●Multiple evanescent white dot syndrome(MEWDS)is a rare fundus disease,characterized by acute vision loss and visual field defects.Many previous studies have explained the possible pathogenesis and clinical features ...●Multiple evanescent white dot syndrome(MEWDS)is a rare fundus disease,characterized by acute vision loss and visual field defects.Many previous studies have explained the possible pathogenesis and clinical features of primary MEWDS.However,as the number of reported cases increases,secondary MEWDS occurs in other related retinal diseases and injuries,exhibiting some special characteristics.The associated retinal diseases include multifocal choroiditis/punctate inner choroidopathy(MFC/PIC),acute zonal occult outer retinopathy,best vitelliform macular dystrophy,pseudoxanthoma elasticum,and ocular toxoplasmosis.The related retinal injury is laser photocoagulation,surgery,and trauma.Although primary MEWDS often have a self-limiting course,secondary MEWDS may require treatment in some cases,according to the severity of concomitant diseases and complications.Notably,MEWDS secondary to MFC/PIC that is prone to forming choroidal neovascularization and focal choroidal excavation,needs positive treatment with corticosteroids.The possible underlying pathogenesis of secondary MEWDS is the exposure of choroidal antigen after the disruption of Bruch’s membrane.The MEWDS-related features in secondary MEWDS are still evanescent under most circumstances.Its prognosis and treatment depend on the severity of complications.Current studies propose that the etiology is associated with immune factors,including viral infection,inflammation in choroid and Bruch’s membrane,and antigen exposure caused by retinal and/or choroidal insults.More pathogenic studies should be conducted in the future.Accurate diagnosis for secondary MEWDS could benefit patients in aspects of management and prognosis.展开更多
Developing advanced nanocomposite integrating solar-driven thermal energy storage and thermal management functional microwave absorption can facilitate the cutting-edge application of phase change materials(PCMs).To c...Developing advanced nanocomposite integrating solar-driven thermal energy storage and thermal management functional microwave absorption can facilitate the cutting-edge application of phase change materials(PCMs).To conquer this goal,herein,two-dimensional MoS_(2) nanosheets are grown in situ on the surface of one-dimensional CNTs to prepare core-sheath MoS_(2)@CNTs for the encapsulation of paraffin wax(PW).Benefiting from the synergistic enhancement photothermal effect of MoS_(2) and CNTs,MoS_(2)@CNTs is capable of efficiently trapping photons and quickly transporting phonons,thus yielding a high solar-thermal energy conversion and storage efficiency of 94.97%.Meanwhile,PW/MoS_(2)@CNTs composite PCMs exhibit a high phase change enthalpy of 101.60 J/g and excellent lo ng-term thermal storage durability after undergoing multiple heating-cooling cycles.More attractively,PW/MoS_(2)@CNTs composite PCMs realize thermal management functional microwave absorption in heat-related electronic application scenarios,which is superior to the single microwave absorption of traditional materials.The minimum reflection loss(RL) for PW/MoS_(2)@CNTs is-28 dB at 12.91 GHz with a 2.0 mm thickness.This functional integration design provides some insightful references on developing advanced microwave absorbing composite PCMs,holding great potential towards high-efficiency solar energy utilization and thermally managed microwave absorption fields.展开更多
Extensive use of thermal energy in daily life is ideal for reducing carbon emissions to achieve carbon neutrality;however,the effective collection of thermal energy is a major hurdle.Thermoelectric(TE)conversion techn...Extensive use of thermal energy in daily life is ideal for reducing carbon emissions to achieve carbon neutrality;however,the effective collection of thermal energy is a major hurdle.Thermoelectric(TE)conversion technology based on the Seebeck effect and thermal energy storage technology based on phase change materials(PCMs)represent smart,feasible,and research-worthy approaches to overcome this hurdle.However,the integration of multiple thermal energy sources freely existing in the environment for storage and output of thermal and electrical energy simultaneously still remains a huge challenge.Herein,three-dimensional(3D)nanostructured metal-organic frameworks(MOFs)are in situ nucleated and grown onto carbon nanotubes(CNTs)via coordination bonding.After calcination,the prepared core-shell structural CNTs@MOFs are transformed into tightened 1D/3D carbon heterostructure loading Co nanoparticles for efficient solar-thermoelectric energy harvesting.Surprisingly,the corresponding composite PCMs show a record-breaking solar-thermal conversion efficiency of 98.1%due to the tightened carbon heterostructure and the local surface plasmon resonance effect of Co nanoparticles.Moreover,our designed all-in-one composite PCMs are also capable of creating an electrical potential of 0.5 mV based on the Seebeck effect without a TE generator.This promising approach can store thermal and electrical energy simultaneously,providing a new direction in the design of advanced all-in-one multifunctional PCMs for thermal energy storage and utilization.展开更多
Robots are widely used,providing significant convenience in daily life and production.With the rapid development of artificial intelligence and neuromorphic computing in recent years,the realization of more intelligen...Robots are widely used,providing significant convenience in daily life and production.With the rapid development of artificial intelligence and neuromorphic computing in recent years,the realization of more intelligent robots through a pro-found intersection of neuroscience and robotics has received much attention.Neuromorphic circuits based on memristors used to construct hardware neural networks have proved to be a promising solution of shattering traditional control limita-tions in the field of robot control,showcasing characteristics that enhance robot intelligence,speed,and energy efficiency.Start-ing with introducing the working mechanism of memristors and peripheral circuit design,this review gives a comprehensive analysis on the biomimetic information processing and biomimetic driving operations achieved through the utilization of neuro-morphic circuits in brain-like control.Four hardware neural network approaches,including digital-analog hybrid circuit design,novel device structure design,multi-regulation mechanism,and crossbar array,are summarized,which can well simulate the motor decision-making mechanism,multi-information integration and parallel control of brain at the hardware level.It will be definitely conductive to promote the application of memristor-based neuromorphic circuits in areas such as intelligent robotics,artificial intelligence,and neural computing.Finally,a conclusion and future prospects are discussed.展开更多
The incidence and mortality of hepatocellular carcinoma(HCC) have fallen dramatically in China and elsewhere over the past several decades. Nonetheless, HCC remains a major public health issue as one of the most commo...The incidence and mortality of hepatocellular carcinoma(HCC) have fallen dramatically in China and elsewhere over the past several decades. Nonetheless, HCC remains a major public health issue as one of the most common malignant tumors worldwide and one of the leading causes of death caused by cancer in China. Hepatocarcinogenesis is a very complex biological process associated with many environmental risk factors and factors in heredity, including abnormal activation of cellular and molecular signaling pathways such as Wnt/β-catenin, hedgehog, MAPK, AKT, and ERK signaling pathways, and the balance between the activation and inactivation of the proto-oncogenes and anti-oncogenes, and the differentiation of liver cancer stem cells. Molecule-targeted therapy, a new approach for the treatment of liver cancer, blocks the growth of cancer cells by interfering with the molecules required for carcinogenesis and tumor growth, making it both specific and selective. However, there is no one drug completely designed for liver cancer, and further development in the research of liver cancer targeted drugs is now almost stagnant. The purpose of this review is to discuss recent advances in our understanding of the molecular mechanisms underlying the development of HCC and in the development of novel strategies for cancer therapeutics.展开更多
Electrochemical reduction of water to hydrogen holds great promise for clean energy,while its widespread application relies on the development of efficient catalysts with large surface area,abundant exposed active sit...Electrochemical reduction of water to hydrogen holds great promise for clean energy,while its widespread application relies on the development of efficient catalysts with large surface area,abundant exposed active sites and superior electron conductivity.Herein,we report a facile strategy to configure an electrocatalyst composed of cobalt phosphide and rhodium uniformly anchored on reduced graphene oxide for hydrogen generation.The hybrids effectively integrate the exposed active sites,electron conductivity and synergistic effect of the catalyst.Electrochemical tests exhibit that the catalyst shows superior hydrogen evolution reaction catalytic activity and stability,with a small Tafel slope of 43 m V dec-1.Overpotentials as low as 29 and 72 mV are required to achieve current densities of 2 and 10 mA cm-2in 0.5M H2SO4,respectively.The hybrid constitution with highly active sites on conductive substrate is a new strategy to synthesize extremely efficient electrocatalysts.Especially,the efficient synergistic effect among cobalt phosphide,rhodium and reduced graphene oxide provides a novel approach for configuring electrocatalysts with high electron efficiency.展开更多
Recently,there has been renewed interest in interface engineering as a means to further push the performance of perovskite solar cells closer to the Schockly-Queisser limit.Herein,for the first time we employ a multi-...Recently,there has been renewed interest in interface engineering as a means to further push the performance of perovskite solar cells closer to the Schockly-Queisser limit.Herein,for the first time we employ a multi-functional 4-chlorobenzoic acid to produce a self-assembled monolayer on a perovskite surface.With this interlayer we observe passivation of perovskite surface defects and a significant suppression of non-radiative charge recombination.Furthermore,at the surface of the interlayer we observe,charge dipoles which tune the energy level alignment,enabling a larger energetic driving force for hole extraction.The perovskite surface becomes more hydrophilic due to the presence of the interlayer.Consequently,we observe an improvement in open-circuit voltage from 1.08 to 1.16 V,a power conversion efficiency improvement from 18%to 21%and an improved stability under ambient conditions.Our work highlights the potential of SAMs to engineer the photo-electronic properties and stability of perovskite interfaces to achieve high-performance light harvesting devices.展开更多
Objective:The role of urgent endoscopy in nonvariceal upper gastrointestinal hemorrhage(NVUGIH)remains controversial.We designed a retrospective study to compare the outcomes between urgent endoscopy(within 12 h)and n...Objective:The role of urgent endoscopy in nonvariceal upper gastrointestinal hemorrhage(NVUGIH)remains controversial.We designed a retrospective study to compare the outcomes between urgent endoscopy(within 12 h)and non-urgent endoscopy for patients with NVUGIH.Methods:A total of 540 hospitalized patients with NVUGIH were included in our study.Patients who received endoscopy within 12 h or after 12 h were divided into two groups,the urgent and non-urgent endoscopy groups,respectively.The clinical outcomes including rebleeding,mortality,endoscopic re-intervention,need for emergency surgery and interventional radiotherapy were compared between the groups.Patients with Glasgow-Blatchford scores(GBS)<12 and>12 were defined as the lower-and high-risk groups,respectively,and the predictors of rebleeding and mortality in both groups were analyzed individually.Results:Patients with NVUGIH in the urgent endoscopy group had a higher rate of rebleeding(27.6%vs.16.9%,P=0.003)and blood transfusion(73.2%vs.55.5%,P<0.001)than those in the non-urgent endoscopy group,while the mortality and the length of hospitalization were not significantly different between the groups(P>0.05).For lower-risk patients,urgent endoscopy was independently associated with a higher likelihood of rebleeding(adjusted OR:1.73,95%CI:1.03-2.88),while it was not associated with in-hospital mortality.However,the urgent need for endoscopy was not associated with rebleeding and in-hospital mortality in high-risk patients.Conclusion:Endoscopy within 12 h did not provide any advantage in the outcomes of patients with NVUGIH,and may even lead to an increased rebleeding rate in lower-risk patients.展开更多
Objective This study investigated the predictive value of tumor volume reduction rates(TVRRs) before and after induction chemotherapy in determining the radiosensitivity and prognosis of patients with locally advanced...Objective This study investigated the predictive value of tumor volume reduction rates(TVRRs) before and after induction chemotherapy in determining the radiosensitivity and prognosis of patients with locally advanced nasopharyngeal carcinomas(NPCs). Methods The clinical data of 172 patients with locally advanced primary NPCs who were treated from January 2009 to December 2012 were collected. Tumor regression was evaluated based on the results of the computed tomography scan or magnetic resonance imaging studies. Data about the tumor diameters before and after induction chemotherapy and after radiotherapy as well as the survival times of the patients were obtained. Results All 172 patients had NPCs. After radiotherapy, the TVRR in patients without residual tumor cells was higher than that in patients with residual tumor cells after induction chemotherapy(median values: 47.7% and 15.1%, respectively), and the 5-year survival rates were 80.3% and 45.6%, respectively. Neck lymph node metastasis was observed in 161 of 172 patients, and the TVRRs were similar(median values: 46.8% in 161 patients without residual tumor cells and 11.1% in 161 patients with residual tumor cells). The 5-year survival rate of the 161 patients without residual tumor cells was 84.5%, and that of patients with residual tumor cells was 37.3%. As shown by the receiver operating characteristic(ROC) curve, the area under the curve(AUC) of the ROC curve for TVRRs in patients with primary NPCs but without residual tumors was 0.851, whereas that for TVRRs in patients with neck lymph node metastasis but without residual tumors was 0.784. This result indicates that TVRR has a high diagnostic performance. The univariate Cox regression analysis showed that clinical stage, TVRR in primary NPCs, neck lymph node metastatic lesions before and after induction chemotherapy, presence or absence of residual tumor cells in primary NPCs, and neck lymph node metastatic lesions after radiotherapy were significantly correlated to overall survival(OS). Results of the multivariate Cox regression analysis showed that clinical stage and presence or absence of residual tumor cells in the lymph nodes after radiotherapy were the independent prognostic factors of OS.Conclusion The TVRR after induction chemotherapy may be an effective predictive indicator of the treatment efficacy of radiotherapy in patients with NPC.展开更多
Over the past decades, the energy and concomitant environment issues, such as energy shortage, air pollution and global warming, have been becoming increasingly striking world-wide challenges [1,2]. Such a dilemma in ...Over the past decades, the energy and concomitant environment issues, such as energy shortage, air pollution and global warming, have been becoming increasingly striking world-wide challenges [1,2]. Such a dilemma in turn appeals to the development and employment of clean and renewable energy.展开更多
There is an urgent need to use green non-halogenated solvents to prepare polymer solar cells(PSCs) for industrialization.It is time-consuming but necessary to find a suitable non-halogenated solvent/additive combinati...There is an urgent need to use green non-halogenated solvents to prepare polymer solar cells(PSCs) for industrialization.It is time-consuming but necessary to find a suitable non-halogenated solvent/additive combination for a given donor:acceptor materials system.In this research,we report a non-halogenated binary solvent system toluene/diphenyl ether(DPE) for the PBDTT-DTffBT:PC_(71)BM and PM6:Y6 blending systems that exhibit comparable power conversion efficiency(PCE) to that of devices prepared with halogenated solvents.The nano scale morphology indicates that blending film processed solely with toluene has poor phase segregation and a rough surface,which hinders charge separation and interfacial contact.Besides,the total absorption spectra revealed significant light-trapping losses in the toluene-processed solar cells,resulting in low photocurrent generation.DPE incorporation addresses these issues and significantly improves the short-circuit current density and fill factor.Moreover,non-halogen solvent-processed devices exhibit high hole mobility and low transporting impedance properties.The present study enriches the families of eco-friendly,high-efficiency PSCs fabricated using nonhalogenated solvents.展开更多
Multi-layer 2D material assemblies provide a great number of interfaces beneficial for electromagnetic wave absorption.However,avoiding agglomeration and achieving layer-by-layer ordered intercalation remain chal-leng...Multi-layer 2D material assemblies provide a great number of interfaces beneficial for electromagnetic wave absorption.However,avoiding agglomeration and achieving layer-by-layer ordered intercalation remain chal-lenging.Here,3D reduced graphene oxide(rGO)/MXene/TiO_(2)/Fe_(2)C lightweight porous microspheres with periodical intercalated structures and pronounced inter-facial effects were constructed by spray-freeze-drying and microwave irradiation based on the Maxwell–Wagner effect.Such approach reinforced interfacial effects via defects introduction,porous skeleton,multi-layer assembly and multi-compo-nent system,leading to synergistic loss mechanisms.The abundant 2D/2D/0D/0D intercalated heterojunctions in the microspheres provide a high density of polari-zation charges while generating abundant polarization sites,resulting in boosted interfacial polarization,which is verified by CST Microwave Studio simulations.By precisely tuning the 2D nanosheets intercalation in the heterostructures,both the polarization loss and impedance matching improve significantly.At a low filler loading of 5 wt%,the polarization loss rate exceeds 70%,and a minimum reflection loss(RLmin)of-67.4 dB can be achieved.Moreover,radar cross-section simulations further confirm the attenuation ability of the optimized porous microspheres.These results not only provide novel insights into understanding and enhancing interfacial effects,but also constitute an attractive platform for implementing heterointerface engineering based on customized 2D hierarchical architectures.展开更多
Pumpkin polysaccharides(PPe)have a variety of bioactive effects and our previous research showed the acid hydrolysate(PPe-S,a mixture)from PPe had an antioxidative capacity both in vitro and in viro.The aim of this st...Pumpkin polysaccharides(PPe)have a variety of bioactive effects and our previous research showed the acid hydrolysate(PPe-S,a mixture)from PPe had an antioxidative capacity both in vitro and in viro.The aim of this study was to purify PPe-S and investigate the antioxidant stress effects of 2 purified components(PPe-S-1 and PPe-S-2)using Caenorhabditis elegans as model organism.The results showed that PPe-S-2 had a notable antioxidant effect,and could significantly enhance the activities of antioxidant enzymes including superoxide dismutase(SOD)(P<0.01),catalase(CAT)(P<0.01)and glutathione reductase(GR)(P<0.05),and increase the level of glutathione(GSH)(P<0.01),and decreased the content of malondialdehyde(MDA)(P<0.05).PPe-S-2 could significantly extend the survival time of C.elegans(P<0.01),which were stress-induced by hydrogen peroxide and methyl viologen.PPe-S-2 was a heteropolys accharide composed of glucose,arabinose,rhamnose and galactose with the molar ratio of 1.00:0.03:0.02:0.14.The molecular weight of PPe-S-2 was 0.73 kDa detected by high performance liquid chromatography.These studies demonstrated that PPe-S-2 obtained by the acid hydrolysis of PPe had a prominent protective effect to the damage induced by the intracellular free radical generating agents.展开更多
To overcome warping in thin bamboo bundle veneer laminated composites(TBLC),their hydrothermal deformation characteristics were systematically investigated in this study.It was found that TBLCs accelerated the release...To overcome warping in thin bamboo bundle veneer laminated composites(TBLC),their hydrothermal deformation characteristics were systematically investigated in this study.It was found that TBLCs accelerated the release of internal stress in the thickness direction in a hydrothermal environment,which increased their warpage.TBLCs showed increased warpage in the width and diagonal directions upon increasing the temperature.The warpage of Type E increased by 155.88%and 66.67%in the width and diagonal directions,respectively,when the temperature increased from 25C to 100C.The symmetrical TBLC with cross-lay-up and odd layers displayed better hydrothermal stability.We revealed that the deformation of the TBLCs could be regulated under the synergistic effect of water and temperature.These results provide a scientific basis for improving the uniformity of bamboo bundle composite materials and for developing thin bamboo bundle fiber composite materials with designable structures and controllable performance.展开更多
The erosion loss of cathode is essential for the lifetime of magnetoplasmadynamic thruster(MPDT).In this work,an endurance test system for MPDT cathodes was designed and developed,and the erosion characteristics,erosi...The erosion loss of cathode is essential for the lifetime of magnetoplasmadynamic thruster(MPDT).In this work,an endurance test system for MPDT cathodes was designed and developed,and the erosion characteristics,erosion rate and erosion mechanism of the cathode were studied using the system under vacuum condition.The WCe20 hollow cathode was selected to carry out the long-term erosion of 540 h with the argon propellant supply flow rate of40 ml min^(-1),the input current of 25 A,and the central magnetic field intensity of 96 Gs.In order to predict the theoretical service life of cathode,a steady state erosion numerical model was established.The calculation results show that the total erosion rate of sputtering and evaporation is 11.58 mg h^(-1),which is slightly smaller than the test data of the average cathode corrosion rate of 12.70 mg h^(-1) in the experiment,because the experimental value includes start-up erosion rate.展开更多
BACKGROUND The prognostic benefit of complete revascularization in elderly patients(aged over 75 years)with multi-vessel disease and acute coronary syndrome(ACS)is currently unclear.This study aimed to determine the l...BACKGROUND The prognostic benefit of complete revascularization in elderly patients(aged over 75 years)with multi-vessel disease and acute coronary syndrome(ACS)is currently unclear.This study aimed to determine the long-term prognostic impact of complete revascularization in this population.METHODS We conducted this study using data obtained from the BleeMACS(Bleeding complications in a Multicenter registry of patients discharged after an Acute Coronary Syndrome)registry,which was carried out from 2003 to 2014.The objective was to categorize older patients diagnosed with ACS into two groups:those who underwent complete revascularization and those who did not.Propensity score matching and the Kaplan-Meier analysis were employed to examine differences in one-year clinical outcomes.The primary endpoint was major adverse cardiovascular event(MACE),which encompassed a combination of all-cause mortality and myocardial infarction.RESULTS Out of 1263 patients evaluated,445 patients(35.2%)received complete revascularization.Patients who underwent complete revascularization had a higher prevalence of hypertension and prior percutaneous coronary intervention compared to those who did not.During the one-year follow-up period,complete revascularization was associated with a significantly decreased risk of MACE[13.7%vs.20.5%,hazard ratio(HR)=0.63,95%CI:0.45–0.88,P=0.007]and a lower risk of myocardial infarction(5.9%vs.9.9%,HR=0.55,95%CI:0.33–0.92,P=0.02).However,it was not linked to a lower risk of all-cause death(9.5%vs.13.5%,HR=0.68,95%CI:0.45–1.02,P=0.06).Similar results were observed in the subgroup analysis.CONCLUSIONS Long-term clinical improvements were observed in ACS patients aged over 75 years with multi-vessel disease who achieved complete revascularization.Therefore,adhering to guidelines for complete revascularization should be recommended for elderly patients.展开更多
The photothermal conversion capacity of pristine organic phase change materials(PCMs)is inherently insufficient in solar energy utilization.To upgrade their photothermal conversion capacity,we developed bimetallic zeo...The photothermal conversion capacity of pristine organic phase change materials(PCMs)is inherently insufficient in solar energy utilization.To upgrade their photothermal conversion capacity,we developed bimetallic zeolitic imidazolate framework(ZIF)derived Co/N co-doped flower-like carbon(Co/N-FLC)-based composite PCMs toward solar energy harvesting.3D interconnected carbon framework with low interfacial thermal resistance,abundant carbon defects and high content of nitrogen doping,excellent localized surface plasmon resonance(LSPR)effect of Co nanoparticles,and light absorber Co_(3)ZnC in Co/N-FLC synergistically upgrade the photothermal capacity of(polyethylene glycol)PEG@Co/N-FLC composite PCMs with an ultrahigh photothermal conversion efficiency of 94.8%under 0.16 W/cm^(2).Uniformly anchored Co and Co_(3)ZnC nanoparticles in carbon framework guarantee excellent photon capture ability.Bridging carbon nanotubes(CNTs)in 2D carbon nanosheets further accelerate the rapid transport of phonons by constructing cross-connected heat transfer paths.Additionally,PEG@Co/N-FLC exhibits a thermal energy storage density of 100.69 J/g and excellent thermal stability and durable reliability.Therefore,PEG@Co/N-FLC composite PCMs are promising candidates to accelerate the efficient utilization of solar energy.展开更多
Inflammatory myofibroblastic tumor(IMT) is rare in clinical practice.As its treatment mainly involves surgery,radiotherapy alone is seldom reported in literature.Here we report a case of lowly malignant cranial IMT wi...Inflammatory myofibroblastic tumor(IMT) is rare in clinical practice.As its treatment mainly involves surgery,radiotherapy alone is seldom reported in literature.Here we report a case of lowly malignant cranial IMT with intracranial invasion in a female patient. As surgery was not suitable,intensity modulated radiation therapy(IMRT) was administered.After radiotherapy,the cranial lesions tended to show efficacy.展开更多
基金Supported by the National Natural Science Foundation of China(No.82171073No.82101147).
文摘●Multiple evanescent white dot syndrome(MEWDS)is a rare fundus disease,characterized by acute vision loss and visual field defects.Many previous studies have explained the possible pathogenesis and clinical features of primary MEWDS.However,as the number of reported cases increases,secondary MEWDS occurs in other related retinal diseases and injuries,exhibiting some special characteristics.The associated retinal diseases include multifocal choroiditis/punctate inner choroidopathy(MFC/PIC),acute zonal occult outer retinopathy,best vitelliform macular dystrophy,pseudoxanthoma elasticum,and ocular toxoplasmosis.The related retinal injury is laser photocoagulation,surgery,and trauma.Although primary MEWDS often have a self-limiting course,secondary MEWDS may require treatment in some cases,according to the severity of concomitant diseases and complications.Notably,MEWDS secondary to MFC/PIC that is prone to forming choroidal neovascularization and focal choroidal excavation,needs positive treatment with corticosteroids.The possible underlying pathogenesis of secondary MEWDS is the exposure of choroidal antigen after the disruption of Bruch’s membrane.The MEWDS-related features in secondary MEWDS are still evanescent under most circumstances.Its prognosis and treatment depend on the severity of complications.Current studies propose that the etiology is associated with immune factors,including viral infection,inflammation in choroid and Bruch’s membrane,and antigen exposure caused by retinal and/or choroidal insults.More pathogenic studies should be conducted in the future.Accurate diagnosis for secondary MEWDS could benefit patients in aspects of management and prognosis.
基金supported by the National Natural Science Foundation of China (51902025)China Postdoctoral Science Foundation (2020T130060 and 2019M660520)。
文摘Developing advanced nanocomposite integrating solar-driven thermal energy storage and thermal management functional microwave absorption can facilitate the cutting-edge application of phase change materials(PCMs).To conquer this goal,herein,two-dimensional MoS_(2) nanosheets are grown in situ on the surface of one-dimensional CNTs to prepare core-sheath MoS_(2)@CNTs for the encapsulation of paraffin wax(PW).Benefiting from the synergistic enhancement photothermal effect of MoS_(2) and CNTs,MoS_(2)@CNTs is capable of efficiently trapping photons and quickly transporting phonons,thus yielding a high solar-thermal energy conversion and storage efficiency of 94.97%.Meanwhile,PW/MoS_(2)@CNTs composite PCMs exhibit a high phase change enthalpy of 101.60 J/g and excellent lo ng-term thermal storage durability after undergoing multiple heating-cooling cycles.More attractively,PW/MoS_(2)@CNTs composite PCMs realize thermal management functional microwave absorption in heat-related electronic application scenarios,which is superior to the single microwave absorption of traditional materials.The minimum reflection loss(RL) for PW/MoS_(2)@CNTs is-28 dB at 12.91 GHz with a 2.0 mm thickness.This functional integration design provides some insightful references on developing advanced microwave absorbing composite PCMs,holding great potential towards high-efficiency solar energy utilization and thermally managed microwave absorption fields.
基金National Natural Science Foundation of China,Grant/Award Number:51902025Fundamental Research Funds for the Central Universities,Grant/Award Numbers:2019NTST29,FRF-BD-20-07A+1 种基金China Postdoctoral Science Foundation,Grant/Award Numbers:2019M660520,2020T130060Scientific and Technological Innovation Foundation of Shunde Graduate School,University of Science and Technology Beijing,Grant/Award Number:BK20AE003。
文摘Extensive use of thermal energy in daily life is ideal for reducing carbon emissions to achieve carbon neutrality;however,the effective collection of thermal energy is a major hurdle.Thermoelectric(TE)conversion technology based on the Seebeck effect and thermal energy storage technology based on phase change materials(PCMs)represent smart,feasible,and research-worthy approaches to overcome this hurdle.However,the integration of multiple thermal energy sources freely existing in the environment for storage and output of thermal and electrical energy simultaneously still remains a huge challenge.Herein,three-dimensional(3D)nanostructured metal-organic frameworks(MOFs)are in situ nucleated and grown onto carbon nanotubes(CNTs)via coordination bonding.After calcination,the prepared core-shell structural CNTs@MOFs are transformed into tightened 1D/3D carbon heterostructure loading Co nanoparticles for efficient solar-thermoelectric energy harvesting.Surprisingly,the corresponding composite PCMs show a record-breaking solar-thermal conversion efficiency of 98.1%due to the tightened carbon heterostructure and the local surface plasmon resonance effect of Co nanoparticles.Moreover,our designed all-in-one composite PCMs are also capable of creating an electrical potential of 0.5 mV based on the Seebeck effect without a TE generator.This promising approach can store thermal and electrical energy simultaneously,providing a new direction in the design of advanced all-in-one multifunctional PCMs for thermal energy storage and utilization.
文摘Robots are widely used,providing significant convenience in daily life and production.With the rapid development of artificial intelligence and neuromorphic computing in recent years,the realization of more intelligent robots through a pro-found intersection of neuroscience and robotics has received much attention.Neuromorphic circuits based on memristors used to construct hardware neural networks have proved to be a promising solution of shattering traditional control limita-tions in the field of robot control,showcasing characteristics that enhance robot intelligence,speed,and energy efficiency.Start-ing with introducing the working mechanism of memristors and peripheral circuit design,this review gives a comprehensive analysis on the biomimetic information processing and biomimetic driving operations achieved through the utilization of neuro-morphic circuits in brain-like control.Four hardware neural network approaches,including digital-analog hybrid circuit design,novel device structure design,multi-regulation mechanism,and crossbar array,are summarized,which can well simulate the motor decision-making mechanism,multi-information integration and parallel control of brain at the hardware level.It will be definitely conductive to promote the application of memristor-based neuromorphic circuits in areas such as intelligent robotics,artificial intelligence,and neural computing.Finally,a conclusion and future prospects are discussed.
文摘The incidence and mortality of hepatocellular carcinoma(HCC) have fallen dramatically in China and elsewhere over the past several decades. Nonetheless, HCC remains a major public health issue as one of the most common malignant tumors worldwide and one of the leading causes of death caused by cancer in China. Hepatocarcinogenesis is a very complex biological process associated with many environmental risk factors and factors in heredity, including abnormal activation of cellular and molecular signaling pathways such as Wnt/β-catenin, hedgehog, MAPK, AKT, and ERK signaling pathways, and the balance between the activation and inactivation of the proto-oncogenes and anti-oncogenes, and the differentiation of liver cancer stem cells. Molecule-targeted therapy, a new approach for the treatment of liver cancer, blocks the growth of cancer cells by interfering with the molecules required for carcinogenesis and tumor growth, making it both specific and selective. However, there is no one drug completely designed for liver cancer, and further development in the research of liver cancer targeted drugs is now almost stagnant. The purpose of this review is to discuss recent advances in our understanding of the molecular mechanisms underlying the development of HCC and in the development of novel strategies for cancer therapeutics.
基金National Key Research and Development Program of China (No. 2016YFB0701100)the National Natural Science Foundation of China (51802015)+1 种基金the Fundamental Research Funds for the Central Universities (FRF-TP-16-028A1)Program of Young Scholar sponsored by Beijing Organization Department (2017000020124G090) for financial support
文摘Electrochemical reduction of water to hydrogen holds great promise for clean energy,while its widespread application relies on the development of efficient catalysts with large surface area,abundant exposed active sites and superior electron conductivity.Herein,we report a facile strategy to configure an electrocatalyst composed of cobalt phosphide and rhodium uniformly anchored on reduced graphene oxide for hydrogen generation.The hybrids effectively integrate the exposed active sites,electron conductivity and synergistic effect of the catalyst.Electrochemical tests exhibit that the catalyst shows superior hydrogen evolution reaction catalytic activity and stability,with a small Tafel slope of 43 m V dec-1.Overpotentials as low as 29 and 72 mV are required to achieve current densities of 2 and 10 mA cm-2in 0.5M H2SO4,respectively.The hybrid constitution with highly active sites on conductive substrate is a new strategy to synthesize extremely efficient electrocatalysts.Especially,the efficient synergistic effect among cobalt phosphide,rhodium and reduced graphene oxide provides a novel approach for configuring electrocatalysts with high electron efficiency.
基金supported by the National Natural Science Foundation of China(Grant Nos.52073115,61874048,12073009)the Project of Science and Technology Development Plan of Jilin Province(Grant No.20200201085JC).
文摘Recently,there has been renewed interest in interface engineering as a means to further push the performance of perovskite solar cells closer to the Schockly-Queisser limit.Herein,for the first time we employ a multi-functional 4-chlorobenzoic acid to produce a self-assembled monolayer on a perovskite surface.With this interlayer we observe passivation of perovskite surface defects and a significant suppression of non-radiative charge recombination.Furthermore,at the surface of the interlayer we observe,charge dipoles which tune the energy level alignment,enabling a larger energetic driving force for hole extraction.The perovskite surface becomes more hydrophilic due to the presence of the interlayer.Consequently,we observe an improvement in open-circuit voltage from 1.08 to 1.16 V,a power conversion efficiency improvement from 18%to 21%and an improved stability under ambient conditions.Our work highlights the potential of SAMs to engineer the photo-electronic properties and stability of perovskite interfaces to achieve high-performance light harvesting devices.
文摘Objective:The role of urgent endoscopy in nonvariceal upper gastrointestinal hemorrhage(NVUGIH)remains controversial.We designed a retrospective study to compare the outcomes between urgent endoscopy(within 12 h)and non-urgent endoscopy for patients with NVUGIH.Methods:A total of 540 hospitalized patients with NVUGIH were included in our study.Patients who received endoscopy within 12 h or after 12 h were divided into two groups,the urgent and non-urgent endoscopy groups,respectively.The clinical outcomes including rebleeding,mortality,endoscopic re-intervention,need for emergency surgery and interventional radiotherapy were compared between the groups.Patients with Glasgow-Blatchford scores(GBS)<12 and>12 were defined as the lower-and high-risk groups,respectively,and the predictors of rebleeding and mortality in both groups were analyzed individually.Results:Patients with NVUGIH in the urgent endoscopy group had a higher rate of rebleeding(27.6%vs.16.9%,P=0.003)and blood transfusion(73.2%vs.55.5%,P<0.001)than those in the non-urgent endoscopy group,while the mortality and the length of hospitalization were not significantly different between the groups(P>0.05).For lower-risk patients,urgent endoscopy was independently associated with a higher likelihood of rebleeding(adjusted OR:1.73,95%CI:1.03-2.88),while it was not associated with in-hospital mortality.However,the urgent need for endoscopy was not associated with rebleeding and in-hospital mortality in high-risk patients.Conclusion:Endoscopy within 12 h did not provide any advantage in the outcomes of patients with NVUGIH,and may even lead to an increased rebleeding rate in lower-risk patients.
文摘Objective This study investigated the predictive value of tumor volume reduction rates(TVRRs) before and after induction chemotherapy in determining the radiosensitivity and prognosis of patients with locally advanced nasopharyngeal carcinomas(NPCs). Methods The clinical data of 172 patients with locally advanced primary NPCs who were treated from January 2009 to December 2012 were collected. Tumor regression was evaluated based on the results of the computed tomography scan or magnetic resonance imaging studies. Data about the tumor diameters before and after induction chemotherapy and after radiotherapy as well as the survival times of the patients were obtained. Results All 172 patients had NPCs. After radiotherapy, the TVRR in patients without residual tumor cells was higher than that in patients with residual tumor cells after induction chemotherapy(median values: 47.7% and 15.1%, respectively), and the 5-year survival rates were 80.3% and 45.6%, respectively. Neck lymph node metastasis was observed in 161 of 172 patients, and the TVRRs were similar(median values: 46.8% in 161 patients without residual tumor cells and 11.1% in 161 patients with residual tumor cells). The 5-year survival rate of the 161 patients without residual tumor cells was 84.5%, and that of patients with residual tumor cells was 37.3%. As shown by the receiver operating characteristic(ROC) curve, the area under the curve(AUC) of the ROC curve for TVRRs in patients with primary NPCs but without residual tumors was 0.851, whereas that for TVRRs in patients with neck lymph node metastasis but without residual tumors was 0.784. This result indicates that TVRR has a high diagnostic performance. The univariate Cox regression analysis showed that clinical stage, TVRR in primary NPCs, neck lymph node metastatic lesions before and after induction chemotherapy, presence or absence of residual tumor cells in primary NPCs, and neck lymph node metastatic lesions after radiotherapy were significantly correlated to overall survival(OS). Results of the multivariate Cox regression analysis showed that clinical stage and presence or absence of residual tumor cells in the lymph nodes after radiotherapy were the independent prognostic factors of OS.Conclusion The TVRR after induction chemotherapy may be an effective predictive indicator of the treatment efficacy of radiotherapy in patients with NPC.
基金supported by the National Natural Science Foundation of China(51972024,51702013,51902025)the Fundamental Research Funds for the Central Universities(FRF-BD-20-07A,2019NTST29)+1 种基金the Scientific and Technological Innovation Foundation of Shunde Graduate School,University of Science and Technology Beijing(BK19AE029)funding from China Scholarship Council。
文摘Over the past decades, the energy and concomitant environment issues, such as energy shortage, air pollution and global warming, have been becoming increasingly striking world-wide challenges [1,2]. Such a dilemma in turn appeals to the development and employment of clean and renewable energy.
基金supported by the National Natural Science Foundation of China(No.52073115)the Project of Science and Technology Development Plan of Jilin Province(No.20200201085JC)China Postdoctoral Science Foundation(No.2019M661208)。
文摘There is an urgent need to use green non-halogenated solvents to prepare polymer solar cells(PSCs) for industrialization.It is time-consuming but necessary to find a suitable non-halogenated solvent/additive combination for a given donor:acceptor materials system.In this research,we report a non-halogenated binary solvent system toluene/diphenyl ether(DPE) for the PBDTT-DTffBT:PC_(71)BM and PM6:Y6 blending systems that exhibit comparable power conversion efficiency(PCE) to that of devices prepared with halogenated solvents.The nano scale morphology indicates that blending film processed solely with toluene has poor phase segregation and a rough surface,which hinders charge separation and interfacial contact.Besides,the total absorption spectra revealed significant light-trapping losses in the toluene-processed solar cells,resulting in low photocurrent generation.DPE incorporation addresses these issues and significantly improves the short-circuit current density and fill factor.Moreover,non-halogen solvent-processed devices exhibit high hole mobility and low transporting impedance properties.The present study enriches the families of eco-friendly,high-efficiency PSCs fabricated using nonhalogenated solvents.
基金supported by Zhejiang Provincial Key Research and Development Program(2021C01004)National Key Research and Development Program of China(No.2021YFE0100500,2021YFB3501504)Zhejiang Provincial Natural Science Foundation(LQ22E030003),Guangdong Basic and Applied Basic Research Foundation(2020A1515110005).
文摘Multi-layer 2D material assemblies provide a great number of interfaces beneficial for electromagnetic wave absorption.However,avoiding agglomeration and achieving layer-by-layer ordered intercalation remain chal-lenging.Here,3D reduced graphene oxide(rGO)/MXene/TiO_(2)/Fe_(2)C lightweight porous microspheres with periodical intercalated structures and pronounced inter-facial effects were constructed by spray-freeze-drying and microwave irradiation based on the Maxwell–Wagner effect.Such approach reinforced interfacial effects via defects introduction,porous skeleton,multi-layer assembly and multi-compo-nent system,leading to synergistic loss mechanisms.The abundant 2D/2D/0D/0D intercalated heterojunctions in the microspheres provide a high density of polari-zation charges while generating abundant polarization sites,resulting in boosted interfacial polarization,which is verified by CST Microwave Studio simulations.By precisely tuning the 2D nanosheets intercalation in the heterostructures,both the polarization loss and impedance matching improve significantly.At a low filler loading of 5 wt%,the polarization loss rate exceeds 70%,and a minimum reflection loss(RLmin)of-67.4 dB can be achieved.Moreover,radar cross-section simulations further confirm the attenuation ability of the optimized porous microspheres.These results not only provide novel insights into understanding and enhancing interfacial effects,but also constitute an attractive platform for implementing heterointerface engineering based on customized 2D hierarchical architectures.
基金supported by the Key R&D Projects of Department of Science and Technology of Zhejiang Province(2020C02035)。
文摘Pumpkin polysaccharides(PPe)have a variety of bioactive effects and our previous research showed the acid hydrolysate(PPe-S,a mixture)from PPe had an antioxidative capacity both in vitro and in viro.The aim of this study was to purify PPe-S and investigate the antioxidant stress effects of 2 purified components(PPe-S-1 and PPe-S-2)using Caenorhabditis elegans as model organism.The results showed that PPe-S-2 had a notable antioxidant effect,and could significantly enhance the activities of antioxidant enzymes including superoxide dismutase(SOD)(P<0.01),catalase(CAT)(P<0.01)and glutathione reductase(GR)(P<0.05),and increase the level of glutathione(GSH)(P<0.01),and decreased the content of malondialdehyde(MDA)(P<0.05).PPe-S-2 could significantly extend the survival time of C.elegans(P<0.01),which were stress-induced by hydrogen peroxide and methyl viologen.PPe-S-2 was a heteropolys accharide composed of glucose,arabinose,rhamnose and galactose with the molar ratio of 1.00:0.03:0.02:0.14.The molecular weight of PPe-S-2 was 0.73 kDa detected by high performance liquid chromatography.These studies demonstrated that PPe-S-2 obtained by the acid hydrolysis of PPe had a prominent protective effect to the damage induced by the intracellular free radical generating agents.
基金supported by the Youth Top-notch Talent Program of Science and Technology Innovation for Forestry and Grassland(2019132606).
文摘To overcome warping in thin bamboo bundle veneer laminated composites(TBLC),their hydrothermal deformation characteristics were systematically investigated in this study.It was found that TBLCs accelerated the release of internal stress in the thickness direction in a hydrothermal environment,which increased their warpage.TBLCs showed increased warpage in the width and diagonal directions upon increasing the temperature.The warpage of Type E increased by 155.88%and 66.67%in the width and diagonal directions,respectively,when the temperature increased from 25C to 100C.The symmetrical TBLC with cross-lay-up and odd layers displayed better hydrothermal stability.We revealed that the deformation of the TBLCs could be regulated under the synergistic effect of water and temperature.These results provide a scientific basis for improving the uniformity of bamboo bundle composite materials and for developing thin bamboo bundle fiber composite materials with designable structures and controllable performance.
文摘The erosion loss of cathode is essential for the lifetime of magnetoplasmadynamic thruster(MPDT).In this work,an endurance test system for MPDT cathodes was designed and developed,and the erosion characteristics,erosion rate and erosion mechanism of the cathode were studied using the system under vacuum condition.The WCe20 hollow cathode was selected to carry out the long-term erosion of 540 h with the argon propellant supply flow rate of40 ml min^(-1),the input current of 25 A,and the central magnetic field intensity of 96 Gs.In order to predict the theoretical service life of cathode,a steady state erosion numerical model was established.The calculation results show that the total erosion rate of sputtering and evaporation is 11.58 mg h^(-1),which is slightly smaller than the test data of the average cathode corrosion rate of 12.70 mg h^(-1) in the experiment,because the experimental value includes start-up erosion rate.
基金supported by the Ministry of Science and Technology of China(2020YFC2004800)the National Natural Science Foundation of China(No.82100260)the Beijing Hospitals Authority Youth Program(QML20210605)。
文摘BACKGROUND The prognostic benefit of complete revascularization in elderly patients(aged over 75 years)with multi-vessel disease and acute coronary syndrome(ACS)is currently unclear.This study aimed to determine the long-term prognostic impact of complete revascularization in this population.METHODS We conducted this study using data obtained from the BleeMACS(Bleeding complications in a Multicenter registry of patients discharged after an Acute Coronary Syndrome)registry,which was carried out from 2003 to 2014.The objective was to categorize older patients diagnosed with ACS into two groups:those who underwent complete revascularization and those who did not.Propensity score matching and the Kaplan-Meier analysis were employed to examine differences in one-year clinical outcomes.The primary endpoint was major adverse cardiovascular event(MACE),which encompassed a combination of all-cause mortality and myocardial infarction.RESULTS Out of 1263 patients evaluated,445 patients(35.2%)received complete revascularization.Patients who underwent complete revascularization had a higher prevalence of hypertension and prior percutaneous coronary intervention compared to those who did not.During the one-year follow-up period,complete revascularization was associated with a significantly decreased risk of MACE[13.7%vs.20.5%,hazard ratio(HR)=0.63,95%CI:0.45–0.88,P=0.007]and a lower risk of myocardial infarction(5.9%vs.9.9%,HR=0.55,95%CI:0.33–0.92,P=0.02).However,it was not linked to a lower risk of all-cause death(9.5%vs.13.5%,HR=0.68,95%CI:0.45–1.02,P=0.06).Similar results were observed in the subgroup analysis.CONCLUSIONS Long-term clinical improvements were observed in ACS patients aged over 75 years with multi-vessel disease who achieved complete revascularization.Therefore,adhering to guidelines for complete revascularization should be recommended for elderly patients.
基金Beijing Natural Science Foundation,Grant/Award Number:2232053National Natural Science Foundation of China,Grant/Award Number:51902025。
文摘The photothermal conversion capacity of pristine organic phase change materials(PCMs)is inherently insufficient in solar energy utilization.To upgrade their photothermal conversion capacity,we developed bimetallic zeolitic imidazolate framework(ZIF)derived Co/N co-doped flower-like carbon(Co/N-FLC)-based composite PCMs toward solar energy harvesting.3D interconnected carbon framework with low interfacial thermal resistance,abundant carbon defects and high content of nitrogen doping,excellent localized surface plasmon resonance(LSPR)effect of Co nanoparticles,and light absorber Co_(3)ZnC in Co/N-FLC synergistically upgrade the photothermal capacity of(polyethylene glycol)PEG@Co/N-FLC composite PCMs with an ultrahigh photothermal conversion efficiency of 94.8%under 0.16 W/cm^(2).Uniformly anchored Co and Co_(3)ZnC nanoparticles in carbon framework guarantee excellent photon capture ability.Bridging carbon nanotubes(CNTs)in 2D carbon nanosheets further accelerate the rapid transport of phonons by constructing cross-connected heat transfer paths.Additionally,PEG@Co/N-FLC exhibits a thermal energy storage density of 100.69 J/g and excellent thermal stability and durable reliability.Therefore,PEG@Co/N-FLC composite PCMs are promising candidates to accelerate the efficient utilization of solar energy.
文摘Inflammatory myofibroblastic tumor(IMT) is rare in clinical practice.As its treatment mainly involves surgery,radiotherapy alone is seldom reported in literature.Here we report a case of lowly malignant cranial IMT with intracranial invasion in a female patient. As surgery was not suitable,intensity modulated radiation therapy(IMRT) was administered.After radiotherapy,the cranial lesions tended to show efficacy.