Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs ...Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs Institute (JBI) evidence-based health care model, the best evidence of airway management in adult critically ill patients was obtained and applied to the clinic. Results: The total implementation rate of airway management measures in adult critically ill patients increased from 23.62% before the implementation of quality control circle to 88.82%, and the pulmonary infection rate in critically ill patients decreased from 42.31% to 21.74%, with statistical significance between the two groups (P 0.05). Conclusion: Evidence-based quality control circle activities can standardize the practice standards of airway management in critically ill patients, reduce the occurrence of patients’ airway related complications, and improve clinical outcomes.展开更多
AM1(ABA-mimicking ligand)is a newly identified signaling molecule for plants during drought tolerance.To investigate the potential role of AM1 in response of rapeseed to drought stress,we conducted experiments by grow...AM1(ABA-mimicking ligand)is a newly identified signaling molecule for plants during drought tolerance.To investigate the potential role of AM1 in response of rapeseed to drought stress,we conducted experiments by growing rapeseed plants under different levels of drought stress with or without applying AM1 or ABA in a rain shelter.The results indicated that drought significantly inhibited rapeseed growth by damaging the photosyn-thesis system,increasing active oxygen accumulation,destroying the oxidative system,and worsening membrane lipid peroxidation.Exogenously applied AM1 and ABA both relieved the damage to rapeseed that was induced by drought stress.Compared with the drought-treated rapeseed,the AM1 treatment significantly improved plant height,number of greelp leaves,root collar thickness,leaf area,dry matter weight,and root cap ratios of rapeseed.In addition,Pn,Gs,Ci,Tr were significantly increased by the AM1 treatment.The AM1 treatment also alleviated the drought induced reductions in Fv/Fm,ΦPSII,qN and ETR;induced an increase in NPQ;and resulted in decreased active oxygen accumulation and membrane lipid peroxidation.Although the ABA treatment relieved photosynthetic fluorescence and antioxidation system parameters to some extent,the effect was inferior to AM1 treatment.Yield under AM1 treatment was higher than that under ABA treatment but was still far lower than that of normal water supply control.In summary,AM1 is functionally similar to ABA in terms of drought relief and regulation,moreover has a better effect.展开更多
This study is an intrinsic study of EFL motivation at the tertiary level by the use of a combination of quantitative and qualitative approaches. Three parts are involved in this study： 1） variables that constitute l...This study is an intrinsic study of EFL motivation at the tertiary level by the use of a combination of quantitative and qualitative approaches. Three parts are involved in this study： 1） variables that constitute learners＇ motivation of EFL learning; 2） the relationships among motivational components; 3） the differences between high achievers and low achievers.展开更多
Long developmental stage and late harvest time of winter rapeseed (Brassica napus L.) have great negative effects on rice planting of rice-rapeseed farming system in China. Early maturity improvement of rapeseed is ne...Long developmental stage and late harvest time of winter rapeseed (Brassica napus L.) have great negative effects on rice planting of rice-rapeseed farming system in China. Early maturity improvement of rapeseed is necessary. ‘Zhongshuang 11’, an elite winter rapeseed cultivar, was used in consecutive field experiments during 2010-2012. At initial flowering stage, plants were consecutively sprayed with 0.1 mg/L 2-4-Epibrassinolide(BR) for 3 d. Two hundred sampling pods from different plants were randomly collected to measure seed related indexes with a 4 d interval from 7 to 47 d after peak anthesis (DAPA).Seed color turned light brown at 31 or 35 DAPA after BR treatment, seed dry weight (DWT)was increased while seed moisture content (SMC) was decreased during seed development.DWT almost reached the maximum value when SMC was 33.20% at 31 DAPA in 2010-2011 and 35.29% at 35 DAPA in 2011-2012 growing season after BR treatment. Similarly,the maximum values of standard germination test (SGT), accelerated aging test (AAT)and cold test (CT) were observed at 31 or 35 DAPA after BR treatment respectively. The high yield and seed oil content appeared at 31 or 35 DAPA accompanied with rapid decrease in total non-structural carbohydrate (TNC) in stems and leaves. Our study indicated that BR application advanced maturity of winter rapeseed by 4 to 8 days.展开更多
Although the discovery of insulin 100 years ago revolutionized the treatment of diabetes,its therapeutic potential is compromised by its short half-life and narrow therapeutic index.Current long-acting insulin analogs...Although the discovery of insulin 100 years ago revolutionized the treatment of diabetes,its therapeutic potential is compromised by its short half-life and narrow therapeutic index.Current long-acting insulin analogs,such as insulin-polymer conjugates,are mainly used to improve pharmacokinetics by reducing renal clearance.However,these conjugates are synthesized without sacrificing the bioactivity of insulin,thus retaining the narrow therapeutic index of native insulin,and exceeding the efficacious dose still leads to hypoglycemia.Here,we report a kind of di-PEGylated insulin that can simultaneously reduce renal clearance and receptor-mediated clearance.By impairing the binding affinity to the receptor and the activation of the receptor,di-PEGylated insulin not only further prolongs the half-life of insulin compared to classical mono-PEGylated insulin but most importantly,increases its maximum tolerated dose 10-fold.The target of long-term glycemic management in vivo has been achieved through improved pharmacokinetics and a high dose.This work represents an essential step towards long-acting insulin medication with superior safety in reducing hypoglycemic events.展开更多
Comprehensive Summary The activation of inert chemical bonds is an exciting area of research in chemistry because it enables the direct utilization of readily available starting materials and promotes atom-and step-ec...Comprehensive Summary The activation of inert chemical bonds is an exciting area of research in chemistry because it enables the direct utilization of readily available starting materials and promotes atom-and step-economic synthesis.Undoubtedly,selectively activating and transforming multiple inert chemical bonds is an even more intriguing and demanding task in synthetic chemistry.However,due to its inherent complexity and extreme challenges,this endeavour is rarely accomplished.We report a copper-mediated complete cleavage and selective transformation of multiple inert chemical bonds of three easily available feedstocks,i.e.,a sp2C—H bond in indoles,three sp3C—H bonds and one C—N bond in a methyl carbon atom in TMEDA,and the C≡N triple bond in CH_(3)CN.This reaction proceeds via tandem carbon and nitrogen atom transfer,and allows for the direct and efficient cyanation of indoles,presenting a simple and direct alternative for synthesizing 3-cyanoindoles.展开更多
This study presents atmospheric N_(2)O mole fractions measured from discrete air samples from 2001 to 2018 at Mt.Waliguan(WLG)station(36°17′N,100°54′E,3816 m asl)in China,which is a global background stati...This study presents atmospheric N_(2)O mole fractions measured from discrete air samples from 2001 to 2018 at Mt.Waliguan(WLG)station(36°17′N,100°54′E,3816 m asl)in China,which is a global background station of the World Meteorological Organization/Global Atmosphere Watch Programme(WMO/GAW)in central Eurasia.Observed N_(2)O characteristics of annual means,interannual variability,and seasonal cycles were investigated.Our results show that N_(2)O at WLG possess a distinct increasing trend and a statistically significant seasonal cycle,with an average growth rate of 0.9±0.01 ppb yr^(−1)(1σ)(1ppb=10^(−9)),which is close to the global mean.The detrended seasonal cycle shows a trough of−0.25±0.04(1σ)ppb in June and a peak of 0.13±0.07(1σ)ppb in September,with an amplitude of 0.38 ppb.The pattern is due to combined effects of variation in surface sources,vertical convection within the boundary layer and stratosphere to troposphere transportation(STE).The interannual variability in growth rate was partly driven by quasi-biennial oscillation(QBO)of tropical zonal wind through stratospheric transport into the troposphere.According to a cluster analysis of back trajectories and the corresponding average N_(2)O load,most air masses cover arid and semi-arid areas in inner Asia with low N_(2)O emissions,indicating that the atmospheric N_(2)O at the WLG represents the background N_(2)O level in central Eurasia.展开更多
Background:Enhanced recovery after surgery is used in gastrointestinal surgery.This study aimed to access the effects of early liquid drinking(ELD)on gastrointestinal function recovery in patients with gastric cancer(...Background:Enhanced recovery after surgery is used in gastrointestinal surgery.This study aimed to access the effects of early liquid drinking(ELD)on gastrointestinal function recovery in patients with gastric cancer(GC)who underwent radical gastrectomy,as high-quality evidence on the outcomes of ELD after gastrectomy is currently lacking.Methods:Clinicopathological data of patients with GC from 11 centers were retrospectively analysed.Clinical outcomes were investigated in 555 patients,including 225 who started drinking liquid within 48 h(ELD group)of surgery and 330 who started drinking liquid after flatus resumption(traditional liquid drinking[TLD]group).Propensity score matching(PSM)analysis was performed using a match ratio of 1:1 and 201 patients were selected from each group for the analysis.Primary outcome was time to first passage of flatus.Secondary outcomes included time to first defecation,post-operative hospitalization days,occurrence of short-term post-operative complications,and hospitalization costs.Results:After PSM,baseline characteristics were not significantly different between the two groups.The time to first flatus(2.7261.08 vs 3.3661.39 days),first defecation(4.3461.85 vs 4.7761.61 days),and post-operative hospital stay(8.2764.02 vs 12.9464.43 days)were shorter in the ELD group than in the TLD group(all P<0.05).The ELD group had lower hospitalization costs than the TLD group([7.8362.44 vs 8.7863.41]104 RMB,P=0.041).No significant differences were observed in the incidence of post-operative complications.Conclusions:Compared with TLD,post-operative ELD could promote rapid recovery of gastrointestinal function and reduce hospitalization costs;moreover,ELD does not increase the risk of post-operative complications.展开更多
Wafer-scale van der Waals heterostructures(vdWHs),benefitting from the rich diversity in materials available and stacking geometry,precise controllability in devices structure and performance,and unprecedented potenti...Wafer-scale van der Waals heterostructures(vdWHs),benefitting from the rich diversity in materials available and stacking geometry,precise controllability in devices structure and performance,and unprecedented potential in practical application,have attracted considerable attention in the field of twodimensional(2D)materials.This article reviews the state-of-the-art research activities that focus on wafer-scale vdWHs and their(opto)electronic applications.We begin with the preparation strategies of vdWHs with wafer size and illustrate them from four key aspects,that is,mechanical-assembly stack,successive deposition,synchronous evolution,and seeded growth.We discuss the fundamental principle,underlying mechanism,advantages,and disadvantages for each strategy.We will then review the applications of large-area vdWHs based devices in electronic,optoelectronic and flexible devices field,unveiling their promising potential for practical application.Ultimately,we will demonstrate the challenges they face and provide some viable solutions on waferscale heterostructure synthesis and device fabrication.展开更多
Social networks are fundamental media for dif- fusion of information and contagions appear at some node of the network and get propagated over the edges. Prior re- searches mainly focus on each contagion spreading ind...Social networks are fundamental media for dif- fusion of information and contagions appear at some node of the network and get propagated over the edges. Prior re- searches mainly focus on each contagion spreading indepen- dently, regardless of multiple contagions＇ interactions as they propagate at the same time. In the real world, simultaneous news and events usually have to compete for user＇s attention to get propagated. In some other cases, they can cooperate with each other and achieve more influences. In this paper, an evolutionary game theoretic framework is proposed to model the interactions among multiple con- tagions. The basic idea is that different contagions in social networks are similar to the multiple organisms in a popula- tion, and the diffusion process is as organisms interact and then evolve from one state to another. This framework statis- tically learns the payoffs as contagions interacting with each other and builds the payoff matrix. Since learning payoffs for all pairs of contagions IS almost impossible （quadratic in the number of contagions）, a contagion clustering method is proposed in order to decrease the number of parameters to fit, which makes our approach efficient and scalable. To ver- ify the proposed framework, we conduct experiments by us- ing real-world information spreading dataset of Digg. Exper- imental results show that the proposed game theoretic frame- work helps to comprehend the information diffusion process better and can predict users＇ forwarding behaviors with more accuracy than the previous studies. The analyses of evolution dynamics of contagions and evolutionarily stable strategy re- veal whether a contagion can be promoted or suppressed by others in the diffusion process.展开更多
Levodopa(L-DOPA),a precursor of dopamine,is commonly prescribed for the treatment of the Parkinson’s disease(PD).However,oral administration of levodopa results in a high level of homocysteine in the peripheral circu...Levodopa(L-DOPA),a precursor of dopamine,is commonly prescribed for the treatment of the Parkinson’s disease(PD).However,oral administration of levodopa results in a high level of homocysteine in the peripheral circulation,thereby elevating the risk of cardiovascular disease,and limiting its clinical application.Here,we report a non-invasive method to deliver levodopa to the brain by delivering L-DOPA-loaded sub-50 nm nanoparticles via brain-lymphatic vasculature.The hydrophilic L-DOPA was successfully encapsulated into nanoparticles of tannic acid(TA)/polyvinyl alcohol(PVA)via hydrogen bonding using the flash nanocomplexation(FNC)process,resulting in a high L-DOPA-loading capacity and uniform size in a scalable manner.Pharmacodynamics analysis in a PD rat model demonstrated that the levels of dopamine and tyrosine hydroxylase,which indicate the dopaminergic neuron functions,were increased by 2-and 4-fold,respectively.Movement disorders and cerebral oxidative stress of the rats were significantly improved.This formulation exhibited a high degree of biocompatibility as evidenced by lack of induced inflammation or other pathological changes in major organs.This antioxidative and drug-delivery platform administered through the brain-lymphatic vasculature shows promise for clinical treatment of the PD.展开更多
The preparation of graphene-based conductive inks and their application in the field of flexible electronics have been extensively studied.However,improving the conductivity of the printed patterns always induces the ...The preparation of graphene-based conductive inks and their application in the field of flexible electronics have been extensively studied.However,improving the conductivity of the printed patterns always induces the neglect of the rheological properties of the graphene-based conductive inks or the mechanical properties of the as-printed patterns.In this study,the p-type doping of graphene with CuCl_(2)as the dopant is realized through liquid phase reaction,and the doped graphene powders are used to prepare the graphenebased conductive inks with a conductivity of 3.13×10^(4)S m^(-1).Subsequently,to simplify the preparation of inks,CuCl_(2)is directly added into the graphene-based conductive inks,achieving the p-type doped graphene ink with the conductivity of 3.64×10^(4)S m^(-1).The read range of ultrahigh-frequency radio frequency identification antenna and the temperature of the flexible electrothermal film printed with the CuCl_(2)-doped graphene-based conductive inks can reach 7.15 m and 200℃,respectively when the equivalent isotropically radiated power is equal to 4 W and the input power density is 0.94 W cm^(-2).Moreover,good rheological properties of the conductive inks and high mechanical properties of the printed patterns are also obtained.展开更多
Biologics play an essential role in treating various indications from cancers to the metabolic diseases,while the current development of new classes of intracellular-acting protein drugs is still hindered because of h...Biologics play an essential role in treating various indications from cancers to the metabolic diseases,while the current development of new classes of intracellular-acting protein drugs is still hindered because of high molecular mass and overall hydrophilicity of proteins creating extremely poor permeability across cell membrane.Hence,there remains an unmet need to develop safe,potent approaches to augment intracellular protein delivery efficiency.Here,we described a facile multicomponent reaction system for generating a small library of redox-responsive cationic polypeptoids with high biocompatibility.The co-assembly of optimized polymer with protein leads to the formation of compacted nanocomplexes with smaller size and high encapsulation efficiency,thus improving cellular internalization via the macropinocytosis and/or caveolae-mediated endocytosis mainly.After endo-lysosomal escape,the nanocomplexes can be disassociated to efficiently release cargo proteins into the cytosol,owing to the intracellular glutathione(GSH)-triggered rapid cleavage of disulfide bonds in polymers backbone.As a result,we screened a promising platform reagent for efficient cytosolic protein delivery application.展开更多
The cross-dimerization of terminal alkynes is the most straightforward and attractive approach to differently substituted 1,3-enynes,which are vital structural motifs in natural products,biologically active compounds,...The cross-dimerization of terminal alkynes is the most straightforward and attractive approach to differently substituted 1,3-enynes,which are vital structural motifs in natural products,biologically active compounds,and organic functional materials,etc.However,due to the inherent issues of the stereo-,regio-,and chemoselectivity,the strategy is less explored and remains problematic in substrate scope,selectivity,and screening of catalytic system,etc.Herein,a specific cross-dimerization of terminal alkynes is developed under Pd/TMEDA catalysis,which produces a series of gem-1,3-enynes(58 examples)in totally moderate to high yields with outstanding functional group tolerance.A cyclopalladium compound might be the key imtermediate,which performs anti-addition-carbometallation,and leads to the exclusive cross-selectivity.The unprecedented features of the reaction,such as anti-addition-carbometallation,easy control of selectivity,wide range of the donor alkynes,and very simple catalytic conditions,allow it not only a facile and functionally diverse synthesis of 1,3-enynes,but also a substantial progress for the textbook reaction.展开更多
文摘Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs Institute (JBI) evidence-based health care model, the best evidence of airway management in adult critically ill patients was obtained and applied to the clinic. Results: The total implementation rate of airway management measures in adult critically ill patients increased from 23.62% before the implementation of quality control circle to 88.82%, and the pulmonary infection rate in critically ill patients decreased from 42.31% to 21.74%, with statistical significance between the two groups (P 0.05). Conclusion: Evidence-based quality control circle activities can standardize the practice standards of airway management in critically ill patients, reduce the occurrence of patients’ airway related complications, and improve clinical outcomes.
基金the Natural Science Foundation of China(No.31771735,No.31971855)the Natural Science Foundation of Hubei Province(No.2019CFB273)Science and Technology Innovation Project from the Chinese Academy of Agricultural Sciences(CAASASTIP-2016-OCRI)。
文摘AM1(ABA-mimicking ligand)is a newly identified signaling molecule for plants during drought tolerance.To investigate the potential role of AM1 in response of rapeseed to drought stress,we conducted experiments by growing rapeseed plants under different levels of drought stress with or without applying AM1 or ABA in a rain shelter.The results indicated that drought significantly inhibited rapeseed growth by damaging the photosyn-thesis system,increasing active oxygen accumulation,destroying the oxidative system,and worsening membrane lipid peroxidation.Exogenously applied AM1 and ABA both relieved the damage to rapeseed that was induced by drought stress.Compared with the drought-treated rapeseed,the AM1 treatment significantly improved plant height,number of greelp leaves,root collar thickness,leaf area,dry matter weight,and root cap ratios of rapeseed.In addition,Pn,Gs,Ci,Tr were significantly increased by the AM1 treatment.The AM1 treatment also alleviated the drought induced reductions in Fv/Fm,ΦPSII,qN and ETR;induced an increase in NPQ;and resulted in decreased active oxygen accumulation and membrane lipid peroxidation.Although the ABA treatment relieved photosynthetic fluorescence and antioxidation system parameters to some extent,the effect was inferior to AM1 treatment.Yield under AM1 treatment was higher than that under ABA treatment but was still far lower than that of normal water supply control.In summary,AM1 is functionally similar to ABA in terms of drought relief and regulation,moreover has a better effect.
文摘This study is an intrinsic study of EFL motivation at the tertiary level by the use of a combination of quantitative and qualitative approaches. Three parts are involved in this study： 1） variables that constitute learners＇ motivation of EFL learning; 2） the relationships among motivational components; 3） the differences between high achievers and low achievers.
文摘Long developmental stage and late harvest time of winter rapeseed (Brassica napus L.) have great negative effects on rice planting of rice-rapeseed farming system in China. Early maturity improvement of rapeseed is necessary. ‘Zhongshuang 11’, an elite winter rapeseed cultivar, was used in consecutive field experiments during 2010-2012. At initial flowering stage, plants were consecutively sprayed with 0.1 mg/L 2-4-Epibrassinolide(BR) for 3 d. Two hundred sampling pods from different plants were randomly collected to measure seed related indexes with a 4 d interval from 7 to 47 d after peak anthesis (DAPA).Seed color turned light brown at 31 or 35 DAPA after BR treatment, seed dry weight (DWT)was increased while seed moisture content (SMC) was decreased during seed development.DWT almost reached the maximum value when SMC was 33.20% at 31 DAPA in 2010-2011 and 35.29% at 35 DAPA in 2011-2012 growing season after BR treatment. Similarly,the maximum values of standard germination test (SGT), accelerated aging test (AAT)and cold test (CT) were observed at 31 or 35 DAPA after BR treatment respectively. The high yield and seed oil content appeared at 31 or 35 DAPA accompanied with rapid decrease in total non-structural carbohydrate (TNC) in stems and leaves. Our study indicated that BR application advanced maturity of winter rapeseed by 4 to 8 days.
基金supported by the National Natural Science Foundation of China(No.51820105004,China)the Key Areas Research and Development Program of Guangzhou(No.202007020006,China).
文摘Although the discovery of insulin 100 years ago revolutionized the treatment of diabetes,its therapeutic potential is compromised by its short half-life and narrow therapeutic index.Current long-acting insulin analogs,such as insulin-polymer conjugates,are mainly used to improve pharmacokinetics by reducing renal clearance.However,these conjugates are synthesized without sacrificing the bioactivity of insulin,thus retaining the narrow therapeutic index of native insulin,and exceeding the efficacious dose still leads to hypoglycemia.Here,we report a kind of di-PEGylated insulin that can simultaneously reduce renal clearance and receptor-mediated clearance.By impairing the binding affinity to the receptor and the activation of the receptor,di-PEGylated insulin not only further prolongs the half-life of insulin compared to classical mono-PEGylated insulin but most importantly,increases its maximum tolerated dose 10-fold.The target of long-term glycemic management in vivo has been achieved through improved pharmacokinetics and a high dose.This work represents an essential step towards long-acting insulin medication with superior safety in reducing hypoglycemic events.
基金support from the National Natural Science Foundation of China(Grant Nos.22378106,21878072,21706058,and 22002169)the Natural Science Foundation of Hunan Province(Grant No.2020JJ2011)the China Postdoctoral Science Foundation(No.2019M662774).
文摘Comprehensive Summary The activation of inert chemical bonds is an exciting area of research in chemistry because it enables the direct utilization of readily available starting materials and promotes atom-and step-economic synthesis.Undoubtedly,selectively activating and transforming multiple inert chemical bonds is an even more intriguing and demanding task in synthetic chemistry.However,due to its inherent complexity and extreme challenges,this endeavour is rarely accomplished.We report a copper-mediated complete cleavage and selective transformation of multiple inert chemical bonds of three easily available feedstocks,i.e.,a sp2C—H bond in indoles,three sp3C—H bonds and one C—N bond in a methyl carbon atom in TMEDA,and the C≡N triple bond in CH_(3)CN.This reaction proceeds via tandem carbon and nitrogen atom transfer,and allows for the direct and efficient cyanation of indoles,presenting a simple and direct alternative for synthesizing 3-cyanoindoles.
基金This work was supported by the National Natural Science Foundation of China(Grant Nos.41730103&41805129).
文摘This study presents atmospheric N_(2)O mole fractions measured from discrete air samples from 2001 to 2018 at Mt.Waliguan(WLG)station(36°17′N,100°54′E,3816 m asl)in China,which is a global background station of the World Meteorological Organization/Global Atmosphere Watch Programme(WMO/GAW)in central Eurasia.Observed N_(2)O characteristics of annual means,interannual variability,and seasonal cycles were investigated.Our results show that N_(2)O at WLG possess a distinct increasing trend and a statistically significant seasonal cycle,with an average growth rate of 0.9±0.01 ppb yr^(−1)(1σ)(1ppb=10^(−9)),which is close to the global mean.The detrended seasonal cycle shows a trough of−0.25±0.04(1σ)ppb in June and a peak of 0.13±0.07(1σ)ppb in September,with an amplitude of 0.38 ppb.The pattern is due to combined effects of variation in surface sources,vertical convection within the boundary layer and stratosphere to troposphere transportation(STE).The interannual variability in growth rate was partly driven by quasi-biennial oscillation(QBO)of tropical zonal wind through stratospheric transport into the troposphere.According to a cluster analysis of back trajectories and the corresponding average N_(2)O load,most air masses cover arid and semi-arid areas in inner Asia with low N_(2)O emissions,indicating that the atmospheric N_(2)O at the WLG represents the background N_(2)O level in central Eurasia.
基金supported by an Ethicon Excellence in Surgery Grant(EESG)[grant number HZB-2018111949]the National Key Clinical Specialty Construction Project(2021-2024)[grant number 2022YW030009].
文摘Background:Enhanced recovery after surgery is used in gastrointestinal surgery.This study aimed to access the effects of early liquid drinking(ELD)on gastrointestinal function recovery in patients with gastric cancer(GC)who underwent radical gastrectomy,as high-quality evidence on the outcomes of ELD after gastrectomy is currently lacking.Methods:Clinicopathological data of patients with GC from 11 centers were retrospectively analysed.Clinical outcomes were investigated in 555 patients,including 225 who started drinking liquid within 48 h(ELD group)of surgery and 330 who started drinking liquid after flatus resumption(traditional liquid drinking[TLD]group).Propensity score matching(PSM)analysis was performed using a match ratio of 1:1 and 201 patients were selected from each group for the analysis.Primary outcome was time to first passage of flatus.Secondary outcomes included time to first defecation,post-operative hospitalization days,occurrence of short-term post-operative complications,and hospitalization costs.Results:After PSM,baseline characteristics were not significantly different between the two groups.The time to first flatus(2.7261.08 vs 3.3661.39 days),first defecation(4.3461.85 vs 4.7761.61 days),and post-operative hospital stay(8.2764.02 vs 12.9464.43 days)were shorter in the ELD group than in the TLD group(all P<0.05).The ELD group had lower hospitalization costs than the TLD group([7.8362.44 vs 8.7863.41]104 RMB,P=0.041).No significant differences were observed in the incidence of post-operative complications.Conclusions:Compared with TLD,post-operative ELD could promote rapid recovery of gastrointestinal function and reduce hospitalization costs;moreover,ELD does not increase the risk of post-operative complications.
基金supported by the National Natural Science Foundation of China(22103026,21825103,and U21A2069)Hubei Provincial Natural Science Foundation(2019CFA002)the Fundamental Research Funds for the Central Universities(2020kfy XJJS050)。
基金National Nature Science Foundation of China,Grant/Award Number:21825103Natural Science Foundation of Hubei Province of China,Grant/Award Number:2019CFA002Fundamental Research Funds for the Central University,Grant/Award Number:2019kfyXMBZ018。
文摘Wafer-scale van der Waals heterostructures(vdWHs),benefitting from the rich diversity in materials available and stacking geometry,precise controllability in devices structure and performance,and unprecedented potential in practical application,have attracted considerable attention in the field of twodimensional(2D)materials.This article reviews the state-of-the-art research activities that focus on wafer-scale vdWHs and their(opto)electronic applications.We begin with the preparation strategies of vdWHs with wafer size and illustrate them from four key aspects,that is,mechanical-assembly stack,successive deposition,synchronous evolution,and seeded growth.We discuss the fundamental principle,underlying mechanism,advantages,and disadvantages for each strategy.We will then review the applications of large-area vdWHs based devices in electronic,optoelectronic and flexible devices field,unveiling their promising potential for practical application.Ultimately,we will demonstrate the challenges they face and provide some viable solutions on waferscale heterostructure synthesis and device fabrication.
基金This work was supported by State Key Development Program of Basic Research of China （2013CB 329605） and the National Nat- ural Science Foundation of China （Grant Nos. 61300014, 61372191）.
文摘Social networks are fundamental media for dif- fusion of information and contagions appear at some node of the network and get propagated over the edges. Prior re- searches mainly focus on each contagion spreading indepen- dently, regardless of multiple contagions＇ interactions as they propagate at the same time. In the real world, simultaneous news and events usually have to compete for user＇s attention to get propagated. In some other cases, they can cooperate with each other and achieve more influences. In this paper, an evolutionary game theoretic framework is proposed to model the interactions among multiple con- tagions. The basic idea is that different contagions in social networks are similar to the multiple organisms in a popula- tion, and the diffusion process is as organisms interact and then evolve from one state to another. This framework statis- tically learns the payoffs as contagions interacting with each other and builds the payoff matrix. Since learning payoffs for all pairs of contagions IS almost impossible （quadratic in the number of contagions）, a contagion clustering method is proposed in order to decrease the number of parameters to fit, which makes our approach efficient and scalable. To ver- ify the proposed framework, we conduct experiments by us- ing real-world information spreading dataset of Digg. Exper- imental results show that the proposed game theoretic frame- work helps to comprehend the information diffusion process better and can predict users＇ forwarding behaviors with more accuracy than the previous studies. The analyses of evolution dynamics of contagions and evolutionarily stable strategy re- veal whether a contagion can be promoted or suppressed by others in the diffusion process.
基金supported by Natural Science Foundation of China(No.51533009)the Guangdong Innovative and Entrepreneurial Research Team Program(No.2013S086)the key Area Research and Development of Guangzhou(No.202007020006).
文摘Levodopa(L-DOPA),a precursor of dopamine,is commonly prescribed for the treatment of the Parkinson’s disease(PD).However,oral administration of levodopa results in a high level of homocysteine in the peripheral circulation,thereby elevating the risk of cardiovascular disease,and limiting its clinical application.Here,we report a non-invasive method to deliver levodopa to the brain by delivering L-DOPA-loaded sub-50 nm nanoparticles via brain-lymphatic vasculature.The hydrophilic L-DOPA was successfully encapsulated into nanoparticles of tannic acid(TA)/polyvinyl alcohol(PVA)via hydrogen bonding using the flash nanocomplexation(FNC)process,resulting in a high L-DOPA-loading capacity and uniform size in a scalable manner.Pharmacodynamics analysis in a PD rat model demonstrated that the levels of dopamine and tyrosine hydroxylase,which indicate the dopaminergic neuron functions,were increased by 2-and 4-fold,respectively.Movement disorders and cerebral oxidative stress of the rats were significantly improved.This formulation exhibited a high degree of biocompatibility as evidenced by lack of induced inflammation or other pathological changes in major organs.This antioxidative and drug-delivery platform administered through the brain-lymphatic vasculature shows promise for clinical treatment of the PD.
基金supported by the Special Funds for the Co-construction Project of Beijing Municipal Commission of Education。
文摘The preparation of graphene-based conductive inks and their application in the field of flexible electronics have been extensively studied.However,improving the conductivity of the printed patterns always induces the neglect of the rheological properties of the graphene-based conductive inks or the mechanical properties of the as-printed patterns.In this study,the p-type doping of graphene with CuCl_(2)as the dopant is realized through liquid phase reaction,and the doped graphene powders are used to prepare the graphenebased conductive inks with a conductivity of 3.13×10^(4)S m^(-1).Subsequently,to simplify the preparation of inks,CuCl_(2)is directly added into the graphene-based conductive inks,achieving the p-type doped graphene ink with the conductivity of 3.64×10^(4)S m^(-1).The read range of ultrahigh-frequency radio frequency identification antenna and the temperature of the flexible electrothermal film printed with the CuCl_(2)-doped graphene-based conductive inks can reach 7.15 m and 200℃,respectively when the equivalent isotropically radiated power is equal to 4 W and the input power density is 0.94 W cm^(-2).Moreover,good rheological properties of the conductive inks and high mechanical properties of the printed patterns are also obtained.
基金This work was supported by the National Natural Science Foundation of China(51803243,51820105004)the Guangdong Basic and Applied Basic Research Foundation(2020A1515011285)the Guangdong Innovative and Entrepreneurial Research Team Program(2013S086).
文摘Biologics play an essential role in treating various indications from cancers to the metabolic diseases,while the current development of new classes of intracellular-acting protein drugs is still hindered because of high molecular mass and overall hydrophilicity of proteins creating extremely poor permeability across cell membrane.Hence,there remains an unmet need to develop safe,potent approaches to augment intracellular protein delivery efficiency.Here,we described a facile multicomponent reaction system for generating a small library of redox-responsive cationic polypeptoids with high biocompatibility.The co-assembly of optimized polymer with protein leads to the formation of compacted nanocomplexes with smaller size and high encapsulation efficiency,thus improving cellular internalization via the macropinocytosis and/or caveolae-mediated endocytosis mainly.After endo-lysosomal escape,the nanocomplexes can be disassociated to efficiently release cargo proteins into the cytosol,owing to the intracellular glutathione(GSH)-triggered rapid cleavage of disulfide bonds in polymers backbone.As a result,we screened a promising platform reagent for efficient cytosolic protein delivery application.
基金supported by the National Natural Science Foundation of China(21878072,21706058,22102062,21725602)the Hunan Provincial Natural Science Foundation of China(2020JJ2011)the China Postdoctoral Science Foundation(2019M662774).
文摘The cross-dimerization of terminal alkynes is the most straightforward and attractive approach to differently substituted 1,3-enynes,which are vital structural motifs in natural products,biologically active compounds,and organic functional materials,etc.However,due to the inherent issues of the stereo-,regio-,and chemoselectivity,the strategy is less explored and remains problematic in substrate scope,selectivity,and screening of catalytic system,etc.Herein,a specific cross-dimerization of terminal alkynes is developed under Pd/TMEDA catalysis,which produces a series of gem-1,3-enynes(58 examples)in totally moderate to high yields with outstanding functional group tolerance.A cyclopalladium compound might be the key imtermediate,which performs anti-addition-carbometallation,and leads to the exclusive cross-selectivity.The unprecedented features of the reaction,such as anti-addition-carbometallation,easy control of selectivity,wide range of the donor alkynes,and very simple catalytic conditions,allow it not only a facile and functionally diverse synthesis of 1,3-enynes,but also a substantial progress for the textbook reaction.
