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Inflammatory bowel disease (IBD) is not only a chronic inflammatory disorder of the gastrointestinal tract but also accompanied by systemic inflammation. The onset of hypertension is closely related to systemic inflammation. However, the relationship between IBD and hypertension has not been investigated. We aimed to investigate the potential association between IBD and the incidence of hypertension.We retrieved IBD onset and the incidence of hypertension from a public database UK Biobank. The association between the onset of IBD and subsequent incidence of hypertension was analyzed using a multivariate Cox regression analysis, and propensity score matching was performed for sensitivity analysis.Of a total of 281,064 participants included in the study, 2376 (0.8%) were diagnosed with IBD at baseline, and 20,129 (7.2%) in the whole cohort developed hypertension with a median follow-up duration of 8.1 years (interquartile range [IQR] 7.3-8.8 years). Patients with IBD had a higher cumulative risk of hypertension compared with general population (10.9% in ulcerative colitis [UC], 7.7% in Crohn's disease [CD], and 9.3% in IBD unclassified [IBD-U] vs. 7.1% in non-IBD, p 0.001). Multivariate Cox regression analysis identified that UC, rather than CD or IBD-U, was independently associated with subsequent occurrence of hypertension (HR 1.30, 95% CI: 1.11-1.52, p = 0.001). In propensity matching analysis, UC also showed its robustness as a risk factor for the prediction of hypertension (HR 1.56, 95% CI: 1.21-2.03, p = 0.001).In IBD patients, UC rather than CD is associated with a higher risk for the incidence of hypertension compared with general population. Close monitoring of hypertension might be required in clinical practice.

Type 2 diabetes mellitus (T2DM) patients may have cardiac remodeling and dysfunction from the early stage of disease. This study aimed to determine the association between cystatin C (CysC) and early cardiac functional or structural impairment in T2DM patients without renal dysfunction.A total of 1135 T2DM patients without renal dysfunction and known heart diseases were included in our study. Cardiac function and structure were evaluated by echocardiography. Patients were diagnosed as left ventricular hypertrophy (LVH), impaired left ventricular (LV) diastolic function, and categorized into four different LV geometry patterns including normal, concentric remodeling, concentric hypertrophy, and eccentric hypertrophy.In multivariate linear regression analyses, CysC was positively associated with interventricular septum, LV mass index, left atrial volume index, E/e' ratio, and negatively associated with Tissue Doppler e', E/A ratio (p .05). As a continuous variable, increasing CysC levels were associated with prevalence of LVH (OR: 1.47, 95% confidence interval [CI]: 1.22-1.77), impaired LV diastolic function (OR: 1.58, 95% CI: 1.33-1.87), concentric hypertrophy (OR: 1.54, 95% CI: 1.23-1.93) and eccentric hypertrophy (OR: 1.34, 95% CI: 1.00-1.80) according to multivariate logistic regression analyses. While as a categorical variable, the highest CysC quartile (CysC 1.04 mg/L) was associated with LVH (OR: 2.95, 95% CI: 1.74-5.00), impaired LV diastolic function (OR: 4.09, 95% CI: 2.54-6.60), and concentric hypertrophy (OR: 3.26, 95% CI: 2.05-5.18).CysC was significantly associated with early LV remodeling and cardiac functional impairment in T2DM patients with normal renal function. It could be a reliable and convenient biomarker detecting early impairment of cardiac function and structure in T2DM patients.

Transition metal-based nanoparticle-embedded carbon materials have received increasing attention for constructing next-generation electrochemical catalysts for energy storage and conversion. However, designing hybrid carbon materials with controllable hierarchical micro/mesoporous structures, excellent dispersion of metal nanoparticles, and multiple heteroatom-doping remains challenging. Here, a novel pyridinium-containing ionic hypercrosslinked micellar frameworks (IHMFs) prepared from the core-shell unimicelle of s-poly(tert-butyl acrylate)-b-poly(4-bromomethyl) styrene (s-PtBA-b-PBMS) and linear poly(4-vinylpyridine) were used as self-sacrificial templates for confined growth of molybdenum disulfide (MoS2 ) inside cationic IHMFs through electrostatic interaction. After pyrolysis, MoS2 -anchored nitrogen-doped porous carbons possessing tunable hierarchical micro/mesoporous structures and favorable distributions of MoS2 nanoparticles exhibited excellent electrocatalytic activity for hydrogen evolution reaction as well as small Tafel slope of 66.7 mV dec-1 , low onset potential, and excellent cycling stability under acidic condition. Crucially, hierarchical micro/mesoporous structure and high surface area could boost their catalytic hydrogen evolution performance. This approach provides a novel route for preparation of micro/mesoporous hybrid carbon materials with confined transition metal nanoparticles for electrochemical energy conversion.

Two-dimensional (2D) porous carbon nanosheets (2DPCs) have attracted great attention for their good porosity and long-distance conductivity. Factors such as templates, precursors, and carbonization-activation methods, directly determine their performance. However, rational design and preparation of porous carbon materials with controlled 2D morphology and heteroatom dopants remains a challenge. Therefore, an ionic polyimide with both sp2 - and sp3 -hybridized nitrogen atoms was prepared as a precursor for fabricating N-doped hexagonal porous carbon nanosheets through a hard-template approach. Because of the large surface area and efficient charge-mass transport, the resulting activated 2D porous carbon nanosheets (2DPCs-a) displayed promising electrocatalytic properties for oxygen reduction reaction (ORR) in alkaline and acidic media, such as ultralow half-wave potential (0.83 vs. 0.84 V of Pt/C) and superior limiting current density (5.42 vs. 5.14 mA cm-2 of Pt/C). As air cathodes in Zn-air batteries, the as-developed 2DPCs-a exhibited long stability and high capacity (up to 614 mA h g-1 ), which are both higher than those of commercial Pt/C. This work provides a convenient method for controllable and scalable 2DPCs fabrication as well as new opportunities to develop high-efficiency electrocatalysts for ORR and Zn-air batteries.

This was a post hoc analysis of Systolic Blood Pressure Intervention Trial (SPRINT), aimed to investigate whether intensive blood pressure treatment has differential therapeutic outcomes on patients with different baseline Framingham risk score (FRS). The 9298 SPRINT participants were categorized into low-risk (baseline FRS 10%), intermediate-risk (FRS = 10%-20%), or high-risk (FRS 20%) arms. The primary outcome was a composite of myocardial infarction, acute coronary syndrome not resulting in myocardial infarction, stroke, acute decompensated heart failure, or death from cardiovascular causes. Serious adverse events were defined as hypotension, syncope, and bradycardia. Multiple Cox regression was used to calculate hazard ratios for study outcomes with intensive compared with standard SBP treatment between these three groups. After a median follow-up time of 3.26 years, the primary outcome hazard ratio (HR) for intensive versus standard treatment was 0.73 (95% CI: 0.61-0.88, P = .0044) in the high-risk arm. And, for all-cause mortality, the hazard ratio with intensive SBP treatment was 1.58 (95% CI: 0.55-1.06), 0.9 (95% CI: 0.26-9.50), and 0.53 (95% CI: 0.34-0.82) in three arms (all P values for interaction 0.05). Effects of intensive versus standard SBP control on serious adverse events were similar among patients with different FRS. Our results suggested that regardless of the FRS level, the intensive blood pressure control was beneficial.

Background Dual antiplatelet therapy (DAPT) in the form of aspirin plus a P2Y12 inhibitor, when indicated, is one of the key treatments in coronary artery disease (CAD). Many recommendations on DAPT in patients with CAD based on current guidelines are largely inconsistent. In our current study, we aimed at systematically reviewing DAPT‐relevant clinical practice guidelines, and highlighting their commonalities and differences for better informed decision‐making. Methods Contemporary guidelines in English were searched in MEDLINE, Embase and websites of guideline organizations and professional societies. Guidelines with recommendations on DAPT for CAD patients were included. Guideline quality was appraised with the 6‐domain Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. The reporting of conflicts of interest (COI) was assessed individually with supplementary items from the RIGHT (Reporting Item for Practice Guidelines in Healthcare) checklist. Meanwhile, extraction of recommendations was performed. Results A total of 18 guidelines fulfilled our inclusion criteria. Most of them were graded with relatively good scores averaging from 42% to 74%. Domains for lower scores were in “stakeholder involvement” and “application.” The reporting of COI was satisfactory. For the recommendations on DAPT, most guidelines with high AGREE II scores included consistent recommendations on the timing and P2Y12 inhibitor selection. Nonetheless, conflicts still exist on the duration of DAPT. Conclusions Quality of guidelines for DAPT in CAD was relatively high, though defects existed in “Applicability” and “Stakeholder Involvement.” As these guidelines developed, DAPT recommendations gradually converged on a consensus. Clinical decision should be made on an individual basis.

A two-dimensional (2D) sp2 -carbon-linked conjugated polymer framework (2D CCP-HATN) has a nitrogen-doped skeleton, a periodical dual-pore structure and high chemical stability. The polymer backbone consists of hexaazatrinaphthalene (HATN) and cyanovinylene units linked entirely by carbon-carbon double bonds. Profiting from the shape-persistent framework of 2D CCP-HATN integrated with the electrochemical redox-active HATN and the robust sp2 carbon-carbon linkage, 2D CCP-HATN hybridized with carbon nanotubes shows a high capacity of 116 mA h g-1 , with high utilization of its redox-active sites and superb cycling stability (91 % after 1000 cycles) and rate capability (82 %, 1.0 A g-1 vs. 0.1 A g-1 ) as an organic cathode material for lithium-ion batteries.

BACKGROUND In most situations, many patients undergoing coronary artery bypass graft (CABG) are on dual antiplatelet therapy (DAPT), which is also required after CABG. The adjustment of antiplatelet strategy remains controversial. In this study, we systematically review current guidelines, seeking consensus and controversies to facilitate clinical practice. METHODS AND RESULTS Guidelines are searched in PubMed, Embase, ECRI Guidelines Trust and websites of guidelines organizations and professional society. Guidelines with recommendations of DAPT for patients undergo CABG are included. Two reviewers appraised guidelines with the Appraisal of Guidelines for Research and Evaluation II (AGREE II). Relevant recommendations are extracted and summarized. A total of 14 guidelines meeting inclusion criteria are selected, with average AGREE II scores from 44% to 86%. Most guidelines score high in domains other than 'applicability'. Many guidelines are not detailed enough in reporting considerations behind recommendations. Current guidelines are consistent on the management of antiplatelet strategy before elective CABG and using DAPT after surgery for preventing graft vessel occlusion. Evidence is still lacking in urgent CABG and resumption of the previous DAPT after surgery. CONCLUSIONS Current guidelines on DAPT in CABG are generally satisfying. Suspending P2Y12 inhibitors while aspirin continued before elective CABG is recommended, as well as 12 months of DAPT following CABG. More evidence is needed to guide antiplatelet therapy in urgent CABG and to prove the benefits of resuming previous DAPT.

Hepatitis B virus (HBV) is an enveloped DNA virus that contains a partially double-stranded relaxed circular (rc) DNA. Upon infection, rcDNA is delivered to the nucleus where it is repaired to covalently closed circular (ccc) DNA that serves as the transcription template for all viral RNAs. Our understanding of HBV particle entry dynamics and host pathways regulating intracellular virus trafficking and cccDNA formation is limited. The discovery of sodium taurocholate co-transporting peptide (NTCP) as the primary receptor allows studies on these early steps in viral life cycle. We employed a synchronised infection protocol to quantify HBV entry kinetics. HBV attachment to cells at 4 degrees C is independent of NTCP, however, subsequent particle uptake is NTCP-dependent and reaches saturation at 12 h post-infection. HBV uptake is clathrin- and dynamin dependent with actin and tubulin playing a role in the first 6 h of infection. Cellular fractionation studies demonstrate HBV DNA in the nucleus within 6 h of infection and cccDNA was first detected at 24 h post-infection. Our studies show the majority (83%) of cell bound particles enter HepG2-NTCP cells, however, only a minority (

Designing cost-effective, highly active, and durable platinum (Pt)-based electrocatalysts is a crucial endeavor in electrochemical hydrogen evolution reaction (HER). Herein, the low-content Pt (0.8 wt%)/tungsten oxide/reduced graphene oxide aerogel (LPWGA) electrocatalyst with excellent HER activity and durability is developed by employing a tungsten oxide/reduced graphene oxide aerogel (WGA) obtained from a facile solvothermal process as a support, followed by electrochemical deposition of Pt nanoparticles. The WGA support with abundant oxygen vacancies and hierarchical pores plays the roles of anchoring the Pt nanoparticles, supplying continuous mass transport and electron transfer channels, and modulating the surface electronic state of Pt, which endow the LPWGA with both high HER activity and durability. Even under a low loading of 0.81 μgPt cm-2 , the LPWGA exhibits a high HER activity with an overpotential of 42 mV at 10 mA cm-2 , an excellent stability under 10000-cycle cyclic voltammetry and 40 h chronopotentiometry at 10 mA cm-2 , a low Tafel slope (30 mV dec-1 ), and a high turnover frequency of 29.05 s-1 at η = 50 mV, which is much superior to the commercial Pt/C and the low-content Pt/reduced graphene oxide aerogel. This work provides a new strategy to design high-performance Pt-based electrocatalysts with greatly reduced use of Pt.

Owing to their unique structure and intriguing properties, 2D transition-metal dichalcogenides (TMDs), such as molybdenum disulfide (MoS2), have attracted tremendous attention. Chemical surface functionalization of TMDs can be used to tune their properties and broaden their application perspective. Unfortunately, covalent functionalization of TMDs into sandwich-type hybrid materials remains challenging, owing to the chemically rather inert basal plane and the poor solution processability of TMDs. Herein, we report an efficient approach for the preparation of MoS2-templated, cobalt-containing conjugated microporous polymer sandwiches (MoS2−Co−MP), starting from basal-plane-functionalized MoS2. The resulting MoS2−Co−CMP hybrids can easily be converted into MoS2-cored, hierarchically porous carbon materials (MoS2−Co−C) of high specific surface area through direct pyrolysis. The MoS2−Co−C 2D materials exhibit excellent oxygen reduction reaction activity, approaching the performance of commercial Pt/C catalysts. Moreover, MoS2−Co−C shows a promising electrochemical energy storage capability, with a high capacitance value up to 288 F g−1 coupled with remarkable cycle stability. Such a promising performance can be attributed to synergistic effects between the MoS2 template and the graphitized, hierarchically porous carbon shells with a homogeneous distribution of nitrogen centres as well as probable involvement of catalytically active Co−N or/and Co−N−C structural motifs.

Carbon electrocatalysts consisting of metal complexes such as MNx or MSx are promising alternatives to high-cost Pt catalysts for the hydrogen evolution reaction (HER). However, the exact HER active sites remain elusive. Here, molecular metal dithiolene-diamine (MS2 N2 , M=Co and Ni), metal bis(dithiolene) (MS4 ), and metal bis(diamine) (MN4 ) complexes were selectively incorporated into carbon-rich 2D metal-organic frameworks (2D MOFs) as model carbon electrocatalysts. The 2D MOF single layers, powders, and composites with graphene were thus prepared and showed definite active sites for H2 generation. The electrocatalytic HER activity of the 2D MOF-based catalysts with different metal complexes follow the order of MS2 N2 >MN4 >MS4 . Moreover, the protonation preferentially occurred on the metal atoms, and the concomitant heterolytic elimination of H2 was favored on the M-N units in the MS2 N2 active centers. The results provide an in-depth understanding of the catalytic active sites, thus making way for the future development of metal complexes in carbon-rich electrode materials for energy generation.

A two‐dimensional (2D) sp2‐carbon‐linked conjugated polymer framework (2D CCP‐HATN) has a nitrogen‐doped skeleton, a periodical dual‐pore structure and high chemical stability. The polymer backbone consists of hexaazatrinaphthalene (HATN) and cyanovinylene units linked entirely by carbon–carbon double bonds. Profiting from the shape‐persistent framework of 2D CCP‐HATN integrated with the electrochemical redox‐active HATN and the robust sp2 carbon‐carbon linkage, 2D CCP‐HATN hybridized with carbon nanotubes shows a high capacity of 116 mA h g−1, with high utilization of its redox‐active sites and superb cycling stability (91 % after 1000 cycles) and rate capability (82 %, 1.0 A g−1 vs. 0.1 A g−1) as an organic cathode material for lithium‐ion batteries.

Nitrogen‐doped porous carbons have been extensively studied for electrocatalysis, including the electrocatalytic CO2 reduction reaction. Most relevant studies have focused on nitrogen sites in porous carbons, however, the intrinsic topological defects of porous carbons have been usually ignored because of difficulties in controllable preparation, structural identification, and determining structure–property correlations. In this study, topological defect‐enriched porous carbons are fabricated through pyridinic‐N volatilization at a high temperature by using nitrogen‐enriched 2,6‐dicyanopyridine as the precursor. As‐prepared porous carbons possess rich topological defects and ultrahigh specific surface area of up to 3123 m2 g−1. As electrocatalysts for CO2 reduction, as‐prepared porous carbons exhibit excellent activity for CO formation with a low onset potential of −283 mV, high CO Faradaic efficiency of up to 99.0% at −0.4 V, which is the state‐of‐the‐art activity among all of reported porous carbons. Density functional theory calculations indicate that pentagonal structure cause the electronegativity of carbon skeletons and act as the main active sites for CO2 reduction. This work not only presents a facile approach for fabricating porous carbons with a high density of topological defects for efficient electrocatalytic CO2 reduction but also provides insights regarding the origin of high activity of topological defects in porous carbons.

Using highly soluble bromo-functionalized reduced graphene oxide (RGBr) as a key graphene template for surface-directing Sonogashira-Hagihara polymerization, a novel soluble poly(arylene-ethynylene)-grafted reduced graphene oxide, hereafter abbreviated as PAE-g-RGO, was prepared in situ. The entirely different electron distribution of LUMO and HOMO of PAE-g-RGO suggested the existence of a charge-transfer (CT) state (PAE(.-) -RGO(.+) ). The negative ΔGCS value (-2.57 eV) indicates that the occurrence of the charge separation via (1) RGO* in o-DCB is exothermic and favorable. Upon irradiation with 365 nm light, the light-induced electron paramagnetic resonance (LEPR) spectrum of PAE-g-RGO showed a decrease in the spin-state density owing to photoinduced intramolecular electron transfer events in this system. A sandwich-type Al/PAE-g-RGO/ITO device showed representative bistable electrical switching behavior. The nonvolatile memory performance was attributed to the CT-induced conductance changes, which was supported by molecular computation results and conductive atomic force microscopy (C-AFM) images.

Dimensionality for conjugated microporous polymers (CMP-nD, n = 0, 1, 2) is proven to be of great importance for tailoring their photophysical properties. Moreover, CMP-nD can further be converted into boron and nitrogen co-doped porous carbons (nDBN, n = 0, 1, 2) with maintained 0D, 1D, and 2D nanostructures and highly efficient catalytic performance.

A novel phosphorus-containing porous polymer is efficiently prepared from tris(4-vinylphenyl)phosphane by radical polymerization, and it can be easily ionized to form an ionic porous polymer after treatment with hydrogen iodide. Upon ionic exchange, transition-metal-containing anions, such as tetrathiomolybdate (MoS4 2−) and hexacyanoferrate (Fe(CN)6 3−), are successfully loaded into the framework of the porous polymer to replace the original iodide anions, resulting in a polymer framework containing complex anions (termed HT-Met, where Met = Mo or Fe). After pyrolysis under a hydrogen atmosphere, the HT-Met materials are efficiently converted at a large scale to metal-phosphide-containing porous carbons (denoted as MetP@PC, where again Met = Mo or Fe). This approach provides a convenient pathway to the controlled preparation of metal-phosphide-loaded porous carbon composites. The MetP@PC composites exhibit superior electrocatalytic activity for the hydrogen evolution reaction (HER) under acidic conditions. In particular, MoP@PC with a low loading of 0.24 mg cm−2 (on a glass carbon electrode) affords an iR-corrected (where i is current and R is resistance) current density of up to 10 mA cm−2 at 51 mV versus the reversible hydrogen electrode and a very low Tafel slope of 45 mV dec−1, in rotating disk measurements under saturated N2 conditions.

CSi electronics: Recently, Simon and co-workers demonstrated silicon-wafer-supported elastic carbide-derived carbons (CDCs) films without any delamination or cracks for micro-supercapacitor application. The fabrication of these CDC films is particularly important for the practical application of micro-supercapacitors in silicon-based electronics and flexible electronics.

The discovery of graphene has triggered great interest in two-dimensional (2D) nanomaterials for scientists in chemistry, physics, materials science, and related areas. In the family of newly developed 2D nanostructured materials, 2D soft nanomaterials, including graphene, Bx Cy Nz nanosheets, 2D polymers, covalent organic frameworks (COFs), and 2D supramolecular organic nanostructures, possess great advantages in light-weight, structural control and flexibility, diversity of fabrication approaches, and so on. These merits offer 2D soft nanomaterials a wide range of potential applications, such as in optoelectronics, membranes, energy storage and conversion, catalysis, sensing, biotechnology, etc. This review article provides an overview of the development of 2D soft nanomaterials, with special highlights on the basic concepts, molecular design principles, and primary synthesis approaches in the context.