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Ternary organic solar cells (OSCs) containing a three-component photoactive layer with cascading energy alignments could benefit the charge transfer and improve the open-circuit voltage and power conversion efficiency. Herein, we report the incorporation of a derived chlorinated polymer, J52-Cl, as a guest donor into the donor J52 and acceptor N2200 blend film. The lowest unoccupied molecular orbital and the highest occupied molecular orbital levels of J52-Cl are between the corresponding energy levels of J52 and N2200, and this leads to generation of a cascade of energy levels. Photoluminescence measurements and the

Malware detection techniques achieve great success with deeper insight into the semantics of malware. Among existing detection techniques, function call graph (FCG) based methods achieve promising performance due to their prominent representations of malware's functionalities. Meanwhile, recent adversarial attacks not only perturb feature vectors to deceive classifiers (i.e., feature-space attacks) but also investigate how to generate real evasive malware (i.e., problem-space attacks). However, existing problem-space attacks are limited due to their inconsistent transformations between feature space and problem space. In this paper, we propose the first structural attack against graph-based Android malware detection techniques, which addresses the inverse-transformation problem [1] between feature-space attacks and problem-space attacks. We design a Heuristic optimization model integrated with Reinforcement learning framework to optimize our structural ATtack (HRAT). HRAT includes four types of graph modifications (i.e., inserting and deleting nodes, adding edges and rewiring) that correspond to four manipulations on apps (i.e., inserting and deleting methods, adding call relation, rewiring). Through extensive experiments on over 30k Android apps, HRAT demonstrates outstanding attack performance on both feature space (over 90% attack success rate) and problem space (up to 100% attack success rate in most cases). Besides, the experiment results show that combing multiple attack behaviors strategically makes the attack more effective and efficient.

Breast cancer is one of the most common malignant tumors in women. Cell division cycle‑associated 5 (CDCA5) is closely associated with the behavior of various cancer types. The aim of the present study was to explore the effect of CDCA5 on breast cancer. Western blot analysis and reverse transcription‑quantitative PCR were used to detect the expression level of CDCA5 in human normal mammary cells and human breast cancer cell lines. To determine its function in MDA‑MB‑231 cells, CDCA5 was silenced in MDA‑MB‑231 cells by transient short hairpin RNA transfection. Cell Counting Kit‑8 and clonogenicity assays were used to evaluate cell proliferation. Wound healing and Transwell assays were used to detect cell invasion and migration. Western blot analysis was used to detect the protein expressions of Ki67 and PCNA associated with proliferation, MMP2 and MMP9 associated with migration. CDCA5 was found to be markedly increased in breast cancer cell lines. CDCA5 knockdown was able to suppress cell proliferation, invasion and migration. CDCA5 inhibition downregulated PDS5 cohesin‑associated factor A (PDS5A) expression in breast cancer cells. PDS5A overexpression was found to reverse the effect of CDCA5 inhibition on breast cancer cell proliferation and migration. CDCA5 knockdown was shown to suppress the malignant progression of breast cancer cells by regulating PDS5A. The present findings may provide new potential targets for breast cancer therapy.

Background and aims Soil organic carbon (SOC) mineralization produces important CO2 flux from terrestrial ecosystems which can provide feedbacks to climates. Vegetation restoration can affect SOC mineralization and its temperature sensitivity (Q10), but how this effect is related to soil moisture remains uncertain. Methods We performed a laboratory incubation using soils of different vegetation restoration stages (i.e., degraded vegetation [DS], plantation [PS], and secondary natural forest [SFS]) maintained under different moisture and temperature conditions to explore the combined effects of vegetation restoration and soil moisture on SOC mineralization and Q10. Results We found that cumulative SOC mineralization in PS and SFS were about 11.7 times higher than that in the DS, associated with higher SOC content and microbial biomass. Increased soil moisture and temperature led to higher SOC mineralization in the SFS and PS. However, in the DS, soil moisture did not affect SOC mineralization, but temperature enhancement solely increased (158.7%) SOC mineralization at the 60%MWHC treatment. Furthermore, significant interactive effect of vegetation restoration and soil moisture on Q10 was detected. At the 60%MWHC treatment, Q10 declined with vegetation restoration age. Nevertheless, at the 30%MWHC treatment, Q10 was lower in the DS than that in the PS. Higher soil moisture did not affect Q10 in the PS and SFS, but enhanced Q10 in the DS. Conclusions Our results highlight that the responses of SOC mineralization and Q10 to vegetation restoration were highly dependent on soil moisture and substrate availability, and vegetation restoration reduced the influence of soil moisture on Q10.

BACKGROUND Brain-derived neurotrophic factor (BDNF) is one of the neurotrophic factors that modulate critical metabolic activities, including apoptosis, proliferation, and differentiation modulation. Although numerous studies have focused on the damaging effects of BDNF on neurons, the underlying relationship between these effects remains unclear. In the present study, we investigated the protective effect of BDNF on neuronal injury induced by ropivacaine and assessed whether it is related to the Akt signaling pathway. MATERIAL AND METHODS Human neuroblastoma cell line SH-SY5Y cells were stimulated with ropivacaine at different concentrations to induce neuronal injury. MTT analysis, flow cytometry, immunohistochemistry, qRT-PCR, and Western blot were used to investigate the proliferation activity, apoptotic level, and expression of Akt, PCNA, Bax, Bcl-2, and cleaved caspase-3, collectively demonstrating the underlying regulatory mechanisms. RESULTS Compared with the control group, the morphological damage and proliferation inhibition of SH-SY5Y cells induced by ropivacaine were dose-dependent and time-dependent, accompanied by a significant decrease in Akt expression. We treated cells with BDNF or SC79, which is a selective cell-permeable small molecule Akt activator. The results showed that, compared to the ropivacaine group, the morphological damage of neurons was alleviated; cell proliferation activity was enhanced; apoptotic rate was reduced; PCNA, Bcl-2, and phosphorylated Akt expression levels were increased; and Bax and caspase-3 gene and protein expression were decreased. We were able to reverse these effects by administering API-2, an Akt inhibitor. CONCLUSIONS BDNF can alleviate ropivacaine-induced neuronal injury by activating Akt signaling pathway, consequently modulating the proliferation and apoptosis of neurons.

Chlorine-substituted conjugated polymers not only possess simple and high-yield synthetic steps due to the cheap raw materials available for their synthesis but also exhibit great potential for the...

The ongoing expansion of Eucalyptus plantations is changing the development of the world's forests. But, it also threatens ecological security regionally and worldwide. The expansion effect on biodiversity and soil nutrients is a universal problem, which has always been heatedly debated. In order to evaluate the long‐term influence of intensive management of Eucalyptus plantations under successive short‐rotation regime on understory plant diversity, soil nutrients and Eucalyptus tree growth, we chose a chronosequence representing the first to the sixth rotation of Eucalyptus plantations arrayed in the major Eucalyptus plantation areas in southern China and analyzed plant diversity indices, composition of plant functional groups (PFGs), soil nutrient concentrations and Eucalyptus tree growth at the stand level. Our results reveal that intensive management exerts a long‐lasting negative effect on understory plant species diversity, soil nutrients and Eucalyptus tree growth over successive rotations. Changes in soil nutrient content related with C and P cycling and declines in soil total nitrogen and available phosphorus were related with understory PFGs degradation. Furthermore, the combination of declines in understory woody plants, grasses and soil N and P cycling indices led to serious exotic plant invasion in the understory. Our study suggests that serious alien plant invasions could threaten the biosecurity, soil and timber security in Eucalyptus plantations. We suggest that reducing management intensity, converting mono‐cultured Eucalyptus plantations into mixed plantations with indigenous tree species, and changing from successive short‐rotation to short‐, medium‐ and long‐term cyclic rotations are required to sustainably manage these plantations through improving plant diversity, restoring degraded soils and resisting plant invasions.

Background The prevalence of drug-related problems in patients hospitalized at respiratory care units is unknown in mainland China. Objective To identify and categorize drug-related problems in a respiratory care unit in China. Setting Respiratory care unit in a tertiary university hospital in China. Methods Clinical pharmacy services were introduced and documented during an 18-months study period. The problems were categorized using the Pharmaceutical Care Network Europe DRP classification tool V8.02. Main outcome measures Problems and causes of drug-related problems, interventions proposed, and outcome of pharmacy recommendations. Results A total of 474 patients were reviewed, 164 patients had DRPs (34.6%). Total 410 problems were identified, an average of 2.5 per patient. Treatment effectiveness was the major type of problem detected (219; 53.4%) followed by treatment safety (140; 34.1%). The most common causes of the problems were patient-related (25.8%), drug selection (24.0%), and drug use process (23.4%). Pharmacist made 773 interventions; average 1.9 per drug-related problem. A total of 96.2% of these interventions were accepted leading to solving 81.9% of the identified problems. Conclusion There is a high prevalence of drug-related problems in patients hospitalized at the respiratory unit of this clinic. Clinical pharmacists should focus on improving prescribing practice and patient counseling.

Objective: To study the effects of sevoflurane on reproductive function and its main mechanism of action in male rats.Materials and methods: Forty adult male Sprague-Dawley rats were divided into 4 groups and exposed to 0, 50, 300 and 1800 ppm of sevoflurane, respectively. After 15 days, the serum levels of sex hormones and inflammatory factors were detected using enzyme-linked immunosorbent assay. Left testis was taken for conventional histopathological examination and TUNEL staining. Right testis was used for sperm production and daily sperm count were evaluated daily. Johnsen score was used to categorize the spermatogenesis. The expression of related genes in the hypothalamic-pituitary-gonadal axis were analyzed by quantitative real time polymerase chain reaction (qRT-PCR).Results: Exposure to sevoflurane increased the levels of serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), tumor necrosis factor-α (TNF-α), and monocyte chemoattractant protein 1 (MCP-1), decreased the content of serum testosterone (T), reduced the concentration of testicular sperm, the production of daily sperm and Johnsen score, and damaged vas deferens in a dose dependent manner. In addition, chronic exposure to sevoflurane down-regulated transcription of gonadotropin-releasing hormone (GnRH) and kisspeptin (Kiss)-1 as well as its receptor GPR54 in hypothalamus, attenuated GnRH receptor and LH-β mRNA levels, but increased FSH-β mRNA in pituitary gland, and enhanced mRNA of LH receptor and FSH receptor, but decreased INH-α and INH-βA mRNA levels in testes.Discussion and conclusions: Sevoflurane induces disorders of spermatogenesis and causes testicular injury. The underlying mechanism may be related to the imbalance of sex hormones in the hypothalamic-pituitary-gonadal axis.

To investigate the effect of dexmedetomidine post-conditioning on the inflammatory response and autophagy effect of focal cerebral ischemia reperfusion injury in rats, and further to study its potential mechanisms. Water maze was conducted to evaluate spatial learning and memory ability of middle cerebral artery occlusion (MCAO) rats. TTC staining was used to observe the area of cerebral infarction. The expressions of inflammatory factors in serum were detected by ELISA. TUNEL assay, HE staining, and transmission electron microscopy were used to detect the apoptosis of neurons, neuro-cytopathic changes, and the formation of auto-phagosome in hippocampus CA1 region, respectively. The mRNA and protein expression of Beclin-1, Caspase-3, and light chain 3 (LC3) were detected by qRT-PCR and Western blot. Moreover, the activity of C-Jun N-terminal kinase (JNK) pathway was detected by Western blot. The escape latency (EL); cerebral infarction area ratio; positive apoptosis; neuron pathological changes; auto-phagosome numbers; inflammatory factor contents; mRNA and protein expressions of Beclin-1, Caspase-3 and LC3II/I; and the phosphorylation level of JNK were decreased, while the times across platform and the times stayed in the quadrant of the original platform were increased after dexmedetomidine treatment. However, the protective effect of dexmedetomidine on brain injury in MCAO rats was reversed by JNK pathway activator. Dexmedetomidine post-conditioning could improve learning and memory dysfunction caused by MCAO in rats and reduce the inflammatory response and autophagy effect. The mechanism may be related to inhibition of JNK pathway activation.

The palladium-catalyzed decarbonylative Suzuki-Miyaura coupling of amides via selective amide C-N bond cleavage was reported, which afforded mild access to substitute biaryl products in the presence of low catalyst loading with NaHCO3 as the base in good yields within 4 h (29 examples).

G-quadruplex specific dyes are powerful tools for probing nucleic acid structures. Among nucleic acids, aptamers are of great interest, and widely exploited to construct versatile bioassays. Herein, based on G-quadruplex selective dye, thioflavin T (ThT), for probing the intrinsic structure of aptamers, we proposed a ratiometric fluorescence resonance energy transfer (FRET) aptasensor enabling robust and ultrafast detection of toxin. The binding of target ochratoxin A (OTA) would destruct the G-quadruplex structure of aptamer. It would lead to the detachment of ThT dye from aptamer which diminished the FRET effect between ThT and terminal-labeled dye, thus allowing quantification of OTA via FRET signals. The FRET aptasensor would confer an enhancement of 76.9% of signal to background ratio compared to the ThT-based non-FRET aptasensor. Remarkably, the FRET mechanism would eliminate the signal fluctuation resulted from varied probe concentration, thus benefiting the robustness of the assay. The aptasensor could achieve a detection of limit of 0.38 ng/mL for OTA detection. And the detection of OTA could be finished within 30 s. Besides, the assay was successful in analyzing OTA in coffee and oat samples with recoveries rate of 93.93%–107.59%. Therefore, G-quadruplex specific dye-based probing and FRET method would be a compelling design strategy for aptasensor, and may facilitate their practical application in food safety and environmental screening.

Protein remote homology detection is one of the most challenging problems in the field of protein sequence analysis, which is an important step for both theoretical research (such as the understanding of structures and functions of proteins) and drug design. Previous studies have shown that combining different ranking methods via learning to the rank algorithm is an effective strategy for remote protein homology detection, and the performance can be further improved by the protein similarity networks. In this paper, we improved the ProtDec-LTR1.0 and ProtDec-LTR2.0 predictors by incorporating three profile-based features (Top-1-gram, Top-2-gram, and ACC) into the framework of learning to rank via feature mapping strategies. The predictive performance was further refined by the pagerank (PR) algorithm and hyperlink-induced topic search (HITS) algorithm. Finally, a predictor called ProtDec-LTR3.0 was proposed. Rigorous tests on two widely used benchmark datasets showed that the ProtDec-LTR3.0 predictor outperformed both ProtDec-LTR1.0 and ProtDec-LTR2.0, and other nine existing state-of-the-art predictors, indicating that the ProtDec-LTR3.0 is an efficient method for protein remote homology detection, and will become a useful tool for protein sequence analysis. A user-friendly web server of the ProtDec-LTR3.0 predictor was established for the convenience of users, which can be accessed at http://bliulab.net/ProtDec-LTR3.0/.

Urbanization and land use transformation are typical characteristics of China in recent decades. Studying the effects of urban land use transitions (ULUT) on the economic spatial spillovers of central cities (ESSCC) can provide a reference for China to optimize cities’ land space layout and promote their coordinated development. Based on the direct and indirect effects of ULUT in central cities on the production factors and economic growth in other cities, this paper reveals the mechanisms underlying the influence of ULUT on ESSCC. Then, we usethe expanded geographical distance-weighted spatial Durbin model with the panel data of 152 Chinese urban agglomeration cities from 2003 to 2016 to empirically test it. The results show that, since 2003, the rate of urban land expansions, the level of urban land intensive use (ULIU), the degree of land marketization, and the urban land prices in China have increased substantially, and the proportionate supplies of industrial land, commercial land, and residential land have decreased. Moreover, ULUT between cities have significant spatial autocorrelations. The current ULUT have positive but small effects on ESSCC. Among them, ULIU has the greatest promotion effects on ESSCC. The impacts of ULUT on ESSCC vary greatly among urban agglomerations. The ULUT in central cities indirectly enhance the ESSCC, which mainly depend on the positive effects of ULUT on enterprise investment, infrastructure investment, labor and technological efficiency and the spatial spread effects of these production factors. This is the main intermediate mechanism by which the ULUT in central cities enhance the ESSCC. Continuing to strengthen ULIU, promote the improvement of land marketization, and establish and improve the coordination mechanism for the economic development of urban agglomerations will help to strengthen the ESSCC in urban agglomerations. The results provide evidence for how the Chinese government can enhance the ESSCC and promote the coordinated development of cities through ULUT under new urbanization.

The development of isomeric molecules has been widely exploited in molecular structures associated with organic solar cells (OSC) and is an effective pathway to finely tune the photoelectric properties and device performance. The molecular properties of nonfullerene acceptors and the morphology of blend films can be effectively controlled by manipulating isomeric substituent positions on benzene-fused end-capping groups (EG) in acceptors. Here, three isomeric EGs were designed and synthesized which simultaneously possess an electron-withdrawing bromine and an electron-donating methyl substituent. By linking three isomeric EGs, (Br,Me), (Br,Me)-1, and (Br,Me)-2 each with the BTP-CHO core, three isomeric small-molecule acceptors (SMA) were obtained. The power conversion efficiency (PCE) of PM6:BTP-(Br,Me)-1-based OSCs is 13.43%, is much higher than that of PM6:BTP-(Br,Me)- (11.92%) and PM6:BTP-(Br,Me)-2- (11.08%) based devices. Our results show that isomeric EGs can provide strategies to tune the absorption spectra of SMAs, intramolecular charge transfer (ICT) and electron mobility of organic semiconductor device, and ultimately increase the performance of nonfullerene acceptors.

As is well known, dexmedetomidine (DEX) serves a neuroprotective role in cerebral ischemia-reperfusion (CIR) injury, and microRNA (miR)-199a has been re-ported to be associated with IR injury. However, the association between DEX and miR-199a in CIR injury remains unknown. Thus, the aim of the present study was to verify whether the neuroprotective effect of DEX on cerebral ischemia-reperfusion rats is associated with miR-199a. A rat model of CIR was established, and the modified neurological severity score (mNSS) was evaluated. The effect of DEX on the patholog-ical structure of the cerebral cortex in CIR rats was observed by hematoxylin and eosin and Nissl staining. Reverse transcription-quantitative PCR was used to analyze the expression levels of miR-199a in brain tissue following intracerebroventricular injection of miR-199a antagomir. The co-expression of NeuN and microtubule-associated proteins 1A/1B light chain 3B in the cerebral cortex was analyzed by immunofluorescence staining. Western blotting and immunohistochemistry were performed to analyze the expression of autophagy-associated proteins in the brain tissue. DEX inhibited the expression of miR-199a, decreased the mNSS and improved pathological damage to the cerebral cortex. DEX also inhibited autophagy and expression levels of associated proteins and decreased nerve cell injury. In conclusion, DEX inhibited expression of miR-199a and improved neurocyte injury induced by CIR.

At present, liver ischemia-reperfusion (IR) injury is still a great challenge for clinical liver partial resection and liver transplantation. The innate immunity regulated by liver macrophages orchestrates the cascade of IR inflammation and acts as a bridge. As a specific macrophage subunit of vacuolar ATPase, ATP6V0D2 (V-ATPase D2 subunit) has been shown to promote the formation of autophagolysosome in vitro. Our research fills a gap which has existed in the study of inflammatory stress about the V-ATPase subunit ATP6V0D2 in liver macrophages. We first found that the expression of specific ATP6V0D2 in liver macrophages was upregulated with the induction of inflammatory cascade after liver IR surgery, and knockdown of ATP6V0D2 resulted in increased secretion of proinflammatory factors and chemokines, which enhanced activation of NLRP3 and aggravation of liver injury. Further studies found that the exacerbated activation of NLRP3 was related to the autophagic flux regulated by ATP6V0D2. Knocking down ATP6V0D2 impaired the formation of autophagolysosome and aggravated liver IR injury through nonspecific V-ATPase activation independent of V-ATPase-Notchl-Hesl signal axis. In general, we illustrated that the expression of ATP6V0D2 in liver macrophages was upregulated after liver IR, and by gradually promoting the formation of autophagolysosomes to increase autophagy flux to limit the activation of liver inflammation, this regulation is independent of the Notch1-Hes1 signal axis.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is sweeping the world since the end of 2019. The titer change of antibodies against SARS-CoV-2 needs to be further clarified, the clinical and preventive value of antibodies still needs to be further investigated. An enzyme-linked immunosorbent assay (ELISA) was established by coating with SARS-CoV-2 recombinant spike protein and used to detect serum immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies against SARS-CoV-2 in coronavirus disease 2019 patients to evaluate the pattern of changes of antibodies. The specificity of the ELISA for detection SARS-CoV-2 IgM and IgG were 96% (144/150) and 100% (150/150), respectively. The sensitivity of ELISA was 100% (150/150) for IgM, and 99.3% (149/150) for IgG. SARS-CoV-2-SP-IgM and SP-IgG antibodies could be detected on Day 1 of hospitalization in 12.5% patients, and SP-IgM began to decrease after reaching its peak at around 22-28 days, and become negative at Month 3 in 30% patients and negative at Month 7 in 79% of these patients after onset; IgG reached its peak around Day 22-28 and kept at a high level within the longest observation period for 4 months, it dropped very sharply at 7 months. The positive rates of SP-IgM and SP-IgG were higher than those of reverse transcription-polymerase chain reaction on Day 7 and 4. The established indirect ELISA has good specificity and sensitivity. IgM and IgG against SARS-CoV-2 appeared almost simultaneously in the early stage, and the level of IgG antibodies could not maintain a high plateau in the observation period of 7 months. Our data will help develop the diagnosis and vaccine of SARS-CoV-2.

Background: Many esophageal cancer patients with lymph node metastases during surgery are recommended for postoperative radiation therapy. However, postoperative radiation could cause many serious adverse reactions. Here, we introduce a new radical operation for esophageal cancer under bilateral thoracoscopy to reduce the adverse reactions of postoperative radiation.Case presentation: A 50-year-old man was diagnosed with Esophageal squamous cell carcinoma by gastroscopy. Because the tumor was found to have obvious invasion and rapid pathology showed positive lymph nodes during the operation, which is in line with the postoperative chemotherapy indication, we adopted a bilateral thoracic approach for esophageal cancer to reduce adverse reactions of postoperative radiotherapy. We successfully guided the tubular stomach through the left thoracic aortic arch to the left thoracic cavity, and then performed an esophageal-tubular stomach anastomosis on the left neck under bilateral thoracoscopy to reduce radiation exposure to the remnant stomach. The operation went well.Conclusion: For patients with esophageal cancer who are found to have radiotherapy indications during the operation, bilateral thoracoscopic radical resection of esophageal cancer should be preferred during the operation to improve the postoperative radiotherapy effect.

The present study intends to clarify the hypothesis that PVL-positive Methicillin-resistant S. aureus strain (PVL

In organic electronics, an aromatic fused ring is a basic unit that provides π-electrons to construct semiconductors and governs the device performance. The main challenge in developing new π-skeletons for tuning the material properties is the limitation of the available chemical approach. Herein, we successfully synthesize two pentacyclic siloxy-bridged π-conjugated isomers to investigate the synergistic effects of Si and O atoms on the geometric and electronic influence of π-units in organic electronics. Notably, the synthesis routes for both isomers possess several advantages over the previous approaches for delivering conventional aromatic fused-rings, such as environmentally benign tin-free synthesis and few synthetic steps. To explore their potential application as photovoltaic materials, two isomeric acceptor–donor–acceptor type acceptors based on these two isomers were developed, showing a decent device efficiency of 10%, which indicates the great potential of this SiO-bridged ladder-type unit for the development of new high-performance semiconductor materials., Developing a new π-skeletal aromatic fused-ring for tuning material properties in organic electronics is still a challenge due to limited chemical approach. Here, the authors enrich the chemistry by synthesizing SiO-bridged ladder-type π-skeletons with enhanced planarity and deeper energy levels than CO-bridged counterpart.

OBJECTIVE: To assess the clinical value of individualized pharmaceutical services for patients receiving vancomycin for severe infections and establish clinical monitoring procedures during vancomycin treatment. METHODS: Data were collected from patients with severe infections who received vancomycin treatment with individualized pharmacy services (test group, 144 cases) or without such services (control group, 884 cases) between January, 2017 and December, 2018. Using propensity score matching, the patients in the two groups with comparable baseline data were selected for inclusion in the study (62 in each group), and the efficacy, safety and economic indicators were compared between the two groups. RESULTS: The curative effects of the treatment did not differ significantly between the two groups, with the overall response rates of 95.16% in the test group and 91.94% in the control group (P > 0.05). The percentage of neutrophils before vancomycin treatment and calcitonin level after the treatment differed significantly between the two groups (P < 0.05). No significant difference was found in the incidence of adverse events associated with the treatment between the test and control groups (8.06% vs 9.68%, P > 0.05); a significant difference in creatinine level was noted between the two groups after vancomycin treatment (P < 0.05). The number of days of medication, the cost of vancomycin and its proportion in the total expenses differed significantly between the two groups (P < 0.05). Cost-effectiveness analysis showed a better cost-effectiveness in the test group than in the control group (50052.78 vs 57601.23). The intensity of vancomycin use was also lower in the test group than in the control group (0.11 vs 0.36). CONCLUSION: The participation of clinical pharmacists during the treatment can improve the clinical benefits of vancomycin in patients with severe infections.

To elevate the performance of polymer solar cells (PSC) processed by non-halogenated solvents, a dissymmetric fused-ring acceptor BTIC-2Cl-γCF3 with chlorine and trifluoromethyl end groups has been designed and synthesized. X-ray crystallographic data suggests that BTIC-2Cl-γCF3 has a 3D network packing structure as a result of H- and J-aggregations between adjacent molecules, which will strengthen its charge transport as an acceptor material. When PBDB-TF was used as a donor, the toluene-processed binary device realized a high power conversion efficiency (PCE) of 16.31 %, which improved to 17.12 % when PC71ThBM was added as the third component. Its efficiency of over 17 % is currently the highest among polymer solar cells processed by non-halogenated solvents. Compared to its symmetric counterparts BTIC-4Cl and BTIC-CF3 -γ, the dissymmetric BTIC-2Cl-γCF3 integrates their merits, and has optimized the molecular aggregations with excellent storage and photo-stability, and also extending the maximum absorption peak in film to 852 nm. The devices exhibit good transparency indicating a potential utilization in semi-transparent building integrated photovoltaics (ST-BIPV).

Selenium is a trace element necessary for the growth of organisms. Moreover, selenium supplementation can improve the immunity and fertility of the body, as well as its ability to resist oxidation, tumors, heavy metals, and pathogenic microorganisms. However, owing to the duality of selenium, excessive selenium supplementation can cause certain toxic effects on the growth and development of the body and may even result in death in severe cases. At present, increasing attention is being paid to the development and utilization of selenium as a micronutrient, but its potential toxicity tends to be neglected. This study systematically reviews recent research on the toxicological effects of selenium, aiming to provide theoretical references for selenium toxicology-related research and theoretical support for the development of selenium-containing drugs, selenium-enriched dietary supplements, and selenium-enriched foods.

In organic electronics, aromatic fused-ring is the basic unit that provides π-electrons to construct solution-processable, lightweight, flexible semiconductors and governs the device performance in a wide range of new technologies. The main challenge on developing new π-skeletons for tuning the material properties is the limitation of available chemical approach. Herein, we addressed the problems on chemical synthesis and for the first time successfully synthesized two pentacyclic siloxy-bridged π-conjugated isomers (SiO5T-5 & SiO5T-10), for investigating the synergistic effects of Si and O atoms on the geometric and electronic influence of the π-units in organic electronics. Notably, the synthesis routes for both of SiO5T-5 and SiO5T-10 possess several advantages over the previous approaches for delivering conventional aromatic fused-ring such as environmentally benign tin-free synthesis, and less synthetic steps. To explore its potential application as photovoltaic materials, two isomeric A-D-A acceptors based on these two SiO5Ts isomers were developed, showing a decent device efficiency of 10%, which is higher than those of carbon and carbon-oxygen analogue-based PSCs. Our study indicates that the siloxy-bridged π-conjugated system is a potential donor core for photovoltaic materials. The silicon and oxygen synergistic effects presented herein would bring new vigor and vitality for further improving the performance of organic solar cells.

In this work, three new nonfullerene acceptors (BT6IC-BO-4Cl, BT6IC-HD-4Cl, and BT6IC-OD-4Cl), which comprise a central fused benzothiadiazole core and two dichlorinated end groups and substituted with different branched alkyl chains [2-butyloctyl (BO), longer 2-hexyldecyl (HD), and 2-octyldodecyl (OD)], are successfully designed and prepared. The influences of the branched alkyl chain with different lengths on the electronic/optoelectronic property, electrochemistry, and photovoltaic performance are systematically investigated. It has been revealed that BT6IC-HD-4Cl, which had the medium alkyl chain (2-hexyldecyl) length, has the best photovoltaic performance when using PDBT-TF as the electron donor. The BT6IC-HD-4Cl-based device shows an impressive power conversion efficiency of 14.90%, much higher than BT6IC-BO-4Cl (14.45%)- and BT6IC-OD-4Cl (9.60%)-based devices. All these evidence shows that the subtle changes in the alkyl substituent of these high-performance chlorinated acceptors can have a big impact on the structural order and molecular packing of the resultant nonfullerene acceptors and ultimately on the photovoltaic performance of the final solar devices.

The aim of the present study was to investigate the effect of exposure to sevoflurane general anesthesia during early pregnancy on interferon-inducible protein AIM2 (AIM2) expression in the hippocampus and parietal cortex of the offspring Sprague-Dawley (SD) rats. A total of 18 SD rats at a gestational age of 5-7 days were randomly divided into three groups: i) A control group (control); ii) 2-h sevoflurane general anesthesia, group 1 (S1); and iii) 4-h sevoflurane general anesthesia, group 2 (S2). The six offspring rats in each group were maintained for 30 days and assessed by Morris water maze testing. Brain specimens were collected from offspring rats 30 days after birth. Changes in the structural morphology of neurons in the hippocampus and parietal cortex were observed using hematoxylin and eosin staining. Nissl bodies in the hippocampus and parietal cortex were observed by Nissl staining. The expression of glial fibrillary acidic protein (GFAP), AIM2, CD45 and IL-1β was detected by immunohistochemistry and the protein levels of CD45, IL-1β, pro-caspase-1 and caspase-1 p10 were detected by western blotting. Compared with the control group, offspring rats in the S1 and S2 groups exhibited poor long-term learning and memory ability and experienced different degrees of damage to both the hippocampus and parietal cortex. The expression levels of GFAP, AIM2, CD45, IL-1β, caspase-1 and caspase-1 p10 in the offspring of both the S1 and the S2 groups were significantly increased (P

The role of clinical laboratory data in the differential diagnosis of the severe forms of COVID‐19 has not been definitely established. The aim of this study was to look for the warning index in severe COVID‐19 patients. We investigated 43 adult patients with COVID‐19. The patients were classified into mild group (28 patients) and severe group (15 patients). A comparison of the hematological parameters between the mild and severe groups showed significant differences in interleukin‐6 (IL‐6), d‐dimer (d‐D), glucose, thrombin time, fibrinogen, and C‐reactive protein (P

The concept of bromination for organic solar cells has received little attention. However, the electron withdrawing ability and noncovalent interactions of bromine are similar to those of fluorine and chlorine atoms. A tetra‐brominated non‐fullerene acceptor, designated as BTIC‐4Br, has been recently developed by introducing bromine atoms onto the end‐capping group of 2‐(3‐oxo‐2,3‐dihydro‐1H‐inden‐1‐ylidene) malononitrile and displayed a high power conversion efficiency (PCE) of 12%. To further improve its photovoltaic performance, the acceptor is optimized either by introducing a longer alkyl chain to the core or by modulating the numbers of bromine substituents. After changing each end‐group to a single bromine, the BTIC‐2Br‐m‐based devices exhibit an outstanding PCE of 16.11% with an elevated open‐circuit voltage of V oc = 0.88 V, one of the highest PCEs reported among brominated non‐fullerene acceptors. This significant improvement can be attributed to the higher light harvesting efficiency, optimized morphology, and higher exciton quenching efficiencies of the di‐brominated acceptor. These results demonstrate that the substitution of bromine onto the terminal group of non‐fullerene acceptors results in high‐efficiency organic semiconductors, and promotes the use of the halogen‐substituted strategy for polymer solar cell applications., The bromination of non‐fullerene acceptors provides a promising alternative approach for the creation of high‐performance organic solar cells. BTIC‐2Br‐m‐based devices exhibit an outstanding power conversion efficiency of 16.11% with an elevated open circuit voltage of 0.88 V, representing one of the highest efficiencies in brominated non‐fullerene acceptors.

Background and objectivePalmitic acid (PA), the most common saturated free fatty acid (FFA) in food, is related to obesity-related male infertility. The possible mechanism is PA-mediated inhibition of testosterone secretion. Endoplasmic reticulum (ER) oxidoreductin-1alpha (ERO1α), an oxidase that is localized in the ER, plays an essential role in maintaining ER homeostasis and is related to hormone secretion. However, the role and underlying mechanisms of ERO1α in PA-mediated inhibition of testosterone secretion have not been reported. Material and methodsMurine Leydig tumor cell line 1 (MLTC-1) cells were treated with different doses of PA. Cell viability, testosterone secretion, and ERO1α expression were measured by the Cell Counting Kit 8 (CCK-8) assay, enzyme-linked immunesorbent assay (ELISA), and Western blotting, respectively. Moreover, the expres-sion of ER stress marker proteins (glucose-regulated protein 78 [GRP78] and CCAAT/enhancer-binding protein homologous protein [CHOP]) was also measured after treatment. Subsequently, the expression ofERO1α was knocked down, and cell viability, testosterone secretion, and ER stress were measured after treatment with the PA or the ER stress agonist thapsigargin (TG, an ER stress inducer). Also, testosterone secretion was measured by ELISA when ER stress was inhibited by 4-phenylbutyric acid (4-PBA, an ER stress inhibitor). ResultsPA treatment reduced cell viability, induced ERO1α expression, and enhanced the expression of the ER stress marker GRP78 and CHOP, while ERO1α knockdown inhibits ER stress marker expression, promotes testosterone secretion, and enhances cell viability in PA-treated MLTC-1 cells. In addition, ERO1α knock-down rescued the TG-induced the decrease in testosterone secretion and cell viability. ConclusionsThese findings suggest that PA inhibits testosterone secretion via ER stress and that ERO1α knockdown ameliorates PA-induced decreases in testosterone via ER stress in testicular Leydig cells. Our results indi-cate the necessity of exploring the potential applications of ERO1α as a target gene for restoring fertility in obese men.

Objective. Four-dimensional cone-beam computed tomography (4D CBCT) has unique advantages in moving target localization, tracking and therapeutic dose accumulation in adaptive radiotherapy. However, the severe fringe artifacts and noise degradation caused by 4D CBCT reconstruction restrict its clinical application. We propose a novel deep unsupervised learning model to generate the high-quality 4D CBCT from the poor-quality 4D CBCT. Approach. The proposed model uses a contrastive loss function to preserve the anatomical structure in the corrected image. To preserve the relationship between the input and output image, we use a multilayer, patch-based method rather than operate on entire images. Furthermore, we draw negatives from within the input 4D CBCT rather than from the rest of the dataset. Main results. The results showed that the streak and motion artifacts were significantly suppressed. The spatial resolution of the pulmonary vessels and microstructure were also improved. To demonstrate the results in the different directions, we make the animation to show the different views of the predicted correction image in the supplementary animation. Significance. The proposed method can be integrated into any 4D CBCT reconstruction method and maybe a practical way to enhance the image quality of the 4D CBCT.

In this study, the effects of pectate and pectate lyase (PL) on nutritional quality of tomato fruits were investigated. During postharvest storage, pectate increased the fruit firmness and changed biochemical indicators such as water-soluble pectin (WSP) content and peroxidase activity (POD), simultaneously. RNA-Seq analysis and functional annotation showed that the majority of differentially expressed genes (DEGs) distributed in amino acid metabolism, carbohydrate metabolism, signal transduction pathways in either pectate or PL groups. In view of the opposite effects of pectate and PL on fruit postharvest physiology, 56 DEGs with opposite expression trend were considered to be involved in fruit softening. Subsequently, the qRT- PCR results indicated that transcription of SlPME2.1, SlCHI19, SlMal d1 and SlPR-4B related to cell wall tissue or biogenesis as well as pathogenesis were regulated by pecate and PL. The results help clarify the mechanism of pectate treatment on improving the softening of postharvest tomato fruits.

Four new binuclear platinum (II) complexes were successfully synthesized named [Pt(bzq)(μ-C9H7NO)]2 (1), [Pt(dpp)(μ-C9H7NO)]2 (2), [Pt(dpq)(μ-C9H7NO)]2 (3), [Pt(ppy)(μ-C9H7NO)]2 (4), where 7,8-benzoquinoline (hbzq), 2,3-diphenylpyrazine (hdpp), 2,3-diphenylquinoxaline (hdpq) and 2-phenylpyridine (hppy), were used as cyclometalated ligands and 2-(1H)-quinolinone (μ-C9H8NO) firstly served as a bridging ligand, respectively. Their crystal structure, photophysical and time-dependent density functional theory calculations characteristics were investigated. The X-ray structure for four compounds showed that Pt(II)-Pt(II) distances were 2.8485 A, 2.8325 A, 2.8833 A, 2.8707 A respectively, which testified absorption and emission of the complexes benefited from metal-metal-to-ligand charge transfer (MMLCT) transitions. A near-infrared emissive peak of 2 is 762 nm in the neat film.

Campylobacter jejuni (C. jejuni) contamination on poultry surface posed great threats to meat industry and human health. In order to control the propagation of C. jejuni, the gelatin nanofibers containing thyme essential oil/β-cyclodextrin e-polylysine nanoparticles (TCPNs) were engineered. Firstly, TCPNs were successfully fabricated via ionic gelation. The prepared TCPNs showed excellent antimicrobial activity against C. jejuni, which caused membranolysis and protein leakage of C. jejuni. Subsequently, TCPNs were incorporated into gelatin nanofibrous matrix via electrospinning to produce antimicrobial nanofibers. Uniformly disordered fibrous structure with good continuity and fine diameter distribution was observed. Finally, the aerobic bacterial count, thiobarbituric acid, total volatile basic nitrogen, pH, color and texture of meat samples packaged with the nanofibers were detected. The results implied the TCPNs embedded gelatin nanofibers had a promising prospect in meat preservation without impact on sensory evaluation.

The palladium-catalyzed Suzuki–Miyaura cross-coupling of N-acyl-5,5-dimethylhydantoins with arylboronic acids has been developed via selective amides C–N bond cleavage. The new reagent is commercially available and air-/moisture-stable, and it offers a variety of ketones in good yields through Suzuki coupling under mild conditions (up to 95%).

The present study is to investigate the effect of autophagy in macrophages and the protection of mouse models against MRSA invasion, which provide new potential therapeutic direction for lung infection. The effect of ST239 in macrophages were analyzed by Western blot. The immunofluorescence was used to observe the influence of autophagy inhibitor 3-MA in macrophages. Then we established MRSA mice model and the models were divided into different groups of drugs. The effect of autophagy in macrophage with MRSA and the changes of lung pathological in the mouse model was analyzed by flow cytometry and immunohistochemistry. The ability of phagocytic decreases when ST239 infected the macrophages. And the autophagy-related genes Beclin-1, LC3-I, and LC3-II protein expression significantly increased. GFP-LC3 immunostaining showed that GFP-LC3 was significantly over-expressed in ST239-infected macrophages. Then we found the autophagy inhibitors 3-MA could make the expression of autophagy-related genes Beclin-1, LC3-I, and LC3-II decreased, the number of ST239 decreased, and the ability of macrophages phagocytosed MRSA increasing. In the mouse model we performed the same assay, the results showed that the percentage of macrophages in the mouse model treated with 3-MA was increased compared to the ST239 mouse model and that the number of bacteria in right lung significantly reduced. Lung cells treated with3-MA significantly improved the lesion of ST239 lung cell disease. Inhibition of autophagy can increase the ability of macrophages phagocytosed MRSA, and it is a suitable target for preventing or treating MRSA infection.

A series of conjugated T2 polymers (PBBF1-T2 and PBBCl1-T2), and T3 polymers (PBBF1-T3, PBBCl1-T3 and PBBCl2-T3) were synthesized using chlorinated/fluorinated benzothiadiazole (BT) and the two-dimensional benzo[1,2-b:4,5-b′]dithiophene (BDT) units as the building blocks. When compared to the fluorinated polymer, the performance of the polymer photovoltaic devices showed that these chlorinated polymers gave extended optical absorption spectrum, and lower highest occupied molecular orbital (HOMO) energy levels. The introduction of chlorine atoms increases the twist angle between the polymer backbones, and led to a lower HOMO energy level and resulted in the increase of open circuit voltage (Voc) up to 0.84 V in PBBCl2-T3 based devices with a two chlorine substitution. However, the device based on PBBCl1-T3 with only one chlorine atom exhibited the best power conversion efficiency (PCE) which was as high as 6.87% with a Voc of 0.73 V, and this was about 10% higher than that of its fluorinated analogs. This result indicated that the introduction of chlorine atoms into polymers is not only a simple route to synthesize a large amount of material and which avoids the tedious synthesis steps in widely used fluorinated polymers, but it is also a feasible and effective strategy to fine tune the energy level of polymer solar cell with optimized PCE. Furthermore, it is worth noting that the introduction of longer π-conjugation side chains could minimize the influence of chlorine substitution by reducing the twist angle between the polymer backbones, which would reduce the gap of Voc between the chlorinated polymers and their fluorinated analogs.

Owing to the limitation of DNA-specific recognition, improving the sensitivity of bacteria detection without additional culture poses a considerable challenge. Herein, a sensitive, novel, and high-specificity fluorescence detection method was developed using transcription activator-like effectors (TALEs) as the specifically recognized element. Based on the property of TALEs for recognizing double-stranded DNA, the detection method was first proposed. Its sensitivity was further improved by isothermal amplification of RPA. The "humanoid" molecular beacon (H-MB) was designed to achieve signal output. The steric hindrance of the protein opens the stem, enhancing the fluorescence intensity of an attached FAM/BHQ-1 pair. This method can be used to detect Escherichia coli O157:H7 with single-base mismatch specificity and high sensitivity (detection limit of 3 cfu mL-1) and can be applied in actual sample detection by boiling the sample for 10 min. TALEs can be assembled according to the target, so the method can be used to detect other foodborne pathogens and viruses in the food safety and clinical fields.