Many studies have demonstrated that leukoaraiosis is associated with impaired cerebrovascular reserve function. However, the definitive hemodynamic changes that occur in leukoaraiosis are not clear, and there are many...Many studies have demonstrated that leukoaraiosis is associated with impaired cerebrovascular reserve function. However, the definitive hemodynamic changes that occur in leukoaraiosis are not clear, and there are many controversies. This study aimed to investigate hemodynamic changes in symptomatic leukoaraiosis using transcranial Doppler ultrasonography and the breath-holding test in a Chinese Han population, from northern China. A total of 203 patients who were diagnosed with ischemic stroke or clinical chronic progressive ischemic symptoms were enrolled in this study, including 97 males and 106 females, with an age range of 43-93 years. The severity of leukoaraiosis was evaluated according to the Fazekas grading scale, and patients were divided into four groups accordingly. Grade 0 was no leukoaraiosis, and grades I, II, and III were mild, moderate, and severe leukoaraiosis, respectively, with 44, 79, 44, and 36 cases in each group. Transcranial Doppler ultrasonography and the breath-holding test were performed. The mean blood flow velocity of the bilateral middle cerebral artery was measured and the breath-holding index was calculated. The breath holding index was correlated with leukoaraiosis severity and cognitive impairment. Patients with a low breath holding index presented poor performance in the Montreal Cognitive Assessment (MoCA) and executive function tests. That is, the lower the breath holding index, the lower the scores for the MoCA and the higher for the trail-making test Parts A and B. These results indicate that the breath-holding index is a useful parameter for the evaluation of cerebrovascular reserve impairment in patients with leukoaraiosis. In addition, the breath-holding index can reflect cognitive dysfunction, providing a new insight into the pathophysiology of leukoaraiosis. This study was approved by the Ethics Committee of the Fifth Peoples Hospital of Shenyang, China (approval No. 20160301) and registered in the Chinese Clinical Trial Registry (registration number: ChiCTR1800014421).展开更多
Objective: The pathogenesis of leukoaraiosis is still unclear. Many studies have determined that changes in the hemodynamics associated with leukoaraiosis, impaired cerebrovascular reserve, and intracranial hypoperfus...Objective: The pathogenesis of leukoaraiosis is still unclear. Many studies have determined that changes in the hemodynamics associated with leukoaraiosis, impaired cerebrovascular reserve, and intracranial hypoperfusion can lead to various clinical manifestations such as motor or cognitive impairment. The purpose of this study was to investigate the relationship between cognitive functional changes and imaging characteristics in patients with symptomatic leukoaraiosis, and to observe the corresponding changes in hemodynamics. Methods: A total of 203 Han patients (aged 43 - 93 years) with symptomatic leukoaraiosis were included in this study. Head magnetic resonance imaging was semi-quantified according to the Fazekas grading standard. Then, each patient was evaluated in terms of cognitive (Montreal scale) and executive function (trail-making test A [TMTA] and TMTB). Specifically, the TMTA asks patients to connect points on a piece of paper numbered from 1 to 25 in order and the TMTB asks patients to arrange numbers and letters in alternating order. In the current work, revised versions of these tests used are to include numbers in square and circular shapes where the shapes needed to be arranged in alternating order. The time required to complete the TMTA and TMTB was recorded. The changes in the blood flow velocity of the middle cerebral artery were also observed using routine Transcranial Doppler ultrasound and the breath-holding test. The dynamic curves of blood flow velocity during the breath-holding test were examined. Results: The cognitive and executive functions of patients with leukoaraiosis are related to the classification of image-based disease characteristics. In this sense, the more serious the leukoaraiosis is, the larger the impairment of cognitive and executive function is. According to the breath-holding test, the peak pattern of the blood flow velocity in the middle cerebral artery was significantly different between the various grades of leukoaraiosis. The peak type of Fazekas grade 0 and I was in the same direction, while the peak type of Fazekas grade II and III was significantly opposed (both p Conclusions: The impairment of cognitive and executive functions in patients with leukoaraiosis correlates with the severity of image-based disease manifestations, which are generally depicted as intracranial hypoperfusion.展开更多
In 1987, Hachinski et al. [1] proposed Leukoaraiosis (LA) as an imaging academic term. Since then, LA and other cerebrovascular diseases have become the research focus of scholars at home and abroad. However, the mole...In 1987, Hachinski et al. [1] proposed Leukoaraiosis (LA) as an imaging academic term. Since then, LA and other cerebrovascular diseases have become the research focus of scholars at home and abroad. However, the molecular, cellular and pathogenesis of cerebrovascular disease are still unclear. Cerebral small vessel disease is caused by the lesions of perforating arteries, capillaries and veins of the brain. Modern imaging technology makes it possible to classify these diseases that can not be directly distinguished in clinical practice. The imaging features of cerebral infarction include cerebral microvascular atrophy. At present, a large number of studies have been carried out around LA, such as the pathogenesis, risk factors, imaging manifestations and classification, pathophysiological changes, hemodynamics, gene polymorphism and so on. In addition, although LA belongs to the category of cerebral small vessel disease, more scholars believe that there are countless links between large artery atherosclerosis and LA, and to some extent, have the same pathogenesis. This paper reviews the following aspects.展开更多
Anti-perovskites X3BA,as the electrically inverted derivatives of perovskites ABX3,have attracted tremendous attention for their good performances in multiple disciplines,especially in energy storage batteries.The Li/...Anti-perovskites X3BA,as the electrically inverted derivatives of perovskites ABX3,have attracted tremendous attention for their good performances in multiple disciplines,especially in energy storage batteries.The Li/Na-rich antiperovskite(LiRAP/NaRAP)solid-state electrolytes(SSEs)typically show high ionic conductivities and high chemical/electrochemical stability toward the Li-metal anode,illustrating their great potential for applications in the Limetal batteries(LMBs)using nonaqueous liquid electrolyte or all-solid-state electrolyte.The antiperovskites have been studied as artificial solid electrolyte interphase for Li-metal anode protection,film SSEs for thin-film batteries,and low melting temperature solid electrolyte enabling melt-infiltration for the manufacture of all-solid-state lithium batteries.Transition metal-doped LiRAPs as cathodes have demonstrated a high discharge specific capacity and good rate capability in the Li-ion batteries(LIBs).Additionally,the underlying scientific principles in antiperovskites with flexible structural features have also been extensively studied.In this review,we comprehensively summarize the development,structural design,ionic conductivity and ion transportation mechanism,chemical/electrochemical stability,and applications of some antiperovskite materials in energy storage batteries.The perspective for enhancing the performance of the antiperovskites is also provided as a guide for future development and applications in energy storage.展开更多
The complicated structured dyes produced by the textile industry have become a serious problem in the last few decades,which can be attributed to their stable chemical structures and difficult to degrade.Therefore,in ...The complicated structured dyes produced by the textile industry have become a serious problem in the last few decades,which can be attributed to their stable chemical structures and difficult to degrade.Therefore,in this article,we described a method to fix dye macromolecules by flocculation process and then transform the colloid to N,S,Cl-doped porous carbon materials.This material can effectively improve the capacity and cycle stability of lithium ion batteries,and recycle the dyes in the water.The N,S,Cl-doped porous carbon materials show a superior electrocatalytic performance of 473.5 mAhg^(−1) at the current density of 100 mAg^(−1) after 60 cycles.The present work combines the lithium ion batteries with dyes waste treatment and has a broad prospect for development.展开更多
文摘Many studies have demonstrated that leukoaraiosis is associated with impaired cerebrovascular reserve function. However, the definitive hemodynamic changes that occur in leukoaraiosis are not clear, and there are many controversies. This study aimed to investigate hemodynamic changes in symptomatic leukoaraiosis using transcranial Doppler ultrasonography and the breath-holding test in a Chinese Han population, from northern China. A total of 203 patients who were diagnosed with ischemic stroke or clinical chronic progressive ischemic symptoms were enrolled in this study, including 97 males and 106 females, with an age range of 43-93 years. The severity of leukoaraiosis was evaluated according to the Fazekas grading scale, and patients were divided into four groups accordingly. Grade 0 was no leukoaraiosis, and grades I, II, and III were mild, moderate, and severe leukoaraiosis, respectively, with 44, 79, 44, and 36 cases in each group. Transcranial Doppler ultrasonography and the breath-holding test were performed. The mean blood flow velocity of the bilateral middle cerebral artery was measured and the breath-holding index was calculated. The breath holding index was correlated with leukoaraiosis severity and cognitive impairment. Patients with a low breath holding index presented poor performance in the Montreal Cognitive Assessment (MoCA) and executive function tests. That is, the lower the breath holding index, the lower the scores for the MoCA and the higher for the trail-making test Parts A and B. These results indicate that the breath-holding index is a useful parameter for the evaluation of cerebrovascular reserve impairment in patients with leukoaraiosis. In addition, the breath-holding index can reflect cognitive dysfunction, providing a new insight into the pathophysiology of leukoaraiosis. This study was approved by the Ethics Committee of the Fifth Peoples Hospital of Shenyang, China (approval No. 20160301) and registered in the Chinese Clinical Trial Registry (registration number: ChiCTR1800014421).
文摘Objective: The pathogenesis of leukoaraiosis is still unclear. Many studies have determined that changes in the hemodynamics associated with leukoaraiosis, impaired cerebrovascular reserve, and intracranial hypoperfusion can lead to various clinical manifestations such as motor or cognitive impairment. The purpose of this study was to investigate the relationship between cognitive functional changes and imaging characteristics in patients with symptomatic leukoaraiosis, and to observe the corresponding changes in hemodynamics. Methods: A total of 203 Han patients (aged 43 - 93 years) with symptomatic leukoaraiosis were included in this study. Head magnetic resonance imaging was semi-quantified according to the Fazekas grading standard. Then, each patient was evaluated in terms of cognitive (Montreal scale) and executive function (trail-making test A [TMTA] and TMTB). Specifically, the TMTA asks patients to connect points on a piece of paper numbered from 1 to 25 in order and the TMTB asks patients to arrange numbers and letters in alternating order. In the current work, revised versions of these tests used are to include numbers in square and circular shapes where the shapes needed to be arranged in alternating order. The time required to complete the TMTA and TMTB was recorded. The changes in the blood flow velocity of the middle cerebral artery were also observed using routine Transcranial Doppler ultrasound and the breath-holding test. The dynamic curves of blood flow velocity during the breath-holding test were examined. Results: The cognitive and executive functions of patients with leukoaraiosis are related to the classification of image-based disease characteristics. In this sense, the more serious the leukoaraiosis is, the larger the impairment of cognitive and executive function is. According to the breath-holding test, the peak pattern of the blood flow velocity in the middle cerebral artery was significantly different between the various grades of leukoaraiosis. The peak type of Fazekas grade 0 and I was in the same direction, while the peak type of Fazekas grade II and III was significantly opposed (both p Conclusions: The impairment of cognitive and executive functions in patients with leukoaraiosis correlates with the severity of image-based disease manifestations, which are generally depicted as intracranial hypoperfusion.
文摘In 1987, Hachinski et al. [1] proposed Leukoaraiosis (LA) as an imaging academic term. Since then, LA and other cerebrovascular diseases have become the research focus of scholars at home and abroad. However, the molecular, cellular and pathogenesis of cerebrovascular disease are still unclear. Cerebral small vessel disease is caused by the lesions of perforating arteries, capillaries and veins of the brain. Modern imaging technology makes it possible to classify these diseases that can not be directly distinguished in clinical practice. The imaging features of cerebral infarction include cerebral microvascular atrophy. At present, a large number of studies have been carried out around LA, such as the pathogenesis, risk factors, imaging manifestations and classification, pathophysiological changes, hemodynamics, gene polymorphism and so on. In addition, although LA belongs to the category of cerebral small vessel disease, more scholars believe that there are countless links between large artery atherosclerosis and LA, and to some extent, have the same pathogenesis. This paper reviews the following aspects.
基金Key Program of the National Natural Science Foundationof China,Grant/Award Number:51732005Guangdong Basic and Applied Basic Research Foundation,Grant/Award Number:2021A1515011784+1 种基金Key Laboratory of Energy Conversion and Storage Technologies(Southern University of Science and Technology),Ministry of EducationShenzhen Science and Technology Program,Grant/Award Number:KQTD20200820113047086。
文摘Anti-perovskites X3BA,as the electrically inverted derivatives of perovskites ABX3,have attracted tremendous attention for their good performances in multiple disciplines,especially in energy storage batteries.The Li/Na-rich antiperovskite(LiRAP/NaRAP)solid-state electrolytes(SSEs)typically show high ionic conductivities and high chemical/electrochemical stability toward the Li-metal anode,illustrating their great potential for applications in the Limetal batteries(LMBs)using nonaqueous liquid electrolyte or all-solid-state electrolyte.The antiperovskites have been studied as artificial solid electrolyte interphase for Li-metal anode protection,film SSEs for thin-film batteries,and low melting temperature solid electrolyte enabling melt-infiltration for the manufacture of all-solid-state lithium batteries.Transition metal-doped LiRAPs as cathodes have demonstrated a high discharge specific capacity and good rate capability in the Li-ion batteries(LIBs).Additionally,the underlying scientific principles in antiperovskites with flexible structural features have also been extensively studied.In this review,we comprehensively summarize the development,structural design,ionic conductivity and ion transportation mechanism,chemical/electrochemical stability,and applications of some antiperovskite materials in energy storage batteries.The perspective for enhancing the performance of the antiperovskites is also provided as a guide for future development and applications in energy storage.
基金The authors acknowledge the financial support from the National Natural Science Foundation of China(Grant No.21875205 and 21671168)the Natural Science Foundation of Hebei(Grant No.206Z4404G,BJ2019056,17964403D).
文摘The complicated structured dyes produced by the textile industry have become a serious problem in the last few decades,which can be attributed to their stable chemical structures and difficult to degrade.Therefore,in this article,we described a method to fix dye macromolecules by flocculation process and then transform the colloid to N,S,Cl-doped porous carbon materials.This material can effectively improve the capacity and cycle stability of lithium ion batteries,and recycle the dyes in the water.The N,S,Cl-doped porous carbon materials show a superior electrocatalytic performance of 473.5 mAhg^(−1) at the current density of 100 mAg^(−1) after 60 cycles.The present work combines the lithium ion batteries with dyes waste treatment and has a broad prospect for development.