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Manipulation of photoluminescence (PL) and persistent luminescence (PersL) provides a powerful tool for anti‐counterfeiting applications. Here, Sb3+‐doped CsCdCl3 perovskite single crystals (SCs) can be selectively irradiated via utilizing ultra‐fast femtosecond (fs) laser, creating tunable PL colors and PersL duration with high precision. The PL color of the synthesized SCs changes from cyan to orange along with the wavelength of the fs laser, for the successful regulation of the optical procedure from a single‐photon to a two‐photon absorption process. Moreover, an orange PersL of CsCdCl3:Sb3+ SC is observed after being charged with a fs laser, and the corresponding duration time can be feasibly controlled with the pump wavelength. In particular, CsCdCl3:Sb3+ is capable of ultrafast carrier capture (1 s) under fs laser compared to ultraviolet lamp pre‐irradiation enabling a high‐resolution micro‐PersL in photon trapping/de‐trapping modes. These findings not only give a new solution for the fabrication high‐resolution micro‐PL and trajectory‐writing micro‐PersL patterns, but also provide a deep insight to understand the photon–matter interactions. [ABSTRACT FROM AUTHOR]

Scintillators with high spatial‐resolution and high‐stability are highly desirable for X‐ray imaging applications at unpredictable environments. To challenge state‐of‐the‐art technology, it is necessary to design high thermal stable scintillators with high‐resolution and high light yield. In this work, the zero‐thermal‐quenching Lu3Al5O12:Ce3+ (LuAG: Ce3+) transparent ceramics (TCs) is synthesized with high optical transparency. The thermoluminescence (TL) curves of the as‐obtained TCs demonstrate that the formation of the oxygen vacancies, acting as the trapping centers, can capture the carriers and then contribute to the enhancement of its thermals stability via the thermal compensation effect. The exceptional thermal‐stability of the TCs scintillator endows the monitoring of the dynamic changes of the internal structure of the objective samples without any ghosting effects during heating. In addition, given the ultra‐high uniform, transparency, and fast light decay of the TCs scintillator, the excellent spatial resolution (≈112 lp mm−1) of the X‐ray microscopic imaging is realized. These results undeniably demonstrate that the as‐obtained LuAG: Ce3+ TCs have great prospects for advancement in X‐ray detectors. [ABSTRACT FROM AUTHOR]

Atherosclerosis is extremely widespread. Traditionally, it is considered a disease of older people, who most often experience problems with the heart and blood vessels. While much attention from the scientific community has been paid to studying the association between aging and atherosclerosis, as well as its consequences, there is evidence that atherosclerosis occurs at an early age. Atherosclerosis may form both during intrauterine development and in childhood. Nutrition plays an important role in childhood atherosclerosis, along with previous infectious diseases and excess weight of both the child and the mother. In the present review, we examined the development of atherosclerosis and the prerequisites in childhood. [ABSTRACT FROM AUTHOR]

This study focuses on the complex interplay of healthcare, economic factors, and population dynamics, addressing a research gap in regional-level models that integrate diverse features within a temporal framework. Our primary objective is to develop an advanced temporal model for predicting cardiovascular mortality in Russian regions by integrating global and local healthcare features with economic and population dynamics. Utilizing a dataset from the Almazov Center's Department of Mortality Performance Monitoring, covering 94 regions and 752 records from January 1, 2015, to December 31, 2023, our analysis incorporates key parameters such as angioplasty procedures, population morbidity rates, Ischemic Heart Disease (IHD) and Cardiovascular Diseases (CVD) monitoring, and demographic data. Employing XGBoost and a regression model, our methodology ensures the model's robustness and generalizability. [ABSTRACT FROM AUTHOR]

The smart mechanical sensing technology based on mechanoluminescence (ML) has potential applications in the fields of wearable mechanical sensors and remote detection of human health due to its characteristics of non-contact, visualization, and remote signal transmission. Herein, a new strategy for multi-mode ML in a rigid and flexible medium by embedding fluoride nanocrystals (CaF2: Tb3+) in amorphous media was proposed and the intrinsic physical mechanism of energy conversion was clarified. For the rigid transparent CaF2: Tb3+ glass ceramics (GCs), without being fabricated with any special medium, recoverable trap-controlled ML can be generated under friction after X-ray pre-irradiation. Furthermore, the ML composite device fabricated using CaF2: Tb3+ GC powder and flexible stretchable polydimethylsiloxane (PDMS) can achieve self-recovery ML under multimode mechanical stimulation due to the induction of inorganic-organic interface triboelectrification. Finally, rigid accurate stress detection at non-stressed point positions is designed based on the remote transmission of a ML signal owing to the unique optical waveguide effect of GCs, and a flexible mechanical-sensing optical skin for real-time monitoring of human health status is realized by using the CaF2: Tb3+ GC powder/PDMS composite device. This work opens up a new avenue for the realization of multi-scene stress detection based on a rigid/flexible ML material. [ABSTRACT FROM AUTHOR]

Objective: To find a possible quantitative relation between activation-induced fast (< 10 s) changes in the γ-aminobutyric acid (GABA) level and the amplitude of a blood oxygen level-dependent contrast (BOLD) response (according to magnetic resonance spectroscopy [MRS] and functional magnetic resonance imaging [fMRI]). Materials and methods: fMRI data and MEGA-PRESS magnetic resonance spectra [echo time (TE)/repetition time (TR) = 68 ms/1500 ms] of an activated area in the visual cortex of 33 subjects were acquired using a 3 T MR scanner. Stimulation was performed by presenting an image of a flickering checkerboard for 3 s, repeated with an interval of 13.5 s. The time course of GABA and creatine (Cr) concentrations and the width and height of resonance lines were obtained with a nominal time resolution of 1.5 s. Changes in the linewidth and height of n-acetylaspartate (NAA) and Cr signals were used to determine the BOLD effect. Results: In response to the activation, the BOLD-corrected GABA + /Cr ratio increased by 5.0% (q = 0.027) and 3.8% (q = 0.048) at 1.6 and 3.1 s, respectively, after the start of the stimulus. Time courses of Cr and NAA signal width and height reached a maximum change at the 6th second (~ 1.2–1.5%, q < 0.05). Conclusion: The quick response of the observed GABA concentration to the short stimulus is most likely due to a release of GABA from vesicles followed by its packaging back into vesicles. [ABSTRACT FROM AUTHOR]

Monitoring the real‐time quality and validity of thermo‐sensitive foods during storage and transportation can be achieved with time‐temperature indicators (TTIs). However, the available TTIs still need to be improved in terms of accuracy, recoverability, environmental tolerance, and quantitative monitoring. Here, a novel TTI based on the optical signals originating from the as‐explored Sr3Y2Ge3O12: Mn2+, Er3+ (SYGO: Mn2+, Er3+) phosphor is developed. Thanks to the fact that the release of the captured carriers is tightly related to the storage time and ambient temperature, distinct optical signals of the as‐obtained TTI under multi‐stimulus (980 nm laser irradiation, thermal stimulation, and mechanical force) can be distinguished to judge the validity of temperature‐sensitive products. This work reveals the promising potential of SYGO: Mn2+, Er3+ phosphors with cryogenic optical storage properties as advanced TTIs, especially for packaged products in cold chain logistics. [ABSTRACT FROM AUTHOR]

Finding new pathogenic factors that affect the progression of chronic diseases is an important step in the fight against these diseases. In this review, the causes and role of mitochondrial dysfunction in the pathogenesis of chronic kidney disease (CKD) are considered. In this context, the importance of mitochondria for kidney cells in general and proximal tubule cells in particular, as well as the role of oxidative stress in the pathogenesis of CKD, are also discussed. The causes of mitochondrial dysfunction in CKD and the consequences of the development of pathological conditions as a result of impaired mitochondrial activity are analyzed in detail. [ABSTRACT FROM AUTHOR]

Mechanoluminescence (ML) materials are capable of converting applied stress into luminescent signals, and offer fascinating potential applications in biomedicine, safety testing, structural diagnosis, and mechanical sensing. Color‐responsive ML sensing, combined with quantitative evaluation of loaded stress, is preferred for visual description and sensing reliability. In this work, Yb2+ and Mn2+ ions co‐doped MgF2 with a fascinating ratiometric ML performance are successfully explored. ML color can be manipulated based on the distinct stress‐dependent ML intensity of the activators. Furthermore, a self‐activated orange persistent ML is observed even after the removal of the mechanics stimuli, allowing a delayed stress sensing with the memorized optical signals. Accordingly, a visualized stress sensing with the as‐explored ML composites using the ultraviolet curing 3D printing technique is demonstrated for structural mechanics. Herein, a feasible optical description of the loaded stress distribution in space for objects free from concerns with dimensions and geometrical shapes can be realized, benefiting the study of 3D structural mechanics, especially for complex structures. [ABSTRACT FROM AUTHOR]

Nowadays there is a growing interest worldwide in using bacteriophages for therapeutic purposes to combat antibiotic-resistant bacterial strains, driven by the increasing ineffectiveness of drugs against bacterial infections. Despite this fact, no novel commercially available therapeutic phage products have been developed in the last two decades, as it is extremely difficult to register them under the current legal regulations. This paper presents a description of the interaction between a bacteriophage manufacturer and a clinical institution, the specificity of which is the selection of bacteriophages not for an individual patient, but for the entire spectrum of bacteria circulating in the intensive care unit with continuous clinical and microbiological monitoring of efficacy. The study presents the description of three clinical cases of patients who received bacteriophage complex via inhalation for 28 days according to the protocol without antibiotic use throughout the period. No adverse effects were observed and the elimination of multidrug-resistant microorganisms from the bronchoalveolar lavage contents was detected in all patients. A decrease in such inflammatory markers as C-reactive protein (CRP) and procalcitonin was also noted. The obtained results demonstrate the potential of an adaptive phage therapy protocol in intensive care units for reducing the amount of antibiotics used and preserving their efficacy. [ABSTRACT FROM AUTHOR]

Multi-mode luminescent materials refer to materials that can emit light at different wavelengths or colors depending on the applied stimulus, which could provide enhanced security features and make it more difficult for counterfeiters to reproduce. Here, we report the achievement of multi-color dynamic anti-counterfeiting by using multi-mode luminescence material Ca3Ti2O7:Pr3+,Er3+ as the luminescent inks. Ca3Ti2O7:Pr3+,Er3+ exhibits quintuple modes of photoluminescence (PL), long persistent luminescence (LPL), photo-stimulated luminescence (PSL), mechano-luminescence (ML), and up-conversion luminescence (UCL) with rich emission colors. The PL color of the phosphors could be modulated from red to yellow-green when the pump wavelength changes from 254 to 365 nm. Moreover, the tunable color of the phosphors is modulated from yellow to green by prolonging the irradiation time of a 980 nm laser (0.6 W), which is attributed to the elaborate cooperation of the PSL and UCL behaviors. Finally, the anti-counterfeiting trademark based on Ca3Ti2O7:Pr3+, Ca3Ti2O7:Er3+ and Ca3Ti2O7:Pr3+,Er3+ with attractive performance is designed for advanced anti-counterfeiting technology with exceptional security. [ABSTRACT FROM AUTHOR]

Near-infrared (NIR) luminescent materials have attracted wide research interest due to their unique photophysical properties for designing NIR light-emitting diodes (NIR LEDs). Here, a series of Cr3+-activated NIR-emitting solid solution phosphors, Gd1−xLux(Al1−xScx)3(BO3)4:0.01Cr3+ (GLASB:Cr3+) (x = 0 to 0.5), are successfully synthesized via a cosubstitution approach. The GLASB:Cr3+ phosphors reveal extraordinary optical performance with a desirable high IQE of 93.6%, considerable broadened FWHM (from 128 nm to 196 nm) and redshift of 119 nm (747 → 866 nm) as the amount of [Lu3+–Sc3+] ion doping increases. Moreover, their photoluminescent thermal stability is substantially improved, maintaining 105.7% of the initial integral intensity up to 150 °C, namely zero-thermal-quenching. The NIR pc-LED fabricated using the GLASB:Cr3+ phosphor generates an NIR output power of 46 mW and an electro-optical efficiency of 37% at a 120 mA input current. Finally, the characteristic NIR emission of this phosphor can not only be utilized in the fields of night-vision technology and biometric identification, but also exhibits a perfect match with the absorption of the bacteriochlorophyll (BChl) and light-harvesting protein (LHP) of photosynthetic bacteria (PSB), presenting a high application prospect for improving PSB photosynthesis. [ABSTRACT FROM AUTHOR]

Changes in the aspartate (Asp) concentration are potential biomarkers of malate–aspartate shuttle dysfunction as well as the disturbances in the synthesis of NAA. J-difference editing can be utilized to detect a resolved Asp signal at δAsp ≈ 2.72 ppm. However, as this resonance has a complex shape, fitting of the Asp signal is challenging. In our study, we compare the performance of four Asp fitting models applied to data from three brain regions: the anterior cingulate gyrus (ACC), frontal white matter (DLPFA), and early visual cortex (VC). As a result, fitting with the phantom and simulated spectra can be recommended for robust Asp quantification spectra. This conclusion based on flexibility and suitability of these approaches for Asp fitting for all range of SNR. One gauss model shows the worst performance and could not be recommended for total Asp fitting. The absolute concentrations of Asp are quantified using a modified phantom calibration method. As a result, the estimated Asp concentrations are as close as possible to the biochemical estimations. The quantified Asp and tCr concentrations are, respectively, 1.69 ± 0.18 and 7.43 ± 0.71 for the ACC, 0.93 ± 0.14 and 5.86 ± 0.41 for the DLPFA, and 1.33 ± 0.35 and 8.4 ± 0.64 for the VC. Regional Asp variations in the brain are discovered; the Asp gray matter (GM) concentrations are higher than that in the white matter, and the Asp concentrations in the VC are significantly lower than that in the ACC, although the GM ratio is equal in all these regions. [ABSTRACT FROM AUTHOR]

Background: Mild traumatic brain injury (mTBI) causes a number of molecular and cellular alterations. There is evidence of an imbalance between the main excitatory (glutamate, Glu) and the main inhibitory (gamma‐aminobutyric acid [GABA]) neurotransmitters following mTBI. In vivo human GABA–Glu balance studies following mTBI are sparse. Purpose: To investigate the effect of acute mTBI on the GABA concentration measured in the posterior cingulate cortex (PCC) of pediatric patients by using the macromolecular (MM)‐suppressed GABA J‐editing technique. Study type: Prospective patient and phantom. Participants: A total of 14 pediatric patients (mean age 16.0 ± 1.7) with acute mTBI (<3 days after trauma; Glasgow Coma Scale 15) and 16 healthy volunteers (mean age 16.9 ± 2.8). Phantom: 524 cm3 sphere containing 10 mM glycine, 10 mM GABA. Field Strength/Sequence: A 3 T, MEGA‐PRESS pulse sequence. Assessment: GABA spectra were processed in Gannet software. MM‐suppressed GABA editing efficiency was derived from the phantom study. Absolute GABA and glutamate + glutamine (Glx) concentrations were quantified using different types of correction and compared between groups. N‐acetyl aspartate (NAA) and choline (Cho) levels relative to tCr were also compared. Statistical tests: Shapiro–Wilk test, Mann–Whitney U test, Student t‐test, Pearson or Spearman correlations. P < 0.01 was considered statistically significant. Results: The MM‐suppressed GABA editing efficiency was 0.63. GABA signal fit error was <16% for all participants. The GABA concentration in the PCC of the mTBI group was significantly different from that in healthy controls: GABA/tCr was higher by 27%, absolute GABA concentration with different types of correction was higher by ≈17%. No significant differences were observed in Glx concentrations (P ≥ 0.32) or in Glx/tCr (P ≥ 0.1), NAA/tCr (P = 0.55), and Cho/tCr levels (P = 0.85). Data conclusion: We report an increase in the GABA concentration in the PCC region in acute mTBI pediatric patients. This may suggest activation of GABA synthesis and impairment of the GABAergic system after acute mTBI. Evidence Level: 3 Technical Efficacy: Stage 1 [ABSTRACT FROM AUTHOR]

Heart failure with preserved ejection fraction (HFpEF) and obstructive sleep apnea (OSA) frequently co-occur and this comorbidity represents a separate phenotype of HFpEF. While many research attempts are focused on biomarkers of HFpEF, currently, there is a lack of validated biomarkers of HFpEF and OSA. In this study, we aimed to evaluate prognostic significance of several serum cytokines in patients with HFpEF and OSA. The patients with HFpEF and OSA were recruited from the Sleep Apnea Center of Novosibirsk, Russian Federation and followed up for 12 months. The main analyzed outcomes were five-point major adverse cardiovascular events (MACE) and the 6-min walk test (6MWT). The analyzed cytokines were circulating IL-6, IL-10, and VEGF measured at baseline. We recruited 77 male patients with HFpEF and OSA, the data of 71 patients were available for analyses. Patients who developed MACE had four-fold elevated concentrations of serum IL-10. There was no association between baseline cytokine levels and longitudinal changes in 6MWT. Circulating IL-10 levels are positively associated with MACE in men with HFpEF and OSA and thus may be a potential prognostic biomarker in this subgroup of patients. These results should be confirmed in larger studies encompassing both males and females. [ABSTRACT FROM AUTHOR]

At least 50% of factors predisposing to alcohol dependence (AD) are genetic and women affected with this disorder present with more psychiatric comorbidities, probably indicating different genetic factors involved. We aimed to run a genome-wide association study (GWAS) followed by a bioinformatic functional annotation of associated genomic regions in patients with AD and eight related clinical measures. A genome-wide significant association of rs220677 with AD (p-value = 1.33 × 10−8 calculated with the Yates-corrected χ2 test under the assumption of dominant inheritance) was discovered in female patients. Associations of AD and related clinical measures with seven other single nucleotide polymorphisms listed in previous GWASs of psychiatric and addiction traits were differently replicated in male and female patients. The bioinformatic analysis showed that regulatory elements in the eight associated linkage disequilibrium blocks define the expression of 80 protein-coding genes. Nearly 68% of these and of 120 previously published coding genes associated with alcohol phenotypes directly interact in a single network, where BDNF is the most significant hub gene. This study indicates that several genes behind the pathogenesis of AD are different in male and female patients, but implicated molecular mechanisms are functionally connected. The study also reveals a central role of BDNF in the pathogenesis of AD. [ABSTRACT FROM AUTHOR]

A combinatorial model is proposed for determining the probability and information losses in an organizational and technical system (OTS) under destructive external influences. Mathematical expressions are obtained to determine the loss of information in the clusters of the control system. It is shown that the use of this model for a quantitative analysis of the probability of occurrence of events and information losses in the control system, under varying external influences on the dynamic OTS, makes it possible to carry out a quantitative analysis and synthesis of the structure of the control system that is resistant to destructive external influences. A decomposition of the probabilities of occurrence of events and the corresponding loss of information by the levels of the hierarchy of the analyzed air traffic control system is presented. The achieved result is due to the sensitivity of the model for determining information losses relative to changes in the structure of the system and destructive external influences, as well as the use of the mathematical apparatus in combinatorial analyses. [ABSTRACT FROM AUTHOR]

The results of a clinical study of the complex treatment of pressure ulcers using the method of activation of reparative processes in tissues by cold plasma discharges initiated by high-frequency current are presented. Activation was carried out with a specialized device generating cold plasma discharges at frequencies of 0.11, 2.64, and 6.78 MHz. It was shown that the process of activation in the skin and muscle tissues of the bedsore zone proceeds most efficiently when using a current with a frequency of 6.78 MHz as compared to currents with a frequency of 2.64 and 0.11 MHz. For a needle electrode with a diameter of 0.3 mm, the optimal exposure parameters were power—(5.0 ± 1.5) W and time—(2.0–3.0) s. The results of the analysis of histological samples, histochemical, and bacteriological analysis confirmed the effect and showed the dynamics of the process of activation of reparative processes in the tissues of the bedsore wound under the influence of cold plasma discharges and a decrease in microbial contamination. The most pronounced effect of activation was formed during the period from 14 to 21 days. The effectiveness of therapy by the method of activation of reparative processes with cold plasma discharges, according to the criterion of the rate of wound healing, ranged from 14 to 16%, depending on the etiology of the decubitus wound. It is concluded that the activation of tissue reparative processes by glow-type plasma discharges as an integral part of the treatment of decubital ulcers is an effective link in the complex treatment of pressure sores. [ABSTRACT FROM AUTHOR]

Scintillators, as the core materials for X‐ray imaging, have received great attention in radiation detection, security inspection, and biomedical applications. However, the current single crystal and thin film scintillators have encountered several issues, such as high cost, insufficient stability, and uneven distribution, which undoubtedly limit the development of high‐quality X‐ray imaging. Herein, the Y3Al5O12:Ce3+ (YAG:Ce3+) transparent ceramics (TCs), which presented a high transmittance of 82% and a steady‐state light yield of 24 600 photons MeV−1, are prepared by the vacuum solid‐state reactive sintering method. The fabricated YAG:Ce3+ TCs exhibit X‐ray imaging with an excellent spatial resolution (≈34.7 lp mm−1). Moreover, because of the structural stability of YAG:Ce3+ TCs, long‐term stable work under X‐ray irradiation is realized successfully. This work indicates that the TC scintillators provide a new opportunity for the development of high‐quality X‐ray imaging. [ABSTRACT FROM AUTHOR]

Broadband near‐infrared (NIR) luminescent materials have received notable attention due to their distinct photophysical properties for designing NIR light‐emitting diodes (NIR LEDs). Here, a series of Ca3−xLuxGa2+xGe3−xO12:Cr3+ (CLGGG:Cr3+) (x = 0–1) NIR‐emitting garnet phosphors with an emission range of 660–1200 nm are successfully developed and their lattice parameters are structurally analyzed. Upon 460 nm blue light excitation, the NIR phosphors exhibit both a substantial spectral broadening (FWHM: 129→267 nm) and a redshift of 37 nm (766→803 nm) with cosubstitution of [Lu3+–Ga3+] pairs for [Ca2+–Ge4+] sites. Furthermore, their luminescence thermal stability is substantially improved, maintaining ≈90% of the original photoluminescence intensity at 150 °C, owing to shrinkage of the second coordination sphere and rigid lattice, which are strongly associated with Cr3+ trade‐off occupancy and local structure evolutions. The relation between the trade‐off site occupation of Cr3+ in GaO6/CaO8 polyhedrons and the NIR emission is also clarified by evaluating the decay and electron paramagnetic resonance behavior of Cr3+ at different sites. The broadband NIR phosphors investigated here can serve as auspicious luminescent converters for phosphor‐converted NIR LEDs and can provide an inspiring platform for future studies. [ABSTRACT FROM AUTHOR]

Purpose: To separately measure N‐acetyl aspartul glutamate (NAAG), N‐acetyl aspartate (NAA), aspartate (Asp), and glutamate (Glu) concentrations in white matter (WM) using J‐editing techniques in patients with mild traumatic brain injury (mTBI) in the acute phase. Methods: Twenty‐four patients with closed concussive head injury and 29 healthy volunteers were enrolled in the current study. For extended 1H MRS examination, patients and controls were equally divided into two subgroups. In subgroup 1 (12 patients/15 controls), NAAG and NAA concentrations were measured in WM separately with MEGA‐PRESS (echo time/repetition time [TE/TR] = 140/2000 ms; δONNAA/ δOFFNAA = 4.84/4.38 ppm, δONNAAG/ δOFFNAAG = 4.61/4.15 ppm). In subgroup 2 (12 patients/14 controls), Asp and Glu concentrations were acquired with MEGA‐PRESS (TE/TR = 90/2000 ms; δONAsp/ δOFFAsp = 3.89/5.21 ppm) and TE‐averaged PRESS (TE from 35 ms to 185 ms with 2.5‐ms increments; TR = 2000 ms) pulse sequences, respectively. Results: tNAA and NAAG concentrations were found to be reduced, while NAA concentrations were unchanged, after mild mTBI. Reduced Asp and elevated myo‐inositol (mI) concentrations were also found. Conclusion: The main finding of the study is that the tNAA signal reduction in WM after mTBI is associated with a decrease in the NAAG concentration rather than a decrease in the NAA concentration, as was thought previously. This finding highlights the importance of separating these signals, at least for WM studies, to avoid misinterpretation of the results. NAAG plays an important role in selectively activating mGluR3 receptors, thus providing neuroprotective and neuroreparative functions immediately after mTBI. NAAG shows potential for the development of new therapeutic strategies for patients with injuries of varying severity. [ABSTRACT FROM AUTHOR]

As a luminous center, Mn2+ has the advantages of high efficiency, safety, and low cost, and has been widely used to improve the color rendering index of garnet structured phosphors. Although the position of Mn2+ in garnet structures and its corresponding spectrum have been widely discussed, there is no convincing conclusion. In this paper, the selectivity of Mn2+ ion occupancy in the Y3Al5O12:0.1Ce3+,yMn2+ (y = 0–0.22) garnet structure and their corresponding emission spectra were determined. At low substitution density, Mn2+ ions (y = 0–0.007) easily replace Al3+ ions in the octahedron and emit 590 nm red light under 450 nm blue light excitation, which were determined by calculating the formation energy of the (Mn/Al) and (Mn/Y) local coordination and powder XRD analysis. Upon increasing the Mn2+ concentration from 0.007 to 0.22, the emission light with a peak at 750 nm gradually appears. Meanwhile, the effect of Y3+ ions on the energy transfer of Ce3+ → Mn2+ in (Lu1−xYx)3Al4.8Si0.2O12:0.1Ce3+,0.2Mn2+ (x = 0–1) is achieved through the reduction of the distance between Ce3+ and Mn2+ ions in the dodecahedron. The above work provides support for the correct understanding of the luminescence behavior of Mn2+, and the influence of the microstructure on the energy transfer of Ce3+ → Mn2+ ions. Finally, high color rendering index (83.4) wLEDs were fabricated by the Lu1.2Y1.8Al4.8Si0.2O12:0.1Ce3+,0.2Mn2+ phosphor and the blue chip under 120 mA. [ABSTRACT FROM AUTHOR]

The outbreak of COVID-19 has led to a crucial change in ordinary healthcare approaches. In comparison with emergencies re-allocation of resources for a long period of time is required and the peak utilization of the resources is also hard to predict. Furthermore, the epidemic models do not provide reliable information of the development of the pandemic's development, so it creates a high load on the healthcare systems with unforeseen duration. To predict morbidity of the novel COVID-19, we used records covering the time period from 01-03-2020 to 25-05-2020 and include sophisticated information of the morbidity in Russia. Total of 45238 patients were analyzed. The predictive model was developed as a combination of Holt and Holt-Winter models with Gradient boosting Regression. As we can see from the table 2, the models demonstrated a very good performance on the test data set. The forecast is quite reliable, however, due to the many uncertainties, only a real-world data can prove the correctness of the forecast. [ABSTRACT FROM AUTHOR]

The current pandemic can likely have several waves and will require a major effort to save lives and provide optimal treatment. The efficient clinical resource planning and efficient treatment require identification of risk groups and specific clinical features of the patients. In this study we develop analyze mortality for COVID19 patients in Russia. We identify comorbidities and risk factors for different groups of patients including cardiovascular diseases and therapy. In the study we used a Russian national COVID registry, that provides sophisticated information about all the COVID-19 patients in Russia. To analyze Features importance for the mortality we have calculated Shapley values for the "mortality" class and ANN hidden layer coefficients for patient lifetime. We calculated the distribution of days spent in hospital before death to show how many days a patient occupies a bed depending on the age and the severity of the disease to allow optimal resource planning and enable age-based risk assessment. Predictors of the days spent in hospital were calculated using Pearson correlation coefficient. Decisions trees were developed to classify the patients into the groups and reveal the lethality factors. [ABSTRACT FROM AUTHOR]

Specific predictive models for diabetes polyneuropathy based on screening methods, for example Nerve conduction studies (NCS, can reach up to AUC 65.8 - 84.7 % for the conditional diagnosis of DPN in primary care. Prediction methods that utilize data from personal health records deal with large non-specific datasets with different prediction methods. Li et al. utilized 30 independent variables, which allowed to implement a model with AUC = 0.8863 for a Multilayer perceptron (MLP). Linear regression (LR) based methods produced up to AUC = 0.8 %. This way, modern data mining and computational methods can be effectively adopted in clinical medicine to derive models that use patient-specific information to predict the development of diabetic polyneuropathy, however, there still is a space to improve the efficiency of the predictive models. The goal of this study is the implementation of machine learning methods for early risk identification of diabetes polyneuropathy based on structured electronic medical records. It was demonstrated that the machine learning methods allow to achieve up to 0.7982 precision, 0.8152 recall, 0.8064 f1-score, 0.8261 accuracy, and 0.8988 AUC using the neural network classifier. [ABSTRACT FROM AUTHOR]

The expressions for the thermal lens of linearly polarized radiation arising in m3m, 432 and $\bar {4}3\text{m}$ cubic crystals with arbitrary crystallographic axes orientation in the presence of circular birefringence $\delta _{\mathbf {c}}$ are analyzed. It is shown that the thermal lens may have astigmatism the magnitude of which is proportional to the power of heat generation. The Euler angles determining the crystallographic axes orientation [P] are found and the conditions for the material constant – optical anisotropy parameter $\xi $ – under which the thermal lens astigmatism in active and magneto-active optical elements can be eliminated, are formulated. It is demonstrated that the orientation [P] depends only on optical anisotropy parameter $\xi $ of the crystal and on circular birefringence $\delta _{\mathbf {c}}$. [ABSTRACT FROM AUTHOR]

Light is a fuel for photosynthesis and plays an irreplaceable role in seed germination, stem elongation, leaf expansion, flowering induction, and accumulation of nutrients. However, the current phosphors combined with LEDs for photosynthesis have some unsolved problems, such as low efficiency, poor thermal stability, unvarying emission wavelength or non-matching spectrum, which restrict their applications. In this work, a series of novel efficient Lu3Al5O12:10%Ca2+,xBi3+,yMn4+ phosphors with blue-violet plus deep red dual-emission peaking at 419 and 669 nm have been first reported, which can meet the different light requirements of plants by controlling the concentration ratio of Bi3+ and Mn4+, and they possess at most 90.64% spectrum resemblance to the absorption spectrum of chlorophyll A and B. Furthermore, these phosphors exhibit high internal efficiency and at most reserve 95% of the initial intensity at 425 K. Finally, as a light source for monitoring the fluorescence spectra of evergreen plants, pc-LEDs were fabricated by UV chips and our synthesized phosphors. The results reveal that these phosphors can achieve as high as 83% photosynthetic efficiency for evergreen plants and improve it by 10% than a single emission phosphor, which shows good application prospects for improving plant photosynthesis. [ABSTRACT FROM AUTHOR]

Half of HIV-positive persons in Russia are on antiretroviral therapy (ART), and only 27% are virally suppressed. A feasibility pilot intervention to mobilize social capital resources for HIV care support was conducted in St. Petersburg. Out-of-care or ART-nonadherent HIV-positive persons (n = 24) attended a five-session intervention to increase access social capital resources (i.e., family, friends, or providers) to mobilize supports for entering care, initiating care, and adhering to ART. HIV care indicators were assessed at baseline, an immediate followup (FU-1), and 6-month followup (FU-2) points. At FU-1, participants more frequently discussed their care experiences with others, verifying the intervention's mechanism of action. Participants increased in scales of medication taking adherence (p = 0.002, FU-1; p = 0.011, FU-2), self-efficacy (p = 0.042; FU-1), and outcome expectancies (p = 0.016, FU-2). Among persons not on ART, HIV Medication Readiness scale scores increased at FU-1 (p = 0.032) but became attenuated at FU-2. Participants tended to more frequently keep care appointments (79%, baseline to 90%, FU-1, p = 0.077); to have undetectable viral load (54%, baseline to 74%, FU-2; p = 0.063); and to have fewer past-month days with delayed or incomplete medication doses (7.8, baseline to 4.2, FU-1; p = 0.084). This novel social capital intervention is promising for improving HIV care-related outcomes and warrants a full-scale evaluation. [ABSTRACT FROM AUTHOR]

Samples of TAG ceramics doped with Ce and Pr ions (0, 0.5, 1, 1.5, 2 at.% concentrations) and with Ho ions (0.5 at.%) were studied. The wavelength dependence of the Verdet constant of each sample in the 405 nm – 1064 nm range was measured, and analytical approximation was found. The obtained value of the Verdet constant of the studied TAG ceramics did not depend on the dopant concentration and type in the studied range of concentrations. The dependence of thermally induced depolarization on laser radiation power was investigated, and the magneto - optical figure of merit was estimated for each studied sample. It was demonstrated that doping of ceramics can provide a substantial reduction of the magneto-optical figure of merit. The obtained results will be useful for creating Faraday isolators and rotators based on TAG ceramics. [ABSTRACT FROM AUTHOR]

Russia has over 1.2 million HIV infections and Europe's highest HIV incidence. Although its HIV epidemic is intertwined with high alcohol consumption rates, the interaction between alcohol use and HIV care in Russia is understudied. Five hundred eighty-six HIV-positive persons were recruited using social network methods in St. Petersburg. Fifty-nine percent of males, and 45% of females, drank regularly. Thirty percent of alcohol users reported binge drinking (males: ≥ 5 drinks; females ≥ 4 drinks) in the past week. Alcohol use was associated with lower HIV care engagement and having a detectable viral load. Multivariate analyses showed that any alcohol consumption, number of alcohol drinks consumed, and having a binge drinking day in the past week were associated with male gender, use of illicit drugs, drug injection, smaller social network size, lower social supports, being unmarried, and reporting condomless intercourse with non-main partners. Interventions to improve HIV care in Russia must comprehensively address the use of alcohol and substances that interfere with care engagement. [ABSTRACT FROM AUTHOR]

De-escalation from ticagrelor to clopidogrel in acute coronary syndrome (ACS) may occur for a variety of reasons, including side effects (bleeding and non-bleeding) and costs. This study sought to assess the prevalence of de-escalation from ticagrelor to clopidogrel and the occurrence of adverse clinical outcomes following de-escalation. We conducted a systematic review of clinical trials and real-world studies in ACS patients treated with ticagrelor. Real-world data on the prevalence of de-escalation during hospitalization or at discharge, after hospital discharge, and during the whole study period were included for meta-analysis. Major adverse cardiovascular events (MACE) and bleeding events occurring after de-escalation were also assessed. A total of 12 studies were eligible for meta-analysis of the prevalence of de-escalation. De-escalation from ticagrelor to clopidogrel therapy occurred with a mean prevalence of 19.8% [95% confidence interval (CI) 11.2–28.4%]. De-escalation occurred more frequently in-hospital or at discharge than after hospital discharge (23.7% vs. 15.8%). For assessment of clinical outcomes, a total of six studies were eligible for meta-analysis. Mean rate of MACE for patients with de-escalation was 2.1% (95% CI 1.1–4.1%) and the rate of major bleeding events was 1.3% (95% CI 0.4–4.5%). In conclusion, de-escalation commonly occurs in real-world practice. Although rates of major cardiovascular and bleeding events in this analysis were generally low, the profile of patients suitable for de-escalation, the impact of de-escalation on adverse clinical outcomes and how this is affected by the timing after index ACS warrants further large-scale investigation. [ABSTRACT FROM AUTHOR]

During heart surgery with cardiopulmonary bypass (CPB), the release of mitochondrial (mtDNA) and nuclear DNA (nDNA) and their association to extracellular vesicles were investigated. In patients undergoing elective coronary artery bypass grafting (CABG, n = 12), blood was sampled before, during, and after surgery from peripheral artery, pulmonary artery, and the coronary sinus. Plasma was separated in three fractions: microvesicles, exosomes, and supernatant. mtDNA and nDNA were measured by qPCR. mtDNA and nDNA levels increased after start of surgery, but before CPB, and increased further during CPB. mtDNA copy number was about 1000-fold higher than nDNA. mtDNA was predominantly localized to the vesicular fractions in plasma, whereas nDNA was predominantly in the supernatant. The amount of free mtDNA increased after surgery. There was no net release or disappearance of DNAs across the pulmonary, systemic, or coronary circulation. Extracellular DNAs, in particular mtDNA, may be important contributors to the whole-body inflammation during CPB. [ABSTRACT FROM AUTHOR]

This article describes the study results of echocardiographic (ECHO) test data for 4P medicine applied to cardiovascular patients. Data from more than 145,000 echocardiographic tests were analyzed. One of the objectives of the study is the possibility to identify patterns and relationships in patient characteristics for more accurate appointment procedures based on the history of the disease and the individual characteristics of the patient. This is achieved by using classifications models based on machine learning methods. Early detection of disease risks and "accurate" appointment of diagnostic procedures makes a significant contribution to value-based medicine. Moreover, it was also possible to identify the classes and characteristics of patients for whom repeated diagnostic procedures are well founded. Calculation of personal risks from empirical retrospective data helps to detect the disease in early stages. Identifying patients with high risk of disease complications allow physicians to make right decisions about timely treatment, which can significantly improve the quality of treatment, and help to avoid diseases complications, optimize costs and improve the quality of medical care. [ABSTRACT FROM AUTHOR]

Over 1 million HIV infections have been diagnosed in Russia, and HIV care uptake and viral suppression are very low. 241 HIV-positive individuals in St. Petersburg were enrolled through social networks, provided blood for viral load testing, and completed measures of medication-taking adherence, readiness, and self-efficacy; psychosocial well-being; and substance use. Outcomes included attending an HIV care appointment in the past 6 months, >90% ART adherence, and undetectable viral load. 26% of participants had no recent care appointment, 18% had suboptimal adherence, and 56% had detectable viral load. Alcohol use consistently predicted all adverse health outcomes. Having no recent care visit was additionally associated with being single and greater past-month drug injection frequency. Poor adherence was additionally predicted by lower medication-taking self-efficacy and lower anxiety. Detectable viral load was additionally related to younger age. Comprehensive interventions to improve HIV care in Russia must address substance abuse, anxiety, and medication-taking self-efficacy. [ABSTRACT FROM AUTHOR]

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Background Viral load measurement is necessary to estimate mother-to-child transmission risk for women with chronic hepatitis B (CHB), however, it is expensive. The present study aimed to investigate the relationship between HBsAg and hepatitis B virus (HBV) DNA levels, and to determine potential applications of HBsAg level monitoring for estimating viral load. Methods 85 patients with CHB (31 pregnant women, 26 non-pregnant women, 28 men) were included in the study. HBV DNA level was measured by real-time PCR, and HBsAg level by chemiluminescent immunoassay method. Dependency between viral load and HBsAg level was determined by Spearman correlation coefficient ρ. Results The correlation between HBsAg and HBV DNA levels was significant for all patients [ρ=0.3762 (P<0.0005; n=85)]. In the group of pregnant women, a low (unmeasurable) HBV DNA level led to a decrease in the Spearman coefficient ρ. In almost all cases a low level of the HBsAg corresponded to a low HBV DNA level. Only 2 patients had a low level of HBsAg and a relatively high viral load. By contrast, a high HBsAg level was observed in patients both with high and low viral load. Conclusions Correlation between HBsAg and HBV DNA levels is significant. In most cases, a low level of HBsAg indicates a low HBV DNA level, whereas a high HBsAg level does not always correspond to a high viral load. The measurement of HBV DNA level is necessary for pregnant women with a high HBsAg level. [ABSTRACT FROM AUTHOR]