]=1.54,p=0.028).RBBP8 knockdown induced DNA damage and had a synergistic effect with PARP inhibitor treatment on cell viability inhibition and cell apoptosis in AGS(generic code for human gastric adenocarcinoma cells)(t=11.154,p<0.001)and N87(t=6.362,p<0.001)cells.RBBP8 knockdown inhibited RAD51 activation and DNA terminal excision in homologous recombination repair.Conclusion:RBBP8 is involved in homologous recombination repair,and molecular intervention into RBBP8 could achieve a synthetic lethal effect with PARP inhibitor treatment in gastric cancer cells.