High‐efficiency electromagnetic (EM) functional materials are the core building block of high‐performance EM absorbers and devices, and they are indispensable in various fields ranging from ...industrial manufacture to daily life, or even from national defense security to space exploration. Searching for high‐efficiency EM functional materials and realizing high‐performance EM devices remain great challenges. Herein, a simple solution‐process is developed to rapidly grow gram‐scale organic–inorganic (MAPbX3, X = Cl, Br, I) perovskite microcrystals. They exhibit excellent EM response in multi bands covering microwaves, visible light, and X‐rays. Among them, outstanding microwave absorption performance with multiple absorption bands can be achieved, and their intrinsic EM properties can be tuned by adjusting polar group. An ultra‐wideband bandpass filter with high suppression level of −71.8 dB in the stopband in the GHz band, self‐powered photodetectors with tunable broadband or narrowband photoresponse in the visible‐light band, and a self‐powered X‐ray detector with high sensitivity of 3560 µC Gyair−1 cm−2 in the X‐ray band are designed and realized by precisely regulating the physical features of perovskite and designing a novel planar device structure. These findings open a door toward developing high‐efficiency EM functional materials for realizing high‐performance EM absorbers and devices.
A facile one‐step solution processing method is developed to rapidly prepare gram‐scale MAPbX3 microcrystals. Utilizing its intrinsic electromagnetic (EM) properties, a series of EM devices is designed and fabricated, which can be applied in the fields of ultra‐wideband bandpass filters and multi‐band photodetection covering X‐rays, UV, visible light, and microwaves.
Viologens (1,1’‐disubstituted 4,4’‐bipyridyls) possessing electron‐deficient properties and redox activity are a class of suitable chromophores to assemble metal–organic hybrid photochromic ...materials. Thus, viologen‐functionalized metal–organic frameworks (MOFs) have attracted much attention for their photochromic properties; however, the syntheses of lanthanide‐viologen hybrid crystalline photochromic materials still face many challenges. For example, the structures and properties of the final products are difficult to predict and are limited by molecular configurations. In this work, host‐guest composite‐material Ln‐NH2BDC‐pbpy MOFs were constructed by encapsulating viologen derivative pbpyCl2. The pbpy2+ moieties are uniformly embed by their π‐π conjugation in the pores of the 3D structure by electrostatic interactions. Due to the encapsulation of the chromophore pbpy2+ moieties, Ln‐NH2BDC‐pbpy MOFs have reversible photochromic properties: they can change color after irradiation and can return to the original color after being protected from light or heating. Interestingly, the fluorescence intensity decreases with illumination time and recovers in the dark. As a result, Ln‐NH2BDC‐pbpy MOFs show both photochromic and photomodulated fluorescence. Based on the outstanding fluorescence performance of the Ln‐NH2BDC‐pbpy MOFs, they also show a wonderful effect for detecting nitrophenols, especially TNP.
Six novel 3D Ln‐NH2BDC MOFs encapsulating pbpyCl2 have been designed and synthesized. They are sensitive to visible light and exhibit a good reversible photochromic and photomodulated fluorescence phenomena. Moreover, they have a good detection effect on nitrophenols, especially 2,4,6‐trinitrophenol (TNP).
Active oxygen species (AOS) play key roles in many important catalytic reactions relevant to clean energy and environment. However, it remains challenging to characterize the active sites for ...producing AOS and to image the surface properties of AOS, especially on multicomponent metallic catalyst surfaces. Herein, we utilize tip-enhanced Raman spectroscopy (TERS) to probe the local generation and diffusion of OH radicals on a Pd/Au(111) bimetallic catalyst surface. The reactive OH radicals can be catalytically generated from hydrogen peroxide (H2O2) at the metal surface, which then oxidizes the surface adsorbed thiolate, a reactant that is used as the TERS probe. By TERS imaging of the spatial distribution of unreacted thiolate molecules, we demonstrate that the Pd surface is active for generation of OH radicals and the Pd step edge shows much higher activity than the Pd terrace, whereas the Au surface is inactive. Furthermore, we find that the locally generated OH radicals at the Pd step edge could diffuse to both the Au and the Pd surface sites to induce oxidative reactions, with a diffusion length estimated to be about 5.4 nm. Our TERS imaging with few-nanometer spatial resolution not only unravels the active sites but also characterizes in real space the diffusion behavior of OH radicals. The results are highly valuable to understand AOS-triggered catalytic reactions. The strategy of using reactants with large Raman cross sections as TERS probes may broaden the application of TERS for studying catalysis with reactive small molecules.
Osteoporotic fractures have a tremendous impact on quality of life and may contribute to fatality, but half of patients may discontinue their anti-osteoporosis medication. The study aimed to ...investigate the factors associated with the persistence of anti-osteoporosis medication. Between June 2016 and June 2018, we recruited 1195 participants discontinuing prior anti-osteoporosis medication. Telephone interviews were conducted to discern the reasons for discontinuation. Comparisons among groups and risks of self-discontinuation were analyzed. Among 694 patients who have no records of continuing anti-osteoporosis medication, 374 (54%) self-discontinued, 64 (9.2%) discontinued due to physicians’ suggestion, and 256 (36.8%) with unintended discontinuation. Among patients with self-discontinuation, 173 (46.3%) forgot to visit outpatient clinics; 92 (24.5%) discontinued because of medication-related factors; 57 (15.2%) thought the severity of osteoporosis had improved and therefore discontinued; 30 (8%) stopped due to economic burden; 22 (5.9%) were lost to follow-up because of newly diagnosed diseases other than osteoporosis. Additionally, older age, male gender, calcium supplement, teriparatide therapy and hip fractures in teriparatide users were associated with adherence to anti-osteoporosis drugs. In conclusion, our results indicate that younger age, female gender, non-use of calcium supplements, and anti-resorptive medication were independent risk factors associated with drug discontinuation. Identifying high-risk patients and providing timely health education are crucial for adherence to anti-osteoporosis medication.
Magnetic resonance (MR) images often provide superior anatomic and functional information over computed tomography (CT) images, but generally are not used alone without CT images for radiotherapy ...treatment planning and image guidance. This study aims to investigate the potential of probabilistic classification of voxels from multiple MRI contrasts to generate synthetic CT ('MRCT') images. The method consists of (1) acquiring multiple MRI volumes: T1-weighted, T2-weighted, two echoes from a ultra-short echo time (UTE) sequence, and calculated fat and water image volumes using a Dixon method, (2) classifying tissues using fuzzy c-means clustering with a spatial constraint, (3) assigning attenuation properties with weights based on the probability of individual tissue classes being present in each voxel, and (4) generating a MRCT image volume from the sum of attenuation properties in each voxel. The capability of each MRI contrast to differentiate tissues of interest was investigated based on a retrospective analysis of ten patients. For one prospective patient, the correlation of skull intensities between CT and MR was investigated, the discriminatory power of MRI in separating air from bone was evaluated, and the generated MRCT image volume was qualitatively evaluated. Our analyses showed that one MRI volume was not sufficient to separate all tissue types, and T2-weighted images was more sensitive to bone density variation compared to other MRI image types. The short echo UTE image showed significant improvement in contrasting air versus bone, but could not completely separate air from bone without false labeling. Generated MRCT and CT images showed similar contrast between bone and soft/solid tissues. These results demonstrate the potential of the presented method to generate synthetic CT images to support the workflow of radiation oncology treatment planning and image guidance.
Background
In multiple myeloma (MM), impact of specific chromosomal translocations involving IgH (14q21 locus, including t(4;14), t(11;14), and t(14;16)) has been explored extensively. However, over ...15% MM patients harboring IgH translocation with undefined partners have long been ignored.
Methods
A prospective non‐randomized cohort study with a total of 715 newly‐diagnosed MM cases was conducted, 13.6% of whom were t(14;undefined) positive. The whole cohort was divided into four groups: no IgH split (47.7%); t(14;undefined) (13.6%); t(11;14) (17.6%); and t(4;14) or t(14;16) group (21.1%).
Results
Median OS for the four groups was 84.2, not reached (NR), 58.7, and 44.2 months, respectively, with P values for t(14;undefined) vs no IgH split, t(11;14), and t(4;14)/t(14;16) groups of 0.197, 0.022, and 0.001, respectively. In bortezomib‐based group, the survival advantage gained by t(14;undefined) group was much more significant compared to t(11;14) and t(4;14)/t(14;16) groups. Importantly, t(14;undefined) turned out to be an independent predictive factor for longer OS of MM patients in multivariate analysis, especially in the context of bortezomib treatment. Similar results were also observed in the PUMCH external validation cohort.
Conclusion
Collectively, our data confirmed and externally validated the favorable prognosis of the t(14;undefined) groups, especially in the era of novel agents.
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Lithium-sulfur (Li-S) battery, which releases energy by coupling high abundant sulfur with lithium metal, is considered as a potential substitute for the current lithium-ion battery. ...Thanks to the lightweight and multi-electron reaction of sulfur cathode, the Li-S battery can achieve a high theoretical specific capacity of 1675 mAh g−1 and specific energy of 2600 Wh kg−1. However, some key scientific issues limit its practical application, such as the “shuttle effect” of lithium polysulfides, large volume change, poor conductivity of sulfur and its solid-state products, and self-discharge phenomenon. Of these, the “shuttle effect” is recognized as the most critical challenge affecting on electrochemical performance. Hence, this review first systematically introduces the development of Li-S batteries and the corresponding “shuttle effect”. Then, the latest work on anode, cathode, separator and electrolyte are summarized. Finally, some promising views on the future research direction of this battery system are put forward.
Purpose
This study aimed to investigate the diagnostic performance of quantitative DCE-MRI for characterizing ovarian tumors.
Methods
We prospectively assessed the differences of quantitative DCE-MRI ...parameters (
K
trans
,
k
ep
, and
v
e
) among 15 benign, 28 borderline, and 66 malignant ovarian tumors; and between type I (
n
= 28) and type II (
n
= 29) of epithelial ovarian carcinomas (EOCs). DCE-MRI data were analyzed using whole solid tumor volume region of interest (ROI) method, and quantitative parameters were calculated based on a modified Tofts model. The non-parametric Kruskal–Wallis test, Mann–Whitney
U
test, Pearson’s chi-square test, intraclass correlation coefficient (ICC), variance test, and receiver operating characteristic curves (ROC) were used for statistical analysis.
Results
The largest
K
trans
and
k
ep
values were observed in ovarian malignant tumors, followed by borderline and benign tumors (all
P
< 0.001).
K
ep
was the better parameter for differentiating benign tumors from borderline and malignant tumors, with a sensitivity of 89.3% and 95.5%, a specificity of 86.7% and 100%, an accuracy of 88.4% and 96.3%, and an area under the curve (AUC) of 0.94 and 0.992, respectively, whereas
K
trans
was better for differentiating borderline from malignant tumors with a sensitivity of 60.7%, a specificity of 78.8%, an accuracy of 73.4%, and an AUC of 0.743. In addition, a combination with k
ep
could further improve the sensitivity to 78.9%. The median
K
trans
and k
ep
values were significantly higher in type II than in type I EOCs.
Conclusion
DCE-MRI with volume quantification is a technically feasible method, and can be used for the differentiation of ovarian tumors and for discriminating between type I and type II EOCs.
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•A novel CCMS NCNFs electrode was synthesized via an electrospinning route followed by hydrothermal process.•The multidimensional structure can synergistically shorten ion diffusion ...path and improve the electronic conductivity.•The formed heterointerface of heterostructured multi-component metal sulfides can accelerate reaction kinetics by synergetic effect.•The obtained CCMS NCNFs electrode shows notable Li+/Na+/K+ storage performance.
Transition metal sulfides with the high theoretical capacity and low cost have been considered as advanced anode candidate for alkali metal ion batteries, but suffered from unsatisfactory electrical conductivity and huge volume expansion. Herein, a multidimensional structure Cu-doped Co1-xS2@MoS2 in-situ-grown on N-doped carbon nanofibers (denoted as Cu-Co1-xS2@MoS2 NCNFs) have been elaborately constructed for the first time. The bimetallic zeolitic imidazolate framework CuCo-ZIFs were encapsulated in the one-dimensional (1D) NCNFs through an electrospinning route and then on which the two-dimensional (2D) MoS2 nanosheets were in-situ grown via a hydrothermal process. The architecture of 1D NCNFs can effectively shorten ion diffusion path and enhance electrical conductivity. Besides, the formed heterointerface between MOF-derived binary metal sulfides and MoS2 can provide extra active centers and accelerate reaction kinetics, which guarantee a superior reversibility. As expected, the resulting Cu-Co1-xS2@MoS2 NCNFs electrode delivers excellent specific capacity of Na-ion batteries (845.6 mAh/g at 0.1 A/g), Li-ion batteries (1145.7 mAh/g at 0.1 A/g), and K-ion batteries (474.3 mAh/g at 0.1 A/g). Therefore, this innovative design strategy will bring a meaningful prospect for developing high-performance multi-component metal sulfides electrode for alkali metal ion batteries.
Follow-up care of patients in the community is an important topic for improving patient outcomes, especially when medical personnel receives a notification of the critical test result (CTR) when the ...CTR becomes available after patients have been out of hospital; how to recall the patient back to the hospital and follow-up treatment is essential for preventing the healthcare risk of neglecting or delayed intervention with respect to the patient’s CTR. We are concerned that the follow-up of CTR and timely recall of our patients in the community improves and facilitates patient safety. We built the CTR Recall Supporting System (RSS) to follow up and recall our patients in the community. Measures were introduced to evaluate the effectiveness of CTR RSS; the rate of return of patients within 7 days increased from 58.5% to 88.8%, an increase of 30.3%, the patients in the community’s return follow-up interval days decreased from 10.9 days to 6.2 days, reduced by 4.7 days (p < 0.001), and the mortality rate of the patients in the community within 48 h decreased from 8.0% to 1.9%, a decrease of 6.1%, p < 0.001. The implementation of the CTR RSS significantly increases the discharged patient in he community’s CTR return follow-up within 7 days rate, decreases CTR return follow-up interval days, and reduces the CTR mortality rate within 48 h. This effectively improves the effects of CTR on return follow-up visits and provides a prototype system for hospitals that intend to improve this issue.
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