Search

Assessing sleep posture, a critical component in sleep tests, is crucial for understanding an individual's sleep quality and identifying potential sleep disorders. However, monitoring sleep posture has traditionally posed significant challenges due to factors such as low light conditions and obstructions like blankets. The use of radar technolsogy could be a potential solution. The objective of this study is to identify the optimal quantity and placement of radar sensors to achieve accurate sleep posture estimation. We invited 70 participants to assume nine different sleep postures under blankets of varying thicknesses. This was conducted in a setting equipped with a baseline of eight radars-three positioned at the headboard and five along the side. We proposed a novel technique for generating radar maps, Spatial Radio Echo Map (SREM), designed specifically for data fusion across multiple radars. Sleep posture estimation was conducted using a Multiview Convolutional Neural Network (MVCNN), which serves as the overarching framework for the comparative evaluation of various deep feature extractors, including ResNet-50, EfficientNet-50, DenseNet-121, PHResNet-50, Attention-50, and Swin Transformer. Among these, DenseNet-121 achieved the highest accuracy, scoring 0.534 and 0.804 for nine-class coarse- and four-class fine-grained classification, respectively. This led to further analysis on the optimal ensemble of radars. For the radars positioned at the head, a single left-located radar proved both essential and sufficient, achieving an accuracy of 0.809. When only one central head radar was used, omitting the central side radar and retaining only the three upper-body radars resulted in accuracies of 0.779 and 0.753, respectively. This study established the foundation for determining the optimal sensor configuration in this application, while also exploring the trade-offs between accuracy and the use of fewer sensors.

The accuracy of sleep posture assessment in standard polysomnography might be compromised by the unfamiliar sleep lab environment. In this work, we aim to develop a depth camera-based sleep posture monitoring and classification system for home or community usage and tailor a deep learning model that can account for blanket interference. Our model included a joint coordinate estimation network (JCE) and sleep posture classification network (SPC). SaccpaNet (Separable Atrous Convolution-based Cascade Pyramid Attention Network) was developed using a combination of pyramidal structure of residual separable atrous convolution unit to reduce computational cost and enlarge receptive field. The Saccpa attention unit served as the core of JCE and SPC, while different backbones for SPC were also evaluated. The model was cross-modally pretrained by RGB images from the COCO whole body dataset and then trained/tested using dept image data collected from 150 participants performing seven sleep postures across four blanket conditions. Besides, we applied a data augmentation technique that used intra-class mix-up to synthesize blanket conditions; and an overlaid flip-cut to synthesize partially covered blanket conditions for a robustness that we referred to as the Post-hoc Data Augmentation Robustness Test (PhD-ART). Our model achieved an average precision of estimated joint coordinate (in terms of PCK@0.1) of 0.652 and demonstrated adequate robustness. The overall classification accuracy of sleep postures (F1-score) was 0.885 and 0.940, for 7- and 6-class classification, respectively. Our system was resistant to the interference of blanket, with a spread difference of 2.5%.

Sleep posture has a crucial impact on the incidence and severity of obstructive sleep apnea (OSA). Therefore, the surveillance and recognition of sleep postures could facilitate the assessment of OSA. The existing contact-based systems might interfere with sleeping, while camera-based systems introduce privacy concerns. Radar-based systems might overcome these challenges, especially when individuals are covered with blankets. The aim of this research is to develop a nonobstructive multiple ultra-wideband radar sleep posture recognition system based on machine learning models. We evaluated three single-radar configurations (top, side, and head), three dual-radar configurations (top + side, top + head, and side + head), and one tri-radar configuration (top + side + head), in addition to machine learning models, including CNN-based networks (ResNet50, DenseNet121, and EfficientNetV2) and vision transformer-based networks (traditional vision transformer and Swin Transformer V2). Thirty participants ( n = 30) were invited to perform four recumbent postures (supine, left side-lying, right side-lying, and prone). Data from eighteen participants were randomly chosen for model training, another six participants' data ( n = 6) for model validation, and the remaining six participants' data ( n = 6) for model testing. The Swin Transformer with side and head radar configuration achieved the highest prediction accuracy (0.808). Future research may consider the application of the synthetic aperture radar technique.

Elastography complements traditional medical imaging modalities by mapping tissue stiffness to identify tumors in the endocrine system, and machine learning models can further improve diagnostic accuracy and reliability. Our objective in this review was to summarize the applications and performance of machine-learning-based elastography on the classification of endocrine tumors. Two authors independently searched electronic databases, including PubMed, Scopus, Web of Science, IEEEXpress, CINAHL, and EMBASE. Eleven ( n = 11) articles were eligible for the review, of which eight ( n = 8) focused on thyroid tumors and three ( n = 3) considered pancreatic tumors. In all thyroid studies, the researchers used shear-wave ultrasound elastography, whereas the pancreas researchers applied strain elastography with endoscopy. Traditional machine learning approaches or the deep feature extractors were used to extract the predetermined features, followed by classifiers. The applied deep learning approaches included the convolutional neural network (CNN) and multilayer perceptron (MLP). Some researchers considered the mixed or sequential training of B-mode and elastographic ultrasound data or fusing data from different image segmentation techniques in machine learning models. All reviewed methods achieved an accuracy of ≥80%, but only three were ≥90% accurate. The most accurate thyroid classification (94.70%) was achieved by applying sequential training CNN; the most accurate pancreas classification (98.26%) was achieved using a CNN-long short-term memory (LSTM) model integrating elastography with B-mode and Doppler images.

Emerging sleep health technologies will have an impact on monitoring patients with sleep disorders. This study proposes a new deep learning model architecture that improves the under-blanket sleep posture classification accuracy by leveraging the anatomical landmark feature through an attention strategy. The system used an integrated visible light and depth camera. Deep learning models (ResNet-34, EfficientNet B4, and ECA-Net50) were trained using depth images. We compared the models with and without an anatomical landmark coordinate input generated with an open-source pose estimation model using visible image data. We recruited 120 participants to perform seven major sleep postures, namely, the supine posture, prone postures with the head turned left and right, left- and right-sided log postures, and left- and right-sided fetal postures under four blanket conditions, including no blanket, thin, medium, and thick. A data augmentation technique was applied to the blanket conditions. The data were sliced at an 8:2 training-to-testing ratio. The results showed that ECA-Net50 produced the best classification results. Incorporating the anatomical landmark features increased the F1 score of ECA-Net50 from 87.4% to 92.2%. Our findings also suggested that the classification performances of deep learning models guided with features of anatomical landmarks were less affected by the interference of blanket conditions.

We compared the prediction efficiency of the multiple-joint space width (JSW) and the minimum-JSW on knee osteoarthritis (KOA) severity and progression by using a deep learning approach. A convolutional neural network (CNN) with ResU-Net architecture was developed for knee X-ray imaging segmentation and has attained a segmentation efficiency of 98.9% intersection over union (IoU) on the distal femur and proximal tibia. Later, by leveraging the image segmentation, the minimum and multiple-JSWs in the tibiofemoral joint were estimated and then validated by radiologist measurements in the Osteoarthritis Initiative (OAI) dataset using Pearson correlation and Bland-Altman plots. The agreement between the CNN-based estimation and radiologist's measurement of minimum-JSWs reached 0.7801 ( p < 0.0001). The estimated JSWs were deployed to predict the radiographic severity and progression of KOA defined by Kellgren-Lawrence (KL) grades using the XGBoost model. The 64-point multiple-JSWs achieved the best performance in predicting KOA progression within 48 months, with the area-under-receiver operating characteristic curve (AUC) of 0.621, outperforming the commonly used minimum-JSW with 0.554 AUC. We provided a fully automated radiographic assessment tool for KOA with comparable performance to the radiologists and showed that the fine-grained measurement of multiple-JSWs yields superior prediction performance for KOA over the minimum-JSW.

Surveillance of sleeping posture is essential for bed-ridden patients or individuals at-risk of falling out of bed. Existing sleep posture monitoring and classification systems may not be able to accommodate the covering of a blanket, which represents a barrier to conducting pragmatic studies. The objective of this study was to develop an unobtrusive sleep posture classification that could accommodate the use of a blanket. The system uses an infrared depth camera for data acquisition and a convolutional neural network to classify sleeping postures. We recruited 66 participants (40 men and 26 women) to perform seven major sleeping postures (supine, prone (head left and right), log (left and right) and fetal (left and right)) under four blanket conditions (thick, medium, thin, and no blanket). Data augmentation was conducted by affine transformation and data fusion, generating additional blanket conditions with the original dataset. Coarse-grained (four-posture) and fine-grained (seven-posture) classifiers were trained using two fully connected network layers. For the coarse classification, the log and fetal postures were merged into a side-lying class and the prone class (head left and right) was pooled. The results show a drop of overall F1-score by 8.2% when switching to the fine-grained classifier. In addition, compared to no blanket, a thick blanket reduced the overall F1-scores by 3.5% and 8.9% for the coarse- and fine-grained classifiers, respectively; meanwhile, the lowest performance was seen in classifying the log (right) posture under a thick blanket, with an F1-score of 72.0%. In conclusion, we developed a system that can classify seven types of common sleeping postures under blankets and achieved an F1-score of 88.9%.

Nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease and can often lead to fibrosis, cirrhosis, cancer and complete liver failure. Liver biopsy is the current standard of care to quantify hepatic steatosis, but it comes with increased patient risk and only samples a small portion of the liver. Imaging approaches to assess NAFLD include proton density fat fraction estimated via magnetic resonance imaging (MRI) and shear wave elastography. However, MRI is expensive and shear wave elastography is not proven to be sensitive to fat content of the liver (Kramer et al. 2016). On the other hand, ultrasonic attenuation and the backscatter coefficient (BSC) have been observed to be sensitive to levels of fat in the liver (Lin et al. 2015; Paige et al. 2017). In this study, we assessed the use of attenuation and the BSC to quantify hepatic steatosis in vivo in a rabbit model of fatty liver. Rabbits were maintained on a high-fat diet for 0, 1, 2, 3 or 6 wk, with 3 rabbits per diet group (total N = 15). An array transducer (L9-4) with a center frequency of 4.5 MHz connected to a SonixOne scanner was used to gather radio frequency (RF) backscattered data in vivo from rabbits. The RF signals were used to estimate an average attenuation and BSC for each rabbit. Two approaches were used to parameterize the BSC (i.e., the effective scatterer diameter and effective acoustic concentration using a spherical Gaussian model and a model-free approach using a principal component analysis [PCA]). The 2 major components of the PCA from the BSCs, which captured 96% of the variance of the transformed data, were used to generate input features to a support vector machine for classification. Rabbits were separated into two liver fat-level classes, such that approximately half of the rabbits were in the low-lipid class (≤9% lipid liver level) and half of the rabbits in the high-lipid class (>9% lipid liver level). The slope and the midband fit of the attenuation coefficient provided statistically significant differences (p value = 0.00014 and p value = 0.007, using a two-sample t test) between low and high-lipid fat classes. The proposed model-free and model-based parameterization of the BSC and attenuation coefficient parameters yielded classification accuracies of 84.11 %, 82.93 % and 78.91 % for differentiating low-lipid versus high-lipid classes, respectively. The results suggest that attenuation and BSC analysis can differentiate low-fat versus high-fat livers in a rabbit model of fatty liver disease., (Copyright © 2019 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.)

A series of alkynylplatinum(ii) terpyridine complexes functionalized with polyhedral oligomeric silsesquioxane (POSS) moieties has been demonstrated to exhibit drastic color changes and give various distinctive nanostructures with interesting multi-stage morphological transformations from spheres to nanoplates in response to solvent conditions through the interplay of various intermolecular interactions, including hydrophilic-hydrophilic, hydrophobic-hydrophobic, Pt···Pt and π-π stacking interactions. These supramolecular architectures can be systematically modified and controlled through the molecular design and the variation of solvent compositions. In particular, drastic changes in color in response to solvent polarity were observed through the incorporation of the charged moieties, representing a new class of potential candidates for functional materials with sensing or imaging capabilities. This class of complexes has been studied by 1 H NMR spectroscopy, electron microscopy, UV-vis absorption and emission spectroscopy.

Background: Herbal medicines are used by thousands of patients all over the world. However, they can often cause adverse effects. Turmeric, made from the root of Curcuma, longa, is a yellow spice used throughout South Asia for its flavor as well as for its medicinal properties. Curcumin is the main ingredient in turmeric. It is known for downregulating the expression of various proinflammatory cytokines and has been studied for its antiinflammatory mechanism. However, it has also been reported to cause contact dermatitis. Kumkum, a turmeric-based powder applied by Hindu women on their foreheads, has also been found as an allergen., Objective: The authors have reviewed the anti-inflammatory properties of curcumin and reports of contact dermatitis to understand the possible harmful effects of this commonly used spice, while also examining its beneficial role in dermatologic conditions. They aim to increase awareness regarding this common herb and its prevalent use not only in South Asia, but also in North America., Methods: A thorough literature search of the PubMed database was conducted to identify studies that examined the antiinflammatory role of curcumin and its role in contact dermatitis., Results: Eleven studies demonstrate that although curcumin does have antiinflammatory properties, it is an allergen., Conclusion: Curcumin has many valuable properties that can be exploited to treat dermatologic conditions. However, patients and dermatologists must be keen of possible allergic reactions. Further studies are needed to completely understand this widely used herb and its efficacy in dermatology.

An alkynylplatinum(II) terpyridine complex functionalized with polyhedral oligomeric silsesquioxanes (POSS) moieties has been demonstrated to exhibit self-association behavior to give various distinguishable nanostructures with interesting morphological transformation from rings to rods in response to solvent conditions through the stabilization of Pt···Pt and π-π stacking interactions as well as hydrophobic-hydrophobic interactions. These changes can be systemically controlled by varying the solvent composition and have been studied by (1)H NMR, electron microscopy, UV-vis absorption, and emission spectroscopies.

A number of ruthenium(II) and rhenium(I) bipyridine complexes functionalized with lipoic acid moieties have been synthesized and characterized. Functionalization of gold nanoparticles with these chromophoric ruthenium(II) and rhenium(I) complexes has resulted in interesting supramolecular assemblies with Förster resonance energy transfer (FRET) properties that could be modulated via esterase hydrolysis. The luminescence of the metal complex chromophores was turned on upon cleavage of the ester bond linkage by esterase to reduce the efficiency of FRET quenching. The prepared nanoassembly conjugates have been characterized by transmission electron microscopy (TEM), energy-dispersive X-ray analysis (EDX), Fourier transform infrared spectroscopy (FTIR), dynamic light scattering (DLS), UV-visible spectroscopy, and emission spectroscopy. The quenching mechanism has also been studied by transient absorption and time-resolved emission decay measurements. The FRET efficiencies were found to vary with the nature of the chromophores and the length of the spacer between the donor (transition metal complexes) and the acceptor (gold nanoparticles).

Two series of Bodipy-containing photochromic spirooxazine and spiropyran derivatives have been designed, synthesized and characterized by (1)H NMR, ESI mass spectrometry and elemental analysis. Their electrochemical and photochromic properties were investigated. The photophysical, ultrafast transient absorption, and fluorescence resonance energy transfer (FRET) properties from Bodipy (donor) to the ring-opened merocyanine (acceptor) were also studied. Upon photoexcitation, all the photochromic spirooxazine- and spiropyran-containing compounds exhibited reversible photochromism. Computational studies have been performed to provide further insights into the nature of the electronic transitions for the two classes of compounds. The rate constants and activation parameters for thermal bleaching reactions of compounds SO, SP-alkyne, 1-3, and 8-10 were determined through kinetic studies in acetonitrile. The thermal bleaching reaction rate of the spiropyran-containing compounds is found to be much slower than that of the spirooxazine-containing counterparts.

A series of platinum(II) terpyridine complexes with L-valine-modified alkynyl ligands has been synthesized. A complex with an unsubstituted terpyridine and one valine unit on the alkynyl is shown to be capable of gel formation, which is in sharp contrast to the gelation properties of the corresponding organic counterparts. Upon sol-gel transition, a drastic color change from yellow to red is observed, which is indicative of the involvement of Pt⋅⋅⋅Pt interactions. Through the concentration- and temperature-dependent UV/Vis absorption, emission, circular dichroism, and (1) H NMR studies, the contribution of hydrogen bonding, Pt⋅⋅⋅Pt and π-π stacking interactions as driving forces for gelation have been established, and the importance of maintaining a delicate balance between different intermolecular forces has also been illustrated., (Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

A new series of platinum(II) complexes with tridentate ligands 2,6-bis(1-alkyl-1,2,3-triazol-4-yl)pyridine and 2,6-bis(1-aryl-1,2,3-triazol-4-yl)pyridine (N7R), [Pt(N7R)Cl]X (1-7) and [Pt(N7R)(CCR')]X (8-17; R=n-C4 H9 , n-C8 H17 , n-C12 H25 , n-C14 H29 , n-C18 H37 , C6 H5 , and CH2 -C6 H5 ; R'=C6 H5 , C6 H4 -CH3 -p, C6 H4 -CF3 -p, C6 H4 -N(CH3 )2 -p, and cholesteryl 2-propyn-1-yl carbonate; X=OTf(-) , PF6 (-) , and Cl(-) ), has been synthesized and characterized. Their electrochemical and photophysical properties have also been studied. Two amphiphilic platinum(II)2,6-bis(1-dodecyl-1,2,3-triazol-4-yl)pyridine complexes (3-Cl and 8) were found to form stable and reproducible Langmuir-Blodgett (LB) films at the air/water interface. These LB films were characterized by the study of their surface-pressure-molecular-area (π-A) isotherms, XRD, and IR and polarized-IR spectroscopy., (Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

A series of luminescent cyclometalated platinum(II) complexes of N^C^N ligands [N^C^N=2,6-bis(benzoxazol-2'-yl)benzene (bzoxb), 2,6-bis(benzothiazol-2'-yl)benzene (bzthb), and 2,6-bis(N-alkylnaphthoimidazol-2'-yl)benzene (naphimb)] has been synthesized and characterized. Two of the platinum(II) complexes have been structurally characterized by X-ray crystallography. Their electrochemical, electronic absorption, and luminescence properties have been investigated. In dichloromethane solution at room temperature, the cyclometalated N^C^N platinum(II) complexes exhibited rich luminescence with well-resolved vibronic-structured emission bands. The emission energies of the complexes are found to be closely related to the electronic properties of the N^C^N ligands. By varying the electronic properties of the cyclometalated ligands, a fine-tuning of the emission energies can be achieved, as supported by computational studies. Multilayer organic light-emitting devices have been prepared by utilizing two of these platinum(II) complexes as phosphorescent dopants, in which a saturated yellow emission with Commission International de I'Eclairage coordinates of (0.50, 0.49) was achieved., (Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

A series of cholesterol-/estradiol-appended alkynylplatinum(II) complexes with tridentate N-donor ligands, based on 2,6-bis(1-alkylpyrazol-3-yl)pyridine, has been synthesized and characterized by (1)H NMR spectroscopy, FAB-mass spectrometry, and elemental analysis. Their photophysical properties have also been investigated. Computational studies have been performed to provide insights into the nature of the electronic transitions. Some of the complexes have been found to form stable thermo- and mechanoresponsive supramolecular gels., (Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

A series of luminescent platinum(II) complexes of tridentate 1,3-bis(N-alkylbenzimidazol-2'-yl)benzene (bzimb) ligands has been synthesized and characterized. One of these platinum(II) complexes has been structurally characterized by X-ray crystallography. Their electrochemical, electronic absorption, and luminescence properties have been investigated. Computational studies have been performed on this class of complexes to elucidate the origin of their photophysical properties. Some of these complexes have been utilized in the fabrication of organic light-emitting diodes (OLEDs) by using either vapor deposition or spin-coating techniques. Chloroplatinum(II)-bzimb complexes that are functionalized at the 5-position of the aryl ring, [Pt(R-bzimb)Cl], not only show tunable emission color but also exhibit high current and external quantum efficiencies in OLEDs. Concentration-dependent dual-emissive behavior was observed in multilayer OLEDs upon the incorporation of pyrenyl ligand into the Pt(bzimb) system. Devices doped with low concentrations of the complexes gave rise to white-light emission, thereby representing a unique class of small-molecule, platinum(II)-based white OLEDs., (Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Amongst the areas of supramolecular chemistry, low molecular weight gelators (supramolecular gels) have been considered to be one of the most interesting soft and smart materials due to their ability to construct polymeric structures from small molecules through non-covalent interactions. Recently, metal centres have been incorporated into organic-based gelators that can integrate the interesting and unique properties of metal complexes into gelator molecules that can hardly be achieved by pure organic compounds. In this review, we will give a summary of the recent developments on metallogels and their interesting properties originating from the metal centres.

The tumour suppressor alternative reading frame (ARF) is one of the most frequently mutated proteins in human cancer. It has been well established that ARF is able to stabilize and activate p53 by directly inhibiting Mdm2. ARF-mediated p53 activation in response to oncogenic stress is thought to be an important determinant of protection against cancer. However, little is known regarding the control of ARF in cells. Here, we show that Siva1 is a specific E3 ubiquitin ligase of ARF. Siva1 physically interacts with ARF both in vitro and in vivo. Through direct interaction, Siva1 promotes the ubiquitination and degradation of ARF, which in turn affects the stability of p53. Functionally, Siva1 regulates cell cycle progression and cell proliferation in an ARF/p53-dependent manner. Our results uncover a novel regulatory mechanism for the control of ARF stability, thereby revealing an important function of Siva1 in the regulation of the ARF-Mdm2-p53 pathway.

A series of BODIPY (4,4-difluoro-4-bora-3a,4a-diaza-s-indacene) derivatives containing ion- and pH-sensory units have been successfully designed and synthesized. One of the compounds was structurally characterized by X-ray crystallography. Owing to the presence of an ICT absorption band, one of the compounds was found to show pronounced solvatochromic behavior in different organic solvents. Their emission energies in various solvents show a linear dependence on the Lippert solvent parameter. The cation-binding properties of the complexes with different metal ions (alkali metal, alkaline earth metal and transition metal ions) have been studied using UV-vis and emission spectroscopies. A 1:1 complexation to metal ions (Li(+), Na(+), Mg(2+), Ba(2+), Zn(2+), Cd(2+)) was found for the compound with one azacrown moiety in acetonitrile while another one with two azacrown moieties was shown to form 1:2 complexes with Zn(2+) and Mg(2+) cations. Their stability constants have been determined by both UV-vis and emission spectrophotometric methods. By introducing triarylborane moieties into the meso position and the 2-position of the BODIPY skeleton, different electronic absorption spectral changes together with an emission diminution were observed in response to fluoride ions. Ditopic binding study of 5, which was functionalized with both azacrown and triarylborane moieties, showed emission enhancement in the presence of Mg(2+) and F(-). These findings suggest that these BODIPY derivatives are capable of serving as versatile colorimetric and luminescence probes for pH, cations and F(-).

A luminescent cyclometalated platinum(II) complex has been shown to sandwich a silver ion, which demonstrates intense luminescence with appreciable photoluminescence quantum yield. Computational studies have been performed to provide insights into the nature of the photophysical properties.

We report the use of an organo-iridium dye conjugated with a water-soluble copolyethylenimine polymer, allowing the hybrid material to be used in combination with thioacid-coated CdTe quantum dots in an aqueous medium. When they are combined, hot carrier cooling observed in the pure quantum-dot case is heavily suppressed indicating fast (ps) electron transfer on a timescale that competes with non-radiative (Auger) relaxation., (Copyright © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Dinuclear alkynylplatinum(II) terpyridyl complexes with oligomeric bridge consisting of five repeating meta-phenylene ethynylene (mPE) units have been found to exhibit a strong tendency to fold back onto themselves to form short helical strands through the stabilization of Pt···Pt and π-π interactions. The steric bulk of the terpyridine ligands and the length of the oligomeric bridge have been found to affect the extent of the intramolecular Pt···Pt interaction that governs the stabilization of the short helical strand in solution. Their folding properties via Pt···Pt and π-π stacking interactions have been studied by (1)H NMR, 2D ROESY NMR, electronic absorption, and emission spectroscopies., (© 2011 American Chemical Society)

A new class of amphiphilic anionic platinum(II) bzimpy complexes has been demonstrated to show aggregation in water through Pt···Pt and π-π stacking interactions. An interesting aggregation-partial deaggregation-aggregation process and a morphological transformation from vesicles to nanofibers have been demonstrated. These changes can be systematically controlled by the variation of solvent composition and could readily be probed by UV-vis absorption, emission, NMR, transmission electron microscopy, and even with our naked eyes., (© 2011 American Chemical Society)

A series of multifunctional platinum(II) bipyridine complexes were designed, synthesized, and characterized by (1)H NMR, fast atom bombardment mass spectrometry (FAB-MS), and elemental analysis. Their electrochemical and photophysical properties were investigated. The photochromic properties of the spironaphthoxazine-containing complexes were also studied. Some of these complexes were shown to be capable of forming stable thermoreversible metallogels in organic solvents. In contrast to typical thermotropic organogels and metallogels, one of the complexes could form metallogels in dodecane and is very stable towards external stimuli. The photochromic activation parameters for the bleaching reaction of a representative spironaphthoxazine-containing complex in a dodecane gel were determined through kinetic studies at various temperatures. Lamellar liquid-crystalline behavior was also observed in one of the complexes, and the liquid-crystalline properties were studied by thermogravimetry analysis (TGA), polarized optical microscopy (POM), differential scanning calorimetry (DSC), variable-temperature X-ray diffraction (XRD), and variable-temperature infrared (IR) spectroscopy., (Copyright © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

A luminescent cyclometalated platinum(II) complex has been demonstrated to show green electrophosphorescence in multilayer organic light-emitting devices (OLEDs) using a dual emissive layer with high current and external quantum efficiencies of 38.9 cd A(-1) and 11.5%, respectively.

A series of photochromic spironaphthoxazine derivatives has been designed, synthesized, and characterized by using (1)H NMR spectroscopy, FAB mass spectrometry, and elemental analysis. Their photophysical and photochromic behavior have been investigated. Two of the compounds (G(12)-en-SA-SO and G(16)-en-SA-SO) have been shown to be capable of forming stable thermoreversible organogels in organic solvents, tested by the "stable-to-inversion of a test tube" method. Addition of p-toluenesulfonic acid was found to induce the formation of stable organogels at concentrations below that of the critical gelation concentration (c.g.c.), with a concomitant change in color from colorless to purple. Transmission electron microscopy and scanning electron microscopy of the xerogels showed typical fibrous structures in the micrometer scale. The activation parameters for the bleaching reaction of G(8)-en-SA-SO in the solution state and G(16)-en-SA-SO in the gel state have been determined in ethanol through kinetic studies at various temperatures. The results showed that the rate of the bleaching reaction in the gel state was much slower than that in the solution state.

A series of luminescent alkynylplatinum(II) terpyridyl complexes have been synthesized and characterized by 1H NMR, IR, FAB-mass spectrometry, and elemental analysis; one of the platinum(III) complexes has also been structurally characterized by X-ray crystallography. Their electrochemical and photophysical properties have also been investigated. A majority of the complexes were able to form stable thermoreversible metallogels in organic solvents, tested by the "stable-to-inversion of a test tube" method. Transmission electron microscopy (TEM) and scanning electron microscopy (SEM) of the xerogels showed typical fibrous structures on the micrometer scale. Interestingly, whereas 2-OTf, 3-OTf, and 5-PF6 formed thermotropic metallogels mainly through van der Waals' forces with different emission colors, 1-X (X = OTf, BF4, PF6, and ClO4) showed additional Pt...Pt and pi-pi interactions to stabilize the resultant metallogels and showed drastic color changes during the gel-to-sol phase transition. The metallogels of 1-X were also different colors, depending on the nature of the counter anions, which governs the degree of aggregation and the extent of Pt...Pt and pi-pi interactions involved in the gelation process. This property may be utilized to serve as an effective reporter for microenvironmental changes.

A series of alkynylplatinum(II) complexes of 2,6-bis(N-alkylbenzimidazol-2'-yl)pyridine has been synthesized and characterized by (1)H NMR, IR, FAB mass spectrometry, and elemental analysis; the photophysical properties have also been investigated. All the complexes have been shown to exhibit interesting gelation properties. Scanning electron microscopy (SEM) of the xerogels showed a network of fibrous structures, typical of morphologies of organogels/metallogels. Interestingly, two of the complexes were found to show strong luminescence enhancement upon a gel-to-sol phase transition upon increasing the temperature. This unusual behavior is rarely encountered, as it represents a sharp contrast to that exhibited by other typical thermotropic organogels and metallogels reported so far. Variable-temperature UV-vis and luminescence spectroscopies were performed to probe the gel-to-sol phase transition. Concentration-dependent, variable-temperature, and time-resolved emission studies in dilute benzene solution have also been made to provide further insights into the spectroscopic origin in the sol forms. A quantitative treatment of the system based on the Birks scheme has been performed.

Helical superstructures: A series of luminescent chiral alkynylplatinum(II)-terpyridyl complexes has been successfully synthesised and shown to be capable of forming metallogels that show helical fibrous nanostructures. The chiral supramolecular structure and the spectroscopic properties are found to depend on the extent of aggregation through Pt...Pt and pi-pi interactions in various counteranions, as revealed by UV/Vis, circular dichroism (CD), and luminescence studies (see picture).

Introduction: The use of hand warmers in Hong Kong during cold weather has become increasingly popular. Iron powder is one of the ingredients. We report the first cases of ingestion of hand warmer contents. CARE REPORTS: Four elderly patients ingested the contents of hand warmers. All had no or mild symptoms, one had radiopaque particles in the stomach, two showed transiently increased serum iron concentrations (within the reference range), and all recovered with only supportive care., Discussion: These hand warmers contain a mixture of iron powder, activated charcoal, vermiculite, sodium chloride, and water. Iron powder accounts for about 50% of the weight (range 95-120 g). There are no reports of elemental iron or iron oxides ingestion causing iron toxicity and no published data on the absorption, elimination, adverse effects, or toxicities in humans after unintentional ingestion of hand warmer contents. A single oral dose toxicity test of hand warmer contents (2 g/kg) resulted in no toxicity or deaths in ten rats. Ingestions of one hand warmer packet or less can be treated with observation and supportive care as needed., Conclusions: Although this case series is small, the lack of toxicity is consistent with animal studies. It appears unlikely that significant toxicity will occur after the ingestion of one hand warmer packet. The ingestion of larger amounts might lead to iron-related toxicity and may justify more aggressive management. Proper labeling by local distributors may prevent further unintentional ingestions of these non-food products.

Instant hydrogelation of coumarin-derivatized glycine has been demonstrated in the absence of long-chain hydrophobic groups upon formation of a zinc(ii) coordination polymer, which exhibits fluorescence enhancement upon gelation.

A new class of luminescent alkynylplatinum(II) complexes of tridentate bis(N-alkylbenzimidazol-2'-yl)pyridines (bzimpy), [Pt(R,R'-bzimpy)(C[triple chemical bond]C-R'')]X (X=PF(6), OTf), and one of their chloro precursor complexes, [Pt(R,R'-bzimpy)Cl]PF(6), have been synthesized and characterized; one of the alkynyl complexes has also been structurally characterized by X-ray crystallography. Electrochemical studies showed that the oxidation wave is alkynyl ligand-based in nature with some mixing of the metal center-based contribution, whereas the two quasi-reversible reduction couples are mainly bzimpy-based reductions. The electronic absorption and luminescence properties of the complexes have also been investigated. In solution, the high-energy and intense absorption bands are assigned as the pi-pi* intraligand (IL) transitions of the bzimpy and alkynyl ligands, whereas the low-energy and moderately intense absorptions are assigned to an admixture of metal-to-ligand charge-transfer (MLCT) (dpi(Pt)-->pi*(R,R'-bzimpy)) and ligand-to-ligand charge-transfer (LLCT) (pi(C[triple chemical bond]C-R'')-->pi*(R,R'-bzimpy)) transitions. Upon variation of the electronic effects of the arylalkynyl ligands, vibronic-structured or structureless emission bands, originating from triplet metal-perturbed intraligand (IL) or an admixture of triplet metal-to-ligand charge-transfer (MLCT) and ligand-to-ligand charge-transfer (LLCT) excited states respectively, were observed in solution. Interestingly, two of the complexes showed a dual luminescence that was sensitive to the polarity of the solvents. Upon cooling from 298 K to 155 K, drastic color, UV/Vis, and luminescence changes were observed in a butyronitrile solution of 1, and were ascribed to the formation of aggregate species through PtPt and pi-pi stacking interactions. DFT and time-dependent DFT (TD-DFT) calculations have been performed to verify and elucidate the results of the electrochemical and photophysical properties.

A series of platinum(II) terpyridyl complexes has been demonstrated to show gelation properties driven by Pt...Pt and pi-pi interactions in addition to hydrophobic-hydrophobic interactions; counter-anions have been found to affect strongly the colour of the metallogel.

Emergency department (ED) doctors often intubate patients, however no data was available in Hong Kong on this aspect. Our study was to assess the competency of ED doctors in intubating critical patients in a typical ED in Hong Kong. Between March and August 1999, in an urban hospital with an emergency physician training programme, all doctors, after performing any tracheal intubation, were required to fill in a pro forma designed for the study. Data collected included the training status of the intubator, the number of intubation attempts, intubation methods and complications. A total of 214 ED patients required advanced airway management including 87 (41%) patients in cardiopulmonary arrest; 207 (97%) of them were successfully intubated by ED doctors (76 by specialists, 61 by trainees, 70 by residents) and 90% were successful in the first attempt. The remaining seven patients' airway control was eventually managed by anaesthetists who successfully intubated six patients and performed cricothyrotomy for one patient. Rapid sequence intubation was performed in 70 (33%) patients by ED doctors and specialists. There were 30 (14%) patients successfully intubated using sedative agents alone. Twenty-two (10%) patients were found to have a total of 32 complications including 13 patients with oesophageal intubation, seven with soft tissue damage, four with desaturation, three with bronchial intubation, three with hypotension, one with dental trauma, one with dysrhythmia. The majority of ED intubations for critically ill patients were performed by ED doctors with high success rate and few major complications.

Study Objective: This study examined the impact on children's respiratory health of a government air quality intervention that restricted the sulphur content of fuels to 0.5% from July 1990 onwards., Design/setting/participants: This study examined the changes, one and two years after the introduction of the intervention, in airway hyperreactivity of non-asthmatic and non-wheezing, primary 4, 5, and 6, school children aged 9-12 years living in a polluted district compared with those in a less polluted district. Bronchial hyperreactivity (BHR)(a 20% decrease in FEV1 provoked by a cumulative dose of histamine less than 7.8 mumol) and bronchial reactivity slope (BR slope) (percentage change in logarithmic scale in FEV1 per unit dose of histamine) were used to estimate responses to a histamine challenge. The between districts differences after the intervention were studied to assess the effectiveness of the intervention., Main Results: In cohorts, comparing measurements made before the intervention and one year afterwards, both BHR and BR slope declined from 29% to 16% (p = 0.026) and from 48 to 39 (p = 0.075) respectively in the polluted district; and from 21% to 10% (p = 0.001) and 42 to 36 (p > 0.100) in the less polluted district. Comparing measurements made in 1991 (one year after intervention) with those in 1992 (two years after intervention), only the polluted district showed a significant decline from 28% to 12% (p = 0.016) and from 46 to 35 (p = 0.014), for BHR and BR slope respectively, with a greater decline in both responses (p = 0.018 and 0.073) than in the less polluted district., Conclusion: Bronchial hyperresponsiveness tests can be used to support the evaluation of an air quality intervention. The demonstrated reduction in bronchial hyperresponsiveness is an indication of the effectiveness of the intervention.

Breath hydrogen (H2) analysis was used to study lactose malabsorption in Southern Chinese children and infants. End-expired air was collected in 85 children using a modified anaesthesia bag system; while in infants, a novel automated end-expired sampling device was constructed and tested on 45 term and 27 preterm infants. Hydrogen and other respiratory gases were measured in the expired air using standard gas chromatograph equipped with a thermal conductivity detector. The system was found to have a detection limit of 0.5 ppm for H2. Both sampling methods were found to be reproducible, with intra-individual coefficient variations of less than 10%. Using 5% carbon dioxide as the expected alveolar concentration, the samples obtained by the bag system represented 85% of the end-expired air, while those obtained by the automated machine corresponded to 75%-100% end-tidal air. Taking 20 ppm rise in breath H2 as a cutoff criterion, the incidence of lactose malabsorption in the children was 78%; while in term and preterm infants this was 17.8% and 63% respectively.

Bronchial responsiveness was studied by histamine challenge in 423 school children with mean (SEM) age of 10.85 (0.05) years living in two districts of Hong Kong with contrasting levels of air pollution. Differences between districts of residence were observed, with a higher prevalence of bronchial hyperreactivity (BHR) in children living in the more polluted district (chi 2 = 7.74, df = 3, p = 0.052). Bronchial hyperreactivity was defined as a 20 percent or greater drop in FEV1. The district effect remained after exclusion of children with a history of wheeze and those diagnosed asthmatic for prevalence of BHR (chi 2 = 8.93, df = 3, p = 0.030) and for degree of bronchial reactivity (BR) after adjustment for other socioeconomic factors and smoking in the home (z = 1.97, p = 0.049). Bronchial reactivity was defined as the percentage drop in FEV1 per cumulative histamine dose from postsaline to end dose. The results demonstrate that studies on bronchial responsiveness can be used to assess the effects of air quality on the respiratory health of children and will be employed to measure the impact of new air quality control measures in Hong Kong.

The 50,000 or so known species of fungi are present in a large part of our environment and are common in soil, decaying vegetable matter, animals and air. Despite this diversity the actual spectrum of fungal infections in man is limited and in neonates is limited even further.

Ninety-nine preterm infants with birth weights < 1750 gm had three doses of hepatitis B vaccine. Fifty-seven received the first dose when they weighed > or = 1000 gm (group 1) and 42 when they weighed > or = 2000 gm (group 2). The final seropositive rates and geometric mean titers of group 1 infants (79%, 61 mIU/ml) and group 2 infants (91%, 262 mIU/ml) were less than that of 43 normal term infants (100%, 679 mIU/ml).

A 2 year old Chinese boy was reported in whom there was an association between usual interstitial pneumonitis (UIP) and serum antineutrophil cytoplasmic antibody of the classical cytoplasmic type (cANCA). The concentration of cANCA reflected disease activity and decreased during a 6-week course of prednisolone. The gallium lung scintiscan index correlated with his disease activity. Both the serum cANCA concentration and the gallium lung scan could be used to monitor responses to treatment in this patient with UIP.

IgG4-anti-IgE antibodies have been identified in normal nonatopic subjects, as well as in allergic patients. Their potential role remains controversial. We studied 44 Chinese children with allergic symptoms, and measured their IgG4-anti-IgE serum levels using a modified IgG4 FAST assay. The levels of IgG4-anti-IgE antibodies did not correlate with clinical status. The usefulness and relevance of these measurements remain questionable in allergic patients.

We studied the effect of anticoagulants and incubation time on neutrophil nitroblue tetrazolium (NBT) scores. Heparin (10 IU/ml) and EDTA (1.5 mg/ml) were used, and the preparations were incubated for periods ranging from 20 to 180 min. Heparin, in contrast to EDTA, was found to be associated with cell destruction, cell aggregates and higher NBT scores; the effects were more profound with endotoxin stimulation. The duration of incubation significantly affects NBT scores in both the heparin- and EDTA-anticoagulated samples, and the effect is more marked with heparin. Cell destruction and cell clumping are both enhanced with incubation, again more so with heparin. It is concluded that when performing NBT tests, blood samples would best be anticoagulated with EDTA to ensure more consistent results.

Since differences in HLA groups have been found in Chinese populations, as well as differences in the values of total IgE in China, Japan and Thailand, a study has been done in 44 Chinese children, all of them with a history of atopic conditions divided into five groups: asthma, rhinitis, conjunctivitis, allergic bronchitis and atopic dermatitis. 34 of them were positive against D. pteronyssimus, 8 against cats, 3 against dogs and 3 against fish. The only adult patient studied was positive against gramineal plants (all positivities were tested with the prick test). IVT ELISA Screen is performed against 10 allergens, as well as 3 M FAST-Test and 3 M Total IgE FAST Plus Test. The results show that the majority of children had an elevation of the total IgE in the three tests. There is quite a good agreement between FAST and IgE-IVT and a better correlation between IgE-IVT and IgE FAST Plus. The correlation between IgE FAST and IgE FAST Plus was excellent.