Bone marrow-derived mesenchymal stem cell-derived exosomeloaded miR-129-5p targets high-mobility group box 1 attenuates neurological-impairment after diabetic cerebral hemorrhage

BACKGROUND Diabetic intracerebral hemorrhage(ICH)is a serious complication of diabetes.The role and mechanism of bone marrow mesenchymal stem cell(BMSC)-derived exosomes(BMSC-exo)in neuroinflammation post-ICH in patients with diabetes are unknown.In this study,we investigated the regulation of BMSC-exo on hyperglycemia-induced neuroinflammation.AIM To study the mechanism of BMSC-exo on nerve function damage after diabetes complicated with cerebral hemorrhage.METHODS BMSC-exo were isolated from mouse BMSC media.This was followed by transfection with microRNA-129-5p(miR-129-5p).BMSC-exo or miR-129-5poverexpressing BMSC-exo were intravitreally injected into a diabetes mouse model with ICH for in vivo analyses and were cocultured with high glucoseaffected BV2 cells for in vitro analyses.The dual luciferase test and RNA immunoprecipitation test verified the targeted binding relationship between miR-129-5p and high-mobility group box 1(HMGB1).Quantitative polymerase chain reaction,western blotting,and enzyme-linked immunosorbent assay were conducted to assess the levels of some inflammation factors,such as HMGB1,interleukin 6,interleukin 1β,toll-like receptor 4,and tumor necrosis factorα.Brain water content,neural function deficit score,and Evans blue were used to measure the neural function of mice.RESULTS Our findings indicated that BMSC-exo can promote neuroinflammation and functional recovery.MicroRNA chip analysis of BMSC-exo identified miR-129-5p as the specific microRNA with a protective role in neuroinflammation.Overexpression of miR-129-5p in BMSC-exo reduced the inflammatory response and neurological impairment in comorbid diabetes and ICH cases.Furthermore,we found that miR-129-5p had a targeted binding relationship with HMGB1 mRNA.CONCLUSION We demonstrated that BMSC-exo can reduce the inflammatory response after ICH with diabetes,thereby improving the neurological function of the brain.

Color-stable,reduced efficiency roll-off hybrid white organic light emitting diodes with ultra high brightness

High-brightness and color-stable two-wavelength hybrid white organic light emitting diodes （HWOLEDs） with the configuration of indium tin oxide （ITO）/ N, N, N, N-tetrakis（4-methoxyphenyl）-benzidine （MeO-TPD）： tetrafluoro-tetracyanoqino dimethane （F4-TCNQ）/N,N-di（naphthalene-1-yl）-N,N-diphenyl-benzidine （NPB）/ 4,4-N,N-dicarbazolebiphenyl （CBP）： iridium （III） diazine complexes （MPPZ） 2 Ir（acac）/NPB/2-methyl-9,10-di（2-naphthyl）anthracene （MADN）： p-bis（p-N,N-di-phenyl-aminostyryl）benzene （DSA-ph）/bis（10-hydroxybenzo[h] quino-linato）beryllium complex （Bebq2）/LiF/Al have been fabricated and characterized. The optimal brightness of the device is 69932 cd/m2 at a voltage of 13 V, and the Commission Internationale de l’Eclairage （CIE） chromaticity coordinates are almost constant during a large voltage change of 6–12 V. Furthermore, a current efficiency of 15.3 cd/A at an illumination-relevant brightness of 1000 cd/m2 is obtained, which rolls off slightly to 13.0 cd/A at an ultra high brightness of 50000 cd/m2. We attribute this great performance to wisely selecting an appropriate spacer together with effectively utilizing the combinations of exciton-harvested orange-phosphorescence/blue-fluorescence in the device. Undoubtedly, this is one of the most exciting results in two-wavelength HWOLEDs up to now.

High Cr white cast iron/carbon steel bimetal liner by lost foam casting with liquid-liquid composite process

Liners in wet ball mill for mineral processing industry must bear abrasive wear and corrosive wear, and consequently, the service life of the liner made from traditional materials, such as Hadfield steel and alloyed steels, is typically less than ten months. Bimetal liner, made from high Cr white cast iron and carbon steel, has been successfully developed by using liquid-liquid composite lost foam casting process. The microstructure and interface of the composite were analyzed using optical microscope, SEM, EDX and XRD. Micrographs indicate that the boundary of bimetal combination regions is staggered like dogtooth, two liquid metals are not mixed, and the interface presents excellent metallurgical bonding state. After heat treatment, the composite liner specimens have shown excellent properties, including hardness 〉 61 HRC, fracture toughness ak 〉16.5 J.cm2 and bending strength 〉1,600 MPa. Wear comparison was made between the bimetal composite liner and alloyed steel liner in an industrial hematite ball mill of WISCO, and the results of eight-month test in wet grinding environment have proved that the service life of the bimetal composite liner is three times as long as that of the alloyed steel liner.

Effect of Manganese on As-Cast Microstructure and Hardening Behavior of High Chromium White Cast Iron

The effect of manganese on the as-cast structure and hardening behavior of high chromium white cast iron subjected to sub-critical treatment was studied.The results indicate that the fraction of retained austenite and the manganese distribution in as-cast alloys are controlled by manganese content.The manganese distribution in as-cast alloys is not homogeneous.The manganese content in carbide is higher than that in matrix.Whether the secondary hardening occurs or not and the peak hardness of secondary hardening is controlled by manganese content in retained austenite in as-cast structure.Higher manganese content can cause more retained austenite.The secondary hardening occurs in sub-critical treating process if the fraction of retained austenite is high.

High color rendering index white organic light-emitting diode using levofloxacin as blue emitter

Levofloxacin （LOFX）, which is well-known as an antibiotic medicament, was shown to be useful as a 452-nm blue emitter for white organic light-emitting diodes （OLEDs）. In this paper, the fabricated white OLED contains a 452-nm blue emitting layer （thickness of 30 nm） with 1 wt% LOFX doped in CBP （4,4＇-bis（carbazol-9-yl）biphenyl） host and a 584-nm orange emitting layer （thickness of 10 nm） with 0.8 wt% DCJTB （4-（dicyanomethylene）-2-tert-butyl-6-（1,1,7,7- tetramethyljulolidin-4-yl-vinyl）-4H-pyran） doped in CBE which are separated by a 20-nm-thick buffer layer of TPBi （2,2＇,2＂-（benzene-1,3,5-triyl）-tri（1-phenyl-lH-benzimidazole）. A high color rendering index （CRI） of 84.5 and CIE chromaticity coordinates of （0.33, 0.32）, which is close to ideal white emission CIE （0.333, 0.333）, are obtained at a bias voltage of 14 V. Taking into account that LOFX is less expensive and the synthesis and purification technologies of LOFX are mature, these results indicate that blue fluorescence emitting LOFX is useful for applications to white OLEDs although the maximum current efficiency and luminance are not high. The present paper is expected to become a milestone to using medical drug materials for OLEDs.

Effects of ultra-high hydrostatic pressure on foaming and physical-chemistry properties of egg white

The influences of ultra-high hydrostatic pressure treatment on foaming and physical properties (solubility, hydrophobicity and sulfhydryl content) of egg white were investigated. A pressure range of 0-500 MPa, time range of 0-20 min and pH range of 7.5-8.5 were selected. The foaming property of egg white is improved by 350Mpa and 10min. The treatment resulted in in- crease of sulfhydryl content of egg white, while solubility and hydrophobicity were significantly decreased.

WUGONG MTS.REGION AS A CALEDONIAN MEDIUM-HIGH PRESSURE METAMORPHIC BELT:EVIDENCE FROM b_0 VALUES OF WHITE MICAS

The Wugong Mts. region may have experienced three stages of metamorphism in Early Paleo-zoic, which may be closely related to the generations of regional deformation. The first stage ismedium-pressure metamorphism, the second medium- and high-pressure one with stress on high-pressure metamorphism, and the third low-pressure and high-temperature metamorphism. Theregion, as a whole, is a Caledonian medium-high pressure metamorphic belt.

Manufacture of High-Quality Bright Stock and Ultra-Viscous White Oil from Xinjiang Heavy Naphthenic Crude Oil

Using a three-stage hydrogenation process, high-quality 150 bright stock (150BS) was produced from light DAO (LDAO, light deasphalted oil), which was obtained from vacuum residue of heavy naphthenic crude oil of Zone No.9 in Xinjiang. The 150BS product, whose viscosity index is greater than 90, is colorless and has good viscosity-temperature characteristics. This product turns out to be an excellent blending component of high-grade engine oil. And with the 150BS as a feed, very high-viscosity white oil was also produced by a further hydrofining step to substantially reduce the amount of polyaromatics contained in the feed.

前列腺癌患者外周血中CD4^+CD25^(high)调节性T细胞及调节因子TGF-β1和COX-2的表达

目的:通过检测前列腺癌患者以及健康志愿者外周血中CD4+CD25high调节性T细胞、TGF-β1及COX-2的表达,初步探讨CD4+CD25high调节性T细胞在前列腺癌发病机制中的作用及其与TGF-β1和COX-2的相关性。方法:应用流式细胞术检测30例前列腺癌患者治疗前后(其中前列腺癌局限组11例,非局限组19例)及20例健康志愿者外周血单个核细胞(PBMC)中CD4+CD25high调节性T细胞占CD4+T细胞的比例;应用酶联免疫吸附试验(ELISA)检测其外周血清中TGF-β1和COX-2的表达。对前列腺癌患者上述指标进行术前术后对比分析,另对CD4+CD25high调节性T细胞与TGF-β1及COX-2的相关性进行分析;并探讨上述指标在前列腺癌患者局限组和非局限组间是否存在差异性。结果:流式细胞术检测显示,前列腺癌患者治疗前PBMC中CD4+CD25high调节性T细胞占CD4+T细胞的比例为(18.32±7.49)%,高于健康志愿者对照组(7.77±1.86)%(P<0.05)。前列腺癌患者治疗后其比值为(17.34±5.87)%,较治疗前稍减低,但两者相比无显著差异(P>0.05)。ELISA检测外周血清中TGF-β1和COX-2显示,前列腺癌组分别为(215.97±55.16)ng/ml和(6.88±5.14)ng/ml,对照组分别为(149.75±47.11)ng/ml和(5.65±2.69)ng/ml;前列腺癌患者外周血清中TGF-β1的表达水平高于健康志愿者对照组(P<0.05),COX-2的表达水平与对照组无显著差异(P>0.05)。通过多重线性回归分析表明,前列腺癌患者PBMC中CD4+CD25high调节性T细胞的表达与血清中TGF-β1和COX-2的表达无显著相关。前列腺癌局限组和非局限组外周血中CD4+CD25high调节性T细胞、TGF-β1及COX-2的表达均无显著性差异(P>0.05)。结论:前列腺癌患者PBMC中CD4+CD25high调节性T细胞可能参与前列腺癌的发生,其增殖机制与血清中TGF-β1和COX-2的表达无关,可能与肿瘤本身及肿瘤局部微环境相关。

凝聚剂组成对G-ABS高胶粉及ABS外观特性的影响

在使用凝聚剂从聚丁二烯与丙烯腈和苯乙烯的接枝共聚物(G-ABS)胶乳中回收G-ABS高胶粉的过程中,凝聚剂组成不但会改变高胶粉的粒径,还会对丙烯腈-丁二烯-苯乙烯三元共聚物(ABS)粒料的白度和色度稳定性造成影响。以冰乙酸/硫酸镁、硫酸/硫酸镁为凝聚剂,通过调整阳离子的配比,对比2组凝聚剂对G-ABS高胶粉和ABS外观特性的影响。结果表明:在确保凝聚浆液为酸性时,减少凝聚剂阳离子中H+占比,对粉料筛分粒径分布、氧化诱导时间没有明显影响,但ABS白度、热氧老化色度稳定性和粒料储存色度稳定性均有提升;与使用硫酸相比,使用冰乙酸能够显著提升ABS白度和热氧老化色度稳定性。

超敏C-反应蛋白、血清降钙素原及白细胞计数在新生儿感染性疾病中的早期诊断价值

目的研究超敏C-反应蛋白(hs-CRP)、血清降钙素原(PCT)及白细胞(WBC)计数在新生儿感染性疾病的早期诊断价值,为降低临床抗生素使用率及新生儿病死率等提供科学依据。方法将2021年1月—2021年12月本院收治的62例患有感染性疾病的新生儿为病例组,同期同科室收住的50例患新生儿非感染性疾病的病例为对照组,在入院第1天和第7天分别采静脉血对比两组患儿hs-CRP、PCT和WBC的差异,计算hs-CRP、PCT和WBC灵敏度、特异度并绘制ROC曲线。结果入院时病例组hs-CRP、PCT和WBC计数均高于对照组,差异具有统计学意义(P<0.001);入院7天时,病例组hs-CRP、PCT均明显下降,与对照组差异无统计学意义(P>0.05),WBC计数虽较入院时明显下降,但仍较对照组高,差异具有统计学意义(P<0.05);hs-CRP、PCT、WBC计数和hs-CRP+PCT在诊断新生儿感染性疾病的ROC曲线下面积分别是0.954、0.962、0.732和0.985。Hs-CRP+PCT的约登指数最高,曲线下面积最大,其次是PCT、hs-CRP、WBC,差异均具有统计学意义(P<0.05)。结论hs-CRP、PCT和WBC计数在新生儿患有感染性疾病的早期均具有一定的诊断价值,hs-CRP联合PCT有助于早期判断是否使用抗生素。

Effect of tempering temperature on microstructure and mechanical properties of high boron white cast iron

The effect of different tempering temperatures on the microstructure and mechanical properties of airquenched high boron white cast iron was studied.The results indicate that the high boron white cast iron comprises dendritic matrix and inter-dendritic M 2 B boride;and the matrix comprises martensite and pearlite.After quenching in the air,the matrix is changed into lath martensite;but only 1-μm-size second phase exists in the matrix.After tempering,another second phase of several tens of nanometers is found in the matrix,and the size and quantity increase with an increase in tempering temperature.The two kinds of second precipitation phase with different sizes in the matrix have the same chemical formula,but their forming stages are different.The precipitation phase with larger size forms during the austenitizing process,while the precipitation phase with smaller size forms during the tempering process.When tempered at different temperatures after quenching,the hardness decreases with an increase in the tempering temperature,but it increases a little at 450 ℃ due to the precipitation strengthening effect of the second phase,and it decreases greatly due to the martensite decomposition above 450 ℃.The impact toughness increases a little when tempered below 300 ℃,but it then decreases continuously owing to the increase in size and quantity of the secondary precipitate above 300 ℃.Considered comprehensively,the optimum tempering temperature is suggested at 300 ℃ to obtain a good combination of hardness and toughness.

STUDY ON THE STRUCTURE AND PROPERTIES OF HIGH CHROMIUM WHITE CAST IRON AND ITS TEMPERING STANDARD

The structure and properties of high chromium white cast iron in different treatment states were studied. Using X ray diffraction method, observing their metallograph and measuring their microhardness, the phases involved in the iron were determined. The notch toughness, macrohardness and the fractograph of the samples are compared and their performance was determined, which mainly depends on the matrix structure. Relatively good comprehensive properties can be obtained in the tempering state. Improvements have been made on the commonly used tempering standard. Tempering for a short period at low temperature can improve the materials′ service performance obviously.

急性脑梗死患者外周血hs-CRP、WBC、NEU、HCY表达及其临床意义

目的 探究急性脑梗死(ACI)患者外周血超敏C反应蛋白(hs-CRP)、白细胞计数(WBC)、中性粒细胞(NEU)、同型半胱氨酸(HCY)表达及其临床意义。方法 选取2021年8月—2023年1月本院收治的120例ACI患者作为研究对象(ACI组),根据美国国立卫生研究院卒中量表(NIHSS)将ACI患者分为轻度组48例、中度组45例、重度组27例,根据患者6个月预后情况,分为预后良好组71例与预后不良组49例。同时选取同时期来我院体检的健康人员116例作为对照组,分别检测外周血hs-CRP、WBC、NEU、HCY水平,采用Spearman法分析ACI患者外周血hs-CRP、WBC、NEU、HCY水平与NIHSS评分的相关性;采用受试者工作特征(ROC)曲线分析外周血hs-CRP、WBC、NEU、HCY水平对ACI患者预后不良的预测价值。结果 与对照组比较,ACI组外周血hs-CRP、WBC、NEU、HCY水平显著升高(P<0.05)。轻度组、中度组、重度组外周血hs-CRP、WBC、NEU、HCY水平比较差异有统计学意义(P<0.05);且两两比较,差异均有统计学意义(P<0.05)ACI患者外周血hs-CRP、WBC、NEU、HCY水平与NIHSS评分呈正相关(r=0.583、0.600、0.457、0.585,P<0.05)。ACI预后不良组患者外周血hs-CRP、WBC、NEU、HCY水平显著高于预后良好组(P<0.05)。hs-CRP、WBC、NEU、HCY水平单独与联合预测ACI患者预后不良的曲线下面积(AUC)分别为0.770、0.811、0.851、0.633、0.934,联合预测价值高于单独预测(P<0.05)。结论 hs-CRP、WBC、NEU、HCY在ACI患者外周血水平升高,与患者病情发生发展、预后评估有关,可以作为ACI病情诊断、治疗及预后评估的标志物。

BDNF和HDL-C与老年帕金森病患者脑白质病变的关系

目的探讨血清脑源性神经营养因子(BDNF)和高密度脂蛋白胆固醇(HDL-C)与老年帕金森病(PD)患者脑白质病变(WML)的关系。方法筛选116例老年PD患者为研究组,依据Fazckas分级分成PD-WML组和PD组,另选取同期人口学资料匹配的40例健康体检者为对照组。比较不同组别的相关资料,应用多因素Logistic分析PD患者WML的影响因素,受试者工作特征(ROC)曲线分析血清BDNF、HDL-C与PD患者WML的关系。结果116例PD患者WML发生率为72.41%(84/116),Ⅰ、Ⅱ、Ⅲ级分别43、30、11例。PD-WML组年龄、高血压患病率、统一帕金森病评定量表Ⅲ(UPDRS-Ⅲ)评分均高于PD组(P<0.05),血清BDNF[(4.83±1.15)μg/L比(6.12±1.20)μg/L]、TC[(4.37±0.96)mmol/L比(4.84±1.04)mmol/L]和HDL-C[(1.07±0.29)mmol/L比(1.23±0.32)mmol/L]明显低于PD组(P<0.05)。年龄、高血压、BDNF和HDL-C是PD患者发生WML的独立影响因素(P<0.05)。对照组、PD组、WML轻度组(Ⅰ级)、WML中重度组(Ⅱ~Ⅲ级)血清BDNF、HDL-C均呈依次下降趋势(P<0.05),WML中重度组血清BDNF、HDL-C水平均明显低于WML轻度组(P<0.05)。血清BDNF、HDL-C以及联合诊断PD患者发生WML的曲线下面积(AUC)为0.834、0.768、0.899,单独诊断的截断值分别为5.70μg/L、1.15 mmol/L。血清BDNF、HDL-C以及联合诊断PD发生中重度WML的AUC为0.820、0.766、0.833,单独诊断的截断值分别为4.79μg/L、1.02 mmol/L。结论血清BDNF、HDL-C是PD患者发生WML的保护因素,可有效预测PD患者发生WML和评估病情严重程度。

Future Changes in Extreme High Temperature over China at 1.5℃-5℃ Global Warming Based on CMIP6 Simulations

Extreme high temperature(EHT)events are among the most impact-related consequences related to climate change,especially for China,a nation with a large population that is vulnerable to the climate warming.Based on the latest Coupled Model Intercomparison Project Phase 6(CMIP6),this study assesses future EHT changes across China at five specific global warming thresholds(1.5℃-5℃).The results indicate that global mean temperature will increase by 1.5℃/2℃ before 2030/2050 relative to pre-industrial levels(1861-1900)under three future scenarios(SSP1-2.6,SSP2-4.5,and SSP5-8.5),and warming will occur faster under SSP5-8.5 compared to SSP1-2.6 and SSP2-4.5.Under SSP5-8.5,global warming will eventually exceed 5℃ by 2100,while under SSP1-2.6,it will stabilize around 2℃ after 2050.In China,most of the areas where warming exceeds global average levels will be located in Tibet and northern China(Northwest China,North China and Northeast China),covering 50%-70%of the country.Furthermore,about 0.19-0.44 billion people(accounting for 16%-41%of the national population)will experience warming above the global average.Compared to present-day(1995-2014),the warmest day(TXx)will increase most notably in northern China,while the number of warm days(TX90p)and warm spell duration indicator(WSDI)will increase most profoundly in southern China.For example,relative to the present-day,TXx will increase by 1℃-5℃ in northern China,and TX90p(WSDI)will increase by 25-150(10-80)days in southern China at 1.5℃-5℃ global warming.Compared to 2℃-5℃,limiting global warming to 1.5℃ will help avoid about 36%-87%of the EHT increases in China.

Efficient top-emitting white organic light emitting device with an extremely stable chromaticity and viewing-angle

In this paper,we report on the fabrication of a top-emitting electrophosphorescent p-i-n white organic lightemitting diode on the basis of a low-reflectivity Sm/Ag semi-transparent cathode together with a thickness-optimized ZnS out-coupling layer.With a 24-nm out-coupling layer,the reflectivity of the cathode is reduced to 8% at 492 nm and the mean reflectivity is 24% in the visible area.By introducing an efficient electron blocking layer tris（1phenylpyrazolato,N,C2 ＇）iridium（III）（Ir（ppz） 3） to confine the exciton recombination area,the current efficiency and the colour stability of the device are effectively improved.A white emission with the Ir（ppz） 3 layer exhibits a maximum current efficiency of 9.8 cd/A at 8 V,and the Commission Internationale de L＇Eclairage（CIE） chromaticity coordinates are almost constant during a large voltage change of 6 V-11 V.There is almost no viewing angular dependence in the spectrum when the viewing angle is no more than 45,with a CIE x,y coordinate variation of only（±0.0025,±0.0008）.Even at a large viewing angle（75）,the CIE x,y coordinate change is as small as（±0.0087,±0.0013）.

High fat diet dysregulates microRNA-17-5p and triggers retinal inflammation:Role of endoplasmic-reticulum-stress

AIM To elucidate how high diet-induced endoplasmic reticulum-stress upregulates thioredoxin interacting protein expression in Müller cells leading to retinal inflammation. METHODS Male C57Bl/J mice were fed either normal diet or 60% high fat diet for 4-8 wk. During the 4 wk study, mice received phenyl-butyric acid(PBA); endoplasmic reticulum-stress inhibitor; for 2 wk. Insulin resistance was assessed by oral glucose tolerance. Effects of palmitate-bovine serum albumin(BSA)(400 μmol/L) were examined in retinal Müller glial cell line and primary Müller cells isolated from wild type and thioredoxin interacting protein knock-out mice. Expression of thioredoxin interacting protein, endoplasmic reticulum-stress markers, mi R-17-5p m RNA, as well as nucleotide-binding oligomerization domain-like receptor protein(NLRP3) and IL1β protein was determined.RESULTS High fat diet for 8 wk induced obesity and insulin resistance evident by increases in body weight and impaired glucose tolerance. By performing quantitative real-time polymerase chain reaction, we found that high fat diet triggered the expression of retinal endoplasmic reticulum-stress markers(P < 0.05). These effects were associated with increased thioredoxin interacting protein and decreased mi R-17-5p expression, whichwere restored by inhibiting endoplasmic reticulumstress with PBA(P < 0.05). In vitro, palmitate-BSA triggered endoplasmic reticulum-stress markers, which was accompanied with reduced mi R-17-5p and induced thioredoxin interacting protein m RNA in retinal Müller glial cell line(P < 0.05). Palmitate upregulated NLRP3 and IL1β expression in primary Müller cells isolated from wild type. However, using primary Müller cells isolated from thioredoxin interacting protein knock-out mice abolished palmitate-mediated increase in NLRP3 and IL1β.CONCLUSION Our work suggests that targeting endoplasmic reticulumstress or thioredoxin interacting protein are potential therapeutic strategies for early intervention of obesityinduced retinal inflammation.

Pure blue and white light electroluminescence in a multilayer organic light-emitting diode using a new blue emitter

We characterized the 6,12-bis{[N-（3,4-dimethylphenyl）-N-（2,4,5-trimethylphenyl）]amino} chrysene （BmPAC）, which has been proven to be a blue fluorescent emission with high EL efficiency. The blue fluorescent device exhibits good performance with an external quantum efficiency of 5.8% and current efficiency of 8.9 cd/A, respectively. Using BmPAC, we also demonstrate a hybrid phosphorescence/fluorescence white organic light-emitting device （WOLED） with high efficiency of 36.3 cd/A. In order to improve the relative intensity of blue light, we plus a blue light-emitting layer （BEML） in front of the orange light emitting layer （YEML） to take advantage of the excess singlet excitons. With the new emitting layer of BEML/YEML/BEML, we demonstrate the fluorescence/phosphorescence/fluorescence WOLED exhibits good performance with a current efficiency of 47 cd/A and an enhanced relative intensity of blue light.

Multicenter randomised controlled trial comparing the high definition white light endoscopy and the bright narrow band imaging for colon polyps

AIM To compare high definition white light endoscopy and bright narrow band imaging for colon polyps' detection rates. METHODS Patients were randomised to high definition white light endoscopy(HD-WLE) or the bright narrow band imaging(b NBI) during withdrawal of the colonoscope. Polyps identified in either mode were characterised using b NBI with dual focus(b NBI-DF) according to the Sano's classification. The primary outcome was to compare adenoma detection rates(ADRs) between the two arms. The secondary outcome was to assess the negative predictive value(NPV) in differentiating adenomas from hyperplastic polyps for diminutive rectosigmoid lesions.RESULTS A total of 1006 patients were randomised to HD-WLE(n = 511) or b NBI(n = 495). The mean of adenoma per patient was 1.62 and 1.84, respectively. The ADRs in b NBI and HD-WLE group were 37.4% and 39.3%, respectively. When adjusted for withdrawal time(OR = 1.19, 95%CI: 1.15-1.24, P < 0.001), the use of b NBI was associated with a reduced ADR(OR = 0.69, 95%CI: 0.52-0.92). Nine hundred and thirty three polyps(86%) in both arms were predicted with high confidence. The sensitivity(Sn), specificity(Sp), positive predictive value and NPV in differentiating adenomatous from non-adenomatous polyps of all sizes were 95.9%, 87.2%, 94.0% and 91.1% respectively. The NPV in differentiating an adenoma from hyperplastic polyp using b NBI-DF for diminutive rectal polyps was 91.0%.CONCLUSION ADRs did not differ between b NBI and HD-WLE, however HD-WLE had higher ADR after adjustment of withdrawal time. b NBI surpassed the PIVI threshold for diminutive polyps.