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Prehospital transdermal glyceryl trinitrate for ultra- acute ischaemic stroke: data from the RIGHT- 2 randomised sham- controlled ambulance trial

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Stroke & Vascular Neurology 2024年第1期9卷 38-49,I0035-I0046页

作者： jason Philip Appleton Lisa j Woodhouse craig S Anderson Sandeep Ankolekar Lesley cala Mark Dixon Timothy j England Kailash Krishnan Grant Mair Keith W Muir john Potter christopher I Price Marc Randall Thompson G Robinson christine Roffe Else c Sandset jeffrey L Saver Angela Shone Aloysius Niroshan Siriwardena joanna M Wardlaw Nikola Sprigg Philip M Bath Stroke University Hospitals Birmingham NHS Foundation TrustBirminghamUK Institute of Applied HealthResearch University of Birmingham College of Medical and Dental SciencesBirminghamUK Stroke Trials Unit Mental Health and Clinical NeurosciencesUniversity of NottinghamNottinghamUK Faculty of Medicine The George Institute for Global HealthSydneyNew South WalesAustralia The George Institute china at Peking University Health Science center BeijingChina Neurology Royal Prince Alfred HospitalSydney Health PartnersSydneyNew South WalesAustralia Department of Neurology King's College Hospital NHS Foundation TrustLondonUK Faculty of Health and Medical Sciences University of Western AustraliaCrawleyWestern AustraliaAustralia East Midlands Ambulance Service NHS Trust NottinghamUK Stroke Queen's Medical CentreNottingham University Hospitals NHS TrustNottinghamUK centre for clinical Brain Sciences Dementia Research InstituteUniveristy of EdinburghEdinburghUK Institute of Neurology and Psychology University of GlasgowGlasgowUK Bob champion Research and Education Building University of East AngliaNorwichUK Institute of Neuroscience Newcastle UniversityNewcastle upon TyneUK Department of Neurology Leeds Teaching Hospitals NHS TrustLeedsUK Department of cardiovascular Sciences and NIHR Leicester Biomedical Research centre University of LeicesterLeicesterUK Stroke Research in Stoke Institute for Science and Technology in MedicineKeele UniversityStoke-on TrentUK Department of Neurology Oslo University HospitalOsloNorway Research and Development Norwegian Air Ambulance FoundationOsloNorway Department of Neurology and comprehensive Stroke center David Geffen School of MedicineUCLALos AngelesCaliforniaUSA Research and Graduate Services University of NottinghamNottinghamUK community and Health Research Unit University of LincolnLincolnUK

Background The effect of transdermal glyceryl trinitrate(GTN,a nitrovasodilator)on clinical outcome when administered before hospital admission in suspected stroke patients is ***,we assess the safety and efficacy of GTN in the prespecified subgroup of patients who had an ischaemic stroke within the Rapid Intervention with Glyceryl trinitrate in Hypertensive stroke Trial-2(RIGHT-2).Methods RIGHT-2 was an ambulance-based multicentre sham-controlled blinded-endpoint study with patients randomised within 4hours of *** primary outcome was a shift in scores on the modified Rankin scale(mRS)at day *** outcomes included death;a global analysis(Wei-Lachin test)containing Barthel Index,EuroQol-5D,mRS,telephone interview for cognitive status-modified and Zung depression scale;and neuroimaging-determined‘brain frailty’*** were reported as n(%),mean(SD),median[IQR],adjusted common oR(acoR),mean difference or Mann-Whitney difference(MWD)with 95%*** 597 of 1149(52%)patients had a final diagnosis of ischaemic stroke;age 75(12)years,premorbid mRS>2107(18%),Glasgow coma Scale 14(2)and time from onset to randomisation 67[45,108]***‘brain frailty’was common:median score 2[2,3](range 0–3).At day 90,GTN did not influence the primary outcome(acoR for increased disability 1.15,95%cI 0.85 to 1.54),death or global analysis(MWD 0.00,95%cI-0.10 to 0.09).In subgroup analyses,there were non-significant interactions suggesting GTN may be associated with more death and dependency in participants randomised within 1hour of symptom onset and in those with more severe *** In patients who had an ischaemic stroke,ultra-acute administration of transdermal GTN in the ambulance did not improve clinical outcomes in a population with more clinical and radiological frailty than seen in previous in-hospital *** IS ALREADY KNoWN oN THIS ToPIc⇒Transdermal glyceryl trinitrate(GTN)was associat-ed with less death and dependency in those w

关键词： Glasgow nitrate random

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A review of public health guidelines for postpartum physical activity and sedentary behavior from around the world

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journal of Sport and Health Science 2024年第4期13卷 472-483,F0003页

作者： Kelly R.Evenson Wendy j.Brown Alison K.Brinson Emily Budzynski-Seymour Melanie Hayman Department of Epidemiology Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillNC 27599-8050USA Faculty of Health Sciences and Medicine Bond UniversityGold CoastQLD 4226Australia School of Human Movement and Nutrition Sciences The University of QueenslandBrisbaneQLD 4072Australia Department of Anthropology University of North Carolina at Chapel HillChapel HillNC 27599-3115USA carolina Population center University of North Carolina at Chapel HillChapel HillNC 27599-8120USA Faculty of Sport Health and Social SciencesSolent UniversitySouthamptonSO140YNUK Appleton Institute School of HealthMedical and Applied SciencesCentral Queensland UniversityRockhamptonQLD 4701Australia

Background:The period following pregnancy is a critical time window when future habits with respect to physical activity(PA) and sedentary behavior(SB) are established;therefore,it warrants *** purpose of this scoping review was to summarize public health-oriented country-specific postpartum PA and SB guidelines ***:To identity guidelines published since 2010,we performed a(a) systematic search of 4 databases(cINAHL,Global Health,PubMed,and SPoRTDiscus),(b) structured repeatable web-based search separately for 194 countries,and(c) separate web-based *** the most recent guideline was included for each ***:We identified 22 countries with public health-oriented postpartum guidelines for PA and 11 countries with SB *** continents with guidelines included Europe(n=12),Asia(n=5),oceania(n=2),Africa(n=1),North America(n=1),and South America(n=1).The most common benefits recorded for PA included weight control/management(n=10),reducing the risk of postpartum depression or depressive symptoms(n=9),and improving mood/well-being(n=8).Postpartum guidelines specified exercises to engage in,including pelvic floor exercises(n=17);muscle strengthening,weight training,or resistance exercises(n=13);aerobics/general aerobic activity(n=13);walking(n=11);cycling(n=9);and swimming(n=9).Eleven guidelines remarked on the interaction between PA and breastfeeding;several guidelines stated that PA did not impact breast milk quantity(n=7),breast milk quality(n=6),or infant growth(n=3).For SB,suggestions included limiting long-term sitting and interrupting sitting with ***:country-specific postpartum guidelines for PA and SB can help promote healthy behaviors using a culturally appropriate context while providing specific guidance to public health practitioners.

关键词： Breastfeeding caesarean section Guidelines Postnatal Recommendations

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Generation of Eco-Friendly and Disease-Resistant channel catfish(Ictalurus punctatus)Harboring the Alligator cathelicidin Gene via cRISPR/cas9 Engineering

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Engineering 2024年第8期39卷 273-286页

作者： jinhai Wang Baofeng Su De Xing Timothy j.Bruce Shangjia Li Logan Bern Mei Shang Andrew johnson Rhoda Mae c.Simora Michael coogan Darshika U.Hettiarachchi Wenwen Wang Tasnuba Hasin jacob Al-Armanazi cuiyu Lu Rex A.Dunham School of Fisheries Aquacultureand Aquatic SciencesAuburn UniversityAuburnAL 36849USA

As a precise and versatile tool for genome manipulation,the clustered regularly interspaced short palindromic repeats(cRISPR)/cRISPR-associated protein 9(cas9)platform holds promise for modifying fish traits of *** the aim of reducing transgene introgression and controlling reproduction,upscaled disease resistance and reproductive intervention in catfish species have been studied to lower the potential environmental risks of the introgression of escapees as transgenic *** advantage of the cRISPR/cas9-mediated system,we succeeded in integrating the cathelicidin gene(As-cath)from an alligator(Alligator sinensis)into the target luteinizing hormone(lh)locus of channel catfish(Ictalurus punctatus)using two delivery systems assisted by double-stranded DNA(dsDNA)and single-stranded oligodeoxynucleotides(ssoDNs),*** this study,high knock in(KI)efficiency(22.38%,64/286)but low ontarget events was achieved using the ssoDN strategy,whereas adopting a dsDNA as the donor template led to an efficient on-target KI(10.80%,23/213).The on-target KI of As-cath was instrumental in establishing the lh knockout(LH^(–)_As-cath^(+))catfish line,which displayed heightened disease resistance and reduced fecundity compared with the wild-type(WT)sibling ***,administration of human chorionic gonadotropin(HcG)and luteinizing hormone-releasing hormone analogue(LHRHa)can restore the reproduction of the transgenic fish ***,we replaced the lh gene with an alligator cathelicidin transgene and then administered hormone therapy to move towards complete reproductive control of diseaseresistant transgenic catfish in an environmentally responsible *** strategy not only effectively improves consumer-valued traits but also guards against unwanted introgression,providing a breakthrough in aquaculture genetics to confine fish reproduction and prevent the establishment of transgenic or domestic genotypes in the natural environment.

关键词： Genome editing ssoDN dsDNA Antimicrobial peptide Reproductive confinement Aquaculture

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Dynamical study of varicella-zoster virus model in sense of Mittag-Leffler kernel

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International journal of Biomathematics 2024年第3期17卷 153-183页

作者： Qura Tul Ain Aziz Khan Thabet Abdeljawad j.F.Gomez-Aguilar Saleem Riaz Department of Mathematics Guizhou University GuiyangGuizhou 550025P.R.China Department of Mathematics and Sciences Prince Sultan University P.o.Bor 66833 11586 RiyadhSaudi Arabia Department of Medical Research china Medical University Taichung 40402Taiwan coNAcyT-Tecnologico Nacional de Mécico/cENIDET Interior Internado Palmira S/N Col.Palmira C.P.62490CuernavacaMorelosMécico IConsejo Academico Universidad Virtual CNCIMonterreyMécico School of Automation Northwestern Polytechnical University 170072 Xian P.R.China

The primary varicella-zoster virus(VzV)infection that causes chickenpox(also known as varicella),spreads quickly among people and,in severe circumstances,can cause to fever and *** this paper,the Mittag-Leffler fractional operator is used to examine the mathematical representation of the *** fractional-order differential equations are created in terms of the disease's dynamical analysis such as S:Susceptible,V:Vaccinated,E:Exposed,I:Infectious and R:*** derive the existence criterion,positive solution,Hyers-Ulam stability,and boundedness of results in order to examine the suggested fractional-order model's ***,some numerical examples for the VzV model of various fractional orders are shown with the aid of the generalized Adams-Bashforth-Moulton approach to show the viability of the obtained results.

关键词： Varicella-zoster virus model Hyers-Ulam stability ABc fractional operator Schauder fix point theory numerical analysis

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complexed amino acid minerals vs. bis-glycinate chelated minerals:Impact on the performance of old laying hens

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Animal Nutrition 2024年第1期16卷 395-408页

作者： Marcos j.B.Santos Maria c.M.M.Ludke Leandro M.Silva carlos B.V.Rabello Mércia R.Barros Fabiano S.costa clariana S.Santos jamille S.S.Wanderley Department of Animal Science Rural Federal University of Pernambuco Department of Veterinary Science Rural Federal University of Pernambuco

The present study was to evaluate the effect of trace minerals(Zn, Mn, and cu) from complexed amino acid minerals(ZMcAA) and bis-glycinate chelated minerals(ZMcGly) in laying hen diets on performance,internal and external egg quality, yolk mineral deposition, intestinal morphometry, and bone characteristics. From 78 to 98 weeks of age, 400 White LSL-Lite strain laying hens were distributed in a randomized design with 4 treatments with 10 replicates per treatment. Treatments were distributed in a 2 ×2 factorial arrangement using either Zn, Mn, and cu of ZMcAA or ZMcGly source at 2 levels: low(20, 20,and 3.5 mg/kg of Zn, Mn, and cu, respectively) or high(40, 40, and 7 mg/kg of Zn, Mn, and cu,respectively). The analysis of variance was performed, and in cases where differences were observed, the means were compared using Tukey?s test(P ource and level of trace mineral supplementation had a significant impact on the performance of laying hens. Hens fed ZMcAA had higher egg production(P = 0.01), egg weight(P = 0.02), egg mass(P = 0.01), and lower feed conversion ratio(P =0.05) compared to those fed ZMcGly. The ZMcAA supplementation showed higher albumen height(P =0.01), albumen weight(P = 0.01), and eggshell thickness(P osition of Zn(P cu(P olk was greater for hens received ZMcAA. Tibia weight(P = 0.04)and bone densitometry(P cAA supplementation. In the small intestine, ZMcAA resulted in longer villi(P = 0.02) and shorter crypt depth(P = 0.01) in the *** and ileum measurements were influenced by the level and source of trace minerals(P cAA exhibited superior performance, egg quality, deposition of trace minerals in the egg yolk, and bone density compared to hens fed ZMcGly. In this study, older laying hens supplemented with ZMcAA at lower levels demonstrated adequate levels of supplementation.

关键词： Bis-glycinates Metal-amino acids Radiodensity Trace minerals

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A Study of the TPS Based Beam-Matching concept for Medical Linear Accelerators at a Tertiary Hospital

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International journal of Medical Physics, clinical Engineering and Radiation oncology 2024年第1期13卷 16-25页

作者： Ntombela N. Lethukuthula Rovetto j. Nicolas Nethwadzi c. Lutendo Mpumelelo Nyathi Department of Radiation oncology Steve Biko Academic Hospital Pretoria South Africa Department of Medical Physics University of Pretoria Pretoria South Africa Department of Medical Physics Sefako Makgatho Health Sciences University Ga-Rankuwa South Africa

The flexibility in radiotherapy can be improved if patients can be moved between any one of the department’s medical linear accelerators (LINAcs) without the need to change anything in the patient’s treatment plan. For this to be possible, the dosimetric characteristics of the various accelerators must be the same, or nearly the same. The purpose of this work is to describe further and compare measurements and parameters after the initial vendor-recommended beam matching of the five LINAcs. Deviations related to dose calculations and to beam matched accelerators may compromise treatment accuracy. The safest and most practical way to ensure that all accelerators are within clinical acceptable accuracy is to include TPS calculations in the LINAcs matching evaluation. Treatment planning system (TPS) was used to create three photons plans with different field sizes 3 × 3 cm, 10 × 10 cm and 25 × 25 cm at a depth of 4.5 cm in Perspex. calculated TPS plans were sent to Mosaiq to be delivered by five LINAcs. TPS plans were compared with five LINAcs measurements data using Gamma analyses of 2% and 2 mm. The results suggest that for four out of the five LINAcs, there was generally good agreement, less than a 2% deviation between the planned dose distribution and the measured dose distribution. However, one specific LINAc named “Asterix” exhibited a deviation of 2.121% from the planned dose. The results show that all of the LINAcs’ performance were within the acceptable deviation and delivering radiation dose consistently and accurately.

关键词： Radiotherapy Beam-Matching Linear Accelerator Dosimetry

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Full-spectrum Bi@SrTio_(3) for bi-directional promotion effects on photocatalytic redox reaction:Insight into intermediates and mechanism

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journal of Rare Earths 2024年第5期42卷 917-929,I0004页

作者： Bin Liu Nanhao Zhou jun Liu Xinglei Wang Peter K.j.Robertson Xiaoyuan chen chao chen jianmin Luo chuanyi Wang School of chemistry and civil Engineering Shaoguan UniversityShaoguan512005China chengdu customs Technology center Chengdu610041China Key Laboratory of Pollutant chemistry and Environmental Treatment College of Chemistry and Environmental ScienceYili Normal UniversityYining835000China School of chemistry and chemical Engineering Queen's University BelfastStranmillis RoadBelfastBT95AGUnited Kingdom Guangzhou Institute of Industrial Intelligence(GIII) Guangzhou511400China

The development of full-spectrum photocatalysts active in the near-infrared(NIR)region has gained increasing attention for deleterious pollutant *** integration of plasmonic metals with semico nductors is an effective way to widen the light re sponse range of photocatalysts due to the strong light absorption and fast plasmonic energy transfer of the localized surface plasmon resonance(LSPR).In this work,the full-spectrum responsive Bi@SrTio_(3) was prepared via facile solvothermal chemical *** optimal Bi@SrTio_(3) achieves exceptional photocatalytic cr(VI)reduction efficiency and tetracycline degradation,realizing bi-directional promotion effects on redox *** to density functional theory(DFT)simulations,the extraordinary photocatalytic performance is attributed to the tunable builtin electric field(IEF)of the ohmic *** favorable adaptability in real water and high stability of BSTo-25 were proved by experime ntal *** the po ssible photocatalytic mechanism was proposed based on theoretical calculation and experimental ***,the non-toxicity of the BSTo-25 was evaluated by *** cultivation,which further proves the feasibility of treating wastewater with *** work provides a new perspective on constructing full-spectrum-driven photocatalysts for applications dealing with environmental remediation.

关键词： Full-spectrum photocatalysts Localized surface plasmon resonance ohmic contact cr(Ⅵ)reduction Antibiotic degradation Rare earths

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Are there sex-based disparities in cataract surgery?

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International journal of ophthalmology(English edition) 2024年第1期17卷 137-143页

作者： Matthew D.Geiger Anne M.Lynch Alan G.Palestine Nathan c.Grove Karen L.christopher Richard S.Davidson Michael j.Taravella Naresh Mandava jennifer L.Patnaik Department of ophthalmology University of Colorado School of MedicineAuroraCO 80045USA

AIM:To investigate sex-based differences in the occurrence of intra-operative and post-operative complications and associated visual outcomes following cataract ***:This was a retrospective study of patients who had phacoemulsification cataract surgery at the University of colorado School of *** collected included the patient’s health history,ocular comorbidities,operative and post-operative complications,and the post-operative best corrected visual acuity(BcVA).The data were analyzed using univariate and multivariable logistic regression with generalized estimating equations to account for the correlation of some patients having two eyes included in the ***:A total of 11977 eyes from 7253 patients were included in the *** comorbidities differed by sex,with males having significantly higher percentages of traumatic cataracts(males 0.7%vs females 0.1%),prior ocular surgery(6.7%vs 5.5%),and mature cataracts(2.8%vs 1.9%).conversely,females had significantly higher rates of pseudoexfoliation(2.0%vs 3.2%).In unadjusted analysis,males had higher rates of posterior capsular rupture(0.8%vs 0.4%)and vitreous loss(1.0%vs 0.6%),but this difference was not significant after adjustment for *** had a significantly increased risk of post-operative retinal detachment,but in multivariable analysis this was no longer *** were significantly less likely to undergo post-operative neodymium-doped yttrium aluminum garnet(Nd:YAG)laser capsulotomy for posterior capsule opacification(oR=0.8,95%cI=0.7-0.9,P=0.0005).The BcVA was slightly worse for males pre-operatively;but post-operatively,both sexes exhibited similar visual acuity of Snellen equivalent 20/***:The study finds that in a cohort of patients presenting for cataract surgery,sex differences exist in pre-operative comorbidities and surgical characteristics that contribute to higher rates of some complications for ***,observed surgical complicatio

关键词： cataract surgery sex-based disparity phacoemulsification outcomes

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Single atom cu-N-c catalysts for the electro-reduction of co_(2) to co assessed by rotating ring-disc electrode

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journal of Energy chemistry 2024年第1期88卷 169-182,I0004页

作者： S.Pérez-Rodríguez M.Gutiérrez-Roa c.Giménez-Rubio D.Ríos-Ruiz P.Arévalo-cid M.V.Martínez-Huerta A.Zitolo M.j.Lázaro D.Sebastián Instituto de carboquímica(cSIc) Miguel Luesma Castán 450018 ZaragozaSpain Instituto de catálisis y Petroleoquímica(cSIc) Marie Curie 228049 MadridSpain Synchrotron SoLEIL L’Orme des MerisiersDépartementale 12891190France

The electrochemical co_(2) reduction reaction(co_(2)RR) to controllable chemicals is considered as a promising pathway to store intermittent renewable energy. Herein, a set of catalysts based on copper-nitrogendoped carbon xerogel(cu-N-c) are successfully developed varying the copper amount and the nature of the copper precursor, for the efficient co_(2)RR. The electrocatalytic performance of cu-N-c materials is assessed by a rotating ring-disc electrode(RRDE), technique still rarely explored for co_(2)RR. For comparison, products are also characterized by online gas chromatography in a H-cell. The as-synthesized cu-Nc catalysts are found to be active and highly co selective at low overpotentials(from -0.6 to -0.8 V ***) in 0.1 M KHco_(3), while H_(2) from the competitive water reduction appears at larger overpotentials(-0.9 V vs. RHE). The optimum copper acetate-derived catalyst containing cu-N_(4) moieties exhibits a co_(2)-to-co turnover frequency of 997 h^(-1) at -0.9 V vs. RHE with a H_(2)/co ratio of 1.8. These results demonstrate that RRDE configuration can be used as a feasible approach for identifying electrolysis products from co_(2)RR.

关键词： cu-N-c carbon xerogel Rotating ring disc electrode carbon dioxide reduction reaction carbon monoxide

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Interfacial stress engineering toward enhancement of ferroelectricity in Al doped Hfo_(2)thin films

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chinese Physics B 2024年第9期33卷 637-643页

作者： S X chen M M chen Y Liu D W cao G j chen Department of Microelectronics Jiangsu UniversityZhenjiang 212013China Department of Physics Jiangsu UniversityZhenjiang 212013China Guangdong–Hong Kong–Macao joint Laboratory for Intelligent Micro-Nano optoelectronic Technology Foshan UniversityFoshan 528225China

Ferroelectric Hfo_(2)has attracted much attention owing to its superior ferroelectricity at an ultra-thin thickness and good compatibility with Si-based complementary metal-oxide-semiconductor(cMoS)***,the crystallization of polar orthorhombic phase(o-phase)Hfo_(2)is less competitive,which greatly limits the ferroelectricity of the as-obtained ferroelectric Hfo_(2)thin ***,the crystallization of o-phase Hfo_(2)can be thermodynamically modulated via interfacial stress *** this paper,the growth of improved ferroelectric Al doped Hfo_(2)(Hfo_(2):Al)thin films on(111)-oriented Si substrate has been *** analysis has suggested that nonpolar monoclinic Hfo_(2):Al grown on(111)-oriented Si substrate suffered from a strong compressive strain,which promoted the crystallization of(111)-oriented o-phase Hfo_(2)in the as-grown Hfo_(2):Al thin *** addition,the in-plane lattice of(111)-oriented Si substrate matches well with that of(111)-oriented o-phase Hfo_(2),which further thermally stabilizes the o-phase Hfo_(2).Accordingly,an improved ferroelectricity with a remnant polarization(2P_(r))of 26.7c/cm^(2) has been *** results shown in this work provide a simple way toward the preparation of improved ferroelectric Hfo_(2)thin films.

关键词： improved ferroelectricity interfacial stress engineering compressive strain Hfo_(2)

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