Consensus on rapid screening for prodromal Alzheimer's disease in China

Alzheimer's disease(AD)is a common cause of dementia,characterised by cerebral amyloid-βdeposition,pathological tau and neurodegeneration.The prodromal stage of AD(pAD)refers to patients with mild cognitive impairment(MCl)and evidence of AD's pathology.At this stage,disease-modifying interventions should be used to prevent the progression to dementia.Given the inherent heterogeneity of MCl,more specific biomarkers are needed to elucidate the underlying AD's pathology.Although the uses of cerebrospinal fluid and positron emission tomography are widely accepted methods for detecting AD's pathology,their clinical applications are limited by their high costs and invasiveness,particularly in low-income areas in China.Therefore,to improve the early detection of Alzheimer's disease(AD)pathology through cost-effective screening methods,a panel of 45neurologists,psychiatrists andgerontologistswas invited to establish a formal consensus on the screening of pAD in China.The supportive evidence and grades of recommendations are based on a systematic literature review andfocus group discussion.National meetings were held to allow participants to review,vote and provide their expert opinions to reach a consensus.A majority(two-thirds)decision was used for questions for which consensus could not be reached.Recommended screening methods are presented in this publication,including neuropsychological assessment,peripheral biomarkers and brain imaging.In addition,a general workflow for Screening pAD in China is established,which will help clinicians identify individuals at high risk and determine therapeutic targets.

In situ decomposition of metal-organic frameworks into ultrathin nanosheets for the oxygen evolution reaction

The oxygen evolution reaction （OER） is a pivotal process for water-splitting and many other energy technologies involving oxygen electrodes. Herein, a new synthesis strategy is proposed to prepare OER catalysts based on a simple yet flexible in situ decomposition of Co-based acetate hydroxide metal-organic frameworks （MOFs）. This process allows straightforward fabrication of various 2D hydroxide ultrathin nanosheets （UNSs） with excellent component controllability. The as-obtained Co-based hydroxide UNSs demonstrate superior catalytic activity for the OER due to the exposure of numerous active sites. In particular, the CoNi hydroxide UNSs exhibit low overpotentials （r/） of 324 and 372 mV at current densities of 10 and 100 mA-cm-2, respectively; a large turnover frequency （TOF） of 0.16 s-~ at T/= 380 mV; and a small Tafel slope of 33 mV.dec-~ in an alkaline environment. Importantly, these values are superior to those of the state-of-the- art IrO2 commercial electrocatalyst. This facile strategy enables the exploration of more efficient and economic OER electrocatalysts with various constituents and opens a promising avenue for large-scale fabrication of functional nanocatalysts for use in clean ener~：v technologies.