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OBJECTIVES Behcet's disease (BD) is a chronic inflammatory disease characterized by recurrent oral aphthous ulcers, intestinal lesions, genital ulcers, uveitis, and skin lesions. Evidence regarding mucosal healing for the prognosis of intestinal BD is scarce. The aim of this systematic review and meta-analysis was to determine the association between mucosal healing and long-term outcomes of patients with intestinal BD. METHODS Relevant studies were identified in a comprehensive search of PubMed, Cochrane Library, and EMBASE databases. Studies reporting long-term outcomes of mucosal healing in patients with intestinal BD were included. Pooled risk ratio (RR) and 95% confidence interval (CI) for disease recurrence and surgery were calculated using the Mantel-Haenszel random-effects models. Heterogeneity among the eligible studies was evaluated using the Q test and I2 statistics. RESULTS Of the 4785 studies initially identified, 8 were finally included. The pooled RR for the association between mucosal healing and disease recurrence was 0.41 (95% CI 0.30-0.57, P

Background Diabetes mellitus is an important risk factor for cardiomyopathy. Increasing oxidative stress may be one of the main factors of diabetic cardiomyopathy. A13, a newly synthesized curcumin analog, was proved to be superior to curcumin in biological activity. However, little know about how A13 performed in diabetic models. In this study, we evaluated the ability of curcumin analog A13 to alleviate oxidative stress and ameliorate fibrosis in the myocardium, and explore the underlying mechanisms. Methods Intraperitoneal injection of streptozotocin (30 mg/kg in 0.1 M sodium citrate buffer, pH 4.5) induced diabetes in high-fat fed rats. The rats were respectively treated with a daily dose of curcumin or A13 via intragastric intubation for 8 weeks. Myocardial tissue sections were stained with hematoxylin–eosin; oxidative stress was detected by biochemical assays; activation of the Nrf2/ARE pathway was detected by Western blot, immunohistochemical staining and RT-qPCR; myocardial fibrosis was identified by Western blot and Masson trichrome staining. Results Treatment with curcumin analog A13 reduced the histological lesions of the myocardium in diabetic rats. Curcumin and A13 treatment decreased the malondialdehyde level and increased the activity of superoxide dismutase in the myocardium of diabetic rats. Molecular analysis and immunohistochemical staining demonstrated that dose of 20 mg/kg of A13 could activate the Nrf2/ARE pathway. Molecular analysis and Masson staining showed that curcumin analog A13 treatment significantly ameliorated fibrosis in myocardium of these diabetic rats. Conclusion Treatment with curcumin analog A13 protects the morphology of myocardium, restores the MDA levels and SOD activity, activates the Nrf2/ARE pathway and ameliorates myocardial fibrosis in diabetic rats. It may be a useful therapeutic agent for some aspects of diabetic cardiomyopathy.

Currently, chemotherapy is a widely used and important treatment for cancer. However, almost all of the treatments have shortcomings associated with poor specificity and high toxicity, which results in severe side effects to normal cells and tissue. This is a very important problem, and yet, it currently remains unanswered. Therefore, the development of the method for the more effective delivery of anticancer drugs to their targets and real-time monitoring of the localization of the drugs are very important. Herein, we designed a theranostic prodrug: CPT-p-Leu, which was constructed using fluorescent camptothecin (CPT), a self-immolative linker and leucine (Leu) residue. Upon exposure to LAP (leucine aminopeptidase: LAP), the amide bond in CPT-p-Leu will be cleaved, followed by an intramolecular 1,6-elimination, which triggers the active anticancer drug (CPT) release and recovers the fluorescence of CPT. With our design, the anticancer drug, CPT, can be used as both a drug and a fluorescence reporter, making our system suitable to accurately and effectively track the released CPT distribution. Based on this strategy, CPT-p-Leu could achieve the chemoselective detection of LAP and monitoring of the anticancer drug release. Furthermore, it also provides a very convenient way to accurately determine the location of the released drug in living samples. In addition, CPT-p-Leu shows a good cell membrane permeability and enhanced cytotoxicity toward LAP overexpressing cancer cells. We anticipate that our research will facilitate the development of improved theranostic systems for cancer therapy.

The aim of the study is to investigate the value of serum iron and hemoglobin levels for predicting acute seizures following aneurysmal subarachnoid hemorrhage (aSAH). Clinical and laboratorial data from patients with ruptured intracranial aneurysms were collected in the retrospective study. Age, sex, symptom onset, history of diabetes and hypertension, history of coronary artery disease, temperature, Hunt–Hess grade, Fisher grade, aneurysm location, hemoglobin, serum potassium, sodium, calcium, phosphorus, and iron were collected. Acute seizures were determined as seizures within 1 week following aSAH. Propensity score matching (PSM) analyses were performed to correct imbalances in patient characteristics between seizure and non-seizure groups. A total of 760 patients were included. Incidence of acute seizures following aSAH was 6.4%. In the univariate analysis, significant differences were detected in age, admission Hunt–Hess grade, Fisher grade, hemoglobin, serum sodium, and serum iron between seizure and non-seizure groups. In multivariate logistic regression model, lower serum iron was considered as a risk factor for acute seizures (OR 0.182, 95% CI 0.084–0.393, p = 0.000), as well as lower hemoglobin (OR 0.977, 95% CI 0.962–0.993, p = 0.004) and higher serum sodium (OR 1.072, 95% CI 1.003–1.145, p = 0.039). After PSM, there were no significant differences in age, admission Hunt–Hess grade, Fisher grade, and serum sodium between seizure and non-seizure groups. The matched seizure group had lower serum iron and hemoglobin levels compared with the matched non-seizure group (p

Objective We tested the hypothesis that low serum iron levels are associated with acute hydrocephalus following aneurysmal subarachnoid hemorrhage (aSAH). Methods Patients presenting with ruptured intracranial aneurysms were enrolled in the prospective observational study. Age, sex, history of diabetes, hypertension and hyperlipidemia, symptom onset, Fisher grade, Hunt-Hess grade, aneurysm location, hemoglobin, and serum iron were collected. Acute hydrocephalus was determined within 72 hours after subarachnoid hemorrhage. A propensity-score matching analysis was performed to correct imbalances in patient characteristics between hydrocephalus and non-hydrocephalus groups. Results A total of 535 patients were included. Incidence of acute hydrocephalus was 20.0%. In multivariate logistic regression analysis, lower serum iron was considered as a risk factor of acute hydrocephalus, as well as delayed ischemic neurologic deficit and lower hemoglobin (P = 0.000). After propensity-score matching, lower serum iron was considered as an independent risk factor for acute hydrocephalus, whereas hemoglobin and delayed ischemic neurologic deficit were not. The matched hydrocephalus group had lower serum iron comparing with the matched non-hydrocephalus group (10.26 ± 5.33 mmol/L vs. 13.44 ± 5.18 mmol/L; P = 0.000). The optimal cut-off value for serum iron levels as a predictor for acute hydrocephalus in patients with aSAH was determined as 13.1 mmol/L in the receiver operating characteristic curve. Furthermore, lower serum iron levels (odds ratio 0.305; 95% confidence interval, 0.178–0.524; P = 0.000) and acute hydrocephalus (odds ratio 0.372; 95% confidence interval, 0.202–0.684; P = 0.001) were predictors of poor outcome, as well as higher Hunt-Hess grade and Fisher grade. Conclusions Lower serum iron levels after aSAH was a predictor of acute hydrocephalus and unfavorable outcome.

Objective: We assessed the correlation between lactate dehydrogenase(LDH) to phosphate ratio and the prognosis of microsurgically clipping for ruptured intracranial aneurysm (rIA) in this study, to test the hypothesis that serum LDH to phosphate ratio could be a predictor for the outcome of microsurgically clipping for rIA. Methods: The rIA patients between 2012 and 2018 were retrospectively collected. Age, sex, Hunt-Hess(H-H) grade, Fisher grade, smoking, drink, medical history, aneurysm location, hydrocephalus, laboratory data including serum LDH, phosphate and LDH to phosphate ratio, related complication and the outcomes in 3 months were recorded. Results: A total of 1608 rIA patients in our institution were collected, and 856 patients treated by microsurgical clipping were enrolled. A significantly higher LDH- phosphate ratio on admission was observed in patients with poor outcome at 3 months (median±SD, 200.175±107.290 for mRS 0–2 vs 323.826±219.075 for mRS score 3–6; P Conclusions: LDH to phosphate ratio was a potential biomarker and could predict the unfavorable outcome of microsurgically clipping for rIA in 3 months. However, the detailed mechanism remain unclear and the conclusion needs be further confirmed by large-scale randomized clinical trials.

Background: The relationship between serum phosphate ion (sPi) and the occurrence of acute hydrocephalus (aHCP) in aneurysmal subarachnoid hemorrhage (aSAH) remains largely unknown and controversial. The primary aim of this study was to evaluate the association between sPi on admission and aHCP following aSAH. Methods: A prospective study was conducted on six hundred thirty-five patients over the age of 19 years diagnosed with aSAH in our institution from January 21, 2012, to December 30, 2019. Data on clinical characteristics, laboratory parameters, treatments, and outcomes were collected and analyzed. The association between lower sPi levels and aHCP was assessed in univariate and multivariate analyses. Propensity-score matching (PSM) analyses were adopted to reduce the baseline differences between the non-HCP group and HCP group. Results: The overall incidence of aHCP following aSAH was 19.37% (123/512). Lower sPi levels were detected in patients with aHCP compared with those without [0.86(0.67-1.06) mmol/L vs. 1.04(0.84-1.21)] mmol/L in the univariate analysis. In the multivariate analysis, lower sPi, high modified Fisher (mFisher) grade, and high Hunt-Hess grade were associated with aHCP [odds ratios (OR) 1.729, 95% CI 1.139–2.623, P=0.01; mFisher OR 0.097,95%CI 0.055-0.172, pConclusion: Lower sPi levels at admission were observed in patients with unfavorable outcomes. Lower sPi levels were associated with aHCP and poor prognosis, and the model constructed by sPi levels, Hunt-Hess grade, and mFisher grade significantly improves the prediction of aHCP after aSAH.

The excessive use of antibiotics has led to a rise in drug-resistant bacteria. These "superbugs" are continuously emerging and becoming increasingly harder to treat. As a result, new and effective treatment protocols that have minimal risks of generating drug-resistant bacteria are urgently required. Advanced nanomaterials are particularly promising due to their drug loading/releasing capabilities combined with their potential photodynamic/photothermal therapeutic properties. In this review, 0-dimensional, 1-dimensional, 2-dimensional, and 3-dimensional nanomaterial-based systems are comprehensively discussed for bacterial-based diagnostic and treatment applications. Since the use of these platforms as antibacterials is relatively new, this review will provide appropriate insight into their construction and applications. As such, we hope this review will inspire researchers to explore antibacterial-based nanomaterials with the aim of developing systems for clinical applications.

Background Diabetic encephalopathy is a severe diabetes complication with cognitive dysfunction and neuropsychiatric disability. The mechanisms underlying diabetic encephalopathy is believed to be relevant with oxidative stress, vascular amylin deposition, immune receptors, inflammation, etc. This study wanted to evaluate the ability of curcumin and its analog A13 to alleviate oxidative stress and inflammation in diabetes-induced damages in brain. Methods Sixty adult male Sprague–Dawley rats were divided into 5 groups: normal control (NC) group, diabetes mellitus (DM) group, curcumin-treated diabetes mellitus (CUR) group, high dose of A13-treated diabetes mellitus (HA) group, low dose of A13-treated diabetes mellitus (LA) group. Activation of the nuclear factor kappa-B (NF-κB p65) pathway was detected by RT-qPCR, immunohistochemical (IHC) staining and Western blot; oxidative stress was detected by biochemical detection kit; brain tissue sections were stained with hematoxylin–eosin (HE) staining and Myelin staining. Results RT-qPCR, IHC staining and Western blot showed that curcumin and A13 treatment could inhibit the NF-κB p65 pathway. Curcumin and A13 increased the activity of superoxide dismutase and decreased the malondialdehyde level in the brain of diabetic rats. Furthermore, HE staining and Myelin staining demonstrated that the histological lesions of the brain in diabetic rats could be significantly ameliorated by curcumin and A13. Conclusion Curcumin analog A13 could alleviate the damages in the brain of diabetes rats by regulating the pathways of inflammation and oxidative stress. A13 may be a new potential therapeutic agent for diabetic encephalopathy.

It is not fully established whether leukocyte can predict the poor outcome for ruptured cerebral aneurysms (CA) or not. Here, we retrospectively analyzed the clinical data of 428 patients with ruptured CA between 2010 and 2015. Patients’ demographic data, including gender, age, history of smoking, alcohol, hypertension, diabetes and hypercholesterolemia, Hunt-Hess and Fisher grade, occurrence of hydrocephalus, aneurysm location, time to surgery, delayed ischemic neurological deficit (DIND) and peak leukocyte of blood test from day 1 to 3 after aneurysmal rupture were recorded and analyzed. In the multivariable analysis model, gender, Fisher grade, time to surgery and hydrocephalus were not relevant to poor outcome. However, Hunt-Hess grade, DIND and preoperative leukocyte count (>13.84 × 109/L) were significantly associated with adverse outcome. The respective increased risks were 5.2- (OR 5.24, 95% CI 1.67–16.50, p = 0.005), 6.2-(OR 6.24, 95% CI 3.55–10.99, p 13.84 × 109/L) were independent risk factors for poor outcome of ruptured CA at 3 months. Higher leukocyte count is a convenient and useful marker to predict 3-month poor outcome for ruptured CA.

In 1937, Drs. Moritz and Oldt described arteriolar injuries in the kidneys (and other viscera) in hypertension, across the age range, in both sexes, and, in different races. This hypothesis proposes that injuries to vasomotor nerves cause the arteriolar injury in the kidney in hypertension, (as well as that in the uterus in preeclampsia). Different patterns of perivascular hyalinisation in different viscera are clues to the varying causes and consequences of arteriolar injury. In the uterus there is a symmetrical, perivascular "halo of hyalinisation" that marks the lines of extension of regenerating, injured nerves to the placental bed, whereas in the kidney there is a disordered and asymmetrical "halo of hyalinisation" where persistent, and recurrent, increases in intravascular pressures interrupt development of regenerating nerves. Consequences of injuries to vasomotor nerves include releasing a "soup" of cytokines that cause regeneration of "new" nerves expressing primitive, pain and stretch receptors including TRPV-1 and P2X3 purinergic "stretch" receptors that may be significant in the afferent mechanism in preeclampsia. There is also concurrent, "background" hyperplasia of denervated tunica media and intima leading to narrowing of the arterioles and a further drive to hypertension through renal ischaemia (Goldblatt, 1942). These observations require support from animal studies and other investigations to establish causation. This hypothesis may provide a number of potential mechanisms that reinforce, or accelerate, the physiological processes that contribute to hypertension.

The short range order structure of Bi13Ge20Se67-xTex glasses (x = 0, 5, 10, 15, 20 at.%) is explored by using high-resolution X-ray photoelectron spectroscopy. Results show that the incorporated oxygen from surface containment of specimens and Te substitution for Se exert important impacts on the network structure of glasses. Oxygen breaks the Ge Ge homopolar bonds in the Ge Se Bi glass, leading to a significant reduction of the over-constrained Ge Ge (Se)3 ethane-like units. Te addtion promotes the formation of mixed BiSe(Te)3/2 nanolayers as crystal precursors, thus initiating crystallinzation in competition to a topological self-organization process. The present work will be helpful to deepen the understanding of ChG glasses for applications in fields of optoelectronics and photonics.

Background Various computed tomography (CT) appearances of cerebral venous sinus thrombosis (CVST) were associated with different prognosis and the patients with large intracranial hematoma will have adverse outcomes, but no in-depth study of non-contrast CT image appearances was carried out. We aimed to test the hypothesis that non-contrast CT image characteristics on admission are associated with and predict the outcome of CVST at 3 months. Methods Three hundred and six patients with CVST between 2008 and 2017 were collected. Age, sex, onset of CVST(acute, subacute, or chronic), etiology, clinical manifestations, midline shift, occluded venous sinus, location of infarction, non-contrast CT image characteristics, and the 3-month outcome were recorded. In addition, we established a non-contrast CT image-based classification and grading system to test the hypothesis; the CVST patients were classified into four grades (namely non-contrast CT image-based classification): grade I, no obvious abnormality; grade II, simple vein infarction without hemorrhage or with subarachnoid hemorrhage; grade III, cerebral venous infarction with subarachnoid hemorrhage; and grade IV, cerebral vein infarction with hematoma. All enrolled patients had received subcutaneous injections of low molecular weight heparin subcutaneous injection for 14 days. Thereafter, oral anticoagulant therapy with warfarin was continued. Patients with epilepsy were given antiepileptic drugs, and patients with cerebral herniation received decompressive craniotomy. Results Our observational findings revealed that midline shift (> 5 mm), location of lesion (frontal lobe and temporal lobe), and cerebral venous infarction with subarachnoid or hematoma (grade III and IV) were associated with 3-month poor outcome (p 0.05). Conclusions Our findings suggested that non-contrast CT image characteristics on admission were associated with and predict the 3-month outcome of CVST. However, the ultimate conclusions need to be confirmed by a large sample of CVST patients at multiple institutions.

Objective We tested the hypothesis that low hemoglobin levels are associated with acute seizures after aneurysmal subarachnoid hemorrhage (aSAH). Methods Patients with ruptured intracranial aneurysms were enrolled in the observational cohort study that prospectively collected age, sex, symptom onset, history of diabetes and hypertension, history of coronary artery disease, temperature, Hunt-Hess grade, Fisher grade, aneurysm location, hemoglobin, hematocrit, serum potassium, sodium, calcium, phosphorus, iron, and modified Rankin Scale. Acute seizures were determined as seizures within 1 week after aSAH. Results We included 554 patients with requisite data for analysis in the prospective study. Incidence of acute seizures following aSAH was 3.61%. In the univariate analysis, significant differences were detected in admission Hunt-Hess grade, Fisher grade, hemoglobin, and serum iron between epilepsy and nonepilepsy groups. Furthermore, acute seizures were associated with higher modified Rankin Scale score and poor outcome (P = 0.004). Serum hemoglobin levels were 114.30 ± 20.08 g/L in the epilepsy group, which were lower than those in the nonepilepsy group (128.64 ± 17.94 mmol/L, P = 0.001). Serum iron levels were 8.89 ± 5.03 g/L in the epilepsy group, which were also lower than those in the nonepilepsy group (13.71 ± 6.70 mmol/L, P = 0.002). The hemoglobin level was positively correlated with serum iron on admission (ρ = 0.321, P = 0.000). In the multivariate logistic regression model, lower hemoglobin was considered as an independent risk factor of acute seizures (odds ratio 4.286, 95% confidence interval 1.492–12.315, P = 0.007). The optimal cutoff value for hemoglobin level as a predictor for acute epilepsy after aSAH was determined as 119 g/L in the receiver operating characteristic curve (sensitivity was 75.00%, and specificity was 69.48%). Conclusions These data support the hypothesis that hemoglobin was inversely associated with acute seizures following aSAH.

It is not fully established whether leukocyte can predict the poor outcome for ruptured cerebral aneurysms (CA) or not. Here, we retrospectively analyzed the clinical data of 428 patients with ruptured CA between 2010 and 2015. Patients' demographic data, including gender, age, history of smoking, alcohol, hypertension, diabetes and hypercholesterolemia, Hunt-Hess and Fisher grade, occurrence of hydrocephalus, aneurysm location, time to surgery, delayed ischemic neurological deficit (DIND) and peak leukocyte of blood test from day 1 to 3 after aneurysmal rupture were recorded and analyzed. In the multivariable analysis model, gender, Fisher grade, time to surgery and hydrocephalus were not relevant to poor outcome. However, Hunt-Hess grade, DIND and preoperative leukocyte count (13.84 × 10

Objective To determine whether extended lesionectomy is needed for patients with cerebral cavernous malformations presenting with epilepsy as compared with lesionectomy. Methods A literature search of PubMed, Embase, Web of Science, Clinical Trials and Cochrane Central Register of Controlled Trials was performed for pertinent English-language studies from 1967 to 2017. Eligible studies were selected according to uniform inclusion and exclusion criteria. Results Seven studies including 245 patients (107 receiving extended lesionectomy, 138 receiving lesionectomy) were selected. Meta-analysis and subgroup analyses were conducted to compare extended lesionectomy with lesionectomy. Pooled analysis demonstrated that seizure outcome was not statistically significantly improved in patients who underwent extended lesionectomy compared with lesionectomy (odds ratio = 0.77; 95% confidence interval, 0.39–1.51; P = 0.44; I2 = 15%). Conclusions Extended lesionectomy does not contribute to better seizure control for patients with cerebral cavernous malformations with epilepsy. Resection of the lesion and surrounding hemosiderin is sufficient for patients with cerebral cavernous malformations presenting with epilepsy.

Background We tested the hypothesis that high-density lipoprotein (HDL) is associated with intracranial aneurysm growth and rupture. Methods We used an observational cohort study design. Age, sex, admission systolic blood pressure (SBP), diabetes, hypertension, coronary artery disease, aneurysmal rupture, apolipoprotein (APO)-A1, APO-B, HDL, low-density lipoprotein, triglycerides, cholesterol, and aneurysm location and size were recorded. Aneurysms Results The data from 581 patients with intracranial aneurysms were analyzed. The predictive factors for small size of aneurysms were female sex (odds ratio [OR], 0.630; 95% confidence interval [CI], 0.428–0.927; P = 0.019) and higher HDL (OR, 0.327; 95% CI, 0.159–0.672; P = 0.0002). In the subgroup of male patients, lower HDL was the only risk factor for large size (P = 0.015). The predictors of aneurysmal rupture were small size (OR, 0.875; 95% CI, 0.842–0.910; P = 0.000), higher HDL (OR, 3.716; 95% CI, 1.623–8.509; P = 0.002), no coronary artery disease (OR, 4.736; 95% CI, 1.528–14.681; P = 0.007), lower APO-A1 (OR, 0.202; 95% CI, 0.064–0.641; P = 0.007), and higher admission SBP (OR, 1.024; 95% CI, 1.015–1.032; P = 0.000). An HDL/aneurysm size ratio >0.31 was associated with a 46.2-fold increased likelihood of aneurysmal rupture (OR, 46.214; 95% CI, 13.386–159.548; P = 0.002). Conclusions The HDL level was inversely associated with intracranial aneurysm growth, especially in men. Higher HDL levels and small aneurysm size contributed to a greater risk of aneurysmal rupture. An HDL/size ratio >0.31 was a valuable predictor of intracranial rupture.

Objective We tested the hypothesis that cerebellopontine angle (CPA) tumors are associated with a greater incidence of unruptured intracranial aneurysms (IAs). Methods Patients with intracranial tumors (ITs) undergoing computed tomography angiography and magnetic resonance imaging were enrolled in an observational cohort study that prospectively collected age, sex, hypertension, diabetes, cerebral arteriosclerosis, tumor type, tumor location, hydrocephalus, smoking, alcohol intake, CPA tumor size, cerebral aneurysms, and cerebral arteriosclerosis. Patients with the coexistence of IA and IT were classified as group II, whereas the others with IT as group I. Results We included 1218 patients with IT for analysis. The incidence of IA was 7.1% (86/1218). A total of 31% of patients with aneurysms had CPA tumors. In a multivariate logistic regression model, a greater incidence of IA was found in female patients (odds ratio [OR] 1.726, 95% confidence interval [CI] 1.050–2.836, P = 0.031) and in patients with CPA tumors (OR 3.002, 95% CI 1.822–4.947, P = 0.000) after adjustment for tumor type, cerebral arteriosclerosis, and age. In female patients, CPA tumors were a unique independent risk factor of a greater incidence of IA (OR 2.270, 95% CI 1.194–4.317, P = 0.012). Furthermore, cerebral arteriosclerosis was a unique independent risk factor of IA in patients with CPA tumors (OR 7.626, 95% CI 2.928–19.860, P = 0.000). Conclusions These data support the hypothesis that CPA tumors are associated with a greater incidence of unruptured IAs, especially in female patients. Cerebral arteriosclerosis contributed to elevated risk of IA in patients with CPA tumors.

We tested the hypothesis that ionized calcium levels at admission are associated with early hematoma expansion and functional outcome in patients with hypertensive intracerebral hemorrhage (HICH).Patients presenting with HICH were enrolled in the observational cohort study that prospectively collected age, sex, blood pressure, history of diabetes and smoking, time from symptom onset to initial computed tomography (CT), admission ionized calcium (iCa) and total calcium (tCa), coagulation function, Glasgow Coma Scale (GCS), and postoperative modified Rankin Scale score. Hematoma reconstruction on CT was performed to measure hematoma volumes. Hematoma expansion (HE) was defined as an increase of more than 30% or 6 mL in HICH volume. We performed univariate and multivariate analyses to assess for association of iCa level with early HE and functional outcome.We included 111 patients with HICH for analysis. Admission serum iCa was 1.10 mmol/L in patients with HE and 1.17 in patients without HE. Univariate analysis indicated significant difference of GCS, initial HICH volume, iCa, and tCa between the HE and non-HE groups (P0.05). Lower admission iCa (less than 1.12 mmol/L) was associated with HE (odds ratio [OR] 0.300, 95% confidence interval [CI] 0.095-0.951, P = 0.041) after adjustment for age, blood pressure, GCS score, time to initial CT scan, baseline HICH volume, prothrombin time, and tCa. Furthermore, predictive factors of poor outcome included iCa (OR 0.192, 95% CI 0.067-0.554, P = 0.002) and GCS score (OR 0.832, 95% CI 0.722-0.959, P = 0.011).These data support the hypothesis that lower ionized calcium is associated with early hematoma expansion and poor outcome in patients with hypertensive intracerebral hemorrhage.

Background Although coagulopathy have been proved to be a contributor to a poor outcome of aneurysmal subarachnoid hemorrhage (aSAH), the risk factors for triggering coagulation abnormalities have not been studied after aneurysm clipping. Methods We investigated risk factors of coagulopathy and analyzed the relationship between acute coagulopathy and outcome after aneurysm clipping. The clinical data of 137 patients with ruptured CA admitted to our institution was collected and retrospectively reviewed. Patient demographic data (age, sex), smoking, alcohol use, hypertension, diabetes, Hunt-Hess grade, Fisher grade, operation time, intraoperative total infusion volume, intraoperative blood loss, intraoperative transfusion, intraoperative hemostatic drug treatment, calcium reduction (preoperative free calcium concentration–postoperative free calcium concentration) were recorded. Coagulation was assessed within 24 h. Postoperative hemorrhage and infarction, deep venous thrombosis (DVT), and mortality were analyzed. Results Coagulopathy was detected in a total of 51 cases (group I), while not in 86 cases (group II). Univariable analysis demonstrated that age, smoking, alcohol use, intraoperative total infusion volume, intraoperative blood loss, intraoperative transfusion, and calcium reduction (≥ 1.2 mg/dl) were related to coagulopathy. Non-conditional logistic regression analysis showed that age [OR, 1.037 (95% CI, 1.001–1.074); p = 0.045] and calcium reduction (≥ 1.2 mg/dl) [OR, 5.509 (95% CI, 1.900–15.971); p = 0.002] were considered as the risk factors for coagulopathy. Hunt-Hess grade [OR, 2.641 (95% CI, 1.079–6.331); p = 0.033] and operation time [OR, 0.107 (95% CI, 1.012–0.928); p = 0.043] were considered as the risk factors for hypocoagulopathy. There were 6 cases (11.7%) with cerebral infarction in group I, while 6 cases (6.98%) in group II (χ 2 = 0.918, p = 0.338). There were 4 cases (7.84%) with rebleeding in group I, while 5 cases (5.81%) in group II (χ 2 = 0.215, p = 0.643). The mortality was 9.80% (5/51) in group I, while 1.16% (1/86) in group II (χ 2 = 5.708, p = 0.017). DVT was not detected in all cases. Conclusions In conclusion, age (≥ 65 years) and calcium reduction (≥ 1.2 mg/dl) were considered as the risk factors for coagulopathy and have been proved to be associated with higher mortality after aneurysm clipping.

In the present work, photochromism of WO 3 –P 2 O 5 glass under gamma-ray irradiation was reported. As-prepared glass samples with different WO 3 content are all optically transparent in the visible wavelength range thanks to the addition of a small amount of oxidizing couple Sb 2 O 3 –NaNO 3 . The photochromic properties are identified by transmission spectra of the glasses before and after irradiation. The results show that the irradiation induced darkening results from the reduction of W 6+ to W 5+ or W 4+ . The existence of WO 6 clusters in glasses of high WO 3 content is proved by XPS, which is the main reason for the obvious photochromic effects. The WO 3 –P 2 O 5 glass is a promising candidate in gamma-ray sensitive detector.

As a promising solar energy conversion device, quantum dot (QD) co-sensitized solar cells have been facing a great challenge of improving their efficiencies. To shed light on the possibilities and potential approaches of accomplishing such mission, this article presents an investigation based on the comparison between diverse cells including CdS/CdSe QD co-sensitized and solely sensitized ones, which differ in either anode structures or fabrication methods. We show the photoelectric characteristics and properties of two cells with CdSe@CdS and CdS@CdSe co-sensitization modes, respectively, and discuss the causes that influence the cell efficiencies in each modes. Subsequently, the two co-sensitization modes are compared each other in the aspects of anode structures, fabrication methods and their impacts on the basic battery parameters. By exploring the origins of the variations in basic battery parameters, we attempt to reach an access to reasonable clarification on the factors to cell efficiencies.

This review summarizes the recent progress in quantum dot (QD) based sensors used for the photoluminescent detection of a variety of species in vitro and in vivo. New trends in using these nanomaterials for sensing applications are highlighted.

The finite element method based on ductility exhaustion damage model coupled with the stress-regime dependent creep constitutive model was used to investigate creep failure behavior at different load levels for six initial cracks at different positions in P92 welded joints. The stress states and creep damage around cracks, creep crack growth (CCG) paths and rates and rupture life have been calculated and analyzed, and the creep failure and life assessments for welded joints were discussed. The results show that for some cracks with specific positions in the welded joint, load level causes the change of CCG path due to the stress-regime dependent creep constitutive. At low load level, the significant mismatch effect in creep properties promotes the initiation and propagation of second cracks in soft materials near interfaces, and the creep rupture life is mainly determined by the incubation time of the second cracks. This result is confirmed by similar experimental observations in the literature, and the mechanism was analyzed. For the initial crack positions with a second crack, if the extrapolation of CCG rate from higher load levels is used in creep life assessment of a welded joint at lower load levels, the non-conservative (unsafe) results will be produced. In creep failure analyses and life assessments of welded joints, the effects of initial crack positions and load levels should be fully considered.

To study the anatomy and clinical application of monolateral pterional keyhole approaches for treating bilateral cerebral aneurysms.Twelve formalin-fixed cadaveric heads underwent right pterional keyhole approaches for management of simulative contralateral aneurysms. The length of the contralateral middle cerebral artery (MCA), distal internal carotid artery (DICA), anterior cerebral artery, and ophthalmic segment of the internal carotid artery (OICA) was recorded. The operability of contralateral aneurysms was assessed using a modified numeric grading system. A total of 16 patients (12 patients with ruptured aneurysms) with bilateral cerebral aneurysms undergoing contralateral pterional keyhole approaches were included.The contralateral A1 segment of the anterior cerebral artery, proximal A2 segment, M1 segment of the MCA, DICA, and OICA was exposed via pterional keyhole approaches. An additional 2 mm of the OICA was exposed after incision of the falciform dural fold was completed. Contralateral aneurysms of the M1 segment (posterior), M2 segment, MCA bifurcation (inferior), A2 segment (lateral), DICA (posterior and lateral), and OICA (superior, inferior, and lateral) could not be fully exposed to perform simulated surgical clipping (operability rate75%). A total of 36 aneurysms underwent adequate surgical clipping via unilateral pterional keyhole approaches, whereas 1 aneurysm of the A3 segment did not.Contralateral aneurysms of the M1 segment (anterior, superior, and inferior), MCA bifurcation (superior and lateral), A1 segment, A2 segment (anterior, posterior, and medial), internal carotid artery bifurcation, DICA (anterior and medial), and OICA (medial) were fully exposed from different angles and surgical maneuvers were performed via pterional keyhole approaches, including in patients presenting with subarachnoid hemorrhage.

Strong birefringence photo-induced by the femtosecond laser irradiation and a sensitivity to the orientation of the laser movement versus the laboratory reference (i.e., difference between rightward and leftward or between upward and downward) have been demonstrated in 32.5Li2O–27.5Nb2O5–40SiO2 glass. An asymmetry with the orientation of the laser scanning was firstly observed by one of the authors in 2003 in pure silica (Poumellec et al. in Opt Express 11:1070, 2003). Here, we show in addition that this asymmetric orientational sensitivity is dependent on the direction of laser polarization and the laser scanning (i.e., when the direction is horizontal or vertical). In particular, no asymmetric writing is detected when both laser scanning and polarization directions are vertical. These observations are not explained by the available model.

Rock mass mechanical parameters play a significant role in geotechnical engineering design, slope stability evaluation and numerical simulation, which is commonly determined by GSI method. The simplified method using P-velocity to determine GSI (Geological Strength Index) values is proposed in this study, avoiding the limitations of Hoek-Brown method. The relationship between GSI and P-velocity is established through data collected from several projects in China. Then the dam site of Rumei hydropower station, Tibet, China has been taken as a case study to validate this relationship. This method can be utilized directly in engineering projects since it can meet with the engineering accuracy requirement and reduce the cost.

The value of thermal parameter is very crucial in simulating analysis on temperature control for mass concrete. The inverse analysis on some practical project is done by genetic algorithm and finite element method on the basis of observational data of temperature on the site. The temperature control simulation calculation is performed based on parameters obtained from inverse analysis on this project, so that the temperature distribution is consistent basically with the practical one. With improvement of micro-genetic algorithm, the genetic algorithm becomes globally-optimal by changing the optimal reserving and re-starting strategies. The results show this method is very practical in high precision of calculation in mass concrete parametric inversion.

Rare earth doped glass materials with efficient tunable upconversion emission are a challenging field of research in the development of advanced optical devices. In this paper, tunable upconversion emission was realized by incorporating Li+ ions in Er3+/Yb3+ co-doped oxyfluoride glass ceramics containing NaYF4 nanocrystals. The prepared glass ceramics samples experience significant enhancement of luminescence intensity (up to 15 times) under 980 nm excitation. Meanwhile, a composite yellow emission with adjustable CIE chromaticity coordinates was achievable by altering the doping concentration of Li+ ions. The XRD analysis, absorption spectra and Judd-Ofelt theoretical calculations consistently revealed that these phenomena were associated with the Li+ caused shrinkage/expansion of NaYF4 crystal cells, which offers the possibility of emission tuning. The relevant luminescence mechanism was discussed in detail. Furthermore, it may pave new avenue for optimizing novel oxyfluoride glass ceramics applied in various optoelectronic fields.

Computer network is originated in the United States in 20th Century 60s, originally used for military communication, gradually enter into the civil, after a short 40 years of continuous development and improvement, has been widely applied in various fields, and is moving forward at high speed. In this paper, the present situation of computer network and the changes on peoples lives, this paper elaborates the development trend of computer network in china.

Mutually enhanced Tm 3+ 1470 nm and Dy 3+ 1330 nm near-infrared (NIR) emissions are observed in Dy 3+ /Tm 3+ co-doped 70GeS 2 –10Ga 2 S 3 –20CsCl (mol%) chalcohalide glasses. With the optimized concentration of dopant ions, the NIR emission in a range from 1250 to 1550 nm shows the largest full-width-at-half-maximum (FWHM) of ~230 nm. The mechanism responsible for the mutually enhanced NIR emission is discussed. The present work demonstrates a promising way to realize superbroadband NIR emissions by rare-earth codoping.

Obtaining the fault information online may eliminate many potential fatal accidents, in order to inspect and resolve the online fault diagnosis problem in process industry, an online fault diagnosis model based on IoT(Internet of Things) is proposed in the paper. the model is composed as four layer of user layer, application layer, basic technology layer and resources layer, and it can use the resources effectively such as virtual organizations, entity organization, equipment, network resources and so on, the basic technologies such as Internet of things, multiple information collection, knowledge engineering and application technologies were analyzed in the paper too. Finally, an application system is developed, and it proved the model is validity and correctness.

the cloud-based service is a new type service way to provide the users in distributed environment, but the service model troubles it popularizing. Aiming at the problem, an indirect addressing service method is proposed in the paper. It analyzed the new problems serving in cloud firstly, then comes out a recourse and service invoking model based on indirect addressing, gave out the service actors of the model in detail, studied the package method of the cloud interfaces, produce the knowledge step in the indirect addressing mode of resources distribution. The analysis proves the method with some advantages, and it proposes a new way to settle the service problem in cloud.

We observe the seldom reported near infrared (NIR) emissions at 870 nm (FWHM = 53 nm) and 1037 nm (FWHM = 67 nm) which are in the spectral response region of crystalline silicon photovoltaic solar cells. The emissions are much enhanced with the addition of GeO 2 , and the possible mechanisms for the photoluminescence spectra evolution are discussed. The decay curves are monitored at both the visible and NIR emissions of Pr 3+ doped glasses and lifetimes are calculated using a second-order exponential decay model. Raman spectra are used to characterize some interesting structural evolutions which are responsible for the GeO 2 induced luminescence property changes.

Objective Cerebral ischemia is a major contributor to poor outcome after ruptured anterior communicating artery aneurysms (ACoAs), and is not well classified. In this article, we develop a classification and identify risk factors of cerebral ischemia after ruptured ACoAs. Methods Three hundred sixty patients with ruptured ACoAs undergoing microsurgical clipping were collected. Sex, age, smoking status, Hunt-Hess grade, Fisher grade, hospital stay, surgical timing, hypertension, diabetes, postoperative cerebral ischemia, and postoperative modified Rankin Scale score were collected. Postoperative ischemic changes are classified according to a novel grade (ischemic grade I–IV). Results Predictive factors of postoperative ischemia (grade I–IV) included sex (odds ratio [OR], 1.956; 95% confidence interval [CI], 1.262–3.032; P = 0.003) and Fisher grade (OR, 1.813; 95% CI, 1.144–2.871; P = 0.011). Male sex had a tendency to develop postoperative cerebral ischemia (61.3% in the ischemia group vs. 45.7% in the nonischemia group), while surgical timing did not. However, in patients with postoperative ischemia, early surgery within 3 days (OR, 3.334; 95% CI, 1.411–7.879; P = 0.006) and advanced age greater than 55 years (OR, 2.783; 95% CI, 1.214–6.382; P = 0.016) were risk factors for postoperative neurologic deficits (grade III–IV). Conclusions Male sex and higher Fisher grade predict postoperative ischemia (grade I–IV), whereas surgical timing does not. However, in patients with postoperative cerebral ischemia, early surgery within 3 days and age greater than 55 years can increase the frequency of postoperative neurological deficits (grade III–IV). Older male patients undergoing early microsurgery had a tendency to develop neurologic deficits.

In the present paper, the effects of GeO 2 on properties of GeS 2 –Ga 2 S 3 –CsCl chalcohalide glasses are presented. The absorption spectra, density, microhardness, DSC and the chemical durability are measured. Results show that the addition of GeO 2 remarkably improves the physical and chemical properties of the chalcohalide glass while the visible transmission spectrum is influenced little. The oxy-chalcohalide glass was also used as matrix for doping Tm 3 + (0.1 mol%) which shows the similar NIR luminescence spectrum as the GeS 2 –Ga 2 S 3 –CsCl chalcohalide counterpart. Some interesting structural evolutions are characterized by Raman spectra. The possible mechanism corresponding to the improved properties is discussed.

Photoluminescent properties of Eu2+/Pr3+ codoped GeS2–Ga2S3–CsCl chalcohalide glasses are investigated. The Pr3+ visible emissions are significantly enhanced with the codoping of Eu2+ under the near ultraviolet (NUV) excitation. The excitation cross-section of the Eu2+/Pr3+ codoped glass is almost three times as great as that of the Pr3+ singly doped glass. High energy transfer (ET) efficiency up to 80% from Eu2+ to Pr3+ is obtained in the codoped glasses. The dependences of emission spectra and decay curves on the concentrations of Eu2+ and Pr3+ are presented and the relevant ET mechanism is discussed.

The paper presents a review of the sensorless position estimation algorithms which are being adopted by Automobile Air-condition. After analyzing and introducing of the sliding mode variable structure theory and the mathematic model of PMSM, the control strategy based on SMO and its math expression are presented. The simulation model in MATLAB/SIMULINK is established, in which the real rotor position and the estimated rotor position calculated by SMO under dynamic and static state are analyzed. Besides, the principle of sliding gain selection is raised. The simulation provides the theoretical foundation.

Six equivalent linearization methods are summarized and calculation process of applying equivalent linearization method for displacement-based design of bridge engineering is studied. With the evaluation of volume stirrup ratio and safety performance of design structure, six different equivalent linearization methods are used in displacement-based design of bridge columns. The influence of equivalent linearization model and the damping adjust coefficient to seismic design results is studied. Study shows that there are big differences among the seismic design results based on different equivalent linearization methods. Equivalent damping ratio model and the damping adjust coefficient have great influence on seismic design results. Calculation errors of Kowalsky method and Iwan method and Ou method are very small. Calculation error of Kowalsky method is decreasing when displacement ductility factor increases. The calculated result based on the damping adjust coefficient provided by Eurocode8 specification is more close to the real one. Kowalsky method and the damping adjust coefficient of Eurocode8 specification is recommended to be used in displacement-based design of bridge engineering.

The issue of CNC machine tool energy consumption and environmental protection plays an important role on manufacturing technology research since CNC machine tool energy is consumed during motor racing or cutting process. The paper analyzes CNC machine tool energy consumption influence by cutting parameters of cutting speed, feed speed, cutting depth. Based on nonlinear mapping ability of neural network, the model of CNC machine tool energy consumption related to cutting parameters is established by using experimental data, and then the optimal combination of cutting parameters are searched by using global optimization of genetic algorithm, and verified in CNC machine tool cutting experiment. The proposed method provides a good energy control proposal for CNC machine tool roughing process. The experimental results show that the energy consumption is optimal.

In order to resolve the problem of difficult planning the layout in oil transportation network, a new planning method based on evolution is put forward out in the paper. Firstly, the economic effect in the growth process of oil transportation network is analyzed, then, the attachment formula comes with the growth of the network; based on it, the growth process of adding nodes and edges is discussed, and the clustering coefficient is arrived to balance the degree of the nodes. Case study shows that the evolution designing method is reasonable.

We reveal laser-induced high birefringence in multicomponent silica-based glass by means of ultrashort laser irradiation. It is attributed to the residual stress. A systematic study of birefringence variation is carried out according to laser parameters such as pulse energy, writing speed and direction, and laser polarization. Strong writing directional dependence is clearly observed when the writing direction is perpendicular to the laser polarization at the writing speeds of 20 μm/s - 120 μm/s, which was likely due to an asymmetry of the laser beam or an asymmetry of interaction mechanism.

Solid state electric field-assisted diffusion has been widely applied to oxide glasses to make buried waveguides but rarely employed in chalcogenide glasses. We have previously fabricated Ag-doped Ge20Ga5Sb10S65 glasses by electric fieldassisted diffusion and studied the Ag + concentration profiles. However, the optical properties after the silver diffusion were left unexplored. In this article, we use the “scratch method” by atomic force microscopy to investigate the refractive index profile of Dy 3+ -doped Ge20Ga5Sb10S65 glass after the silver diffusion. The refractive index profile obtained after the diffusion is very symmetric. An enhanced Dy 3+ 1.34lm emission has been found only in the presence of silver. The product of measured lifetime and emission cross-section (τmeaσe) is increased by 12% after the diffusion.

A comprehensive study of displacement-based design for reinforced concrete bridge columns is conducted. Section analysis software UC-Fyber is used to analyze the bending moment and curvature performance of columns’ sections, based on this, a new calculation method of target displacement of RC bridge columns is educed. Elastic displacement response spectrum, inelastic displacement response spectrum and inelastic demand spectrum are educed from acceleration spectra of Chinese Code JTG/T B02-01-2008; three simplified methods for displacement demand determination are developed. Example of the displacement-based design of bridge column was studied and checked by dynamic inelastic time-history analysis to clarify the reasonableness of the developed methods. Research shows that target displacement of RC bridge columns is relevant with concrete strength grade, longitudinal reinforcement ratio, height and the section form, etc; equivalent linearization method and inelastic displacement response spectrum method are based on the design response spectrum, could reach the target displacement and consider structure safety requirement; demand spectrum method is a simple and direct way to show design with graphics mode, with deficiency of structure capacity spectrum curve from pushover analysis differing from the reality.

the fault diagnosis technologies have made great progress in recently years because some scholars focus their energies on the topic, but the application effect of the new technologies can’t reach the expectant result as before, the reason mainly dues to the knowledge sharing problem and the diagnosis cooperation problem that did not resolved well today. Aiming at the problems, an operation model of fault diagnosis based on grid was put forward out in the paper firstly; then studied the knowledge sharing principle and the methods of the grid, and the accessing strategy of resources and services based registering center in grid are brought forward. The analysis shows that the model is positive to resolve the problems of knowledge sharing and diagnosis cooperating.

On the basis of the glass network structure and spectroscopy information, the full-color-emitting borophosphate glasses doped/codoped with Eu2+ and Mn2+ ions were synthesized, and their photoluminescence (PL) properties were evaluated. The interaction of Mn2+–Mn2+ pairs shifts its emission to longer wavelength without a notable negative effect on the intensity in Mn2+-doped glasses. Depending on the small amount of B2O3 added, the Mn2+ ions suffer different surrounding environments giving three emission bands at 526, 597, and 638 nm, respectively. In codoped samples, the weak red emission resulting from the forbidden transition of Mn2+ could be enhanced by the energy transfer from Eu2+ because of the spectral overlap between the PL excitation spectrum of Mn2+ and the PL spectrum of Eu2+. The energy transfer process was confirmed by the luminescence spectra, transmittance spectra, and the calculation of energy transfer efficiency of the glasses. Meanwhile, the potential mechanism of energy transfer is evident to be dipole–dipole interaction. Finally, the Eu2+–Mn2+-codoped borophosphate glasses showed an adjustable full-color emission that could be regarded as a good candidate for ultraviolet light-emitting diode (LED) chip-based white LEDs.

Upconversion luminescence (UCL) properties from Yb3+ doped and Tb3+/Yb3+ codoped high silica glasses excited by a 980 nm laser diode are investigated. The ln–ln plots of the UCL intensity versus laser power show abnormal relations: the slopes are larger than those reported in other papers. When tuning the laser power up and down successively, intrinsic optical bistability of Yb3+ ions is observed at room temperature in the visible and infrared range without external cavity. And this nonlinear effect induces the abnormal UCL phenomena.

In this paper, effective reservoir inflow forecasting models based on the support vector machine (SVM), which is a novel kind of neural networks (NNs), are proposed. Based on statistical learning theory, the SVMs have three advantages over back-propagation networks (BPNs), which are the most frequently used convectional NNs. Firstly, SVMs have better generalization ability. Secondly, the architectures and the weights of the SVMs are guaranteed to be unique and globally optimal. Finally, SVMs are trained much more rapidly. An application is conducted to clearly demonstrate these three advantages. The results indicate that the proposed SVM-based models are more well-performed, robust and efficient than the existing BPN-based models. In addition to using SVMs instead of BPNs, typhoon characteristics, which are seldom regarded as key input for inflow forecasting, are added to the proposed models to further improve the long lead-time forecasting during typhoon-warning periods. A comparison between models with and without typhoon characteristics is also presented to confirm that the addition of typhoon characteristics significantly improves the forecasting performance for long lead-time forecasting. In conclusion, the typhoon characteristics should be used as input to the reservoir inflow forecasting. The proposed SVM-based models are recommended as an alternative to the existing models because of their accuracy, robustness and efficiency. The proposed modeling technique is expected to be useful to improve the reservoir inflow forecasting.